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Sample records for internal sphincterotomy reduces

  1. Open versus closed lateral internal anal sphincterotomy in the management of chronic anal fissures: A prospective randomized study

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    Vivek Gupta

    2014-10-01

    Conclusion: Closed lateral internal sphincterotomy is the treatment of choice for chronic fissures as it is effective, safe, less expensive, and associated with a lower rate of complications than the open sphincterotomy technique.

  2. Frequency of post-operative faecal incontinence in patients with closed and open internal anal sphincterotomy

    International Nuclear Information System (INIS)

    Ghayas, N.G.; Younus, S.M.; Mirani, A.J.; Ghayasuddin, M.

    2015-01-01

    Fissure in ano is one of the commonest benign and painful proctologic diseases causing considerable morbidity and reduction in quality of life. There are medical as well as surgical treatment options for anal fissure. The study was conducted to compare the frequency of postoperative faecal incontinence in patients with closed lateral internal anal sphincterotomy with von-greaves knife versus standard Parks operation (open method) for chronic anal fissure. Methods: This was a randomized controlled trial (RCT) was conducted at the Department of Surgery, KVSS, S.I.T.E. Hospital, Karachi, for a period of six months from 13th February to 12th August 2011. Ninety four consecutive patients having chronic anal fissure were assigned through blocked randomization to groups A and B, with 47 patients in each group. Closed lateral internal anal sphincterotomy (CLIAS) via von-greaves knife was carried out in patients of group-A whereas patients of group-B were subjected to open internal anal sphincterotomy (OIAS) also known as Parks procedure. Faecal incontinence was noted on the 5th post-operative day. Data was analysed using SPSS 16. Results: There were 81 (86.2%) males and 13 (13.8%) females with male to female ratio being 6:1. Mean age was 38.38 mp±14.56 years. Post-operative faecal incontinence in patients undergoing CLIAS was 4.3% while it was 21.3% in those undergoing OIAS with a p-value of 0.027. CLIAS with von-greaves knife is effective in reducing faecal incontinence on 5th postoperative day as compared to standard OIAS. Conclusion: CLIAS with von-greaves knife is effective in reducing faecal incontinence on 5th postoperative day as compared to OIAS (Park's procedure). Therefore, this technique may be used in future regularly to treat chronic anal fissure for prevention of this morbidity. (author)

  3. Clinical, manometric, and ultrasonographic results of pneumatic balloon dilatation vs. lateral internal sphincterotomy for chronic anal fissure: a prospective, randomized, controlled trial.

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    Renzi, Adolfo; Izzo, Domenico; Di Sarno, Giandomenico; Talento, Pasquale; Torelli, Francesco; Izzo, Giuseppe; Di Martino, Natale

    2008-01-01

    This prospective, randomized, controlled trial was designed to compare the clinical, functional, and morphologic results of pneumatic balloon dilatation with lateral internal sphincterotomy for the treatment of chronic anal fissure. All patients with symptomatic chronic anal fissure were randomly assigned to pneumatic balloon dilatation or lateral internal sphincterotomy and invited to complete a standardized questionnaire inquiring about their symptoms. Anal ultrasonography and anal manometry were performed before and six months after surgery. A proctologic examination was performed between the fifth and sixth postoperative weeks. Anal continence, scored by using a validated continence grading scale, was evaluated preoperatively at 1 and 6 weeks and at 12 and 24 months. Fifty-three patients, who satisfied selection criteria, were enrolled in the trial. Four patients (7.5 percent) were lost to follow-up. Twenty-four patients (11 males; mean age, 42 +/- 8.2 years) underwent pneumatic balloon dilatation and 25 patients (10 males; mean age, 44 +/- 7.3 years) underwent lateral internal sphincterotomy. Fissure-healing rates were 83.3 percent in the pneumatic balloon dilatation and 92 percent in the lateral internal sphincterotomy group. Recurrent anal fissure was observed in one patient (4 percent) after lateral internal sphincterotomy. At anal manometry, mean resting pressure decrements obtained after pneumatic balloon dilatation and lateral internal sphincterotomy were 30.5 and 34.3 percent, respectively. After pneumatic balloon dilatation, anal ultrasonography did not show any significant sphincter damage. At 24-month follow-up, the incidence of incontinence, irrespective of severity, was 0 percent in the pneumatic balloon dilatation group and 16 percent in the lateral internal sphincterotomy group (P < 0.0001). As lateral internal sphincterotomy, pneumatic balloon dilatation grants a high anal fissure-healing rate but with a statistically significant reduction in

  4. Chronic anal fissures: Open lateral internal sphincterotomy result; a case series study

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    Abdulwahid M. Salih

    2017-03-01

    Conclusion: lateral sphincterotomy for internal anal sphincter, along, is the procedure of choice for management of CAF because it is effective and it can cure the disease in nearly all patients with good patient satisfaction.

  5. Importance of radiographic monitoring of endoscopic sphincterotomy

    International Nuclear Information System (INIS)

    Greenberg, H.M.; Goldberg, H.I.; Shapiro, H.A.

    1981-01-01

    The radiographic features of endoscopic sphincterotomies performed in 44 patients were evaluated. Radiographic landmarks aided in proper sphincterotome placement and also disclosed conditions and anatomic variations that made catheter placement difficult. Fluoroscopic and radiographic monitoring not only assisted the performance of endoscopic sphincterotomy, but also confirmed successful results and revealed reasons for failure. Radiographic changes in the biliary tract after sphincterotomy, as well as potential complications of sphincterotomy, are discussed and illustrated

  6. A COMPARATIVE STUDY OF LATERAL SPHINCTEROTOMY AND LOCAL APPLICATION OF 2% DILTIAZEM GEL IN TREATMENT OF CHRONIC ANAL FISSURE

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    Rajashekar

    2015-11-01

    Full Text Available BACKGROUND AND OBJECTIVES Anal fissures are commonly encountered in routine colorectal practice. Chronic fissures have traditionally been treated surgically. Developments in the pharmacological understanding of the internal anal sphincter have resulted in more conservative approaches towards treatment. In this study, we compare topical 2% Diltiazem gel and lateral internal sphincterotomy with respect to symptomatic relief, healing and side effects in the treatment of chronic fissure in ano. METHODS 60 patients with chronic fissure in ano were randomly divided into Diltiazem gel and internal sphincterotomy groups. Patients were followed up at weekly intervals for minimum of eight weeks. Data was recorded accordingly. RESULTS Fissure completely healed in 28(93.33% out of 30 patients treated with 2% Diltiazem gel between 4-8 weeks. Healing was 100% with internal sphincterotomy. The mean duration required for healing of fissure was 4.86 weeks in Diltiazem gel group and 3.66 weeks in internal sphincterotomy group. 61.5% patients were free from pain after treatment with Diltiazem gel whereas in internal sphicterotomy group 66.66% patients had pain relief at the end of 4 weeks. INTERPRETATION AND CONCLUSION Comparison between Diltiazem gel application and internal sphincterotomy did not show any significant difference in fissure healing and pain relief. No side effects were seen in Diltiazem gel therapy. Topical Diltiazem should be the initial treatment in chronic fissure in ano. It is better to reserve internal sphincterotomy for patients with relapse or therapeutic failure to prior pharmacological treatment.

  7. Post-endoscopic biliary sphincterotomy bleeding: an interventional radiology approach.

    LENUS (Irish Health Repository)

    Dunne, Ruth

    2013-12-01

    Endoscopic sphincterotomy is an integral component of endoscopic retrograde cholangiopancreatography. Post-sphincterotomy hemorrhage is a recognized complication. First line treatment involves a variety of endoscopic techniques performed at the time of sphincterotomy. If these are not successful, transcatheter arterial embolization or open surgical vessel ligation are therapeutic considerations.

  8. Percutaneous transhepatic sphincterotomy

    International Nuclear Information System (INIS)

    Gandin, G.; Zanon, E.; Righi, D.; Fonio, P.; Ferrari, A.; Recchia, S.

    1990-01-01

    The authors describe the techique employed for percutaneous trans-hepatic sphincterotomy as performed on 3 patients with common bile duct (CBD) stones. In all patients, previous endoscopic attempt had failed for anatomical reasons (Billroth II gastric resection or partial gastric resection with brown anastomosis), and the ampulla could not be correctly incannulated with the sphincterotome. In all aptients endoscopy was useful to check the position of the diethermic loop inserted percutaneously. Conplete and immediate success was obtained in all 3 cases. No major complications occurred during transhepatic treatment. To date, 1 recurrence has been observed, and the patient has been retreated with bilioplasty. All patients were followed after 5-6 months with US, plain X-rays of the abdomen and blood tests (γGt, alkaline phosphatase, and bilirubinemia). The authors suggest that percutaneous transhepatic sphincterotomy be employed electively in patients with biliary tree diseases in case the endoscopic approach failes

  9. Clinical endoscopic management and outcome of post-endoscopic sphincterotomy bleeding.

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    Wei-Chen Lin

    Full Text Available Post-endoscopic sphincterotomy bleeding is a common complication of biliary sphincterotomy, and the incidence varies from 1% to 48%. It can be challenging to localize the bleeder or to administer various interventions through a side-viewing endoscope. This study aimed to evaluate the risk factors of post-endoscopic sphincterotomy bleeding and the outcome of endoscopic intervention therapies. We retrospectively reviewed the records of 513 patients who underwent biliary sphincterotomy in Mackay Memorial Hospital between 2011 and 2016. The blood biochemistry, comorbidities, indication for sphincterotomy, severity of bleeding, endoscopic features of bleeder, and type of endoscopic therapy were analyzed. Post-endoscopic sphincterotomy bleeding occurred in 65 (12.6% patients. Forty-five patients had immediate bleeding and 20 patients had delayed bleeding. The multivariate analysis of risk factors associated with post-endoscopic sphincterotomy bleeding were liver cirrhosis (P = 0.029, end-stage renal disease (P = 0.038, previous antiplatelet drug use (P<0.001, and duodenal ulcer (P = 0.023. The complications of pancreatitis and cholangitis were higher in the bleeding group, with statistical significance. Delayed bleeding occurred within 1 to 7 days (mean, 2.5 days, and 60% (12/20 of the patients received endoscopic evaluation. In the delayed bleeding group, the successful hemostasis rate was 71.4% (5/7, and 65% (13/20 of the patients had ceased bleeding without endoscopic hemostasis therapy. Comparison of different therapeutic modalities showed that cholangitis was higher in patients who received epinephrine spray (P = 0.042 and pancreatitis was higher in patients who received epinephrine injection and electrocoagulation (P = 0.041 and P = 0.039 respectively. Clinically, post-endoscopic sphincterotomy bleeding and further endoscopic hemostasis therapy increase the complication rate of pancreatitis and cholangitis. Realizing the effectiveness of each

  10. Clinical and manometric evaluation of women with chronic anal fissure before and after internal subcutaneous lateral sphincterotomy

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    Silvana Marques e Silva

    2012-06-01

    Full Text Available OBJECTIVE: To evaluate clinical and manometric parameters of chronic anal fissure females undergoing lateral internal sphincterotomy (LIS. METHODS: A total of eight women with chronic anal fissure who underwent LIS were included in this study. The preoperative assessment was performed one week before surgery and included general and anorectal examination, anorectal manometry, and Jorge Wexner questionnaire. The post operative follow up was made every 15 days until complete healing. Jorge Wexner questionnaires and anorectal manometry were repeated at 1 month and 3 months after the surgery. Time to healing, manometric changes and complications were assessed. RESULTS: All patients had preoperative increased anal resting pressure. The resting pressures and anal canal length were significantly decreased 3 months after surgery. Patients' complaints of itching and bleeding were also reduced. Fissures healed in 7 patients and median healing time was 45 days. No complications were observed due to the procedure. One patient had transient incontinence to flatus. CONCLUSION: Lateral internal sphincterotomy provided clinical improvement and reduced resting pressure of the internal anal sphincter in women with chronic anal fissure.OBJETIVO: Avaliar a evolução clínica e manométrica de mulheres com fissura anal crônica submetidas à esfincterotomia lateral interna subcutânea. MÉTODOS: Estudo prospectivo com oito pacientes. A avaliação inicial foi realizada por meio de questionários, exame físico e manometria anorretal na semana anterior ao procedimento cirúrgico. Durante o período pós-operatório, as pacientes foram avaliadas clinicamente a cada 15 dias, até a cicatrização completa. Os questionários e a manometria anorretal foram repetidos 1 mês e 3 meses após a operação. Foi avaliado o tempo para cicatrização da fissura, as alterações manométricas e as complicações decorrentes do procedimento. RESULTADOS: Todas as pacientes

  11. NEEDLE KNIFE SPHINCTEROTOMY - THE CHRIS HANI BARAGWANATH ACADEMIC HOSPITAL EXPERIENCE.

    Science.gov (United States)

    Thomson, J T; Smith, M D; Omoshoro-Jones, J A O; Devar, J D; Khan, Z K; Jugmohan, B J

    2017-06-01

    Deep biliary cannulation is essential in performing a therapeutic ERCP. Cannulation can be enhanced through the utilization of a pre-cut by means of a needle knife sphincterotomy. Retrospective analysis of the Chris Hani Baragwanath Academic Hospital's ERCP database was performed. All ERCPs performed with the aid of a needle knife were identified and analysed for successful and unsuccessful deep biliary cannulation. 2830 ERCPs were performed during the study period. 369 (13%) required needle knife sphincterotomies and successful deep biliary cannulation was achieved in 229 (62%) of these patients. Repeat ERCPs were performed on 125 (34%) patients. 61 (49%) of the repeat ERCPs were performed because of previously failed cannulation. 34 (56%) of these repeat ERCPs resulted in successful deep biliary cannulation at re-attempt. 99% of successful cannulations at repeat ERCP had had a needle knife sphincterotomy at the first ERCP. Needle knife sphincterotomy improves deep biliary cannulation at initial ERCP and subsequent ERCPs with low incidences of complications.

  12. Post-biliary sphincterotomy bleeding despite covered metallic stent deployment

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    Gianfranco Donatelli

    2016-05-01

    Full Text Available Objectives: Several endoscopic techniques have been proposed for the management of post-sphincterotomy bleeding. Lately, self-expandable metal stents deployment has gained popularity especially as a rescue therapy when other endoscopic techniques fail. Methods-results: We report the case report of a massive post-sphincterotomy bleeding in a patient with a self-expandable metal stent in the biliary tree. Despite the presence of a correctly positioned self-expandable metal stent, a new endoscopic session was required to control the bleeding. Conclusions: Self-expandable metal stent may be useful to manage post-endoscopic sphincterotomy bleeding. However, up to now there is no specifically designed self-expandable metal stent for such complication. Large new designed self-expandable metal stent may be a useful tool for biliary endoscopist.

  13. Cholangiography and endoscopic sphincterotomy in the ...

    African Journals Online (AJOL)

    Cholangiography and endoscopic sphincterotomy in the management of severe acute gallstone pancreatitis discovered at diag~osticlaparotomy. ... in these cases Included cholecystectomy and Ttube drainage (2 patients) cholecystostomy drainage (3 patients), and closure of the abdomen without drainage (2 patients).

  14. [Long-term follow up of sphincterotomy in spinal cord injured men].

    Science.gov (United States)

    Takahashi, Ryosuke; Kimoto, Yasusuke

    2008-01-01

    The long-term outcome of transurethral sphincterotomy (sphincterotomy) for the management of male quadriplegic patients with neurogenic bladder was examined. A total of 39 men with at least 5-years follow-up after sphincterotomy at our institute were included in this retrospective analysis. The mean age was 36.2 years (range 15-61). The mean follow-up period was 13.1 years (range 5-27). Of the 39 patients, 30 patients (77%) were successfully maintained in reflex voiding with a condom catheter and remaining 9 patients (23%) have received another urinary management, including 4 suprapubic cystostomy, 2 clean intermittent catheterization and 2 clean intermittent catheterization by care giver. The main reason that required another urinary management was the augmentation in autonomic hyperreflexia due to poor urinary drainage. Analysis of the urodynamic parameters revealed that the detrusor overactivity is hard to occur with time and this would be one of the reasons for the change of urinary management. In addition, the preoperative maximum bladder pressure in patients who has changed the urinary management due to the augmentation in AH was significantly lower than that in patients that has been successfully followed up in reflex voiding. The long-term outcome of sphincterotomy was relatively good. However detrusor overactivity is hard to occur with time and this would be one of the important points during the postoperative routine follow up.

  15. Selective Embolization for Post-Endoscopic Sphincterotomy Bleeding: Technical Aspects and Clinical Efficacy

    Energy Technology Data Exchange (ETDEWEB)

    So, Young Ho; Choi, Young Ho [Seoul National University Boramae Medical Center, Seoul (Korea, Republic of); Chung, Jin Wook; Jae, Hwan Jun; Park, Jae Hyung [Seoul National University Hospital, Seoul (Korea, Republic of); Song, Soon Young [Hanyang University Hospital, Seoul (Korea, Republic of)

    2012-01-15

    The objective of this study was to evaluate the technical aspects and clinical efficacy of selective embolization for post-endoscopic sphincterotomy bleeding. We reviewed the records of 10 patients (3%; M:F 6:4; mean age, 63.3 years) that underwent selective embolization for post-endoscopic sphincterotomy bleeding among 344 patients who received arteriography for nonvariceal upper gastrointestinal bleeding from 2000 to 2009. We analyzed the endoscopic procedure, onset of bleeding, underlying clinical condition, angiographic findings, interventional procedure, and outcomes in these patients. Among the 12 bleeding branches, primary success of hemostasis was achieved in 10 bleeding branches (83%). Secondary success occurred in two additional bleeding branches (100%) after repeated embolization. In 10 patients, post-endoscopic sphincterotomy bleedings were detected during the endoscopic procedure (n = 2, 20%) or later (n = 8, 80%), and the delay was from one to eight days (mean, 2.9 days; {+-} 2.3). Coagulopathy was observed in three patients. Eight patients had a single bleeding branch, whereas two patients had two branches. On the selective arteriography, bleeding branches originated from the posterior pancreaticoduodenal artery (n = 8, 67%) and anterior pancreaticoduodenal artery (n = 4, 33%), respectively. Superselection was achieved in four branches and the embolization was performed with n-butyl cyanoacrylate. The eight branches were embolized by combined use of coil, n-butyl cyanoacrylate, or Gelfoam. After the last embolization, there was no rebleeding or complication related to embolization. Selective embolization is technically feasible and an effective procedure for post-endoscopic sphincterotomy bleeding. In addition, the posterior pancreaticoduodenal artery is the main origin of the causative vessels of post-endoscopic sphincterotomy bleeding.

  16. Selective Embolization for Post-Endoscopic Sphincterotomy Bleeding: Technical Aspects and Clinical Efficacy

    International Nuclear Information System (INIS)

    So, Young Ho; Choi, Young Ho; Chung, Jin Wook; Jae, Hwan Jun; Park, Jae Hyung; Song, Soon Young

    2012-01-01

    The objective of this study was to evaluate the technical aspects and clinical efficacy of selective embolization for post-endoscopic sphincterotomy bleeding. We reviewed the records of 10 patients (3%; M:F 6:4; mean age, 63.3 years) that underwent selective embolization for post-endoscopic sphincterotomy bleeding among 344 patients who received arteriography for nonvariceal upper gastrointestinal bleeding from 2000 to 2009. We analyzed the endoscopic procedure, onset of bleeding, underlying clinical condition, angiographic findings, interventional procedure, and outcomes in these patients. Among the 12 bleeding branches, primary success of hemostasis was achieved in 10 bleeding branches (83%). Secondary success occurred in two additional bleeding branches (100%) after repeated embolization. In 10 patients, post-endoscopic sphincterotomy bleedings were detected during the endoscopic procedure (n = 2, 20%) or later (n = 8, 80%), and the delay was from one to eight days (mean, 2.9 days; ± 2.3). Coagulopathy was observed in three patients. Eight patients had a single bleeding branch, whereas two patients had two branches. On the selective arteriography, bleeding branches originated from the posterior pancreaticoduodenal artery (n = 8, 67%) and anterior pancreaticoduodenal artery (n = 4, 33%), respectively. Superselection was achieved in four branches and the embolization was performed with n-butyl cyanoacrylate. The eight branches were embolized by combined use of coil, n-butyl cyanoacrylate, or Gelfoam. After the last embolization, there was no rebleeding or complication related to embolization. Selective embolization is technically feasible and an effective procedure for post-endoscopic sphincterotomy bleeding. In addition, the posterior pancreaticoduodenal artery is the main origin of the causative vessels of post-endoscopic sphincterotomy bleeding.

  17. Esfincterotomia lateral interna associada à hemorroidectomia no tratamento da doença hemorroidária: vantagem ou desvantagem? Open haemorrhoidectomy with associated lateral internal sphincterotomy for treatment of haemorrhoids: advantage or disadvantage?

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    Hélio Moreira Junior

    2007-09-01

    submitted to surgical treatment for hemorrhoids. Patients and METHODS: Twenty patients who underwent Milligan Morgan hemorrhoidectomy were distributed in two groups: Group 1: Hemorrhoidectomy without sphincterotomy and Group 2: Hemorrhoidectomy with sphincterotomy. Post-operative pain, complications as well anal continence was evaluated. Moreover, pre and post-operative manometry was performed, and collected data was compared between the two groups of patients. RESULTS: There was no difference in the incidence of post-operative complications. Although group I used more narcotics and analgesics in the post-operative time, pain was significantly higher at 3rd and 7th post-operative day for Group II patients. Wound healing time was similar for both groups. Anal incontinence was significantly higher for patients who underwent sphincterotomy. CONCLUSION: Hemorrhoidectomy with associated internal lateral sphincterotomy did not reduce post-operative pain, and increased the risk of post-operative incontinence.

  18. Santorinicele: secretin-enhanced magnetic resonance cholangiopancreatography findings before and after minor papilla sphincterotomy

    Energy Technology Data Exchange (ETDEWEB)

    Boninsegna, Enrico; Manfredi, Riccardo; Ventriglia, Anna; Negrelli, Riccardo; Pedrinolla, Beatrice; Mehrabi, Sara; Pozzi Mucelli, Roberto [University of Verona, Department of Radiology - Policlinico G.B. Rossi, Verona (Italy); Gabbrielli, Armando [University of Verona, Department of Medicine - Policlinico G.B. Rossi, Verona (Italy)

    2015-08-15

    To evaluate secretin-enhanced MRCP (S-MRCP) findings of patients with pancreas divisum and Santorinicele, before and after minor papilla sphincterotomy. S-MRCP examinations of 519 patients with suspected pancreatic disease were included. Size of the main pancreatic duct, presence and calibre of Santorinicele were evaluated. Duodenal filling was assessed on dynamic images. After sphincterotomy the same parameters and the clinical findings were re-evaluated. Pancreas divisum was depicted in 55/519 patients (11 %) by MRCP and an additional 26/519 by S-MRCP (total 81/519, 16 %). Santorinicele was detected in 7/81 patients (8.6 %) with pancreas divisum by MRCP and an additional 20/81 by S-MRCP (total 27/81, 33 %). Dorsal duct in patients with Santorinicele was significantly larger in the head compared with patients with only pancreas divisum (p < 0.01), in basal conditions (average 2.4 versus 1.9 mm) and after secretin administration (average 3.0 versus 2.4 mm). Duodenal filling was impaired in 11/27 patients (41 %) with Santorinicele. After sphincterotomy significant reduction in size of Santorinicele (-33 %) and dorsal duct (-17 %), increase of pancreatic juice and symptoms improvement were observed. Secretin administration increases the accuracy of MRCP in detecting Santorinicele and demonstrates the impaired duodenal filling. S-MRCP is useful to assess results of sphincterotomy. (orig.)

  19. Effect of endoscopic transpapillary biliary drainage with/without endoscopic sphincterotomy on post-endoscopic retrograde cholangiopancreatography pancreatitis in patients with biliary stricture (E-BEST): a protocol for a multicentre randomised controlled trial.

    Science.gov (United States)

    Kato, Shin; Kuwatani, Masaki; Sugiura, Ryo; Sano, Itsuki; Kawakubo, Kazumichi; Ono, Kota; Sakamoto, Naoya

    2017-08-11

    The effect of endoscopic sphincterotomy prior to endoscopic biliary stenting to prevent post-endoscopic retrograde cholangiopancreatography pancreatitis remains to be fully elucidated. The aim of this study is to prospectively evaluate the non-inferiority of non-endoscopic sphincterotomy prior to stenting for naïve major duodenal papilla compared with endoscopic sphincterotomy prior to stenting in patients with biliary stricture. We designed a multicentre randomised controlled trial, for which we will recruit 370 patients with biliary stricture requiring endoscopic biliary stenting from 26 high-volume institutions in Japan. Patients will be randomly allocated to the endoscopic sphincterotomy group or the non-endoscopic sphincterotomy group. The main outcome measure is the incidence of pancreatitis within 2 days of initial transpapillary biliary drainage. Data will be analysed on completion of the study. We will calculate the 95% confidence intervals (CIs) of the incidence of pancreatitis in each group and analyse weather the difference in both groups with 95% CIs is within the non-inferiority margin (6%) using the Wald method. This study has been approved by the institutional review board of Hokkaido University Hospital (IRB: 016-0181). Results will be submitted for presentation at an international medical conference and published in a peer-reviewed journal. The University Hospital Medical Information Network ID: UMIN000025727 Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  20. Cholecystectomy and sphincterotomy in patients with mild acute biliary pancreatitis in Sweden 1988 - 2003: a nationwide register study

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    Stenlund Hans C

    2009-10-01

    Full Text Available Abstract Background Gallstones represent the most common cause of acute pancreatitis in Sweden. Epidemiological data concerning timing of cholecystectomy and sphincterotomy in patients with first attack of mild acute biliary pancreatitis (MABP are scarce. Our aim was to analyse readmissions for biliary disease, cholecystectomy within one year, and mortality within 90 days of index admission for MABP. Methods Hospital discharge and death certificate data were linked for patients with first attack acute pancreatitis in Sweden 1988-2003. Mortality was calculated as case fatality rate (CFR and standardized mortality ratio (SMR. MABP was defined as acute pancreatitis of biliary aetiology without mortality during an index stay of 10 days or shorter. Patients were analysed according to four different treatment policies: Cholecystectomy during index stay (group 1, no cholecystectomy during index stay but within 30 days of index admission (group 2, sphincterotomy but not cholecystectomy within 30 days of index admission (group 3, and neither cholecystectomy nor sphincterotomy within 30 days of index admission (group 4. Results Of 11636 patients with acute biliary pancreatitis, 8631 patients (74% met the criteria for MABP. After exclusion of those with cholecystectomy or sphincterotomy during the year before index admission (N = 212, 8419 patients with MABP remained for analysis. Patients in group 1 and 2 were significantly younger than patients in group 3 and 4. Length of index stay differed significantly between the groups, from 4 (3-6 days, (representing median, 25 and 75 percentiles in group 2 to 7 (5-8 days in groups 1. In group 1, 4.9% of patients were readmitted at least once for biliary disease within one year after index admission, compared to 100% in group 2, 62.5% in group 3, and 76.3% in group 4. One year after index admission, 30.8% of patients in group 3 and 47.7% of patients in group 4 had undergone cholecystectomy. SMR did not differ

  1. A randomized trial of endoscopic balloon dilation and endoscopic sphincterotomy for removal of bile duct stones in patients with a prior Billroth II gastrectomy

    NARCIS (Netherlands)

    Bergman, J. J.; van Berkel, A. M.; Bruno, M. J.; Fockens, P.; Rauws, E. A.; Tijssen, J. G.; Tytgat, G. N.; Huibregtse, K.

    2001-01-01

    BACKGROUND: A prior Billroth II gastrectomy renders endoscopic sphincterotomy (EST) more difficult in patients with bile duct stones. Endoscopic balloon dilation (EBD) is a relatively easy procedure that potentially reduces the risk of bleeding and perforation. METHODS: Thirty-four patients with

  2. Severe acute cholangitis after endoscopic sphincterotomy induced by barium examination: A case report.

    Science.gov (United States)

    Zhang, Zhen-Hai; Wu, Ya-Guang; Qin, Cheng-Kun; Su, Zhong-Xue; Xu, Jian; Xian, Guo-Zhe; Wu, Shuo-Dong

    2012-10-21

    Endoscopic sphincterotomy (EST) is considered as a possible etiological factor for severe cholangitis. We herein report a case of severe cholangitis after endoscopic sphincterotomy induced by barium examination. An adult male patient presented with epigastric pain was diagnosed as having choledocholithiasis by ultrasonography. EST was performed and the stone was completely cleaned. Barium examination was done 3 d after EST and severe cholangitis appeared 4 h later. The patient was recovered after treated with tienam for 4 d. Barium examination may induce severe cholangitis in patients after EST, although rare, barium examination should be chosen cautiously. Cautions should be also used when EST is performed in patients younger than 50 years to avoid the damage to the sphincter of Oddi.

  3. Successful outcome of sphincterotomy and 7 French pigtail stent insertion in the management of post-cholecystectomy bile leaks.

    LENUS (Irish Health Repository)

    Donnellan, Fergal

    2009-06-01

    BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is widely used to manage post-cholecystectomy bile leaks. However, the best endoscopic intervention remains controversial. We investigated the success of a 7 French double pigtail stent following sphincterotomy in the management of such bile leaks. METHODS: Between July 1998 and June 2008, 48 patients were referred for ERCP for presumed post-cholecystectomy bile leaks. Leaks were confirmed at ERCP and managed by a combination of sphincterotomy and stent insertion unless contraindicated. RESULTS: Bile duct cannulation was successful in 44 (91.7%) patients. A leak of the cystic duct was demonstrated in 19 (43.2%) patients, the duct of Luschka in 11 (25.0%), and the common hepatic duct in 5 (11.4%). Complete transection of the common bile duct occurred in 4 patients. The remaining patients had no cholangiographic evidence of a leak. Sphincterotomy was performed in 34 patients. A 7 French double pigtail plastic stent was placed in all 35 patients with cholangiographic evidence of a bile leak. No bile leaks were demonstrated at a follow-up of 8-16 weeks and all stents were removed successfully. CONCLUSION: The combination of sphincterotomy and insertion of a 7 French double pigtail stent results in excellent outcomes in the management of post-cholecystectomy bile leaks.

  4. Endoscopic sphincterotomy for common bile duct stones during laparoscopic cholecystectomy is safe and effective

    DEFF Research Database (Denmark)

    Jakobsen, Henrik Loft; Vilmann, Peter; Rosenberg, Jacob

    2011-01-01

    Management strategy for common bile duct (CBD) stones is controversial with several treatment options if stones in the CBD are recognized intraoperatively. The aim of this study was to report our experience with same-session combined endoscopic-laparoscopic treatment of gallbladder and CBD stones....... We retrospectively evaluated 31 patients with cholecystolithiasis and CBD stones undergoing same-session combined endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and endoscopic stone extraction and laparoscopic cholecystectomy. Same-session ERCP and sphincterotomy were...... performed in all patients, and stone extraction was successfully performed in 29 patients (93%) with 2 failures (7%) due to impacted stones. In 8 patients (26%), the laparoscopic procedure was converted to open cholecystectomy because of dense adhesions or unclear anatomy. Two patients (7%) developed mild...

  5. [Endoscopic sphincterotomy in choledocholithiasis and an intact gallbladder].

    Science.gov (United States)

    Vladimirov, B; Petkov, R; Viiachki, I; Damianov, D; Iarŭmov, N

    1996-01-01

    Endoscopic sphincterotomy (ES) with extraction of calculi is a basic method of treating choledocholithiasis in post-cholecystectomy patients (8, 9). Endoscopic treatment contributes to a considerable reduction of the indications for reoperation. The existing views concerning ES done in patients with preserved gallbladder, especially in the era of laparoscopic surgery, are still conflicting (3, 6). There are several options: cholecystectomy with removal of calculi in the common bile duct by ES in a subsequent stage, or vice versa-primary ES with ensuring cholecystectomy. The undertaking of independent surgical or endoscopic treatment is likewise practicable (2, 6).

  6. Cholecystectomy or gallbladder in situ after endoscopic sphincterotomy and bile duct stone removal in Chinese patients.

    Science.gov (United States)

    Lau, James Y W; Leow, Chon-Kar; Fung, Terence M K; Suen, Bing-Yee; Yu, Ly-Mee; Lai, Paul B S; Lam, Yuk-Hoi; Ng, Enders K W; Lau, Wan Yee; Chung, Sydney S C; Sung, Joseph J Y

    2006-01-01

    In patients with stones in their bile ducts and gallbladders, cholecystectomy is generally recommended after endoscopic sphincterotomy and clearance of bile duct stones. However, only approximately 10% of patients with gallbladders left in situ will return with further biliary complications. Expectant management is alternately advocated. In this study, we compared the treatment strategies of laparoscopic cholecystectomy and gallbladders left in situ. We randomized patients (>60 years of age) after endoscopic sphincterotomy and clearance of their bile duct stones to receive early laparoscopic cholecystectomy or expectant management. The primary outcome was further biliary complications. Other outcome measures included adverse events after cholecystectomy and late deaths from all causes. One hundred seventy-eight patients entered into the trial (89 in each group); 82 of 89 patients who were randomized to receive laparoscopic cholecystectomy underwent the procedure. Conversion to open surgery was needed in 16 of 82 patients (20%). Postoperative complications occurred in 8 patients (9%). Analysis was by intention to treat. With a median follow-up of approximately 5 years, 6 patients (7%) in the cholecystectomy group returned with further biliary events (cholangitis, n = 5; biliary pain, n = 1). Among those with gallbladders in situ, 21 (24%) returned with further biliary events (cholangitis, n = 13; acute cholecystitis, n = 5; biliary pain, n = 2; and jaundice, n = 1; log rank, P = .001). Late deaths were similar between groups (cholecystectomy, n = 19; gallbladder in situ, n = 11; P = .12). In the Chinese, cholecystectomy after endoscopic treatment of bile duct stones reduces recurrent biliary events and should be recommended.

  7. Laparoscopic-endoscopic rendezvous versus preoperative endoscopic sphincterotomy in people undergoing laparoscopic cholecystectomy for stones in the gallbladder and bile duct.

    Science.gov (United States)

    Vettoretto, Nereo; Arezzo, Alberto; Famiglietti, Federico; Cirocchi, Roberto; Moja, Lorenzo; Morino, Mario

    2018-04-11

    years. The run-in and follow-up periods of the trials ranged from 32 months to 84 months. Overall, the five trials were judged at high risk of bias. Athough all trials measured mortality, there was just one death reported in one trial, in the laparoscopic-endoscopic rendezvous group (low-quality evidence). The overall morbidity (surgical morbidity plus general morbidity) may be lower with laparoscopic rendezvous (RR 0.59, 95% CI 0.29 to 1.20; participants = 434, trials = 4; I² = 28%; low-quality evidence); the effect was a little more certain when a fixed-effect model was used (RR 0.56, 95% CI 0.32 to 0.99). There was insufficient evidence to determine the effects of the two approaches on the failure of primary clearance of the bile duct (RR 0.55, 95% CI 0.22 to 1.38; participants = 517; trials = 5; I² = 58%; very low-quality evidence). The effects of either approach on clinical post-operative pancreatitis were unclear (RR 0.29, 95% CI 0.07 to 1.12; participants = 517, trials = 5; I² = 24%; low-quality evidence). Hospital stay appeared to be lower in the laparoscopic-endoscopic rendezvous group by about three days (95% CI 3.51 to 2.50 days shorter; 515 participants in five trials; low-quality evidence). There was very low-quality evidence that suggested longer operative time with laparoscopic-endoscopic rendezvous (MD 34.07 minutes, 95% CI 11.41 to 56.74; participants = 313; trials = 3; I² = 93%). The Trial Sequential Analyses of operating time and the length of hospital stay indicated that all the trials crossed the conventional boundaries, suggesting that the sample sizes were adequate, with a low risk of random error. There was insufficient evidence to determine the effects of the laparoscopic-endoscopic rendezvous versus preoperative endoscopic sphincterotomy techniques in people undergoing laparoscopic cholecystectomy on mortality and morbidity. The laparoscopic-endoscopic rendezvous procedure may lead to longer operating times, but it may reduce the length of

  8. Wait-and-see policy or laparoscopic cholecystectomy after endoscopic sphincterotomy for bile-duct stones: a randomised trial

    NARCIS (Netherlands)

    Boerma, Djemila; Rauws, Erik A. J.; Keulemans, Yolande C. A.; Janssen, Ignace M. C.; Bolwerk, Clemens J. M.; Timmer, Ron; Boerma, Egge J.; Obertop, Huug; Huibregtse, Kees; Gouma, Dirk J.

    2002-01-01

    Background Patients who undergo endoscopic sphincterotomy for common bile-duct stones, who have residual gallbladder stones, are referred for laparoscopic cholecystectomy. However, only 10% of patients who do not have this operation are reported to develop recurrent biliary symptoms. We aimed to

  9. Covered Metal Stenting for Malignant Lower Biliary Stricture with Pancreatic Duct Obstruction: Is Endoscopic Sphincterotomy Needed?

    Directory of Open Access Journals (Sweden)

    Kazunari Nakahara

    2013-01-01

    Full Text Available Aims. To evaluate the need for endoscopic sphincterotomy (EST before covered self-expandable metal stent (CSEMS deployment for malignant lower biliary stricture with pancreatic duct obstruction. Methods. This study included 79 patients who underwent CSEMS deployment for unresectable malignant lower biliary stricture with pancreatic duct obstruction. Treatment outcomes and complications were compared between 38 patients with EST before CSEMS deployment (EST group and 41 without EST (non-EST group. Results. The technical success rates were 100% in both the EST and the non-EST group. The incidence of pancreatitis was 2.6% in the EST, and 2.4% in the non-EST group (. The incidences of overall complications were 18.4% and 14.6%, respectively, (. Within the non-EST groups, the incidence of pancreatitis was 0% in patients with fully covered stent deployment and 3.6% in those with partially covered stent deployment (. In the multivariate analysis, younger age (, OR 12 and nonpancreatic cancer (, OR 24 were significant risk factors for overall complications after CSEMS deployment. EST was not identified as a risk factor. Conclusions. EST did not reduce the incidence of pancreatitis after CSEMS deployment in patients of unresectable distal malignant obstruction with pancreatic duct obstruction.

  10. Wait-and-see policy versus cholecystectomy after endoscopic sphincterotomy for bile-duct stones in high-risk patients with co-existing gallbladder stones: a prospective randomised trial.

    Science.gov (United States)

    Zargar, Showkat A; Mushtaq, Mosin; Beg, Mashkoor A; Javaid, Gul; Khan, Bashir A; Hassan, Rayhana; Kasana, Reyaz A; Tabassum, Sameena

    2014-03-01

    Endoscopic sphincterotomy (ES) is one of the most important advances in the treatment of common bile duct (CBD) stones. However, the use of ES to remove CBD stones in high-risk patients without cholecystectomy is still debatable. The aim of this study was to compare the efficacy of a wait-and-see policy versus cholecystectomy after ES for CBD stones in high-risk patients with co-existing cholelithiasis. A total of 162 patients after undergoing ES with the clearance of CBD stones were randomised after informed consent to cholecystectomy or conservative management of their gallbladder stones. The results indicated that cholecystectomy after ES for CBD stones significantly reduced the biliary complications in high-risk patients. Every patient who has both CBD stones and gallstones with significant co-morbid illnesses, after clearance of CBD stones by ES, should undergo early cholecystectomy. Copyright © 2014 Arab Journal of Gastroenterology. Published by Elsevier Ltd. All rights reserved.

  11. Endoscopic Sphincterotomy Using the Rendezvous Technique for Choledocholithiasis during Laparoscopic Cholecystectomy: A Case Report.

    Science.gov (United States)

    Tanaka, Takayuki; Haraguchi, Masashi; Tokai, Hirotaka; Ito, Shinichiro; Kitajima, Masachika; Ohno, Tsuyoshi; Onizuka, Shinya; Inoue, Keiji; Motoyoshi, Yasuhide; Kuroki, Tamotsu; Kanemastu, Takashi; Eguchi, Susumu

    2014-05-01

    A 50-year-old male was examined at another hospital for fever, general fatigue and slight abdominal pain. He was treated with antibiotics and observed. However, his symptoms did not lessen, and laboratory tests revealed liver dysfunction, jaundice and an increased inflammatory response. He was then admitted to our hospital and underwent an abdominal computed tomography scan and magnetic resonance cholangiopancreatography (MRCP), which revealed common bile duct (CBD) stones. He was diagnosed with mild acute cholangitis. As the same time, he was admitted to our hospital and an emergency endoscopic retrograde cholangiopancreatography was performed. Vater papilla opening in the third portion of the duodenum and presence of a peripapillary duodenal diverticulum made it difficult to perform cannulation of the CBD. In addition, MRCP revealed that the CBD was extremely narrow (diameter 5 mm). We therefore performed laparoscopic cholecystectomy and endoscopic sphincterotomy using the rendezvous technique for choledocholithiasis simultaneously rather than laparoscopic CBD exploration. After the operation, the patient was discharged with no complications. Although the rendezvous technique has not been very commonly used because several experts in the technique and a large operating room are required, this technique is a very attractive and effective approach for treating choledocholithiasis, for which endoscopic treatment is difficult.

  12. Endoscopic Sphincterotomy Using the Rendezvous Technique for Choledocholithiasis during Laparoscopic Cholecystectomy: A Case Report

    Directory of Open Access Journals (Sweden)

    Takayuki Tanaka

    2014-08-01

    Full Text Available A 50-year-old male was examined at another hospital for fever, general fatigue and slight abdominal pain. He was treated with antibiotics and observed. However, his symptoms did not lessen, and laboratory tests revealed liver dysfunction, jaundice and an increased inflammatory response. He was then admitted to our hospital and underwent an abdominal computed tomography scan and magnetic resonance cholangiopancreatography (MRCP, which revealed common bile duct (CBD stones. He was diagnosed with mild acute cholangitis. As the same time, he was admitted to our hospital and an emergency endoscopic retrograde cholangiopancreatography was performed. Vater papilla opening in the third portion of the duodenum and presence of a peripapillary duodenal diverticulum made it difficult to perform cannulation of the CBD. In addition, MRCP revealed that the CBD was extremely narrow (diameter 5 mm. We therefore performed laparoscopic cholecystectomy and endoscopic sphincterotomy using the rendezvous technique for choledocholithiasis simultaneously rather than laparoscopic CBD exploration. After the operation, the patient was discharged with no complications. Although the rendezvous technique has not been very commonly used because several experts in the technique and a large operating room are required, this technique is a very attractive and effective approach for treating choledocholithiasis, for which endoscopic treatment is difficult.

  13. The Role of Prophylactic Endoscopic Sphincterotomy for Prevention of Postoperative Bile Leak in Hydatid Liver Disease: A Randomized Controlled Study.

    Science.gov (United States)

    El-Gendi, Ahmed M; El-Shafei, Mohamed; Bedewy, Essam

    2018-03-12

    Bile leak is the main cause of morbidity and mortality after surgery for hydatid liver cysts. Aim was to assess the role of prophylactic endoscopic sphincterotomy (ES) in reducing postoperative bile leak in patients undergoing partial cystectomy. Fifty-four patients with hepatic hydatid cyst met inclusion criteria, 27 were excluded or declined to participate. Twenty-six women and 28 men (mean age 44.6 ± 10.1, range: 22-61 years) were randomly assigned to either group I with ES (n = 27) or group II without ES (n = 27). Demographics and clinical, laboratory, and radiological characteristics of cysts were not statistically different between two groups. Group I had a significant decrease in bile leak rate compared with group II (11.1% versus 40.7%, P = .013), with significantly shorter duration of hospital stay (P leak in 3-4 days without intervention. Biliary fistula in group II had a significantly higher need for biliary intervention through postoperative endoscopic retrograde cholangiopancreatography with ES compared with biliary fistula in group I ( FE P = .002), with significantly longer mean time of fistula closure (P = .011) and longer time to drain removal (P leak rate with shorter hospital stay after partial cystectomy of hydatid cyst. Biliary fistula in patients with ES has significantly lower daily output with shorter time of drain removal and shorter time to closure than patients without ES.

  14. Strategies to reduce hyperthermia in ambulatory multiple sclerosis patients.

    Science.gov (United States)

    Edlich, Richard F; Buschbacher, Ralph M; Cox, Mary Jude; Long, William B; Winters, Kathryne L; Becker, Daniel G

    2004-01-01

    sphincterotomy followed by condom catheter drainage is recommended. However, if external urethral sphincterotomy fails to reduce residual urine and detrusor pressure, urinary diversion or bladder reconstruction may be necessary.

  15. Reducing Future International Chemical and Biological Dangers.

    Energy Technology Data Exchange (ETDEWEB)

    Haddal, Chad [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Bull, Diana L. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Hernandez, Patricia Marie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Foley, John T. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-12-01

    The International Biological and Chemical Threat Reduction Program at Sandia National Laboratories is developing a 15 - year technology road map in support the United States Government efforts to reduce international chemical and biological dangers . In 2017, the program leadership chartered an analysis team to explore dangers in the future international chemical and biological landscape through engagements with national security experts within and beyond Sandia to gain a multidisciplinary perspective on the future . This report offers a hi gh level landscape of future chemical and biological dangers based upon analysis of those engagements and provides support for further technology road map development.

  16. Reduced anterior internal capsule white matter integrity in primary insomnia.

    Science.gov (United States)

    Spiegelhalder, Kai; Regen, Wolfram; Prem, Martin; Baglioni, Chiara; Nissen, Christoph; Feige, Bernd; Schnell, Susanne; Kiselev, Valerij G; Hennig, Jürgen; Riemann, Dieter

    2014-07-01

    Chronic insomnia is one of the most prevalent central nervous system diseases, however, its neurobiology is poorly understood. Up to now, nothing is known about the integrity of white matter tracts in insomnia patients. In this study, diffusion tensor imaging (DTI) was used in a well-characterized sample of primary insomnia (PI) patients and good sleeper controls to fill this void. Voxelwise between-group comparisons of fractional anisotropy (FA) were performed in 24 PI patients (10 males; 14 females; 42.7 ± 14.5 years) and 35 healthy good sleepers (15 males; 20 females; 40.1 ± 9.1 years) with age and sex as covariates. PI patients showed reduced FA values within the right anterior internal capsule and a trend for reduced FA values in the left anterior internal capsule. The results suggest that insomnia is associated with a reduced integrity of white matter tracts in the anterior internal capsule indicating that disturbed fronto-subcortical connectivity may be a cause or consequence of the disorder.

  17. Peer education as a strategy for reducing internalized stigma among depressed older adults.

    Science.gov (United States)

    Conner, Kyaien O; McKinnon, Symone A; Ward, Christine J; Reynolds, Charles F; Brown, Charlotte

    2015-06-01

    This article examines the mechanisms through which peer educator (PE) intervention targets and reduces internalized stigma. There is substantial evidence that internalized stigma negatively impacts the lives of those suffering with mental health concerns, and has been identified as 1 of the most significant barriers to seeking professional mental health services. There has been a push toward identifying interventions and programs that effectively reduce and mitigate the impact of internalized stigma. Research suggests that contact with other individuals who share a stigmatized condition may be a promising approach to targeting and reducing internalized stigma. However, there is a dearth of research that has identified the mechanism through which this contact impacts internalized stigma. Study participants (n = 19) completed a 3-month PE intervention. Each participant was matched with an older adult with a history of depression currently in recovery who provided psychoeducation, social support, and motivational interviewing. Participants completed a demographic questionnaire, public stigma (PDD), and internalized stigma (Internalized Stigma of Mental Illness, ISMI) scales pre- and post-PE intervention. They further participated in a brief semistructured qualitative interview to attain in-depth information about their perceptions of stigma and of working with a PE. Overall, internalized stigma scores were significantly reduced after participating in the PE intervention. In addition, participants identified 4 mechanisms through which contact with their PE impacted their stigmatized beliefs: age related concerns, shared understanding, improved mental health literacy, and mutual support. This study suggests that PE is a potentially valuable approach toward reducing internalized stigma among older adults with depression. (c) 2015 APA, all rights reserved).

  18. Treatment of fissure in ano-revisited | Gupta | African Health Sciences

    African Journals Online (AJOL)

    Methods: This paper outlines a brief account of the present scenario of different techniques available for the treatment of chronic anal fissure. Conclusion: Medical manipulation of the internal sphincter should be a first-line treatment in anal fissure. When this fails or fissures recur, lateral subcutaneous internal sphincterotomy ...

  19. Comparison of botox and lateral internal sphincterotomy treatment outcomes in chronic anal fissures

    Directory of Open Access Journals (Sweden)

    Tolga Dinç

    2014-03-01

    Full Text Available Objective: Both botox and lateral internal sfinkterotomi are treatment technics used in chronic anal fissure; provide the relaxation of anal sphincter and as a result of this, healing occurs. Aim of this study is to compare efficacy of botox and LIS treatment in chronic anal fissure and discussing with the literature. Methods: 60 of 66 patients who has chronic anal fissure, that we reached, treated but not healed with medical therapy, appealed to the Dr. Sami Ulus Hospital included the study. Gender, age, fissure localization, complaints (pain, bleeding, itching, constipation, complaint length, recurrences after treatment, continence conditions and complications of patients were registered. Results: Sixty patients were enrolled the study. Of the 60 patients; 38(63.3% were male and 22 (27.7% were female. Mean age of all patients was 35.93 ± 11.45 (21 -60. Pain was the common complaint of the all patients. 10 (32.3% recurrence were detected in botox treatment group (Group-I, only 1 (3.4% recurrence was in LIS group (Group-II. There was no complication as an incontinence in group-I but 3 cases with incontinence (10.39% were obtained in group-II. In the evaluation of these 3 cases by Cleveland Clinic Continence Scoring System, 2 cases classified as gas incontinence and 1 case as moderate fecal incontinence. Conclusion: Although botulinum toxin injection seen as an alternative treatment method with low complication rates such as incontinence, high recurrence is an important shortcoming of this technic. LIS performed by experienced surgeons remained the most popular treatment modality with low complication rates and great deal of healing success.

  20. Lack of consensus on the role of endoscopic retrograde cholangiography in acute biliary pancreatitis in published meta-analyses and guidelines: a systematic review

    NARCIS (Netherlands)

    Geenen, E.J.M. van; Santvoort, H.C. van; Besselink, M.G.; Peet, D.L. van der; Erpecum, K.J. van; Fockens, P.; Mulder, C.J.; Bruno, M.J.

    2013-01-01

    OBJECTIVES: Several randomized controlled trials studied the role of endoscopic retrograde cholangiopancreaticography (ERCP) and endoscopic sphincterotomy (ES) in acute biliary pancreatitis (ABP). No study assessed whether these trials resulted in international consensus in published meta-analyses

  1. Lack of Consensus on the Role of Endoscopic Retrograde Cholangiography in Acute Biliary Pancreatitis in Published Meta-Analyses and Guidelines A Systematic Review

    NARCIS (Netherlands)

    van Geenen, Erwin-Jan M.; van Santvoort, Hjalmar C.; Besselink, Marc G. H.; van der Peet, Donald L.; van Erpecum, Karel J.; Fockens, Paul; Mulder, Chris J. J.; Bruno, Marco J.

    2013-01-01

    Objectives: Several randomized controlled trials studied the role of endoscopic retrograde cholangiopancreaticography (ERCP) and endoscopic sphincterotomy (ES) in acute biliary pancreatitis (ABP). No study assessed whether these trials resulted in international consensus in published meta-analyses

  2. Reducing of internal resistance lithium ion battery using glucose addition

    Science.gov (United States)

    Salim, Andri Pratama; Hafidlullah, Noor; Purwanto, Agus

    2016-02-01

    There are two indicators of battery performance, i.e : capacity and the internal resistance of battery. In this research, the affect of glucose addition to decrease the internal resistance of lithium battery was investigated. The ratio of glucose addition were varied at weight ratio 1%, 3%, and 5% and one mixtures without glucose addition. Lithium ferri phosphate (LiFePO4), polyvinylidene fluoride (PVDF), acetylene black (AB) and glucose were materials that used in this study. Both of mixtures were mixed in the vacuum mixer until became homogeneous. The slurry was coated on an aluminium foil sheet and the coated thickness was 200 µm. The performance of battery lithium was examined by Eight Channel Battery Analyzer and the Internal resistance was examined by Internal Resistance of Battery Meter. The result from all analyzer were showed that the internal resistance reduced as well as the battery capacity. The best internal resistance value is owned by mixtures with 3wt% ratio glucose addition. It has an internal resistance value about 64 miliohm.

  3. Reducing of internal resistance lithium ion battery using glucose addition

    International Nuclear Information System (INIS)

    Salim, Andri Pratama; Hafidlullah, Noor; Purwanto, Agus

    2016-01-01

    There are two indicators of battery performance, i.e : capacity and the internal resistance of battery. In this research, the affect of glucose addition to decrease the internal resistance of lithium battery was investigated. The ratio of glucose addition were varied at weight ratio 1%, 3%, and 5% and one mixtures without glucose addition. Lithium ferri phosphate (LiFePO 4 ), polyvinylidene fluoride (PVDF), acetylene black (AB) and glucose were materials that used in this study. Both of mixtures were mixed in the vacuum mixer until became homogeneous. The slurry was coated on an aluminium foil sheet and the coated thickness was 200 µm. The performance of battery lithium was examined by Eight Channel Battery Analyzer and the Internal resistance was examined by Internal Resistance of Battery Meter. The result from all analyzer were showed that the internal resistance reduced as well as the battery capacity. The best internal resistance value is owned by mixtures with 3wt% ratio glucose addition. It has an internal resistance value about 64 miliohm

  4. Reducing of internal resistance lithium ion battery using glucose addition

    Energy Technology Data Exchange (ETDEWEB)

    Salim, Andri Pratama; Hafidlullah, Noor; Purwanto, Agus, E-mail: aguspurw@gmail.com [Research Group of Battery & Advanced Material, Department of Chemical Engineering, Sebelas Maret University, Jl. Ir. Sutami 36 A Kentingan, Surakarta Indonesia 57126 (Indonesia)

    2016-02-08

    There are two indicators of battery performance, i.e : capacity and the internal resistance of battery. In this research, the affect of glucose addition to decrease the internal resistance of lithium battery was investigated. The ratio of glucose addition were varied at weight ratio 1%, 3%, and 5% and one mixtures without glucose addition. Lithium ferri phosphate (LiFePO{sub 4}), polyvinylidene fluoride (PVDF), acetylene black (AB) and glucose were materials that used in this study. Both of mixtures were mixed in the vacuum mixer until became homogeneous. The slurry was coated on an aluminium foil sheet and the coated thickness was 200 µm. The performance of battery lithium was examined by Eight Channel Battery Analyzer and the Internal resistance was examined by Internal Resistance of Battery Meter. The result from all analyzer were showed that the internal resistance reduced as well as the battery capacity. The best internal resistance value is owned by mixtures with 3wt% ratio glucose addition. It has an internal resistance value about 64 miliohm.

  5. Effect of hemorrhoidectomy on anorectal physiology.

    Science.gov (United States)

    Vyslouzil, Kamil; Zboril, Pavel; Skalický, Pavel; Vomácková, Katherine

    2010-02-01

    The aim of this study was to determine whether overactivity of the anal sphincter in patients with hemorhhoids is primary or secondary and thus assess indication of lateral internal sphincterotomy to surgical treatment of hemorrhoids. Tonic contraction of the sphincter muscle in patients with advanced stages of hemorrhoids is considered by many authors as a primary cause, and therefore, they complete hemorrhoid surgery with lateral internal sphincteroomy. If hypertension of anal sphincter is secondary during hemorrhoid disease, lateral internal sphincterotomy is not indicated. Although examinations made immediately after sphincterotomy proved no changes of anal continence, certain sequelae of lateral internal sphincterotomy cannot be excluded and may later negatively affect patient's anal continence. The prospective study comprised 385 patients treated in 2002-2006 by Hemoron or surgery according to Milligan-Morgan or Longo. Patients with history of another disease of the anal canal, radiotherapy of pelvis, Crohn's disease or ulcerous colitis were excluded. Manometry was performed before and after surgery at intervals of 1, 3, 6 and 12 months after operation using a perfusion flow method, six-channels catheter with radial arrangement of channel tips. In all three groups (Hemoron, sec. Milligan-Morgan, sec. Longo), there were 60-65% of patients with third degree hemorrhoids. Normal resting anal pressure before surgery was recorded in only 25% of men and 30% of women. Patients with advanced hemorrhoid degrees were found to have significant hypertension of the anal sphincter. The most significantly improved state of sphincter overactivity was observed after surgery according to Longo and application of Hemoron. After surgery, according to Milligan-Morgan, recovery of anal sphincter tension was the longest; even 6 months after operation, a mean increased resting anal pressure persisted (91-110 mmHg) in 25% of men and 19% of women. After 12 months, recovery of anal

  6. Efficacy and safety of limited endoscopic sphincterotomy before self-expandable metal stent insertion for malignant biliary obstruction.

    Science.gov (United States)

    Nam, Hyeong Seok; Kang, Dae Hwan; Kim, Hyung Wook; Choi, Cheol Woong; Park, Su Bum; Kim, Su Jin; Ryu, Dae Gon

    2017-03-07

    To evaluate the safety and efficacy of limited endoscopic sphincterotomy (ES) before placement of self-expandable metal stent (SEMS). This was a retrospective analysis of 244 consecutive patients with unresectable malignant biliary obstruction, who underwent placement of SEMSs following limited ES from December 2008 to February 2015. The diagnosis of malignant biliary obstruction and assessment of patient eligibility for the study was established by a combination of clinical findings, laboratory investigations, imaging and pathological results. All patients were monitored in the hospital for at least 24 h following endoscopic retrograde cholangio pancreatography (ERCP). The incidence of immediate or early post-ERCP complications such as post-ERCP pancreatitis (PEP) and bleeding related to limited ES were considered as primary outcomes. Also, characteristics and complications according to the cancer type were classified. Among the 244 patients included, the underlying diagnosis was cholangiocarcinoma in 118 patients, pancreatic cancer in 79, and non-pancreatic or non-biliary malignancies in the remaining 47 patients. Early post-ERCP complications occurred in 9 patients (3.7%), with PEP in 7 patients (2.9%; mild, 6; moderate, 1) and mild bleeding in 2 patients (0.8%). There was no significant association between the incidence of post-ERCP complications and the type of malignancy (cholangiocarcinoma vs pancreatic cancer vs others, P = 0.696) or the type of SEMS used (uncovered vs covered, P = 1.000). Patients who had more than one SEMS placed at the first instance were at a significantly higher risk of post-ERCP complications (one SEMS vs two SEMS, P = 0.031). No other factors were predictive of post-ERCP complications. Limited ES is feasible and safe, and effectively facilitates the placement of SEMS, without any significant risk of PEP or severe bleeding.

  7. Study on dynamic characteristics of reduced analytical model for PWR reactor internal structures

    International Nuclear Information System (INIS)

    Yoo, Bong; Lee, Jae Han; Kim, Jong Bum; Koo, Kyeong Hoe

    1993-01-01

    The objective of this study is to establish the procedure of the reduced analytical modeling technique for the PWR reactor internal(RI) structures and to carry out the sensitivity study of the dynamic characteristics of the structures by varying the structural parameters such as the stiffness, the mass and the damping. Modeling techniques for the PWR reactor internal structures and computer programs used for the dynamic analysis of the reactor internal structures are briefly investigated. Among the many components of RI structures, the dynamic characteristics for CSB was performed. The sensitivity analysis of the dynamic characteristics for the reduced analytical model considering the variations of the stiffnesses for the lower and upper flanges of the CSB and for the RV Snubber were performed to improve the dynamic characteristics of the RI structures against the external loadings given. In order to enhance the structural design margin of the RI components, the nonlinear time history analyses were attempted for the RI reduced models to compare the structural responses between the reference model and the modified one. (Author)

  8. A Computer-Based Intervention to Reduce Internalized Heterosexism in Men

    Science.gov (United States)

    Lin, Yen-Jui; Israel, Tania

    2012-01-01

    Internalized heterosexism (IH) is a strong predictor of the psychological well-being of lesbian, gay, bisexual (LGB), or other same-sex attracted individuals. To respond to the call for interventions to address IH, the current study developed and tested an online intervention to reduce IH among gay, bisexual, and other same-sex attracted men. A…

  9. Potential biodiversity benefits from international programs to reduce carbon emissions from deforestation.

    Science.gov (United States)

    Siikamäki, Juha; Newbold, Stephen C

    2012-01-01

    Deforestation is the second largest anthropogenic source of carbon dioxide emissions and options for its reduction are integral to climate policy. In addition to providing potentially low cost and near-term options for reducing global carbon emissions, reducing deforestation also could support biodiversity conservation. However, current understanding of the potential benefits to biodiversity from forest carbon offset programs is limited. We compile spatial data on global forest carbon, biodiversity, deforestation rates, and the opportunity cost of land to examine biodiversity conservation benefits from an international program to reduce carbon emissions from deforestation. Our results indicate limited geographic overlap between the least-cost areas for retaining forest carbon and protecting biodiversity. Therefore, carbon-focused policies will likely generate substantially lower benefits to biodiversity than a more biodiversity-focused policy could achieve. These results highlight the need to systematically consider co-benefits, such as biodiversity in the design and implementation of forest conservation programs to support international climate policy.

  10. Startle reduces recall of a recently learned internal model.

    Science.gov (United States)

    Wright, Zachary; Patton, James L; Ravichandran, Venn

    2011-01-01

    Recent work has shown that preplanned motor programs are released early from subcortical areas by the using a startling acoustic stimulus (SAS). Our question is whether this response might also contain a recently learned internal model, which draws on experience to predict and compensate for expected perturbations in a feedforward manner. Studies of adaptation to robotic forces have shown some evidence of this, but were potentially confounded by cocontraction caused by startle. We performed a new adaptation experiment using a visually distorted field that could not be confounded by cocontraction. We found that in all subjects that exhibited startle, the startle stimulus (1) reduced performance of the recently learned task (2) reduced after-effect magnitudes. Because startle reduced but did not eliminate the recall of learned control, we suggest that multiple neural centers (cortical and subcortical) are involved in such learning and adaptation, which can impact training areas such as piloting, teleoperation, sports, and rehabilitation. © 2011 IEEE

  11. Endoscopic biliary sphincterotomy : results, complications and contra-indications

    NARCIS (Netherlands)

    J. Boender (Johannes)

    1995-01-01

    textabstractIn 1986 the departments of Radiology and Internal Medicine II/Gastroenterology initiated a prospective study of therapeutic endoscopic retrograde cholangiopancreatography (TERCP). The project was designed to obtain information which could be used to evaluate immediate and medium-term

  12. Startle stimuli reduce the internal model control in discrete movements.

    Science.gov (United States)

    Wright, Zachary A; Rogers, Mark W; MacKinnon, Colum D; Patton, James L

    2009-01-01

    A well known and major component of movement control is the feedforward component, also known as the internal model. This model predicts and compensates for expected forces seen during a movement, based on recent experience, so that a well-learned task such as reaching to a target can be executed in a smooth straight manner. It has recently been shown that the state of preparation of planned movements can be tested using a startling acoustic stimulus (SAS). SAS, presented 500, 250 or 0 ms before the expected "go" cue resulted in the early release of the movement trajectory associated with the after-effects of the force field training (i.e. the internal model). In a typical motor adaptation experiment with a robot-applied force field, we tested if a SAS stimulus influences the size of after-effects that are typically seen. We found that in all subjects the after-effect magnitudes were significantly reduced when movements were released by SAS, although this effect was not further modulated by the timing of SAS. Reduced after-effects reveal at least partial existence of learned preparatory control, and identify startle effects that could influence performance in tasks such as piloting, teleoperation, and sports.

  13. Proceedings of the 1988 International Meeting on Reduced Enrichment for Research and Test Reactors

    Energy Technology Data Exchange (ETDEWEB)

    1993-07-01

    The international effort to develop and implement new research reactor fuels utilizing low-enriched uranium, instead of highly- enriched uranium, continues to make solid progress. This effort is the cornerstone of a widely shared policy aimed at reducing, and possibly eliminating, international traffic in highly-enriched uranium and the nuclear weapon proliferation concerns associated with this traffic. To foster direct communication and exchange of ideas among the specialists in this area, the Reduced Enrichment Research and Test Reactor (RERTR) Program, at Argonne National Laboratory, sponsored this meeting as the eleventh of a series which began 1978. Individual papers presented at the meeting have been cataloged separately.

  14. Proceedings of the 1988 International Meeting on Reduced Enrichment for Research and Test Reactors

    International Nuclear Information System (INIS)

    1993-07-01

    The international effort to develop and implement new research reactor fuels utilizing low-enriched uranium, instead of highly- enriched uranium, continues to make solid progress. This effort is the cornerstone of a widely shared policy aimed at reducing, and possibly eliminating, international traffic in highly-enriched uranium and the nuclear weapon proliferation concerns associated with this traffic. To foster direct communication and exchange of ideas among the specialists in this area, the Reduced Enrichment Research and Test Reactor (RERTR) Program, at Argonne National Laboratory, sponsored this meeting as the eleventh of a series which began 1978. Individual papers presented at the meeting have been cataloged separately

  15. Elastic-plastic finite element analyses for reducers with constant-depth internal circumferential surface cracks

    International Nuclear Information System (INIS)

    Wu, Szu-Ying; Tsai, Bor-Jiun; Chen, Jien-Jong

    2015-01-01

    In this study, a 3-D automatic elastic-plastic finite element mesh generator is established to accurately predict the J-integral value of an arbitrary reducer with a constant-depth internal circumferential surface crack under bending and axial force. The contact pairs are used on the crack surfaces to simulate the actual contact behaviors of the crack model under loadings. In order to verify the accuracy of the proposed elastic-plastic finite element model for a reducer with a surface crack, the cracked straight pipe models are generated according to a special modeling procedure for a flawed reducer. The J-integral values along the crack front of surface crack are calculated and compared with the straight pipe models which have been verified in the previous published studies. Based on the comparison of computed results, good agreements are obtained to show the accuracy of present numerical models. More confidence on using the 3-D elastic-plastic finite element analysis for reducers with internal circumferential surface cracks can be thus established in this work

  16. Possibility of reducing CO2 emissions from internal combustion engines

    Science.gov (United States)

    Drabik, Dawid; Mamala, Jarosław; Śmieja, Michał; Prażnowski, Krzysztof

    2017-10-01

    Article defines on the possibility of reduction CO2 of the internal combustion engine and presents the analysis based on originally conducted studies. The increase in overall engine efficiency is sought after by all engineers dealing with engine construction, one of the major ways to reduce CO2 emissions is to increase the compression ratio. The application of the compression ratio that has been increased constructional in the engine will, on one hand, bring about the increase in the theoretical efficiency, but, on the other hand, require a system for pressure control at a higher engine load in order to prevent engine knocking. For the purposes of the article there was carried out a number of studies and compiled results, and on their basis determined what have a major impact on the reducing CO2.

  17. Music-based interventions to reduce internalizing symptoms in children and adolescents: A meta-analysis.

    Science.gov (United States)

    Geipel, Josephine; Koenig, Julian; Hillecke, Thomas K; Resch, Franz; Kaess, Michael

    2018-01-01

    Existing systematic reviews provide evidence that music therapy is an effective intervention in the treatment of children and adolescents with psychopathology. The objective of the present review was to systematically review and quantify the effects of music-based interventions in reducing internalizing symptoms (i.e., depression and anxiety) in children and adolescents using a meta-analytical approach. Databases and journals were systematically screened for studies eligible for inclusion in meta-analysis on the effects of music-based interventions in reducing internalizing symptoms. A random-effect meta-analysis using standardized mean differences (SMD) was conducted. Five studies were included. Analysis of data from (randomized) controlled trials, yielded a significant main effect (Hedge's g = -0.73; 95%CI [-1.42;-0.04], Z = 2.08, p = 0.04, k = 5), indicating a greater reduction of internalizing symptoms in youth receiving music-based interventions (n = 100) compared to different control group interventions (n = 95). The existing evidence is limited to studies of low power and methodological quality. Included studies were highly heterogeneous with respect to the nature of the intervention, the measurements applied, the samples studied, and the study design. Findings indicate that music-based interventions may be efficient in reducing the severity of internalizing symptoms in children and adolescents. While these results are encouraging with respect to the application of music-based intervention, rigorous research is necessary to replicate existing findings and provide a broader base of evidence. More research adopting well controlled study designs of high methodological quality is needed. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Ending self-stigma: pilot evaluation of a new intervention to reduce internalized stigma among people with mental illnesses.

    Science.gov (United States)

    Lucksted, Alicia; Drapalski, Amy; Calmes, Christine; Forbes, Courtney; DeForge, Bruce; Boyd, Jennifer

    2011-01-01

    This study evaluated "Ending Self-Stigma" (ESS), a structured 9-session group intervention to help people with serious mental illnesses reduce internalized stigma. Participants from two Veterans Administration mental health sites were assessed before and after the intervention regarding their levels of internalized stigma, empowerment, recovery orientation, perceived social support, and beliefs about societal stigma. Internalized stigma significantly decreased, and perceived social support and recovery orientation significantly increased. "Ending Self-Stigma" is the first of its kind and may be a valuable intervention for reducing internalized stigma among people with serious mental illnesses, suitable for both professionally-delivered psychiatric rehabilitation programs and consumer-led programs and services.

  19. Efficacy and safety of minor endoscopic sphincterotomy combined with endoscopic papillary large balloon dilation in treatment of elderly patients with multiple large common bile duct stones

    Directory of Open Access Journals (Sweden)

    HE Yongfeng

    2018-02-01

    Full Text Available Objective To investigate the clinical effect and safety of minor endoscopic sphincterotomy (mEST combined with endoscopic papillary large balloon dilation (EPLBD in the treatment of elderly patients with multiple large common bile duct stones. MethodsA retrospective analysis was performed for 229 patients with multiple large common bile duct stones who underwent endoscopic retrograde cholangiopancreatography (ERCP in Endoscopy Center, Ankang Municipal Central Hospital, from January 2012 to December 2016, and the surgical procedure was selected based on the size of stones and the morphology of the common bile duct. According to the endoscopic surgical procedure, the patients were divided into mEST+EPLBD group (treatment group with 136 patients and endoscopic phincterotomy (EST group (control group with 93 patients. The two groups were compared in terms of the success rate of first stone removal, use rate of mechanical lithotripsy (ML, time spent on stone removal, and the incidence rate of complications. The t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups. ResultsThere was no significant difference in the success rate of first stone removal between the treatment group and the control group (91.17% vs 87.10%, χ2=0.980, P>0.05, while there were significant differences in the time spent on stone removal (18.2±4.3 min vs 37.4±6.7 min, χ2=37.1526, P<0.01 and use rate of ML (6.71% vs 40.00%, t=24.411, P<0.01. There were no significant differences in the incidence rates of pancreatitis (2.94% vs 6.45%, χ2=1.630, P>0.05 and bleeding (2.21% vs 2.15%, χ2=0.001, P>0.05 between the two groups, and no patient experienced perforation or infection. ConclusionmEST+EPLBD has a good clinical effect in the treatment of elderly patients with multiple large common bile duct stones and can effectively shorten the time spent on stone removal, reduce the

  20. Internal modifications to reduce pollutant emissions from marine engines. A numerical approach

    Science.gov (United States)

    Lamas, M. I.; Rodríguez, C. G.; Rodríguez, J. D.; Telmo, J.

    2013-12-01

    Taking into account the increasingly stringent legislation on emissions from marine engines, this work aims to analyze several internal engine modifications to reduce NOx (nitrogen oxides) and other pollutants. To this end, a numerical model was employed to simulate the operation cycle and characterize the exhaust gas composition. After a preliminary validation process was carried out using experimental data from a four-stroke, medium-speed marine engine, the numerical model was employed to study the influence of several internal modifications, such as water addition from 0 to 100% water to fuel ratios, exhaust gas recirculation from 0 to 100% EGR rates, modification of the overlap timing from 60 to 120°, modification of the intake valve closing from 510 to 570°, and modification of the cooling water temperature from 70 to 90 oC. NOx was reduced by nearly 100%. As expected, it was found that, by lowering the combustion temperature, there is a notable reduction in NOx, but an increase in CO (carbon monoxide), HC (hydrocarbons) and consumption.

  1. Internal modifications to reduce pollutant emissions from marine engines. A numerical approach

    Directory of Open Access Journals (Sweden)

    M.I. Lamas

    2013-12-01

    Full Text Available Taking into account the increasingly stringent legislation on emissions from marine engines, this work aims to analyze several internal engine modifications to reduce NOx (nitrogen oxides and other pollutants. To this end, a numerical model was employed to simulate the operation cycle and characterize the exhaust gas composition. After a preliminary validation process was carried out using experimental data from a four-stroke, medium-speed marine engine, the numerical model was employed to study the influence of several internal modifications, such as water addition from 0 to 100% water to fuel ratios, exhaust gas recirculation from 0 to 100% EGR rates, modification of the overlap timing from 60 to 120°, modification of the intake valve closing from 510 to 570°, and modification of the cooling water temperature from 70 to 90 °C. NOx was reduced by nearly 100%. As expected, it was found that, by lowering the combustion temperature, there is a notable reduction in NOx, but an increase in CO (carbon monoxide, HC (hydrocarbons and consumption.

  2. A novel data collection and monitoring system for health status measures in patients undergoing lateral internal sphincterotomy: The Knowledge Program (TKP

    Directory of Open Access Journals (Sweden)

    Erman Aytac

    2015-07-01

    Conclusion: LIS reduces anorectal pain without worsening quality of life. TKP captures information directly from patients and records it to a database which may reduce the risk of information loss or alteration.

  3. International Geographic Variation in Event Rates in Trials of Heart Failure With Preserved and Reduced Ejection Fraction

    DEFF Research Database (Denmark)

    Kristensen, Søren L; Køber, Lars; Jhund, Pardeep S

    2015-01-01

    BACKGROUND: International geographic differences in outcomes may exist for clinical trials of heart failure and reduced ejection fraction (HF-REF), but there are few data for those with preserved ejection fraction (HF-PEF). METHODS AND RESULTS: We analyzed outcomes by international geographic reg...

  4. Activation of biceps femoris long head reduces tibiofemoral anterior shear force and tibial internal rotation torque in healthy subjects.

    Science.gov (United States)

    Azmi, Nur Liyana; Ding, Ziyun; Xu, Rui; Bull, Anthony M J

    2018-01-01

    The anterior cruciate ligament (ACL) provides resistance to tibial internal rotation torque and anterior shear at the knee. ACL deficiency results in knee instability. Optimisation of muscle contraction through functional electrical stimulation (FES) offers the prospect of mitigating the destabilising effects of ACL deficiency. The hypothesis of this study is that activation of the biceps femoris long head (BFLH) reduces the tibial internal rotation torque and the anterior shear force at the knee. Gait data of twelve healthy subjects were measured with and without the application of FES and taken as inputs to a computational musculoskeletal model. The model was used to investigate the optimum levels of BFLH activation during FES gait in reducing the anterior shear force to zero. This study found that FES significantly reduced the tibial internal rotation torque at the knee during the stance phase of gait (p = 0.0322) and the computational musculoskeletal modelling revealed that a mean BFLH activation of 20.8% (±8.4%) could reduce the anterior shear force to zero. At the time frame when the anterior shear force was zero, the internal rotation torque was reduced by 0.023 ± 0.0167 Nm/BW, with a mean 188% reduction across subjects (p = 0.0002). In conclusion, activation of the BFLH is able to reduce the tibial internal rotation torque and the anterior shear force at the knee in healthy control subjects. This should be tested on ACL deficient subject to consider its effect in mitigating instability due to ligament deficiency. In future clinical practice, activating the BFLH may be used to protect ACL reconstructions during post-operative rehabilitation, assist with residual instabilities post reconstruction, and reduce the need for ACL reconstruction surgery in some cases.

  5. Nitrogen enriched combustion of a natural gas internal combustion engine to reduce NO.sub.x emissions

    Science.gov (United States)

    Biruduganti, Munidhar S.; Gupta, Sreenath Borra; Sekar, R. Raj; McConnell, Steven S.

    2008-11-25

    A method and system for reducing nitrous oxide emissions from an internal combustion engine. An input gas stream of natural gas includes a nitrogen gas enrichment which reduces nitrous oxide emissions. In addition ignition timing for gas combustion is advanced to improve FCE while maintaining lower nitrous oxide emissions.

  6. [Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia].

    Science.gov (United States)

    Kim, Mi Young; Jun, Seong Sook

    2016-06-01

    This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness. The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ²-test, t-test, repeated measures ANOVA with the SPSS program. Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group. Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

  7. Combined precut in difficult biliary cannulation

    Directory of Open Access Journals (Sweden)

    Jesús Espinel-Díez

    2013-06-01

    Full Text Available Aim: precut sphincterotomy refers to a variety of endoscopic techniques that are used in order to access the bile duct when conventional methods of cannulation have failed. There are not significant data (such as efficacy, safety about the use of different techniques of precutting at the same session. We have described our experience with combined precut sphincterotomy (CPS and we have compared our results to the use of an isolated precut. Patients and methods: we have performed 247 precuts of a total of 2.390 ERCPs. Patients were distributed according to the type of precut practiced: Needle-knife, transpancreatic and combined precut sphincterotomies. "Combined precut" consisted in performing first a transpancreatic sphincterotomy and, if the access was not achieved, then performing a needle-knife sphincterotomy in the same session. The data about safety and efficacy were prospectively collected. The complications were defined according to the consensus criteria. Results: we performed precutting techniques in 247 patients. Needle-knife, transpancreatic, and combined precuts were performed in 125 (6.9%, 74 (4.1% and 48 (2.6% patients, respectively. Bile duct cannulation was successful in 48 patients (100% in the group of combined precut, 121 patients (96.8% in the transpancreatic group, and 67 patients (90.5% in the needle-knife group (p = 0.03. There were not differences in complications rates between the three groups. There was no pancreatitis in the combined precut group. The complications were successfully managed with conservative treatment. Conclusions: combined precut sphincterotomy seems to be a safe and successful technique in those cases of difficult bile duct cannulation.

  8. Postharvest Exogenous Application of Abscisic Acid Reduces Internal Browning in Pineapple.

    Science.gov (United States)

    Zhang, Qin; Liu, Yulong; He, Congcong; Zhu, Shijiang

    2015-06-10

    Internal browning (IB) is a postharvest physiological disorder causing economic losses in pineapple, but there is no effective control measure. In this study, postharvest application of 380 μM abscisic acid (ABA) reduced IB incidence by 23.4-86.3% and maintained quality in pineapple fruit. ABA reduced phenolic contents and polyphenol oxidase and phenylalanine ammonia lyase activities; increased catalase and peroxidase activities; and decreased O2(·-), H2O2, and malondialdehyde levels. This suggests ABA could control IB through inhibiting phenolics biosynthesis and oxidation and enhancing antioxidant capability. Furthermore, the efficacy of IB control by ABA was not obviously affected by tungstate, ABA biosynthesis inhibitor, nor by diphenylene iodonium, NADPH oxidase inhibitor, nor by lanthanum chloride, calcium channel blocker, suggesting that ABA is sufficient for controlling IB. This process might not involve H2O2 generation, but could involve the Ca(2+) channels activation. These results provide potential for developing effective measures for controlling IB in pineapple.

  9. Abstracts of 2. international conference C-BN and diamond crystallization under reduced pressure

    International Nuclear Information System (INIS)

    1995-01-01

    The important problem and the last advanced one from the view point of electronic materials sciences is the new A III B V compounds creation and investigation of their properties. This domain was the main subject of the 2. International Conference on C-BN and diamond crystallization under reduced pressure. The conference has been divided into 8 sessions. They were: opening address, c-BN, new materials, posters, diamond, applications, posters

  10. IFMIF (International Fusion Materials Irradiation Facility) conceptual design activity reduced cost report

    International Nuclear Information System (INIS)

    2000-02-01

    This report describes the results of a preliminary reevaluation of the design and cost of the International Fusion Materials Irradiation Facility (IFMIF) Project in response to the request from the 28th FPCC meeting in January 1999. Two major ideas have been considered: 1) reduction of the total construction cost through elimination of the previously planned facility upgrade and 2) a facility deployment in 3 stages with capabilities for limited experiments in the first stage. As a result, the size and complexity of the facility could be significantly reduced, leading to substantial cost savings. In addition to these two ideas, this study also included a critical review of the original CDA specification with the objective of elimination of nonessential items. For example, the number of lithium targets was reduced from two to one. As a result of these changes in addition to the elimination of the upgrade, the total cost estimate was very substantially reduced from 797.2 MICF to 487.8 MICF, where 1 MICF = 1 Million of the IFMIF Conversion Units (approximately $1M US January, 1996). (author)

  11. Treatment for retained [corrected] common bile duct stones during laparoscopic cholecystectomy: the rendezvous technique.

    Science.gov (United States)

    Borzellino, Giuseppe; Rodella, Luca; Saladino, Edoardo; Catalano, Filippo; Politi, Leonardo; Minicozzi, Annamaria; Cordiano, Claudio

    2010-12-01

    To determine the feasibility and efficacy of the laparoscopic intraoperative rendezvous technique for common bile duct stones (CBDS). Case series. Verona University Hospital, Verona, Italy. A total of 110 patients were enrolled in the study; 47 had biliary colic; 39, acute cholecystitis; 19, acute biliary pancreatitis; and 5, acute biliary pancreatitis with associated acute cholecystitis. In all patients, CBDS diagnosis was reached by intraoperative cholangiography. Intraoperative endoscopy with rendezvous performed during laparascopic cholecystectomy for confirmed CBDS; for such a procedure, a transcystic guide wire was positioned into the duodenum. Intraoperative endoscopy with rendezvous was performed for retrieved CBDS during a laparoscopic cholecystectomy. Laparoscopic rendezvous feasibility, morbidity, postprocedure pancreatitis, and mortality. The laparoscopic rendezvous proved to be feasible in 95.5% (105 of 110 patients). The rendezvous failed in 3 cases of successfully performed laparoscopic cholecystectomy, and a conversion of the laparoscopy was needed in 2 cases of successful rendezvous. Two major complications and 2 cases of bleeding were registered after sphincterotomy was successfully performed with rendezvous, and severe acute pancreatitis complicated a traditional sphincterotomy performed after a failed rendezvous. Rendezvous is a feasible option for treatment of CBDS; it allows one to perform only 1 stage of treatment, even in acute cases such as cholecystitis and pancreatitis. Positioning of the guide wire may allow reduced complications secondary to papilla cannulation but not those of the endoscopic sphincterotomy.

  12. Reducing the Risk of Damage to Power Transformers of 110 kV and Above Accompanying Internal Short Circuits

    Energy Technology Data Exchange (ETDEWEB)

    L’vova, M. M. [JSC “R& D Center at Federal Grid Company of the Unified Power System” (Russian Federation); L’vov, S. Yu. [Presselektro LLC (Russian Federation); Komarov, V. B. [IPCE RAS (Russian Federation); Lyut’ko, E. O. [JSC “R& D Center at Federal Grid Company of the Unified Power System” (Russian Federation); Vdoviko, V. P. [EMA Ltd. (Russian Federation); Demchenko, V. V. [JSC “Boguchanskaya HPP” (Russian Federation); Belyaev, S. G. [PKF Konif Ltd. (Russian Federation); Savel’ev, V. A. [Ivanovo State Power University (Russian Federation); L’vov, M. Yu., E-mail: timashova@nte-power.ru; L’vov, Yu. N. [JSC “R& D Center at Federal Grid Company of the Unified Power System” (Russian Federation)

    2015-03-15

    Methods of increasing the operating reliability of power transformers, autotransformers and shunting reactors in order to reduce the risk of damage, which accompany internal short circuits and equipment fires and explosions, are considered.

  13. Self-Efficacy Reduces Impediments to Classroom Discussion for International Students: Fear, Embarrassment, Social Isolation, Judgment, and Discrimination

    Directory of Open Access Journals (Sweden)

    Junko Maeda

    2017-09-01

    Full Text Available Approximately one million international students were enrolled at U.S. universities in the academic year 2015–2016, and the number has been steadily rising since. Although these students aim to increase intercultural communication skills, international knowledge, and critical thinking skills, some international students experience difficulty participating in class discussion. Several studies have revealed a range of obstacles to full participation in in-class discussions, including language, cultural differences, academic differences, and social isolation. Among these barriers, some studies have identified emotional factors that significantly affect learning. This study was an in-depth exploration of the adverse emotional factors that impede discussion participation. Using a qualitative approach, twenty-three international students at one university were interviewed, and their responses analyzed. Students reported that fear, embarrassment, social isolation, judgment and discrimination were barriers to participation. These findings are discussed in the context of a framework for reducing negative emotional states, employing self-efficacy theory. This framework was applied to the interview results and the author’s observation of international students’ behavior in dormitories and university offices. These findings suggest a possible intervention approach for educators to help international students express themselves in the classroom.

  14. Reducing childhood obesity in Mexico | IDRC - International ...

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

    2016-04-27

    Apr 27, 2016 ... This initiative built an international, multidisciplinary team of researchers who ... and implemented innovative approaches for health and development. ... article on links between physical activity and obesity in Mexican children ...

  15. Analysis of international and European policy instruments: pollution swapping . Task 2 Service contract "Integrated measures in agriculture to reduce ammonia emissions"

    NARCIS (Netherlands)

    Oenema, O.; Velthof, G.L.

    2007-01-01

    This Report describes the results of Task 2 ‘Analysis of International and European policy instruments’. The aim of this task is to analyze the existing International and European policy instruments aiming at reducing emissions of ammonia, nitrous oxide and methane to the atmosphere and nitrate to

  16. Early control of distal internal carotid artery during carotid endarterectomy: does it reduce cerebral microemboli?

    Science.gov (United States)

    Mommertz, G; Das, M; Langer, S; Koeppel, T A; Krings, T; Mess, W H; Schiefer, J; Jacobs, M J

    2010-06-01

    According to the results of the large trials on carotid endarterectomy (CEA), this type of surgery is only warranted if perioperative mortality and morbidity are kept considerably low. Less attention has been paid to methods of cerebral protection during CEA, although intraoperative transcranial Doppler (TCD) can visualise intracerebral microemboli (MES) during routine carotid dissection, although MES occur throughout the CEA, only those during dissection are related to neurological outcome. Prevention of MES by means of early control of the distal internal carotid artery dislodging from the carotid artery plaque during dissection is very likely the mechanism behind an eventual benefit from this approach. Hence, the amount of MES might serve as a surrogate parameter for the risk of periprocedural neurological events. So, the aim of the present study was to evaluate whether early control of the distal carotid artery during CEA is capable of reducing the number of MES by means of a prospective randomised trial. Twenty-eight patients (29 procedures) could be prospectively included in our study. Before surgery we randomly assigned the patients to two groups: group A (N.=12): CEA by means of early control of the distal internal carotid artery; group B (N.=17): CEA with dissection of the total carotid bifurcation before clamping the arteries. Periprocedurally, we continuously monitored the cerebral blood flow in the ipsilateral middle cerebral artery by means of TCD. Pre- and postoperative morbidity were independently verified by a neurologist control of the distal internal carotid artery did not reduce the occurrence of MES during dissection of the carotid bifurcation. Also, the total number of MES throughout the procedure and postoperatively was comparable between both groups. The procedure related times as well as the clinical outcome did not differ significantly. Thus, early control of the distal internal carotid artery has got no advantage but also no disadvantage

  17. The International Society of Hypertension and World Hypertension League call on governments, nongovernmental organizations and the food industry to work to reduce dietary sodium.

    Science.gov (United States)

    Campbell, Norman R C; Lackland, Daniel T; Chockalingam, Arun; Lisheng, Liu; Harrap, Stephen B; Touyz, Rhian M; Burrell, Louise M; Ramírez, Agustín J; Schmieder, Roland E; Schutte, Aletta E; Prabhakaran, Dorairaj; Schiffrin, Ernesto L

    2014-02-01

    The International Society of Hypertension and the World Hypertension League have developed a policy statement calling for reducing dietary salt. The policy supports the WHO and the United Nations recommendations, which are based on a comprehensive and up-to-date review of relevant research. The policy statement calls for broad societal action to reduce dietary salt, thus reducing blood pressure and preventing hypertension and its related burden of cardiovascular disease. The hypertension organizations and experts need to become more engaged in the efforts to prevent hypertension and to advocate strongly to have dietary salt reduction policies implemented. The statement is being circulated to national hypertension organizations and to international nongovernmental health organizations for consideration of endorsement. Member organizations of the International Society of Hypertension and the World Hypertension League are urged to support this effort.

  18. International policies to reduce plastic marine pollution from single-use plastics (plastic bags and microbeads): A review.

    Science.gov (United States)

    Xanthos, Dirk; Walker, Tony R

    2017-05-15

    Marine plastic pollution has been a growing concern for decades. Single-use plastics (plastic bags and microbeads) are a significant source of this pollution. Although research outlining environmental, social, and economic impacts of marine plastic pollution is growing, few studies have examined policy and legislative tools to reduce plastic pollution, particularly single-use plastics (plastic bags and microbeads). This paper reviews current international market-based strategies and policies to reduce plastic bags and microbeads. While policies to reduce microbeads began in 2014, interventions for plastic bags began much earlier in 1991. However, few studies have documented or measured the effectiveness of these reduction strategies. Recommendations to further reduce single-use plastic marine pollution include: (i) research to evaluate effectiveness of bans and levies to ensure policies are having positive impacts on marine environments; and (ii) education and outreach to reduce consumption of plastic bags and microbeads at source. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. A study on usefulness of balloon cholangiography in operating ERCP

    International Nuclear Information System (INIS)

    Son, Soon Yong

    1997-01-01

    Purpose of this paper is to extend help for clinical application in balloon cholangiography on patients who have undergone endoscopic sphincterotomy, impacted stones of intrahepatic duct, and missed bile duct because of other diseases in operating endoscopic retrograde cholangio pancreatography. This study was done for the patients who had clinical signs of biliary diseases from January to December in 1996. We studied 45 patients who had endoscopic sphincterotomy, re-examination after interventional treatment of the endoscopic retrograde cholangio pancreatography, and uncertain diagnosis due to common bile duct and intrahepatic duct those are not filled with contrast media. Balloon cholangiography was performed in case of uncertain diagnosis while operating endoscopic retrograde cholangio pancreatography. First of all, we insert balloon catheter into the working channel of treatment jejunofiberscope and remove treatment jejunofiberscope after ballooning, and lastly take biliary tract X-ray after injection and changing position of patient. The results of this study were as follows. (1) In classification of diseases, stones of gall bladder, those of common bile duct, and those of intrahepatic duct were 30 cases, fistula was 1 case. (2) In total cases of 45, only diagnosis were 25 cases, interventional treatment were 20 cases. (3) In case of interventional treatment, endoscopic sphincterotomy and endoscopic nasobiliary drainage, and stone removal were about the same, 7, 7, 6 respectively. Balloon cholangiography will be useful to prevent patients from having repeated and unnecessary studies for the cases above explained. It is considered that this study will be useful for clinical application in terms of reducing medical expenses, pain while examination, and consultation hours

  20. Biliary sphincterotomy dilation for the extraction of difficult common bile duct stones Dilatación de la esfinterotomía biliar para la extracción de coledocolitiasis difíciles

    Directory of Open Access Journals (Sweden)

    J. García-Cano

    2009-08-01

    Full Text Available Background and aim: endoscopic retrograde cholangiopancreatography (ERCP with biliary sphincterotomy (BS is the usual method for extracting common bile duct stones. However, following BS and by means of extraction balloons and Dormia baskets a complete bile duct clearance cannot be achieved in all cases. We present a study on the impact that hydrostatic balloon dilation of a previous BS (BSD may have in the extraction rate of choledocholithiasis. Patients and methods: a prospective study which included 91 consecutive patients diagnosed with choledocholithiasis who underwent ERCP. For stone removal, extraction balloons and Dormia baskets were used, and when necessary BSD was employed. Results: complete bile duct clearance was achieved in 86/91 (94.5% patients. BSD was used in 30 (33% cases. In these cases, extraction was complete in 29/30 (97%; 23 (76% patients in the BSD group had anatomic difficulties or bleeding disorders. The most frequently used hydrostatic balloon diameter was 15 mm (60%. There were 7 (7.6% complications: two self-limited hemorrhage episodes in the BSD group and one episode of cholangitis, one of pancreatitis, and three of bleeding in the group in which BSD was not used. Conclusions: BSD is a very valuable tool for extracting common bile duct stones. In our experience, there has been an increase in the extraction rate from 73% (Rev Esp Enferm Dig 2002; 94: 340-50 to 94.5% (p = 0.0001, OR 0.1, CI 0.05-0.45, with no increase in complications.

  1. Using internal discharge data in a distributed conceptual model to reduce uncertainty in streamflow simulations

    Science.gov (United States)

    Guerrero, J.; Halldin, S.; Xu, C.; Lundin, L.

    2011-12-01

    Distributed hydrological models are important tools in water management as they account for the spatial variability of the hydrological data, as well as being able to produce spatially distributed outputs. They can directly incorporate and assess potential changes in the characteristics of our basins. A recognized problem for models in general is equifinality, which is only exacerbated for distributed models who tend to have a large number of parameters. We need to deal with the fundamentally ill-posed nature of the problem that such models force us to face, i.e. a large number of parameters and very few variables that can be used to constrain them, often only the catchment discharge. There is a growing but yet limited literature showing how the internal states of a distributed model can be used to calibrate/validate its predictions. In this paper, a distributed version of WASMOD, a conceptual rainfall runoff model with only three parameters, combined with a routing algorithm based on the high-resolution HydroSHEDS data was used to simulate the discharge in the Paso La Ceiba basin in Honduras. The parameter space was explored using Monte-Carlo simulations and the region of space containing the parameter-sets that were considered behavioral according to two different criteria was delimited using the geometric concept of alpha-shapes. The discharge data from five internal sub-basins was used to aid in the calibration of the model and to answer the following questions: Can this information improve the simulations at the outlet of the catchment, or decrease their uncertainty? Also, after reducing the number of model parameters needing calibration through sensitivity analysis: Is it possible to relate them to basin characteristics? The analysis revealed that in most cases the internal discharge data can be used to reduce the uncertainty in the discharge at the outlet, albeit with little improvement in the overall simulation results.

  2. The endoscopic ultrasound-assisted Rendez-Vous technique for treatment of recurrent pancreatitis due to pancreas divisum and ansa pancreatica

    Directory of Open Access Journals (Sweden)

    Sergio López-Durán

    Full Text Available Endoscopic treatment of pancreatic ductal malformations causing recurrent acute pancreatitis, such as pancreas divisum or ansa pancreatica, is mainly based on the sphincterotomy of the minor papilla. However, the technical complexity of conventional endoscopic retrograde cholangiopancreatography (ERCP is increased in patients presenting anatomical variants like these and it may be unsuccessful. We report the case of a pancreas divisum combined with ansa pancreatica and describe the cannulation and sphincterotomy of the minor papilla using an ultrasound-assisted Rendez-Vous technique.

  3. Reduce Fraud Risk in Your District with Stronger Internal Controls

    Science.gov (United States)

    Okrzesik, Daryl J.; Nuehring, Bert G.

    2011-01-01

    Internal accounts offer schools a faster, more convenient way to handle the income and expenses that result from student fees, school clubs and organizations, field trips, fund-raising, and similar activities. But this convenience also incurs the added risk of fraud. Fortunately, there are proven ways to strengthen internal controls and reduce…

  4. Virtual Seafloor Reduces Internal Wave Generation by Tidal Flow

    Science.gov (United States)

    Zhang, Likun; Swinney, Harry L.

    2014-03-01

    Our numerical simulations of tidal flow of a stratified fluid over periodic knife-edge ridges and random topography reveal that the time-averaged tidal energy converted into internal gravity wave radiation arises only from the section of a ridge above a virtual seafloor. The average radiated power is approximated by the power predicted by linear theory if the height of the ridge is measured relative to the virtual floor. The concept of a virtual floor can extend the applicability of linear theory to global predictions of the conversion of tidal energy into internal wave energy in the oceans.

  5. Severe acute pancreatitis: clinical findings and therapeutic tools in Internal Medicine practice

    Directory of Open Access Journals (Sweden)

    Generoso Uomo

    2013-04-01

    Full Text Available BACKGROUND Recent advances in pathophysiology and therapeutic measures suggest that patients suffering from acute pancreatitis (AP should undergo an early evaluation and treatment in Internal Medicine wards. Severe AP, usually associated with pancreatic necrosis and peripancreatic fluid collections, may be frequently complicated by distant organ(s involvement. RESULTS The dreadful multi-organ failure may occur as an early event (during the first week of the disease or in association with the infection of pancreatic necrosis in a later stage. So, during the clinical outcome, physicians may be compelled to counteract cardio-circulatory, pulmonary, renal, hepatic, haematological and hydro-electrolytic complex derangements. Arterial hypotension and shock may be consequence of hypovolemia and/or hearth failure or septic shock syndrome. Pleural effusions are frequent in the early phase of the disease as well as pulmonary densifications and renal insufficiency. Urinary, pulmonary, and biliary infections may intervene during all phases of the disease whereas pancreatic necrosis and fluid collections infections are more frequent after the second week of hospitalization. Prognostic evaluation should be obtained by simple and precise scoring system such as the modified Marshall score and CT-scan severity index. CONCLUSIONS Treatment must be initiated as soon as possible with special focusing on fluid and nutritional supplementation, pain control, cardio-respiratory support, antiproteases and antibiotics. Invasive procedures such as endoscopic sphincterotomy in biliary AP with cholangitis and/or obstruction and percutaneous drainage should be utilized in specific cases. Surgical necrosectomy is mandatory in patients with documented infection of pancreatic necrosis.

  6. Proceedings of the 1990 International Meeting on Reduced Enrichment for Research and Test Reactors

    Energy Technology Data Exchange (ETDEWEB)

    1993-07-01

    The global effort to reduce, and possibly, eliminate the international traffic in highly-enriched uranium caused by its use in research reactors requires extensive cooperation and free exchange of information among all participants. To foster this free exchange of information, the Reduced Enrichment Research and Test Reactor (RERTR) Program, at Argonne National Laboratory, sponsored this meeting as the thirteenth of a series which began in 1978. The common effort brought together, past, a large number of specialists from many countries. On hundred twenty-three participants from 26 countries, including scientists, reactor operators, and personnel from commercial fuel suppliers, research centers, and government organizations, convened in Newport, Rhode Island to discuss their results, their activities, and their plans relative to converting research reactors to low-enriched fuels. As more and more reactors convert to the use of low-enriched uranium, the emphasis of our effort has begun to shift from research and development to tasks more directly related to implementation of the new fuels and technologies that have been developed, and to refinements of those fuels and technologies. It is appropriate, for this reason, that the emphasis of this meeting was placed on safety and on conversion experiences. This individual papers in this report have been cataloged separately.

  7. Reduced cost design of liquid lithium target for international fusion material irradiation facility (IFMIF)

    International Nuclear Information System (INIS)

    Nakamura, Hiroo; Ida, Mizuho; Sugimoto, Masayoshi; Takeuchi, Hiroshi; Yutani, Toshiaki

    2001-01-01

    The International Fusion Materials Irradiation Facility (IFMIF) is being jointly planned to provide an accelerator-based D-Li neutron source to produce intense high energy neutrons (2 MW/m 2 ) up to 200 dpa and a sufficient irradiation volume (500 cm 3 ) for testing the candidate materials and components up to about a full lifetime of their anticipated use in ITER and DEMO. To realize such a condition, 40 MeV deuteron beam with a current of 250 mA is injected into high speed liquid lithium flow with a speed of 20 m/s. Following Conceptual Design Activity (1995-1998), a design study with focus on cost reduction without changing its original mission has been done in 1999. The following major changes to the CAD target design have been considered in the study and included in the new design: i) number of the Li target has been changed from 2 to 1, ii) spare of impurity traps of the Li loop was removed although the spare will be stored in a laboratory for quick exchange, iii) building volume was reduced via design changes in lithium loop length. This paper describes the reduced cost design of the lithium target system and recent status of Key Element Technology activities. (author)

  8. Proceedings of the 1990 International Meeting on Reduced Enrichment for Research and Test Reactors

    International Nuclear Information System (INIS)

    1993-07-01

    The global effort to reduce, and possibly, eliminate the international traffic in highly-enriched uranium caused by its use in research reactors requires extensive cooperation and free exchange of information among all participants. To foster this free exchange of information, the Reduced Enrichment Research and Test Reactor (RERTR) Program, at Argonne National Laboratory, sponsored this meeting as the thirteenth of a series which began in 1978. The common effort brought together, past, a large number of specialists from many countries. On hundred twenty-three participants from 26 countries, including scientists, reactor operators, and personnel from commercial fuel suppliers, research centers, and government organizations, convened in Newport, Rhode Island to discuss their results, their activities, and their plans relative to converting research reactors to low-enriched fuels. As more and more reactors convert to the use of low-enriched uranium, the emphasis of our effort has begun to shift from research and development to tasks more directly related to implementation of the new fuels and technologies that have been developed, and to refinements of those fuels and technologies. It is appropriate, for this reason, that the emphasis of this meeting was placed on safety and on conversion experiences. This individual papers in this report have been cataloged separately

  9. Reduced Enrichment for Research and Test Reactors. Proceedings of the XIV international meeting

    Energy Technology Data Exchange (ETDEWEB)

    Suripto, Asmedi; Hastowo, Hudi; Hersubeno, J B [eds.

    1995-07-01

    Apart from the progress of the Reduced Enrichment Research and Test Reactor (RERTR) Program the national programs of Indonesia, Japan and China were presented. The major events, findings, and activities of 1991 are reviewed with a brief summary of the results which the RERTR Program had achieved by the end of 1990 in collaboration with its many international partners. The RERTR program, has concentrated its efforts on technology transfer and implementation activities consistent with the guidance received from the Department of Energy at the end of 1990. A number of presentations were devoted to development of new fuel uranium silicide fuel elements, fuel irradiation testing and reactor core conversions from highly enriched (HEU) to slightly enriched uranium (LEU). Calculations and measurements of converted reactor core parameters were shown related to safety test and analysis. Fuel cycle issue were discussed as well. One should note that a significant number of papers were devoted to Indonesian GA SIWABESSY reactor core conversion and related topics.

  10. Reduced Enrichment for Research and Test Reactors. Proceedings of the XIV international meeting

    International Nuclear Information System (INIS)

    Suripto, Asmedi; Hastowo, Hudi; Hersubeno, J.B.

    1995-01-01

    Apart from the progress of the Reduced Enrichment Research and Test Reactor (RERTR) Program the national programs of Indonesia, Japan and China were presented. The major events, findings, and activities of 1991 are reviewed with a brief summary of the results which the RERTR Program had achieved by the end of 1990 in collaboration with its many international partners. The RERTR program, has concentrated its efforts on technology transfer and implementation activities consistent with the guidance received from the Department of Energy at the end of 1990. A number of presentations were devoted to development of new fuel uranium silicide fuel elements, fuel irradiation testing and reactor core conversions from highly enriched (HEU) to slightly enriched uranium (LEU). Calculations and measurements of converted reactor core parameters were shown related to safety test and analysis. Fuel cycle issue were discussed as well. One should note that a significant number of papers were devoted to Indonesian GA SIWABESSY reactor core conversion and related topics

  11. International Standards to Reduce Emissions from Marine Diesel Engines and Their Fuels

    Science.gov (United States)

    Overview of EPA coordination with International Maritime Organization including a list of all international regulations and materials related to emissions from marine compression-ignition (diesel) engines.

  12. International food trade reduces environmental effects of nitrogen pollution in China.

    Science.gov (United States)

    Shi, Yaxing; Wu, Shaohua; Zhou, Shenglu; Wang, Chunhui; Chen, Hao

    2016-09-01

    The globalization of agricultural trade has dramatically altered global nitrogen flows by changing the spatial pattern of nitrogen utilization and emissions at a global scale. As a major trading country, China uses a large amount of nitrogen, which has a profound impact on global nitrogen flows. Using data on food production and trade between China and 26 other countries and regions, we calculated nitrogen inputs and outputs in food production ecosystem in each country. We estimated nitrogen flows in international food trade and analyzed their impact on nitrogen pollution in China. We divided nitrogen flows into embodied and virtual nitrogen flows. Embodied nitrogen is taken up by the plant and incorporated into the final food product, whereas virtual nitrogen is lost to the environment throughout the food production process and is not contained in the final food product. Our results show that China mainly imports food products from America and Asia, accounting for 95 % of all imported food. Asia (mainly Japan) and Europe are the main exporters of food from China, with Japan and the EU accounting for 17 and 10 % of all exported food, respectively. Total nitrogen inputs and outputs in food production in China were 55,400 and 61,000 Gg respectively, which were much higher than in other countries. About 1440 and 950 Gg of embodied and virtual nitrogen respectively flow into China through the food trade, mainly from food-exporting countries such as the USA, Argentina, and Brazil. Meanwhile, 177 and 160 Gg of embodied and virtual nitrogen respectively flow out of China from the export of food products, mainly to Japan. China's net food imports have reduced 720 and 458 Gg for nitrogen utilization and outputs, respectively, which accounted for 1.3 and 0.78 % of total nitrogen inputs and outputs in China. These results suggest that food trade in China has a profound effect on nitrogen flows and has greatly reduced environmental impacts on nitrogen pollution in China.

  13. International overcommitment draws warning

    International Nuclear Information System (INIS)

    Anon.

    1992-01-01

    This paper reports that after rushing to take advantage of new opportunities offered by governments around the world, the international petroleum industry may be overcommitted. Cooperation among countries and companies in the next 2 years will be required if a lot of grief is to be avoided, says an international petroleum financing consultant. To respond adequately to the cash crisis, industry must: reduce internal costs; reduce project costs; lay off project obligations; sell noncore assets; renegotiate license obligations; and slow down, scale down projects; and finance projects

  14. A randomized controlled trial of mindfulness to reduce stress and burnout among intern medical practitioners.

    Science.gov (United States)

    Ireland, Michael J; Clough, Bonnie; Gill, Kim; Langan, Fleur; O'Connor, Angela; Spencer, Lyndall

    2017-04-01

    Stress and burnout are highly prevalent among medical doctors, and are associated with negative consequences for doctors, patients, and organizations. The purpose of the current study was to examine the effectiveness of a mindfulness training intervention in reducing stress and burnout among medical practitioners, by means of a Randomised Controlled Trial design. Participants were 44 intern doctors completing an emergency department rotation in a major Australian hospital. Participants were randomly assigned to either an active control (one hour extra break per week) or the 10-week mindfulness training intervention. Measures of stress and burnout were taken pre-, mid- and post intervention. Participants undergoing the 10-week mindfulness training program reported greater improvements in stress and burnout relative to participants in the control condition. Significant reduction in stress and burnout was observed for participants in the mindfulness condition. No such reductions were observed for participants in the control condition. Mindfulness interventions may provide medical practitioners with skills to effectively manage stress and burnout, thereby reducing their experience of these symptoms. It is likely that doctors would benefit from the inclusion of such a training program as a part of their general medical education.

  15. How Can International Education Help Reduce Students' Prejudice?

    Science.gov (United States)

    Hughes, Conrad

    2014-01-01

    This article offers a definition of prejudice and then reviews the literature on relevant theories of its development and methods to identify and map it. It then discusses how prejudice is institutionalised and legitimised in schools, before turning to the main thrust of its investigation: the extent to which international education (K-12) can…

  16. Endoscopic Retrograde Cholangiopancreatography Using a Dual-Lumen Endogastroscope for Patients with Billroth II Gastrectomy

    Directory of Open Access Journals (Sweden)

    Wei Yao

    2013-01-01

    Full Text Available Objective. To evaluate the safety and efficacy of a dual-lumen forward-viewing endoscope for ERCP in patients with prior Billroth II gastrectomy. Methods. The records of 46 patients treated with ERCP by a dual-lumen forward-viewing endoscope after Billroth II gastrectomy from 2007 to 2012 were reviewed. Results. The success rate of selective cannulation was 82.6% (38/46. Of the 38 cases with successful selective cannulation, endoscopic sphincterotomy was achieved in 23 cases by placing the needle knife through the 2nd lumen, while endoscopic papillary balloon dilatation was conducted in the other 15 cases. Of the 8 failed cases of selective cannulation, 6 had failed afferent loop intubation, and 3 of these 6 patients had Braun’s anastomosis. The safety and efficacy of catheter-assisted endoscopic sphincterotomy were increased by placing the needle knife through the 2nd lumen without altering the conventional endoscopic sphincterotomy procedure. Conclusions. A dual-lumen forward-viewing endoscope can be safely and effectively used to perform ERCP in patients with a Billroth II gastrectomy, except for patients with additional Braun’s anastomosis.

  17. Juris International

    CERN Document Server

    A database on international trade law aimed at lawyers and legal counsel in developing and transition economies. Juris International is a multilingual collection (English, Spanish, and French) of legal information on international trade. Juris International aims to facilitate and reduce the work involved in research for business lawyers, advisers and in-house counsel, and state organizations in developing nd transition economies, by providing access to texts which have often been difficult to obtain. Its objective is to gather a large quantity of basic information at one site (favoring complete legal texts), without the need to send for the information, and consequently without excessive communication costs for users who d benefit from an efficient and cheap telecommunications network.

  18. Intervention to Improve Appropriate Prescribing and Reduce Polypharmacy in Elderly Patients Admitted to an Internal Medicine Unit.

    Directory of Open Access Journals (Sweden)

    Milena Urfer

    Full Text Available Polypharmacy and inappropriate medication prescriptions are associated with increased morbidity and mortality. Most interventions proposed to improve appropriate prescribing are time and resource intensive and therefore hardly applicable in daily clinical practice.To test the efficacy of an easy-to-use checklist aimed at supporting the therapeutic reasoning of physicians in order to reduce inappropriate prescribing and polypharmacy.We assessed the efficacy and safety of a 5-point checklist to be used by all physicians on the internal medicine wards of a Swiss hospital by comparing outcomes in 450 consecutive patients aged ≥65 years hospitalized after the introduction of the checklist, and in 450 consecutive patients ≥65 years hospitalized before the introduction of the checklist. The main measures were the proportion of patients with prescription of potentially inappropriate medications (PIMs at discharge, according to STOPP criteria, and the number of prescribed medications at discharge, before and after the introduction of the checklist. Secondary outcomes were the prevalence of polypharmacy (≥ 5 drugs and hyperpolypharmacy (≥ 10 drugs, and the prevalence of potentially inappropriate prescribing omissions (PPOs according to START criteria.At admission 59% of the 900 patients were taking > 5 drugs, 13% ≥ 10 drugs, 37% had ≥ 1 PIM and 25% ≥ 1 PPO. The introduction of the checklist was associated with a significant reduction by 22% of the risk of being prescribed ≥ 1 PIM at discharge (adjusted risk ratios [RR] 0.78; 95% CI: 0.68-0.94, but not with a reduction of at least 20% of the number of drugs prescribed at discharge, nor with a reduction of the risk of PPOs at discharge.The introduction of an easy-to-use 5-point checklist aimed at supporting therapeutic reasoning of physicians on internal medicine wards significantly reduced the risk of prescriptions of inappropriate medications at discharge.

  19. International Cancer Screening Network

    Science.gov (United States)

    The International Cancer Screening Network promotes evidence-based cancer screening implementation and evaluation with cooperation from multilateral organizations around the globe. Learn more about how ICSN aims to reduce the global burden of cancer by supporting research and international collaboration.

  20. Summary of the presentations at the international workshop on reducing carbon dioxide emissions from the developing world: Assessment of benefits, costs and barriers

    International Nuclear Information System (INIS)

    Sathaye, J.; Goldman, N.

    1991-06-01

    The ''International Workshop on Reducing Carbon Dioxide Emissions from the Developing World: Assessment of Benefits, Costs and Barriers'' was the second workshop held as part of a project being conducted by the International Energy Studies Group of Lawrence Berkeley Laboratory, in collaboration with experts from leading institutions across the developing world. The goal of the project is to analyze long-range energy consumption in developing countries and its potential contribution to global climate change. The US Environmental Protection Agency (EPA) is supporting this work, the results of which already have made a key contribution to the technical analysis being used as the basis for discussion by the Energy and Industry Sub-group of the Intergovernmental Panel on Climate Change (IPCC). The main purpose of this workshop was two-fold: (1) to discuss the feasibility of implementing the efficiency improvements and fuel switching measures incorporated into the long-term energy scenarios created for 17 developing countries and (2) to examine the costs and benefits of reducing energy-related carbon dioxide emissions generated by developing countries

  1. Single Sign On Internal (SSOi)

    Data.gov (United States)

    Department of Veterans Affairs — Provides single sign-on solution for internal facing VA applications. Allows internal users access to a variety of VA systems and applications using a reduced set of...

  2. Proceedings of the 1978 international meeting on reduced enrichment for research and test reactors

    Energy Technology Data Exchange (ETDEWEB)

    Travelli, A [Argonne National Laboratory, Argonne, IL (United States)

    1993-08-01

    November 9-10, 1978, marked the first of what has become an annual event - the International Meeting on Reduced Enrichment for Research and Test Reactors (RERTR). The RERTR Program had been started only three months earlier, and the meeting brought together for the first time many people who became major program participants in later years. This first meeting emphasized fuel development, and while it established the basis for all later meetings, it was unique in several respects. It was a time of feeling each other out, and of sharing new ideas, concerns, and hopes. In the absence of an established precedent, a number of participants came with written papers while others made only verbal presentations. Informality added spice and special importance to the discussions at the end of each presentation and, especially, to the panel discussion at the end of the meeting. An important achievement was a consensus on near-, medium-, and long-term density goals for the various fuels. This consensus resulted in a list written on the blackboard at the end of the panel discussion, and reproduced on page 216, which outlined the goals of each fabricator. Luckily, both presentations and discussions were recorded on audio tape. These recordings were transcribed and used to complete the informal presentations and to append the discussions at the end of each presentation. Considerable effort was expended in clearing the transcribed papers and key discussions with the participants. A few issues could not be resolved quickly, and in the frantic rush of those early years, these proceedings were set aside. Believing that the proceedings of this first meeting are important as a historical record of the beginning of the international RERTR effort, we have recently dusted off the manuscript and finished our editing job.

  3. Proceedings of the 1978 international meeting on reduced enrichment for research and test reactors

    International Nuclear Information System (INIS)

    Travelli, A.

    1993-08-01

    November 9-10, 1978, marked the first of what has become an annual event - the International Meeting on Reduced Enrichment for Research and Test Reactors (RERTR). The RERTR Program had been started only three months earlier, and the meeting brought together for the first time many people who became major program participants in later years. This first meeting emphasized fuel development, and while it established the basis for all later meetings, it was unique in several respects. It was a time of feeling each other out, and of sharing new ideas, concerns, and hopes. In the absence of an established precedent, a number of participants came with written papers while others made only verbal presentations. Informality added spice and special importance to the discussions at the end of each presentation and, especially, to the panel discussion at the end of the meeting. An important achievement was a consensus on near-, medium-, and long-term density goals for the various fuels. This consensus resulted in a list written on the blackboard at the end of the panel discussion, and reproduced on page 216, which outlined the goals of each fabricator. Luckily, both presentations and discussions were recorded on audio tape. These recordings were transcribed and used to complete the informal presentations and to append the discussions at the end of each presentation. Considerable effort was expended in clearing the transcribed papers and key discussions with the participants. A few issues could not be resolved quickly, and in the frantic rush of those early years, these proceedings were set aside. Believing that the proceedings of this first meeting are important as a historical record of the beginning of the international RERTR effort, we have recently dusted off the manuscript and finished our editing job

  4. A survey of ampullectomy practices

    Institute of Scientific and Technical Information of China (English)

    Stacy B Menees; Philip Schoenfeld; Hyungjin Myra Kim; Grace H Elta

    2009-01-01

    AIM: To investigate the endoscopic ampullectomy practices of expert biliary endoscopists. METHODS: An anonymous survey was mailed to 79 expert biliary endoscopists to assess ampullectomy practices. RESULTS: Forty six (58%) biliary endoscopists returned the questionnaire. Of these, 63% were in academia and in practice for an average of 16.4 years (± 8.6). Endoscopists performed an average of 1.1 (± 0.8) ampullectomies per month. Prior to ampullectomy, endoscopic ultrasound was "always" utilized by 67% of respondents vs "sometimes" in 31% of respondents. Empiric biliary sphincterotomy was not utilized uniformly, only 26% "always" and 37% "sometimes" performed it prior to resection. Fifty three percent reported "never" performing empiric pancreatic sphincterotomy prior to ampullectomy. Practitioners with high endoscopic retrograde cholangiopancreatography volumes were the most likely to perform a pancreatic sphincterotomy (OR = 10.9; P = 0.09). Participants overwhelmingly favored "always" placing a prophylactic pancreatic stent, with 86% placing it after ampullectomy rather than prior to resection (23%). Argon plasma coagulation was the favored adjunct modality (83%) for removal of residual adenomatous tissue. Practitioners uniformly (100%) preferred follow-up examination to be within 6 mo post-ampullectomy. CONCLUSION: Among biliary experts, there is less variation in ampullectomy practices than is reflected in the literature.

  5. International organizations as corporate actors: Agency and emergence in theories of international relations

    OpenAIRE

    Maier-Rigaud, Remi

    2008-01-01

    In this paper, the implicit and explicit conceptualizations of international organizations found in the three major theories of international relations are outlined and compared. It turns out that in a neorealist framework, international organizations can be explained; however, they exhibit no autonomy and cannot therefore be conceptualized as a corporate actor. Principally, the same applies to rational choice institutionalism, although limited autonomy is conceivable. Both theories are reduc...

  6. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residents' Experiences and Perceptions.

    Science.gov (United States)

    Mathew, Rebecca; Gundy, Serena; Ulic, Diana; Haider, Shariq; Wasi, Parveen

    2016-09-01

    To assess senior internal medicine residents' experience of the implementation of a reduced duty hours model with night float, the transition from the prior 26-hour call system, and the new model's effects on resident quality of life and perceived patient safety in the emergency department and clinical teaching unit at McMaster University. Qualitative data were collected during May 2013-July 2014, through resident focus groups held prior to implementation of a reduced duty hours model and 10 to 12 months postimplementation. Data analysis was guided by a constructivist grounded theory based in a relativist paradigm. Transcripts were coded; codes were collapsed into themes. Thematic analysis revealed five themes. Residents described reduced fatigue in the early morning, counterbalanced with worsened long-term fatigue on night float blocks; anticipation of negative impacts of the loss of distributed on-call experience and on-call shift volume; an urgency to sleep postcall in anticipation of consecutive night float shifts accompanied by conflicting role demands to stay postcall for care continuity; increased handover frequency accompanied by inaccurate/incomplete communication of patients' issues; and improvement in the senior resident experience on the clinical teaching unit, with increased ownership over patient care and improved relationships with junior housestaff. A reduced duty hours model with night float has potential to improve residents' perceived fatigue on call and care continuity on the clinical teaching unit. This must be weighed against increased handover frequency and loss of the postcall day, which may negatively affect patient care and resident quality of life.

  7. Electrochemical state and internal variables estimation using a reduced-order physics-based model of a lithium-ion cell and an extended Kalman filter

    Energy Technology Data Exchange (ETDEWEB)

    Stetzel, KD; Aldrich, LL; Trimboli, MS; Plett, GL

    2015-03-15

    This paper addresses the problem of estimating the present value of electrochemical internal variables in a lithium-ion cell in real time, using readily available measurements of cell voltage, current, and temperature. The variables that can be estimated include any desired set of reaction flux and solid and electrolyte potentials and concentrations at any set of one-dimensional spatial locations, in addition to more standard quantities such as state of charge. The method uses an extended Kalman filter along with a one-dimensional physics-based reduced-order model of cell dynamics. Simulations show excellent and robust predictions having dependable error bounds for most internal variables. (C) 2014 Elsevier B.V. All rights reserved.

  8. International Engagement Strategy

    Science.gov (United States)

    2017-06-14

    agreements and issue legal guidance on international law and intellectual property issues. ICPO will play an important role in realizing this vision and...the U.S. and its partners. INTERNATIONAL ENGAGEMENT VISION The directorate’s vision is for global S&T engagements to take advantage of emerging ideas...reduce risk to U.S. and partner countries, and increase their resilience; and Establish enduring relationships to provide access to

  9. Cholangiography and endoscopic sphincterotomy in the ...

    African Journals Online (AJOL)

    management of persistent common bile duct (CBD) calculi by. ES. Patients and methods. During the l2-year period 1976-1988, 10 patients with gallstone pancreatitis discovered at diagnostic laparotomy were managed in the Department of Surgery at the Provincial Hospital, Port. Department of Surgery, Provincial Hospital, ...

  10. Effectiveness of the International Phytosanitary Standard ISPM No. 15 on reducing wood borer infestation rates in wood packaging material entering the United States.

    Science.gov (United States)

    Haack, Robert A; Britton, Kerry O; Brockerhoff, Eckehard G; Cavey, Joseph F; Garrett, Lynn J; Kimberley, Mark; Lowenstein, Frank; Nuding, Amelia; Olson, Lars J; Turner, James; Vasilaky, Kathryn N

    2014-01-01

    Numerous bark- and wood-infesting insects have been introduced to new countries by international trade where some have caused severe environmental and economic damage. Wood packaging material (WPM), such as pallets, is one of the high risk pathways for the introduction of wood pests. International recognition of this risk resulted in adoption of International Standards for Phytosanitary Measures No. 15 (ISPM15) in 2002, which provides treatment standards for WPM used in international trade. ISPM15 was originally developed by members of the International Plant Protection Convention to "practically eliminate" the risk of international transport of most bark and wood pests via WPM. The United States (US) implemented ISPM15 in three phases during 2005-2006. We compared pest interception rates of WPM inspected at US ports before and after US implementation of ISPM15 using the US Department of Agriculture AQIM (Agriculture Quarantine Inspection Monitoring) database. Analyses of records from 2003-2009 indicated that WPM infestation rates declined 36-52% following ISPM15 implementation, with results varying in statistical significance depending on the selected starting parameters. Power analyses of the AQIM data indicated there was at least a 95% chance of detecting a statistically significant reduction in infestation rates if they dropped by 90% post-ISPM15, but the probability fell as the impact of ISPM15 lessened. We discuss several factors that could have reduced the apparent impact of ISPM15 on lowering WPM infestation levels, and suggest ways that ISPM15 could be improved. The paucity of international interception data impeded our ability to conduct more thorough analyses of the impact of ISPM15, and demonstrates the need for well-planned sampling programs before and after implementation of major phytosanitary policies so that their effectiveness can be assessed. We also present summary data for bark- and wood-boring insects intercepted on WPM at US ports during 1984-2008.

  11. International document on food irradiation

    International Nuclear Information System (INIS)

    1990-06-01

    This international document highlights the major issues related to the acceptance of irradiated food by consumers, governmental and intergovernmental activities, the control of the process, and trade. The conference recognized that: Food irradiation has the potential to reduce the incidence of foodborne diseases. It can reduce post-harvest food losses and make available a larger quantity and a wider variety of foodstuffs for consumers. Regulatory control by competent authorities is a necessary prerequisite for introduction of the process. International trade in irradiated foods would be facilitated by harmonization of national procedures based on internationally recognized standards for the control of food irradiation. Acceptance of irradiated food by the consumer is a vital factor in the successful commercialization of the irradiation process, and information dissemination can contribute to this acceptance

  12. Welcome address to the 26th international meeting on Reduced Enrichment for Research and Test Reactors

    International Nuclear Information System (INIS)

    Sokolov, Y.

    2005-01-01

    While the IAEA has been a vigorous supporter of the RERTR programme since its inception. RERTR and the related fresh and spent fuel return efforts have gained new momentum with the launching of the Global Threat Reduction Initiative (GTRI) by U.S. Energy Secretary Abraham here in Vienna on May 25, 2004. All of the activities to be be discussed are included within the framework of the GTRI. The international programmes to qualify high density, LEU, dispersion fuels based on U-Mo alloys have run into unexpected technical difficulties that will delay qualification. A number of the presentations address the problems that have been encountered. At the same time, it is encouraging that the international resolve to reduce and eventually eliminate HEU in international commerce appears to have strengthened. In the past year, fresh HEU at research reactors in different countries have been returned to the country of origin. In all these examples, the return of the fresh fuel was accompanied by plans for conversion of existing reactors or design of new reactors to use LEU, as well as for the repatriation of spent research reactor fuel. The IAEA, particularly the Department of Technical Cooperation and my Department of Nuclear Energy has played an important role in implementing these fresh fuel return activities. In addition, several of the reactor conversion projects will be carried out under the auspices of IAEA technical cooperation projects and with important involvement of the Department of Nuclear Energy. The IAEA has also supported the repatriation of spent fuel to the country of original enrichment. The U.S. spent fuel acceptance programme has been operating for more than eight years, and was originally scheduled to terminate in 2006. Important announcements concerning the extension of the U.S. programme are expected. At the same time, the IAEA has been working hard with the U.S. and Russia to initiate the Russian research reactor spent fuel return programme. We are

  13. Trip internalization in multi-use developments.

    Science.gov (United States)

    2014-04-01

    Internal trip capture refers to how the number trips to and from a development are reduced by the proximity of : complementary land uses within the development (e.g., residential to retail). Internal trips occur within the : development and do not en...

  14. WDM cross-connect cascade based on all-optical wavelength converters for routing and wavelength slot interchanging using a reduced number of internal wavelengths

    DEFF Research Database (Denmark)

    Pedersen, Rune Johan Skullerud; Mikkelsen, Benny; Jørgensen, Bo Foged

    1998-01-01

    interchanging can be used to create a robust and nonblocking OXC. However, for an OXC with n fiber inlets each carrying m wavelengths the OXC requires n×m internal wavelengths, which constrains the size of the cross-connect. In this paper we therefore propose and demonstrate an architecture that uses a reduced......Optical transport layers need rearrangeable wavelength-division multiplexing optical cross-connects (OXCs) to increase the capacity and flexibility of the network. It has previously been shown that a cross-connect based on all-optical wavelength converters for routing as well as wavelength slot...... set of internal wavelengths without sacrificing cross-connecting capabilities. By inserting a partly equipped OXC with the new architecture in a 10-Gbit/s re-circulating loop setup we demonstrate the possibility of cascading up to ten OXCs. Furthermore, we investigate the regenerating effect...

  15. Proceedings of the international meeting on development, fabrication, and application of Reduced Enrichment fuels for Research and Test Reactors (RERTR). Base technology

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1983-08-01

    The international effort to develop new fuel materials and designs which will make it feasible to fuel research and test reactors throughout the world with low-enrichment uranium, instead of high-enrichment uranium, has made significant progress during the past year. This progress has taken place at research centers located in many different countries, and is of crucial interest to reactor operators and licensors whose geographical distribution is even more varied. It is appropriate, therefore, that international meetings be held periodically to foster direct communication among the specialists in this area. To achieve this purpose, the Reduced Enrichment Research and Test Reactor (RERTR) Program, at the Argonne National Laboratory, sponsored this meeting as the third of a series which begun in 1978. The papers presented at this meeting were divided into sessions according to relevant subject: status of RERTR program and safety issues; development of new fuel types; testing of new fuel elements; specific reactor applications. These proceedings were edited by various members of the RERTR Program.

  16. Proceedings of the international meeting on development, fabrication, and application of Reduced Enrichment fuels for Research and Test Reactors (RERTR). Base technology

    International Nuclear Information System (INIS)

    1983-08-01

    The international effort to develop new fuel materials and designs which will make it feasible to fuel research and test reactors throughout the world with low-enrichment uranium, instead of high-enrichment uranium, has made significant progress during the past year. This progress has taken place at research centers located in many different countries, and is of crucial interest to reactor operators and licensors whose geographical distribution is even more varied. It is appropriate, therefore, that international meetings be held periodically to foster direct communication among the specialists in this area. To achieve this purpose, the Reduced Enrichment Research and Test Reactor (RERTR) Program, at the Argonne National Laboratory, sponsored this meeting as the third of a series which begun in 1978. The papers presented at this meeting were divided into sessions according to relevant subject: status of RERTR program and safety issues; development of new fuel types; testing of new fuel elements; specific reactor applications. These proceedings were edited by various members of the RERTR Program

  17. Internal budget control

    Directory of Open Access Journals (Sweden)

    MSc. Mervete Shala

    2011-06-01

    Generally, duties of internal control officers within ministries and institutions must be clearly divided to reduce the risk of inco-rrect behaviour. Operations of an efficient control mechanism influence and ensure conditions for rule of law, good governance, and democracy.

  18. Effectiveness of the International Phytosanitary Standard ISPM No. 15 on reducing wood borer infestation rates in wood packaging material entering the United States.

    Directory of Open Access Journals (Sweden)

    Robert A Haack

    Full Text Available Numerous bark- and wood-infesting insects have been introduced to new countries by international trade where some have caused severe environmental and economic damage. Wood packaging material (WPM, such as pallets, is one of the high risk pathways for the introduction of wood pests. International recognition of this risk resulted in adoption of International Standards for Phytosanitary Measures No. 15 (ISPM15 in 2002, which provides treatment standards for WPM used in international trade. ISPM15 was originally developed by members of the International Plant Protection Convention to "practically eliminate" the risk of international transport of most bark and wood pests via WPM. The United States (US implemented ISPM15 in three phases during 2005-2006. We compared pest interception rates of WPM inspected at US ports before and after US implementation of ISPM15 using the US Department of Agriculture AQIM (Agriculture Quarantine Inspection Monitoring database. Analyses of records from 2003-2009 indicated that WPM infestation rates declined 36-52% following ISPM15 implementation, with results varying in statistical significance depending on the selected starting parameters. Power analyses of the AQIM data indicated there was at least a 95% chance of detecting a statistically significant reduction in infestation rates if they dropped by 90% post-ISPM15, but the probability fell as the impact of ISPM15 lessened. We discuss several factors that could have reduced the apparent impact of ISPM15 on lowering WPM infestation levels, and suggest ways that ISPM15 could be improved. The paucity of international interception data impeded our ability to conduct more thorough analyses of the impact of ISPM15, and demonstrates the need for well-planned sampling programs before and after implementation of major phytosanitary policies so that their effectiveness can be assessed. We also present summary data for bark- and wood-boring insects intercepted on WPM at US

  19. Equipment to reduce the emission of noxious components in the exhaust gas of an internal combustion engine

    Energy Technology Data Exchange (ETDEWEB)

    Tatsutomi, Y; Inoue, H

    1976-10-21

    The invention concerns an arrangement for the reduction of emission of noxious components in exhaust gas of an internal combustion engine with automatic drive. According to the invention, there is a further switch in parallel with the usual kickdown switch, which is actuated by a temperature sensor and/or choke. If the operating temperature of the engine is below a certain value, or if the choke is pulled out, then the switch is closed. This has the effect that the downstream valve is brought into the same position as that in which the closed kickdown switch would place it. The automatic drive therefore takes up that position, independently of the position of the accelerator pedal, which it would normally occupy only with the accelerator pedal fully pressed down. This guarantees that the engine is always kept at high speed during the hot running phase, which reduces the portion of the noxious gas components emitted.

  20. Reducing Post-Decision Dissonance in International Decisions: The Analytic Hierarchy Process Approach.

    Science.gov (United States)

    DuBois, Frank L.

    1999-01-01

    Describes use of the analytic hierarchy process (AHP) as a teaching tool to illustrate the complexities of decision making in an international environment. The AHP approach uses managerial input to develop pairwise comparisons of relevant decision criteria to efficiently generate an appropriate solution. (DB)

  1. International taxation and cross-border banking

    NARCIS (Netherlands)

    Huizinga, H.P.; Voget, J.; Wagner, W.B.

    This paper examines empirically how international taxation affects the volume and pricing of cross-border banking activities for a sample of banks in 38 countries over the 1998�2008 period. International double taxation of foreign-source bank income is found to reduce banking-sector FDI.

  2. Ergonomics perspective for identifying and reducing internal operative flow disruption for laparoscopic urological surgery.

    Science.gov (United States)

    Al-Hakim, Latif; Xiao, Jiaquan; Sengupta, Shomik

    2017-12-01

    The aim of this study is to examine operative flow disruption that occurs inside the surgical field, (internal operative flow disruption (OFD)), during urological laparoscopies, and to relate those events to external ergonomics environment in terms of monitor location, level of instruments' handles, and location of surgical team members. According to the our best knowledge, this is the first study of its kind. A combination of real and video-aided observational study was conducted in the operating rooms at hospitals in Australia and China. Brain storming sessions were first conducted to identify the main internal OFD events, and the observable reasons, potential external, and latent ergonomic factors were listed. A prospective observational study was then conducted. The observer's records and the related video records of internal surgical fields were analysed. Procedures were categorised into groups based on similarity in ergonomics environment. The mapping process revealed 39 types of internal OFD events resulted from six reasons. A total of 24 procedures were selected and arranged into two groups, each with twelve procedures. Group A was carried out under satisfactory ergonomics environment, while Group B was conducted under unsatisfactory ergonomics environment. A total of 1178 OFD events were detected delaying the total observed operative times (2966 min) by 220 min (7.43%). Average OFD/h in group A was less than 15, while in group B about 29 OFD/h. There are two main latent ergonomics factors affecting the surgeon's performance; non-physiological posture and long-period static posture. The delays and number of internal OFD were nearly doubled where procedures were conducted under unsatisfactory external ergonomics environment. Some events such as stopping operation and irrelevant conversations during long procedures may have a positive influence on the surgeon's performance.

  3. Early biliary decompression versus conservative treatment in acute biliary pancreatitis (APEC trial): study protocol for a randomized controlled trial

    NARCIS (Netherlands)

    Schepers, N.J.; Bakker, O.J.; Besselink, M.G.; Bollen, T.L.; Dijkgraaf, M.G.; Eijck, C.H. van; Fockens, P.; Geenen, E.J. van; Grinsven, J. van; Hallensleben, N.D.; Hansen, B.E.; Santvoort, H.C. van; Timmer, R.; Anten, M.P.; Bolwerk, C.J.; Delft, F. von; Dullemen, H.M. van; Erkelens, G.W.; Hooft, J.E. van; Laheij, R.; Hulst, R.W. van der; Jansen, J.M.; Kubben, F.J.; Kuiken, S.D.; Perk, L.E.; Ridder, R.J. de; Rijk, M.C. de; Romkens, T.E.; Schoon, E.J.; Schwartz, M.P.; Spanier, B.W.; Tan, A.C.; Thijs, W.J.; Venneman, N.G.; Vleggaar, F.P.; Vrie, W. van de; Witteman, B.J.; Gooszen, H.G.; Bruno, M.J.

    2016-01-01

    BACKGROUND: Acute pancreatitis is mostly caused by gallstones or sludge. Early decompression of the biliary tree by endoscopic retrograde cholangiography (ERC) with sphincterotomy may improve outcome in these patients. Whereas current guidelines recommend early ERC in patients with concomitant

  4. Early biliary decompression versus conservative treatment in acute biliary pancreatitis (APEC trial): Study protocol for a randomized controlled trial

    NARCIS (Netherlands)

    N.J. Schepers (Nicolien); O.J. Bakker (Olaf ); M.G. Besselink (Marc); T.L. Bollen (Thomas); M.G.W. Dijkgraaf (Marcel); C.H.J. van Eijck (Casper); P. Fockens (Paul); E-J.M. Geenen (Erwin-Jan); J. van Grinsven (Janneke); N.D.L. Hallensleben (Nora D.L.); B.E. Hansen (Bettina); H.C. van Santvoort (Hjalmar); R. Timmer (Robin); M.-P.G.F. Anten (Marie-Paule G.F.); C.L. Bolwerk (Clemens); F. van Delft (Foke); H.M. van Dullemen (Hendrik); G.W. Erkelens (G.Willemien); J.E. van Hooft (Jeanin); C. Laheij (Claudia); R.W.M. van der Hulst (René); J.M. Jansen (Jeroen); F.J. Kubben; S.D. Kuiken (Sjoerd D.); L.E. Perk (Lars E.); R. de Ridder (Rogier); M.C.M. Rijk; T.E.H. Römkens; E.J. Schoon (Erik); M.P. Schwartz (Matthijs P.); B.W.M. Spanier (Marcel); A.C. Tan (Adriaan); W.J. Thijs; N.G. Venneman (Niels); F.P. Vleggaar (Frank); W. van de Vrie (Wim); B.J.M. Witteman (Ben); H.G. Gooszen (Hein); M.J. Bruno (Marco)

    2016-01-01

    textabstractBackground: Acute pancreatitis is mostly caused by gallstones or sludge. Early decompression of the biliary tree by endoscopic retrograde cholangiography (ERC) with sphincterotomy may improve outcome in these patients. Whereas current guidelines recommend early ERC in patients with

  5. Early biliary decompression versus conservative treatment in acute biliary pancreatitis (APEC trial) : Study protocol for a randomized controlled trial

    NARCIS (Netherlands)

    Schepers, Nicolien J.; Bakker, Olaf J.; Besselink, Marc G H; Bollen, Thomas L.; Dijkgraaf, Marcel G W; van Eijck, Casper H J; Fockens, Paul; van Geenen, Erwin J M; van Grinsven, Janneke; Hallensleben, Nora D L; Hansen, Bettina E.; van Santvoort, Hjalmar C.; Timmer, Robin; Anten, Marie Paule G F; Bolwerk, Clemens J M; van Delft, Foke; van Dullemen, Hendrik M.; Erkelens, G. Willemien; van Hooft, Jeanin E.; Laheij, Robert; van der Hulst, René W M; Jansen, Jeroen M.; Kubben, Frank J G M; Kuiken, Sjoerd D.; Perk, Lars E.; de Ridder, Rogier J J; Rijk, Marno C M; Römkens, Tessa E H; Schoon, Erik J.; Schwartz, Matthijs P.; Spanier, B. W Marcel; Tan, Adriaan C I T L; Thijs, Willem J.; Venneman, Niels G.; Vleggaar, Frank P.; van de Vrie, Wim; Witteman, Ben J.; Gooszen, Hein G.; Bruno, Marco J.

    2016-01-01

    Background: Acute pancreatitis is mostly caused by gallstones or sludge. Early decompression of the biliary tree by endoscopic retrograde cholangiography (ERC) with sphincterotomy may improve outcome in these patients. Whereas current guidelines recommend early ERC in patients with concomitant

  6. International Taxation and Cross-Border Banking

    OpenAIRE

    Huizinga, H.P.; Voget, J.; Wagner, W.B.

    2011-01-01

    This paper examines empirically how international taxation affects the volume and pricing of cross-border banking activities for a sample of banks in 38 countries over the 1998-2008 - period. Home country corporate income taxation of foreign-source bank income is found to reduce banking-sector FDI. Furthermore, such taxation is almost fully passed on into higher interest margins charged abroad. These results imply that international double taxation distorts the activities of international ban...

  7. Pneumothorax following ERCP: Report of four cases and review of the literature

    NARCIS (Netherlands)

    N.J. Schepers (Nicolien); H.R. van Buuren (Henk)

    2012-01-01

    textabstractWe report four patients with pneumothorax as a complication of ERCP with sphincterotomy. With conservative treatment all patients recovered. Previously, 16 comparable cases have been reported in the literature. The main risk factor for this rare complication seems (pre-cut)

  8. Notre expérience du traitement chirurgical de la lithiase de la voie ...

    African Journals Online (AJOL)

    The procedures performed were 2 transcystic extraction of stones with closure by ESCAT drain, and 15 choledocotomies: 10 vertical choledocotomies and 5 transverse. There was no operative mortality and morbidity. Treatment of choledocolithiasis has new changings with endoscopic sphincterotomy and coelioscopy.

  9. MUSCLE ACTIVITY RESPONSE TO EXTERNAL MOMENT DURING SINGLE-LEG DROP LANDING IN YOUNG BASKETBALL PLAYERS: THE IMPORTANCE OF BICEPS FEMORIS IN REDUCING INTERNAL ROTATION OF KNEE DURING LANDING

    Directory of Open Access Journals (Sweden)

    Meguru Fujii

    2012-06-01

    Full Text Available Internal tibial rotation with the knee close to full extension combined with valgus collapse during drop landing generally results in non-contact anterior cruciate ligament (ACL injury. The purpose of this study was to investigate the relationship between internal rotation of the knee and muscle activity from internal and external rotator muscles, and between the internal rotation of knee and externally applied loads on the knee during landing in collegiate basketball players. Our hypothesis was that the activity of biceps femoris muscle would be an important factor reducing internal knee rotation during landing. The subjects were 10 collegiate basketball students: 5 females and 5 males. The subjects performed a single-leg drop landing from a 25-cm height. Femoral and tibial kinematics were measured using a 3D optoelectronic tracking system during the drop landings, and then the knee angular motions were determined. Ground reaction forces and muscle activation patterns (lateral hamstring and medial hamstring were simultaneously measured and computed. Results indicated that lower peak internal tibial rotation angle at the time of landing was associated with greater lateral hamstring activity (r = -0.623, p < 0.001. When gender was considered, the statistically significant correlation remained only in females. There was no association between the peak internal tibial rotation angle and the knee internal rotation moment. Control of muscle activity in the lateral to medial hamstring would be an important factor in generating sufficient force to inhibit excessive internal rotation during landing. Strengthening the biceps femoris might mitigate the higher incidence of non-contact ACL injury in female athletes

  10. What skills should new internal medicine interns have in july? A national survey of internal medicine residency program directors.

    Science.gov (United States)

    Angus, Steven; Vu, T Robert; Halvorsen, Andrew J; Aiyer, Meenakshy; McKown, Kevin; Chmielewski, Amy F; McDonald, Furman S

    2014-03-01

    The transition from medical student to intern may cause stress and burnout in new interns and the delivery of suboptimal patient care. Despite a formal set of subinternship curriculum guidelines, program directors have expressed concern regarding the skill set of new interns and the lack of standardization in that skill set among interns from different medical schools. To address these issues, the Accreditation Council for Graduate Medical Education's Next Accreditation System focuses on the development of a competency-based education continuum spanning undergraduate, graduate, and continuing medical education. In 2010, the Clerkship Directors in Internal Medicine subinternship task force, in collaboration with the Association of Program Directors in Internal Medicine survey committee, surveyed internal medicine residency program directors to determine which competencies or skills they expected from new medical school graduates. The authors summarized the results using categories of interest. In both an item rank list and free-text responses, program directors were nearly uniform in ranking the skills they deemed most important for new interns-organization and time management and prioritization skills; effective communication skills; basic clinical skills; and knowing when to ask for assistance. Stakeholders should use the results of this survey as they develop a milestone-based curriculum for the fourth year of medical school and for the internal medicine subinternship. By doing so, they should develop a standardized set of skills that meet program directors' expectations, reduce the stress of transitions across the educational continuum, and improve the quality of patient care.

  11. Self-Efficacy Reduces Impediments to Classroom Discussion for International Students: Fear, Embarrassment, Social Isolation, Judgment, and Discrimination

    Science.gov (United States)

    Maeda, Junko

    2017-01-01

    Approximately one million international students were enrolled at U.S. universities in the academic year 2015-2016, and the number has been steadily rising since. Although these students aim to increase intercultural communication skills, international knowledge, and critical thinking skills, some international students experience difficulty…

  12. Implementation of internal model based control and individual pitch control to reduce fatigue loads and tower vibrations in wind turbines

    Science.gov (United States)

    Mohammadi, Ebrahim; Fadaeinedjad, Roohollah; Moschopoulos, Gerry

    2018-05-01

    Vibration control and fatigue loads reduction are important issues in large-scale wind turbines. Identifying the vibration frequencies and tuning dampers and controllers at these frequencies are major concerns in many control methods. In this paper, an internal model control (IMC) method with an adaptive algorithm is implemented to first identify the vibration frequency of the wind turbine tower and then to cancel the vibration signal. Standard individual pitch control (IPC) is also implemented to compare the performance of the controllers in term of fatigue loads reduction. Finally, the performance of the system when both controllers are implemented together is evaluated. Simulation results demonstrate that using only IMC or IPC alone has advantages and can reduce fatigue loads on specific components. IMC can identify and suppress tower vibrations in both fore-aft and side-to-side directions, whereas, IPC can reduce fatigue loads on blades, shaft and yaw bearings. When both IMC and IPC are implemented together, the advantages of both controllers can be used. The aforementioned analysis and comparisons were not studied in literature and this study fills this gap. FAST, AreoDyn and Simulink are used to simulate the mechanical, aerodynamic and electrical aspects of wind turbine.

  13. Endoscopic retrograde cholangiopancreatography and endoscopic ...

    African Journals Online (AJOL)

    An approach to suspected gallstone pancreatitis'based on endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (ES) was adopted in 1976 and was followed in 29 patients. ERCp became the routine method of early biliary tract assessment when gallstone pancreatitis was suspected on ...

  14. Diagnosis and treatment with endoscopic retrograde cholangiopancreatography

    International Nuclear Information System (INIS)

    Soendenaa, K.; Horn, A.; Viste, A.

    1994-01-01

    Endoscopic retrograde cholangiopancreatography (ERCP) was carried out for the first time in 1968. Five years later endoscopic sphincterotomy was performed. Since then both modalities have become established as necessary adjuncts in the diagnosis and treatment of patients with pathology in the bile duct or pancreas. The main indication is common bile duct stone, and as a consequence of this treatment fewer patients are now treated surgically. Patients with malignant bile duct obstruction can be given reasonable palliation of both jaundice and pruritus and therefore improved quality of life. Some reports indicate that endoscopic drainage may be useful for pancreatic stenosis. Complications are few, but vigilance and prompt treatment is necessary to keep morbidity at a minimum. Follow-up after several years shows that sphincterotomy is successful also in the long term. The authors discuss the present diagnostic and therapeutic situation. 31 refs., 2 tabs

  15. Reduced enrichment for research and test reactors: Proceedings

    International Nuclear Information System (INIS)

    1993-07-01

    The 15th annual Reduced Enrichment for Research and Test Reactors (RERTR) international meeting was organized by Ris oe National Laboratory in cooperation with the International Atomic Energy Agency and Argonne National Laboratory. The topics of the meeting were the following: National Programs, Fuel Fabrication, Licensing Aspects, States of Conversion, Fuel Testing, and Fuel Cycle. Individual papers have been cataloged separately

  16. Reduced enrichment for research and test reactors: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    1993-07-01

    The 15th annual Reduced Enrichment for Research and Test Reactors (RERTR) international meeting was organized by Ris{o} National Laboratory in cooperation with the International Atomic Energy Agency and Argonne National Laboratory. The topics of the meeting were the following: National Programs, Fuel Fabrication, Licensing Aspects, States of Conversion, Fuel Testing, and Fuel Cycle. Individual papers have been cataloged separately.

  17. Synergy effects of international policy instruments to reduce deforestation: a cross-country panel data analysis

    OpenAIRE

    Solenn Leplay; Sophie Thoyer

    2011-01-01

    Localisation : Centre de documentation P. Bartoli, UMR LAMETA, Montpellier (S WPL 2011-01); Safeguarding tropical rainforests is one of the most important challenges for the future, particularly to mitigate climate change. The international community has actively sought international policy solutions to curb deforestation in tropical countries. Debt-for-nature swaps and certification of sustainable forest management have been implemented by NGOs. Some states are currently negotiating the impl...

  18. International migration: a global challenge.

    Science.gov (United States)

    Martin, P; Widgren, J

    1996-04-01

    Trends in international migration are presented in this multiregional analysis. Seven of the world's wealthiest countries have about 33% of the world's migrant population, but under 16% of the total world population. Population growth in these countries is substantially affected by the migrant population. The migration challenge is external and internal. The external challenge is to balance the need for foreign labor and the commitment to human rights for those migrants seeking economic opportunity and political freedom. The internal challenge is to assure the social adjustment of immigrants and their children and to integrate them into society as citizens and future leaders. Why people cross national borders and how migration flows are likely to evolve over the next decades are explained. This report also presents some ways that countries can manage migration or reduce the pressures which force people to migrate. It is recommended that receiving nations control immigration by accelerating global economic growth and reducing wars and human rights violations. This report examines the impact of immigration on international trade, aid, and direct intervention policies. Although migration is one of the most important international economic issues, it is not coordinated by an international group. The European experience indicates that it is not easy to secure international cooperation on issues that affect national sovereignty. It is suggested that countries desiring control of their borders should remember that most people never cross national borders to live or work in another country, that 50% of the world's migrants move among developing countries, and that countries can shift from being emigration to immigration countries. The author suggests that sustained reductions in migration pressure are a better alternative than the "quick fixes" that may invite the very much feared mass and unpredictable movements.

  19. Norms and international standards related to reduce risk management: A literature review

    Directory of Open Access Journals (Sweden)

    César Fuentes

    2011-09-01

    Full Text Available The current work aims to develop a revision of the literature within the main concepts in the international rules and standards related to risk management in companies. By this way, there will be an analysis of issues such as the COSO - ERM model, an introduction to the ISO 27000 and 31000 standards; and the Project Management according to PMI targeted at risk management

  20. Evaluation of a New Strategy for Attending Takeoffs and Landings to Reduce Aircraft Operating Costs and Passenger Delays at the Mexico City International Airport

    Directory of Open Access Journals (Sweden)

    Herrera-García Alfonso

    2014-01-01

    Full Text Available The objective of this research was to evaluate a strategy for attending the takeoffs and landings at a congested airport, in order to reduce aircraft operating costs and passenger delay times. The continuous growth of air transport activity has created congestion at major airports worldwide, this situation produces increases in the aircraft operating costs and passenger discomfort. In the strategy evaluated the traditional rule for attending to aircraft, on a first-come-first-served basis, was substituted with a sequence that reduces operating costs and passenger delays. In order to perform this evaluation a discrete-event simulation model was developed for the Mexico City International Airport. Results showed that it is possible to obtain significant benefits if the proposed strategy is applied, an annual benefit of around 28.6 million pesos could be achieved.

  1. ART drugs help reduce HIV transmission, Chinese study finds ...

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

    International Development Research Centre Government of Canada ... ART drugs help reduce HIV transmission, Chinese study finds ... where only one person has HIV can reduce HIV transmission rates, at least in the short term, a Chinese study has found. ... Ecohealth Field-building Leadership Initiative in Southeast Asia.

  2. [Profound meaning of acupuncture taboos in Internal Classic based on the fault of reinforcing and reducing technique by mind conduction of acupuncture therapy].

    Science.gov (United States)

    Qin, Yuge; Wang, Feng; Qin, Yuheng; Li, Li; Li, Mei

    2016-05-01

    By analyzing the acupuncture taboos in Neijing (Internal Classic) on clinical application of mind conduction of acupuncture therapy in going against the actual situation, astronomy and others, it is found that the relevant acupuncture taboo implies many subtle mysteries of human body, qi, mind and astronomy, which have not been discovered yet in modern science and are very significant in qi protection. In Neijing, the acupuncture physicians have been highly required in the mind treatment, in which, accurately regulating qi circulation is the target in the treatment. The mind conduction is used for qi circulation to accomplish accurately the reinforcing or reducing in the deficiency or excess condition. All of the taboos are provided to normalize the accuracy of reinforcing and reducing technique of acupuncture therapy and avoid the damage of qi in human body. Hence, those taboos must be obeyed so as to prevent from serious consequence and ensure the safety of this acupuncture therapy.

  3. Internal differential collision attacks on the reduced-round Grøstl-0 hash function

    DEFF Research Database (Denmark)

    Ideguchi, Kota; Tischhauser, Elmar Wolfgang; Preneel, Bart

    2014-01-01

    . This results in collision attacks and semi-free-start collision attacks on the Grøstl-0 hash function and compression function with reduced rounds. Specifically, we show collision attacks on the Grøstl-0-256 hash function reduced to 5 and 6 out of 10 rounds with time complexities 248 and 2112 and on the Grøstl......-0-512 hash function reduced to 6 out of 14 rounds with time complexity 2183. Furthermore, we demonstrate semi-free-start collision attacks on the Grøstl-0-256 compression function reduced to 8 rounds and the Grøstl-0-512 compression function reduced to 9 rounds. Finally, we show improved...

  4. Abstracts and papers of the 1996 International RERTR Meeting

    International Nuclear Information System (INIS)

    1996-10-01

    The 1996 International Meeting on Reduced Enrichment for Research and Test Reactors (RERTR) was sponsored by the Korea Atomic Energy Research Institute and the International Atomic Energy Agency and was held in Seoul, Korea, on 6-10 October 1996. The abstracts and available papers that were presented at this meeting are provided. The most important subject dealt with was progress of the Reduced Enrichment Research and Test Reactor (RERTR) Program. The major events, findings, and activities of 1996 are reviewed with the results which the RERTR Program has achieved by the end of 1995 in collaboration of the ANL and its many international partners

  5. Abstracts and papers of the 1996 International RERTR Meeting

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    The 1996 International Meeting on Reduced Enrichment for Research and Test Reactors (RERTR) was sponsored by the Korea Atomic Energy Research Institute and the International Atomic Energy Agency and was held in Seoul, Korea, on 6-10 October 1996. The abstracts and available papers that were presented at this meeting are provided. The most important subject dealt with was progress of the Reduced Enrichment Research and Test Reactor (RERTR) Program. The major events, findings, and activities of 1996 are reviewed with the results which the RERTR Program has achieved by the end of 1995 in collaboration of the ANL and its many international partners.

  6. Identificação trans-operatória do óstio do Wirsung após a papilo-esfincterotomia Intra-operatory identification of the ostium of Wirsung's pancreatic duct after sphincterotomy

    Directory of Open Access Journals (Sweden)

    A.L. da Silva

    1999-04-01

    Full Text Available OBJETIVO: Contribuir para o achado do óstio de Wirsung durante a técnica da papilo-esfincteroplastia, prevenindo a pancreatite aguda pós-operatória. CASUÍSTICA E MÉTODO: Foram estudados 27 pacientes submetidos a papilo-esfincteroplastia por coledocolitíase com ou sem odite. Após a papilo-esfincterotomia (PET terapêutica, por via duodenal, realizou-se estudo da localização do óstio do ducto de Wirsung. A PET transforma a ampola de Vater em um triângulo isósceles, cujas medidas foram obtidas através de compasso. Utilizando-as, o óstio do Wirsung poderá ser facilmente identificado e cateterizado no trans-operatório, antes de se fazer a sutura muco-mucosa da papila seccionada. RESULTADOS: O óstio geralmente é encontrado medialmente na metade esquerda do triângulo e a uma distância média de 0,19cm a 0,25cm acima da base do triângulo, considerando-se a ausência ou presença de inflamação, respectivamente. CONCLUSÃO: A determinação transoperatória das distâncias padronizadas neste estudo, permite a detecção e cateterização segura do óstio do Wirsung na presença ou não de odite.PURPOSE: The aim of this study is to suggest a feasible method to find the ostium of the Wirsung's duct during sphincteroplasty of the Vater's papilla, in order to avoid post-operative complications such as acute pancreatitis. PATIENTS AND METHODS: A total of 27 patients were submitted to sphincteroplasty for choledocolithiasis with or without Odditis. After therapeutic papillotomy and sphincterotomy through the duodenun, the location of the ostium of the Wirsung's duct was determined and studied. After papillotomy, the Vater's papilla becomes an isosceles triangle and its measurements were made with a compass. Thereby the ostium of Wirsung's duct was easily detected and a catheter was inserted before the suture of the mucosa of the papilla. RESULTS: The ostium was generally found medially, on the left side of the triangle, 0.19cm to 0.25cm

  7. Image denoising by exploring external and internal correlations.

    Science.gov (United States)

    Yue, Huanjing; Sun, Xiaoyan; Yang, Jingyu; Wu, Feng

    2015-06-01

    Single image denoising suffers from limited data collection within a noisy image. In this paper, we propose a novel image denoising scheme, which explores both internal and external correlations with the help of web images. For each noisy patch, we build internal and external data cubes by finding similar patches from the noisy and web images, respectively. We then propose reducing noise by a two-stage strategy using different filtering approaches. In the first stage, since the noisy patch may lead to inaccurate patch selection, we propose a graph based optimization method to improve patch matching accuracy in external denoising. The internal denoising is frequency truncation on internal cubes. By combining the internal and external denoising patches, we obtain a preliminary denoising result. In the second stage, we propose reducing noise by filtering of external and internal cubes, respectively, on transform domain. In this stage, the preliminary denoising result not only enhances the patch matching accuracy but also provides reliable estimates of filtering parameters. The final denoising image is obtained by fusing the external and internal filtering results. Experimental results show that our method constantly outperforms state-of-the-art denoising schemes in both subjective and objective quality measurements, e.g., it achieves >2 dB gain compared with BM3D at a wide range of noise levels.

  8. Can international safety overcome national prejudice

    International Nuclear Information System (INIS)

    Thomas, S.

    1986-01-01

    Following the accident at the Chernobyl nuclear power plant, a proposal has been made that the International Atomic Energy Agency (IAEA) should carry out a programme of reactor assessments and inspections to ensure that the plant is competently run. The 13 proposals for improving safety that arose from the recent IAEA meeting in Vienna about the events at Chernobyl are listed. They also propose international collaboration on many points. This article draws attention to the difficulties in achieving international cooperation. Comparison is made with the case of international air and marine transport and an attempt to get an agreement to reduce emissions of acid rain precursors by 30%. The essential requirements for international regulation are stated. Four specific activities that could be covered are discussed. These are inspection of operating plant, enforcement of minimum standards for routine emissions, establishment of design standards and establishment of post-accident procedures for international co-operation. (UK)

  9. Sloshing response of a reactor tank with internals

    International Nuclear Information System (INIS)

    Ma, D.C.; Gvildys, J.; Chang, Y.W.

    1984-01-01

    The sloshing response of a large reactor tank with in-tank components is presented. The study indicates that the presence of the internal components can significantly change the dynamic characteristics of the sloshing motion. The sloshing frequency of a tank with internals is considerably higher than that of a tank without internal. The higher sloshing frequency reduces the sloshing wave height on the free-surface but increases the dynamic pressure in the fluid

  10. Method of starting internal pumps of a nuclear reactor

    International Nuclear Information System (INIS)

    Kumagami, Shoji.

    1985-01-01

    Purpose: To reduce the noise effects by decreasing the invading current into the main line upon starting an internal pump type nuclear reactor adapted to forcively recycle the reactor water by a plurality of internal pumps. Method: A plurality of internal pumps are divided into several groups and, upon starting pumps belonging to the individual unit group, the starting instances for the respective pumps are deviated to reduce the surges applied to the main line and suppress the invading current lower to reduce the earth noises. As a result, effects caused to other devices or equipments can be moderated to improve the reliability. Furthermore, by actuating the respective pumps on every group units in a starting pattern along the orthogonal line, flow rate distribution in the reactor can be balanced. Then, the instability region during low rotation of pumps, that is, instability of the flow rate near the resonance frequency can be decreased. (Kawakami, Y.)

  11. HIV Interventions to Reduce HIV/AIDS Stigma: A Systematic Review

    Science.gov (United States)

    Banks, Bahby; Jonas, Dan; Miles, Margaret Shandor; Smith, Giselle Corbie

    2011-01-01

    We reviewed the literature to determine the effectiveness of HIV-related interventions in reducing HIV/AIDS stigma. Studies selected had randomized controlled trial (RCT), pretest–posttest with a non-randomized control group, or pretest–posttest one group study designs in which HIV-related interventions were being evaluated, and in which HIV/AIDS stigma was one of the outcomes being measured. A checklist was used to extract data from accepted studies, assess their internal validity, and overall quality. Data were extracted from 19 studies, and 14 of these studies demonstrated effectiveness in reducing HIV/ AIDS stigma. Only 2 of these 14 effective studies were considered good studies, based on quality, the extent to which the intervention focused on reducing HIV/AIDS stigma, and the statistics reported to demonstrate effectiveness. Future studies to reduce HIV/AIDS stigma could improve by designing interventions that pay greater attention to internal validity, use validated HIV/AIDS stigma instruments, and achieve both statistical and public health significance. PMID:21088989

  12. Prospects for international trade in environmental services: An analysis of international carbon emission off-sets

    International Nuclear Information System (INIS)

    Swisher, J.N.

    1991-01-01

    This dissertation presents a case study analysis in which the costs to a US electric utility of reducing its carbon dioxide (CO 2 ) emissions are compared with the costs of carbon-saving forestry projects in Costa Rica and Guatemala. The results show that a large electric utility in the south-central US would find it relatively inexpensive, even profitable given a conducive regulatory treatment, to reduce its CO 2 emissions by a few percent over the next ten years, through direct investment in energy end-use efficiency improvements. In comparison, the costs of the forestry projects studied in Central America range from $1/TC to a worst-case value of about $55/TC, with most project costs between $5 and $13/TC, depending on the type of project, the climate, and the opportunity cost of land. The total amount of CO 2 storage potential is significant, about 100 million tons per country, but not enough to suggest that forestry can offset more than a few percent of global CO 2 emissions from fossil fuel use. These case studies suggest that international trade in the environmental service of reducing global CO 2 accumulation could have significant economic and ecological benefits. A transaction in which a utility pays for forestry projects in exchange for credit against an emission reduction policy is an example of an international carbon emission offset (ICEO). ICEO's could provide a currency for funding carbon-saving services as a way to comply with national policies to reduce CO 2 emissions, as long as compliance is allowed through investments in other countries. This type of North-South transfer is necessary to reconcile economic efficiency and international equity, because of the disparity between the national allocations of responsibility for greenhouse gas emissions and opportunities for emission reductions

  13. Reducing Seismic Hazard and Building Capacity Through International Cooperation

    Science.gov (United States)

    Vergino, E. S.; Arakelyan, A.; Babayan, H.; Durgaryan, R.; Elashvili, M.; Godoladze, T.; Javakhishvili, Z.; Kalogeras, I.; Karakhanyan, A.; Martin, R. J.; Yetirmishli, G.

    2012-12-01

    During the last 50 years, the Caucasus, Central Asia and the Caspian Sea regions have experienced several devastating earthquakes. While each country in the region has worked with its neighbors on small, ad-hoc projects to improve preparedness, deeply ingrained political and ethnic rivalries, and severely stressed economies have severely hindered sustained regional cooperation. Future damaging earthquakes are inevitable and without proper planning the negative impact on public safety, security, economics and stability in these regions will be devastating. We have, through twelve years of international scientific cooperation, focused on the development of an expanded skill base and infrastructure, through the installation of new, modern, digital seismic monitoring networks, building of historic databases, sharing seismic, geologic and geophysical data, conducting joint scientific investigations utilizing the new digital data and applying modern techniques, as well as the development of regional hazard models that the scientists of the region share with their governments and use to advise them on the best ways to mitigate the impact of a damaging earthquake. We have established specialized regional scientific task-force teams who can carry out seismological, geological and engineering studies in the epicentral zone, including the collection of new scientific data, for better understanding of seismic and geodynamic processes as well to provide emergency support in crisis and post-crisis situations in the Southern Caucasus countries. "Secrecy" in crisis and post-crisis situations in the former Soviet Union countries, as well as political instabilities, led to an absence of seismic risk reduction and prevention measures as well as little to no training of scientific-technical personnel who could take action in emergency situations. There were few opportunities for the development of a next generation of scientific experts, thus we have placed emphasis on the inclusion

  14. Low internal pressure in femtoliter water capillary bridges reduces evaporation rates.

    Science.gov (United States)

    Cho, Kun; Hwang, In Gyu; Kim, Yeseul; Lim, Su Jin; Lim, Jun; Kim, Joon Heon; Gim, Bopil; Weon, Byung Mook

    2016-03-01

    Capillary bridges are usually formed by a small liquid volume in a confined space between two solid surfaces. They can have a lower internal pressure than the surrounding pressure for volumes of the order of femtoliters. Femtoliter capillary bridges with relatively rapid evaporation rates are difficult to explore experimentally. To understand in detail the evaporation of femtoliter capillary bridges, we present a feasible experimental method to directly visualize how water bridges evaporate between a microsphere and a flat substrate in still air using transmission X-ray microscopy. Precise measurements of evaporation rates for water bridges show that lower water pressure than surrounding pressure can significantly decrease evaporation through the suppression of vapor diffusion. This finding provides insight into the evaporation of ultrasmall capillary bridges.

  15. Low internal pressure in femtoliter water capillary bridges reduces evaporation rates

    Science.gov (United States)

    Cho, Kun; Hwang, In Gyu; Kim, Yeseul; Lim, Su Jin; Lim, Jun; Kim, Joon Heon; Gim, Bopil; Weon, Byung Mook

    2016-01-01

    Capillary bridges are usually formed by a small liquid volume in a confined space between two solid surfaces. They can have a lower internal pressure than the surrounding pressure for volumes of the order of femtoliters. Femtoliter capillary bridges with relatively rapid evaporation rates are difficult to explore experimentally. To understand in detail the evaporation of femtoliter capillary bridges, we present a feasible experimental method to directly visualize how water bridges evaporate between a microsphere and a flat substrate in still air using transmission X-ray microscopy. Precise measurements of evaporation rates for water bridges show that lower water pressure than surrounding pressure can significantly decrease evaporation through the suppression of vapor diffusion. This finding provides insight into the evaporation of ultrasmall capillary bridges. PMID:26928329

  16. Internalized homophobia and reduced HIV testing among men who have sex with men in China.

    Science.gov (United States)

    Pyun, Thomas; Santos, Glenn-Milo; Arreola, Sonya; Do, Tri; Hebert, Pato; Beck, Jack; Makofane, Keletso; Wilson, Patrick A; Ayala, George

    2014-03-01

    Although previous research has examined barriers and facilitators of HIV testing among men who have sex with men (MSM) in China, few studies have focused on social factors, including homophobia and internalized homophobia. This study utilized data from a global online survey to determine correlates of HIV testing as part of a subanalysis focused on Chinese MSM. Controlling for age, HIV knowledge, number of sexual partners, and other covariates, ever having tested for HIV was significantly correlated with lower internalized homophobia. This study suggests that stigma associated with sexual orientation may serve as a barrier to participation in HIV testing and other health-promoting behaviors.

  17. Ti-24Nb-4Zr-8Sn Alloy Pedicle Screw Improves Internal Vertebral Fixation by Reducing Stress-Shielding Effects in a Porcine Model.

    Science.gov (United States)

    Qu, Yang; Zheng, Shuang; Dong, Rongpeng; Kang, Mingyang; Zhou, Haohan; Zhao, Dezhi; Zhao, Jianwu

    2018-01-01

    To ensure the biomechanical properties of Ti-24Nb-4Zr-8Sn, stress-shielding effects were compared between Ti-24Nb-4Zr-8Sn and Ti-6Al-4V fixation by using a porcine model. Twelve thoracolumbar spines (T12-L5) of 12-month-old male pigs were randomly divided into two groups: Ti-24Nb-4Zr-8Sn (EG, n = 6) and Ti-6Al-4V (RG, n = 6) fixation. Pedicle screw was fixed at the outer edge of L4-5 vertebral holes. Fourteen measuring points were selected on the front of transverse process and middle and posterior of L4-5 vertebra. Electronic universal testing machine was used to measure the strain resistance of measuring points after forward and backward flexion loading of 150 N. Meanwhile, stress resistance was compared between both groups. The strain and stress resistance of measurement points 1, 2, 5, 6, 9, and 10-14 in Ti-24Nb-4Zr-8Sn fixation was lower than that of Ti-6Al-4V fixation after forward and backward flexion loading ( P Ti-24Nb-4Zr-8Sn fixation than that of Ti-6Al-4V fixation ( P Ti-24Nb-4Zr-8Sn internal fixation were less than that of Ti-6Al-4V internal fixation. These results suggest that Ti-24Nb-4Zr-8Sn elastic fixation has more biomechanical goals than conventional Ti-6Al-4V internal fixation by reducing stress-shielding effects.

  18. Outsourcing in International Economic Relations

    Directory of Open Access Journals (Sweden)

    Yuriy Bilan

    2017-09-01

    Full Text Available Entities from different countries interact through various forms of international cooperation, integration, subcontracting, outsourcing to ensure competitive advantage, reduce costs and increase economic efficiency. The article is an analysis and synthesis of existing approaches to defining the essence of outsourcing research and its application in international. The article deals with the prerequisites of outsourcing as a new form of organization of business processes. There are investigated and classified approaches to defining the essence of outsourcing. The hierarchy of objectives and motives based on organization of outsourcing is built. The practice of outsourcing during implementation of international economic relations is studied. Specifically examined the dynamics of development of the outsourcing market. Studied leader countries which provide outsourcing services and major consumers of these services.

  19. The international legal position on transboundary shipments of radioactive waste

    International Nuclear Information System (INIS)

    Grimston, M.C.

    1997-01-01

    The recent decision not to grant planning permission for construction of a Rock Characterisation Facility near Sellafield has reopened the question of long-term radioactive waste disposal policy in the UK. One possible solution would be the construction and operation of a small number of international radioactive waste disposal facilities, taking waste from several countries. Such an approach would allow pooling of international expertise; would allow the choice of excellent sites from geological and demographical standpoints; and may be economically attractive depending on economies of scale. However, the approach would also increase the amount of waste transport, and may reduce the pressure on producers to reduce the volumes of waste arising. This paper traces the development of international legal attitudes to transboundary transport of radioactive and other hazardous waste. It concludes that as international law now stands it would be very difficult to establish a network of international waste disposal facilities, and therefore strategies which are developed will be nationally based. (Author)

  20. Improving cylinder-type LiFePO4 battery performance via control of internal resistance

    Science.gov (United States)

    Purwanto, Agus; Jumari, Arif; Nizam, Muhammad; Widiyandari, Hendri; Sudaryanto; Deswita; Azmin Mohamad, Ahmad

    2018-04-01

    Strategies for controlling the internal resistance to improve battery performance were systematically investigated. Electrode densification of LiFePO4 cathodes significantly reduced the internal resistance of the prepared batteries. Densification by reduction to 31.25% of initial thickness resulted in optimal electrochemical performance of the prepared LiFePO4 batteries. The addition of KS 6 graphite material improved the conductivity of the cathodes, which was indicated by a lowering of the internal resistance. The internal resistance was decreased from 73 to 54 when the KS6/AB ratio was varied from 3 to 1. Another factor in controlling the internal resistance was the location of a welded aluminum tab in the cathode. The welding of an aluminum tab in a small gap in the cathode significantly reduced the internal resistance. Thus, three main factors can be performed during fabrication to reduce the internal resistance of a LiFePO4 battery: cathode densification, KS-6 graphite addition, and the arrangement of an aluminum tab welded to the cathode. By optimizing these factors, high-performance LFP batteries were produced.

  1. IS IT POSSIBLE TO REDUCE THE STOCK OF FOREIGN RESERVES?

    Directory of Open Access Journals (Sweden)

    Marcello Spanò

    2011-07-01

    Full Text Available This work determines the optimal reserves to short term debt ratio of an exporting economy indebted in foreign currency and suggests possible remedies to reduce it. Theoretical results and numerical simulations establish that the ratios recently observed reflect the increasing weight assigned to the risk of firms going bankrupt. They also establish that neither a lower risk premium charged by international lenders nor a lower exchange rate volatility reduce the stock of reserves significantly. Full elimination of the need to hold reserves to prevent financial crises should rely either on limiting foreign capital inflow or on reforming the international monetary system.

  2. Publications | Page 340 | IDRC - International Development ...

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

    Results 3391 - 3400 of 6388 ... This book is intended to assist both external and internal efforts to ... "information revolution," and "information economy" are used routinely to illustrate ... Urban agriculture, it is argued, can reduce this dependency.

  3. Outcome of peri-anal surgeries without use of prophylactic antibiotics, in terms of post operative wound infection

    International Nuclear Information System (INIS)

    Asif, M.; Mirza, A.A.; Saeed, A.

    2017-01-01

    To determine the outcome of perianal surgeries without use of antibiotics in terms of post operative infection. Study Design: Descriptive study. Place and Duration of study: Department of general surgery, Pakistan Atomic Energy Commission General Hospital, from Jan 2014 to Jun 2015. Material and Methods: All patients, both male and female admitted for hemorrhoidectomy, fistulectomy and lateral internal sphincterotomy for Anal Fissure with minimum 02 months follow-up were included in the study through non probability consecutive sampling technique. The selected patients were not administered any antibiotics pre or postoperatively. All these patients were followed up for any post-operative surgical site infection up to 02 months. Patients were advised only to take pyodine sitz bath regularly. Results: One hundred and eighty two patients were selected for the study. Patients mean age was 48.0 +- 11.4 years. 68.68% were male and 31.3% were female patients. In our study most frequent clinical presentation was hemorrhoids (37.9.0%), followed by anal fissure (33.5%). Least frequent clinical presentation was of anal fistula (28.57%). None of the patients developed surgical site infection post operatively. Conclusions: In our study we found that there was no additional beneficial role of prophylactic antibiotics in perianal surgeries Perianal surgeries can safely be performed without the use pre or post-operative antibiotics there by significantly reducing health care expenses. (author)

  4. Reduced Graphene Oxide-Hybridized Polymeric High-Internal Phase Emulsions for Highly Efficient Removal of Polycyclic Aromatic Hydrocarbons from Water Matrix.

    Science.gov (United States)

    Huang, Yipeng; Zhang, Wenjuan; Ruan, Guihua; Li, Xianxian; Cong, Yongzheng; Du, Fuyou; Li, Jianping

    2018-03-27

    Reduced graphene oxide (RGO)-hybridized polymeric high-internal phase emulsions (RGO/polyHIPEs) with an open-cell structure and hydrophobicity have been successfully prepared using 2-ethylhexyl acrylate and ethylene glycol dimethacrylate as the monomer and the cross-linker, respectively. The adsorption mechanism and performance of this RGO/polyHIPEs to polycyclic aromatic hydrocarbons (PAHs) were investigated. Adsorption isotherms of PAHs on RGO/polyHIPEs show that the saturated adsorption capacity is 47.5 mg/g and the equilibrium time is 8 h. Cycling tests show that the adsorption capacity of RGO/polyHIPEs remains stable in 10 adsorption-desorption cycles without observable structure change in RGO/polyHIPEs. Moreover, the PAH residues in water samples after being purified by RGO/polyHIPEs are lower than the limit values in drinking water set by the European Food Safety Authority. These results demonstrate that the RGO/polyHIPEs have great potentiality in PAH removal and water purification.

  5. Internal curing as a new tool for infrastructural renewal : reducing repair congestion, increasing service life, and improving sustainability.

    Science.gov (United States)

    2014-04-01

    Internal curing has recently been developed as a new concrete technology that has the potential to : dramatically extend the service life of concrete infrastructure elements like bridge decks. Internal curing : uses prewetted lightweight aggregate in...

  6. How internal and external supervisors influence employees' self-serving decisions

    NARCIS (Netherlands)

    de Waal, Melanie; Rink, Floor; Stoker, Janka

    2015-01-01

    The current investigation examined the effects of internal and external supervisors (i.e., formally installed institutions that hold employees accountable for their actions) on employees’ self-serving decisions. In two studies, it was found that internal supervisors reduced self-serving decisions

  7. Ability performance of older workers - Internal and external influencing factors

    NARCIS (Netherlands)

    Dittmann-Kohli, F.; Heijden, B.I.J.M. van der

    1996-01-01

    Internal and external factors affecting ability and performance of older employees are being analyzed in a short literature review. Internal factors like physical capacity, sensory capacity, cognitive abilities and general health are reduced with ageing; their effect on performance, however, depends

  8. Socio-Cultural Factors and International Competitiveness

    Directory of Open Access Journals (Sweden)

    Madara Apsalone

    2015-12-01

    Full Text Available Socio-cultural factors – shared values, norms and attitudes are significant, but less acknowledged sources of international competitiveness. Previous studies have found socio-cultural factors positively affecting various aspects of international competitiveness – entrepreneurship, innovation, productivity and international cooperation. These factors are more sustainable and less affected by external environment changes in comparison with the traditional factors. Socio-cultural factors provide an opportunity to develop competitiveness strategies based on unique advantages. This research aims to explore the impact of socio-cultural factors on international competiveness in small, open economies. Analysing relationship between 400 socio-cultural indicators and competitiveness indicators such as productivity, economic development, business and government efficiency, innovation capacity and infrastructure in 37 countries, six socio-cultural factors have emerged: Collectivism and Hierarchy; Future, Cooperation and Performance Orientation, Self-expression, Monochronism and Rationality, Economic Orientation and Social structure. The first factor – Collectivism and Hierarchy – tends to reduce the international competitiveness; the other five affect it positively.

  9. Reducing energy consumption and CO2 emissions by energy efficiency measures and international trading: A bottom-up modeling for the U.S. iron and steel sector

    International Nuclear Information System (INIS)

    Karali, Nihan; Xu, Tengfang; Sathaye, Jayant

    2014-01-01

    Highlights: • Use ISEEM to evaluate energy and emission reduction in U.S. Iron and Steel sector. • ISEEM is a new bottom-up optimization model for industry sector energy planning. • Energy and emission reduction includes efficiency measure and international trading. • International trading includes commodity and carbon among U.S., China and India. • Project annual energy use, CO 2 emissions, production, and costs from 2010 to 2050. - Abstract: Using the ISEEM modeling framework, we analyzed the roles of energy efficiency measures, steel commodity and international carbon trading in achieving specific CO 2 emission reduction targets in the U.S iron and steel sector from 2010 to 2050. We modeled how steel demand is balanced under three alternative emission reduction scenarios designed to include national energy efficiency measures, commodity trading, and international carbon trading as key instruments to meet a particular emission restriction target in the U.S. iron and steel sector; and how production, process structure, energy supply, and system costs change with those scenarios. The results advance our understanding of long-term impacts of different energy policy options designed to reduce energy consumption and CO 2 emissions for U.S. iron and steel sector, and generate insight of policy implications for the sector’s environmentally and economically sustainable development. The alternative scenarios associated with 20% emission-reduction target are projected to result in approximately 11–19% annual energy reduction in the medium term (i.e., 2030) and 9–20% annual energy reduction in the long term (i.e., 2050) compared to the Base scenario

  10. Early ERCP is an essential part of the management of all cases of acute pancreatitis.

    OpenAIRE

    Gupta, R.; Toh, S. K.; Johnson, C. D.

    1999-01-01

    The role of early endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy in acute pancreatitis is controversial. Recent randomised controlled trials mostly support the value of this procedure, but concerns remain as to its safety, efficacy and practicability. This debate critically assesses the evidence for and against the use of early ERCP in acute pancreatitis.

  11. Computation and Analysis of EGR Mixing in Internal Combustion Engine Manifolds

    OpenAIRE

    Sakowitz, Alexander

    2013-01-01

    This thesis deals with turbulent mixing processes occurring in internal combustion engines, when applying exhaust gas recirculation (EGR). EGR is a very efficient way to reduce emissions of nitrogen oxides (NOx) in internal combustion engines. Exhaust gases are recirculated and mixed with the fresh intake air, reducing the oxygen con- centration of the combustion gas and thus the peak combustion temperatures. This temperature decrease results in a reduction of NOx emissions. When applying EGR...

  12. Technology and international climate policy

    International Nuclear Information System (INIS)

    Clarke, Leon; Calvin, Kate; Edmonds, James A.; Kyle, Page; Wise, Marshall

    2009-01-01

    Both the nature of international climate policy architectures and the development and diffusion of new energy technologies could dramatically influence future costs of reducing global emissions of greenhouse gases. This paper explores the implications of interactions between technology availability and performance and international policy architectures for technology choice and the social cost of limiting atmospheric CO2 concentrations to 500 ppm by the year 2095. Key issues explored in the paper include the role of bioenergy production with CO2 capture and storage (CCS), overshoot concentration pathways, and the sensitivity of mitigation costs to policy and technology.

  13. Technology and international climate policy

    Energy Technology Data Exchange (ETDEWEB)

    Clarke, Leon; Calvin, Kate; Edmonds, James A.; Kyle, Page; Wise, Marshall

    2009-05-01

    Both the nature of international climate policy architectures and the development and diffusion of new energy technologies could dramatically influence future costs of reducing global emissions of greenhouse gases. This paper explores the implications of interactions between technology availability and performance and international policy architectures for technology choice and the social cost of limiting atmospheric CO2 concentrations to 500 ppm by the year 2095. Key issues explored in the paper include the role of bioenergy production with CO2 capture and storage (CCS), overshoot concentration pathways, and the sensitivity of mitigation costs to policy and technology.

  14. Investigation of internal feedback in hearing aids

    DEFF Research Database (Denmark)

    Friis, Lars

    2009-01-01

    with vibroacoustic transmission from the receiver to the microphones often occur during the use of hearing aids. This transmission causes feedback at certain critical gain levels where it produces a loud uncomfortable squealing. Consequently feedback often constitutes the limiting factor for the maximum obtainable...... gain in the hearing aid and it therefore represents a critical design problem. Feedback in hearing aids is usually divided into external and internal feedback. External feedback is caused by the leakage of sound from the ear canal whereas internal feedback is due to transmission of sound and vibrations...... internally in the hearing aid. As a result of reducing the size of hearing aids, manufacturers have experienced an increase in internal feedback problems. The main objective of the present thesis is therefore to examine the vibroacoustic mechanisms responsible for internal feedback in hearing aids...

  15. Factor VIIa binding and internalization in hepatocytes

    DEFF Research Database (Denmark)

    Hjortoe, G; Sorensen, B B; Petersen, L C

    2005-01-01

    The liver is believed to be the primary clearance organ for coagulation proteases, including factor VIIa (FVIIa). However, at present, clearance mechanisms for FVIIa in liver are unknown. To obtain information on the FVIIa clearance mechanism, we investigated the binding and internalization...... no effect. HEPG2 cells internalized FVIIa with a rate of 10 fmol 10(-5) cells h(-1). In contrast to HEPG2 cells, FVIIa binding to primary rat hepatocytes was completely independent of TF, and excess unlabeled FVIIa partly reduced the binding of 125I-FVIIa to rat hepatocytes. Further, compared with HEPG2...... cells, three- to fourfold more FVIIa bound to rat primary hepatocytes, and the bound FVIIa was internalized at a faster rate. Similar FVIIa binding and internalization profiles were observed in primary human hepatocytes. Plasma inhibitors had no effect on FVIIa binding and internalization in hepatocytes...

  16. Designing and Managing Successful International Joint Development Programs

    Science.gov (United States)

    2016-04-30

    joint development programs are important because of their potential to reduce costs and increase partnership benefits such as interoperability, economies ...have actualized by discussing what characteristics research has shown as crucial to international joint development program outcomes. The study team... characteristics of international joint development programs that result in positive or negative cost, scheduling, and end-product outcomes, such as a final

  17. Numerical assessment of factors affecting nonlinear internal waves in the South China Sea

    Science.gov (United States)

    Li, Qiang

    2014-02-01

    Nonlinear internal waves in the South China Sea exhibit diverse characteristics, which are associated with the complex conditions in Luzon Strait, such as the double ridge topography, the Earth’s rotation, variations in stratification and the background current induced by the Kuroshio. These effects are individually assessed using the MITgcm. The performance of the model is first validated through comparison with field observations. Because of in-phased ray interaction, the western ridge in Luzon Strait intensifies the semidiurnal internal tides generated from the eastern ridge, thus reinforcing the formation of nonlinear internal waves. However, the ray interaction for K1 forcing becomes anti-phased so that the K1 internal tide generation is reduced by the western ridge. Not only does the rotational dispersion suppress internal tide generation, it also inhibits nonlinear steepening and consequent internal solitary wave formation. As a joint effect, the double ridges and the rotational dispersion result in a paradoxical phenomenon: diurnal barotropic tidal forcing is dominant in Luzon Strait, but semidiurnal internal tides prevail in the deep basin of the South China Sea. The seasonal variation of the Kuroshio is consistent with the seasonal appearance of nonlinear internal waves in the South China Sea. The model results show that the westward inflow due to the Kuroshio intrusion reduces the amplitude of internal tides in the South China Sea, causing the weakening or absence of internal solitary waves. Winter stratification cannot account for the significant reduction of nonlinear internal waves, because the amplitude growth of internal tides due to increased thermocline tilting counteracts the reduced nonlinearity caused by thermocline deepening.

  18. The reduced enrichment program for JRR-4

    International Nuclear Information System (INIS)

    Takayanagi, M.

    1992-01-01

    Japan Research Reactor No. 4(JRR-4) with the rated power of 3.5 MW, swimming pool type research reactor, 93 % enriched uranium ETR-type fuel used, light water moderated and cooled. The first criticality reached on 28th January, 1965. The reactor has operated for about 26 years. However, it was planed to the reduced enrichment of the fuels to low enrichment according to the International Reduced Enrichment for Research and Test Reactors (RERTR) program. This paper describes the program for conversion of the enrichment of fuel from 93 % to less than 20 %. (author)

  19. Search Results | Page 175 | IDRC - International Development ...

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

    Research for International Tobacco Control (RITC) : Program Strategy 2005-2010 ... that mangrove wetlands and other thick coastal vegetation served to reduce loss of ... Integrated Strategy for Water Pollution Reduction in Yorito (Honduras).

  20. Search Results | Page 174 | IDRC - International Development ...

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

    Research for International Tobacco Control (RITC) : Program Strategy 2005-2010 ... that mangrove wetlands and other thick coastal vegetation served to reduce loss of ... Integrated Strategy for Water Pollution Reduction in Yorito (Honduras).

  1. International aspects of restrictions of ozone-depleting substances

    Energy Technology Data Exchange (ETDEWEB)

    McDonald, S.C.

    1989-10-01

    This report summarizes international efforts to protect stratospheric ozone. Also included in this report is a discussion of activities in other countries to meet restrictions in the production and use of ozone-depleting substances. Finally, there is a brief presentation of trade and international competitiveness issues relating to the transition to alternatives for the regulated chlorofluorocarbons (CFCs) and halons. The stratosphere knows no international borders. Just as the impact of reduced stratospheric ozone will be felt internationally, so protection of the ozone layer is properly an international effort. Unilateral action, even by a country that produces and used large quantities of ozone-depleting substances, will not remedy the problem of ozone depletion if other countries do not follow suit. 32 refs., 7 tabs.

  2. International Photovoltaic Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    Costello, D.; Koontz, R.; Posner, D.; Heiferling, P.; Carpenter, P.; Forman, S.; Perelman, L.

    1979-12-01

    The International Photovoltaics Program Plan is in direct response to the Solar Photovoltaic Energy Research, Development, and Demonstration Act of 1978 (PL 95-590). As stated in the Act, the primary objective of the plan is to accelerate the widespread use of photovoltaic systems in international markets. Benefits which could result from increased international sales by US companies include: stabilization and expansion of the US photovoltaic industry, preparing the industry for supplying future domestic needs; contribution to the economic and social advancement of developing countries; reduced world demand for oil; and improvements in the US balance of trade. The plan outlines programs for photovoltaic demonstrations, systems developments, supplier assistance, information dissemination/purchaser assistance, and an informaion clearinghouse. Each program element includes tactical objectives and summaries of approaches. A program management office will be established to coordinate and manage the program plan. Although the US Department of Energy (DOE) had the lead responsibility for preparing and implementing the plan, numerous federal organizations and agencies (US Departments of Commerce, Justice, State, Treasury; Agency for International Development; ACTION; Export/Import Bank; Federal Trade Commission; Small Business Administration) were involved in the plan's preparation and implementation.

  3. Novel biliary self-expanding metal stents: indications and applications.

    Science.gov (United States)

    Blero, Daniel; Huberty, Vincent; Devière, Jacques

    2015-03-01

    Endoscopic insertion of a self-expanding metal stent (SEMS) through a malignant common bile duct stricture is the first line of palliation for malignant jaundice. Patency of these stents remains a major concern. SEMS dysfunction can result from tumor ingrowth, overgrowth and/or clogging. Initial SEMS modifications involved covering the central part of the stent in order to reduce ingrowth and ultimately increase patency. Fully covered stents became available shortly after reports of their use in human patients. The potential removability and radial strength of SEMS have led to evaluation of their use in new indications including benign biliary strictures, post sphincterotomy bleeding and perforation. Other aspects of development include the addition of features such as anti-reflux valves, drug elution and spontaneous biodegradability. These aspects and their clinical implications are reviewed and discussed.

  4. Recent Advances in the Pharmacotherapy of Chronic Anal Fissure: An Update

    Directory of Open Access Journals (Sweden)

    Bikash Medhi

    2008-07-01

    Full Text Available Surgical sphincterotomy reduces anal tone and sphincter spasm and promotes ulcer healing. Because the surgery is associated with the side effect of faecal incontinence, pharmacological agents to treat chronic anal fissure have been explored recently. Glyceryl trinitrate (GTN ointment (0.2% has an efficacy of up to 68% in healing chronic anal fissure, but it is associated with headache as the major and most common side effect. Though botulinum toxin injected into the anal sphincter healed over 80% of chronic anal fis-sures, it is more invasive and expensive than GTN therapy. Diltiazem ointment achieved healing of chronic anal fissure comparable to 0.2% GTN ointment but was associated with fewer side effects. Other drugs that have been tried are lidocaine, the alpha-adrenergic antagonist indoramin, and the potassium channel opener minoxidil.

  5. The impact of a carbon tax on international tourism

    NARCIS (Netherlands)

    Tol, R.S.J.

    2007-01-01

    A simulation model of international tourist flows is used to estimate the impact of a carbon tax on aviation fuel. The effect of the tax on travel behaviour is small: A global tax of $1000/t C would change travel behaviour and reduce carbon dioxide emissions from international aviation by 0.8%. A

  6. UNIVERSITY INTERNATIONAL COOPERATION AS A MEANS FOR REGIONAL INTEGRATION AND DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Viktoriia DONCHENKO

    2015-10-01

    Full Text Available Programs of international cooperation in higher education claim to promote peace and intercultural understanding, contribute to development of efficient human resources as well as research and innovation. For centuries, universities were centers of progress that ensure community’s development. Processes of globalization, internationalization, rapid development of information technology transform the mission of university, challenging modern universities to join forces to meet growing needs of knowledge society. The European Higher Education Area is continuously working to reduce mismatch of skills between the workforce and labor market. International cooperation in education has fundamental potential for reducing economic disparity. Ukrainian government views higher education as a means of growth and development and considers international activity pivotal in responding to global and regional change and achieving world quality standards of education. The aim of this paper is to explore potential of international cooperation in higher education in globalized world by examining selected international projects and their outcomes.

  7. International Aspects of Nuclear Safety

    International Nuclear Information System (INIS)

    Lash, T.R.

    2000-01-01

    Even though not all the world's nations have developed a nuclear power industry, nuclear safety is unquestionably an international issue. Perhaps the most compelling proof is the 1986 accident at Chornobyl nuclear power plant in what is now Ukraine. The U.S. Department of Energy conducts a comprehensive, cooperative effort to reduce risks at Soviet-designed nuclear power plants. In the host countries : Armenia, Ukraine, Russia, Bulgaria, the Czech Republic, Hungary, Lithuania, Slovakia, and Kazakhstan joint projects are correcting major safety deficiencies and establishing nuclear safety infrastructures that will be self-sustaining.The U.S. effort has six primary goals: 1. Operational Safety - Implement the basic elements of operational safety consistent with internationally accepted practices. 2. Training - Improve operator training to internationally accepted standards. 3. Safety Maintenance - Help establish technically effective maintenance programs that can ensure the reliability of safety-related equipment. 4. Safety Systems - Implement safety system improvements consistent with remaining plant lifetimes. 5. Safety Evaluations - Transfer the capability to conduct in-depth plant safety evaluations using internationally accepted methods. 6. Legal and Regulatory Capabilities - Facilitate host-country implementation of necessary laws and regulatory policies consistent with their international treaty obligations governing the safe use of nuclear power

  8. Information Asymmetries as Trade Barriers: ISO 9000 Increases International Commerce

    Science.gov (United States)

    Potoski, Matthew; Prakash, Aseem

    2009-01-01

    Spatial, cultural, and linguistic barriers create information asymmetries between buyers and sellers that impede international trade. The International Organization for Standardization's ISO 9000 program is designed to reduce these information asymmetries by providing assurance about the product quality of firms that receive its certification.…

  9. The international politics of geoengineering:

    DEFF Research Database (Denmark)

    Corry, Olaf

    2017-01-01

    the politics of climate change dramatically, yet in evaluating whether they might ultimately reduce climate risks, their political and security implications have so far not been given adequate prominence. This article puts forward what it calls the ‘security hazard’ and argues that this could be a crucial...... factor in determining whether a technology is able, ultimately, to reduce climate risks. Ideas about global governance of geoengineering rely on heroic assumptions about state rationality and a generally pacific international system. Moreover, if in a climate engineered world weather events become...

  10. Surgical dissection of the internal carotid artery under flow control by proximal vessel clamping reduces embolic infarcts during carotid endarterectomy.

    Science.gov (United States)

    Yoshida, Kazumichi; Kurosaki, Yoshitaka; Funaki, Takeshi; Kikuchi, Takayuki; Ishii, Akira; Takahashi, Jun C; Takagi, Yasushi; Yamagata, Sen; Miyamoto, Susumu

    2014-01-01

    To evaluate the efficacy of flow control of the internal carotid artery (ICA) by the clamping of the common carotid artery, external carotid artery, and superior thyroid artery during surgical ICA dissection to reduce ischemic complications after carotid endarterectomy (CEA). Sixty-seven patients (59 men; age, 70.5 ± 6.2 years) who underwent CEA by the same surgeon were retrospectively studied. Both conventional CEA (n = 29) and flow-control CEA (n = 38) were performed with the patient under general anesthesia and with the use of somatosensory-evoked potential and near-infrared spectroscopy monitoring as a guide for selective shunting. The number of new postoperative infarcts was assessed with preoperative and postoperative diffusion-weighted images (DWIs) obtained within 3 days of surgery. In addition to surgical technique, the effects of the following factors on new infarcts also were examined: age, side of ICA stenosis, high-grade stenosis, symptoms, and application of shunting. New postoperative DWI lesions were observed in 7 of 67 patients (10.4%), and none of them was symptomatic. With respect to operative technique, the incidence rate of DWI spots was significantly lower in the flow-control group (2.6%) than in the conventional group (20.7%), odds ratio: 0.069; 95% confidence interval: 0.006-0.779; P = 0.031). On multiple logistic regression analysis, age, side of ICA stenosis, high-grade stenosis, symptoms, and the use of internal shunting did not have significant effects on new postoperative DWI lesions, whereas technique did have an effect. The proximal flow-control technique for CEA helps avoid embolic complications during surgical ICA dissection. Copyright © 2014 Elsevier Inc. All rights reserved.

  11. The economics of international coal markets

    Energy Technology Data Exchange (ETDEWEB)

    Paulus, Moritz

    2012-07-13

    In the scope of four related essays this thesis analyses the Chinese domestic coal sector and coal trade policies and their respective impact on international steam coal trade economics. In particular, the thesis investigates the role of domestic transport infrastructure investment policies as well as Chinese coal export and import controls and the potential exertion of market power through such trade instruments. For this purpose, several spatial equilibrium models have been developed that enable simulation runs to compare different policy scenarios. These models also permit ex-post analyses to empirically test hypotheses of non-competitive market conduct of individual players under the assumption of Cournot behaviour. These model-based analyses yield, among others, the following findings: If coal is converted into electricity early in the Chinese energy supply chain, worldwide marginal costs of supply are substantially lower than if coal is transported via railway. This can reduce China's dependence on international imports significantly. Allocation of welfare changes, particularly in favour of Chinese consumers while rents of international producers decrease. If not only seaborne trade but also interactions and feedbacks between domestic coal markets and international trade markets are accounted for, trade volumes and prices of a China - Indonesia duopoly fit the real market outcome best in 2008. Real Chinese export quotas have been consistent with simulated exports under a Cournot-Nash strategy. Uncertainties with regard to future Chinese coal demand and coal sector policies generate significant costs for international investors and lead to a spatial and temporal reallocation of mining and infrastructure investments. The potential exertion of Chinese demand side market power would further reduce the overall investment activity of exporters.

  12. The economics of international coal markets

    International Nuclear Information System (INIS)

    Paulus, Moritz

    2012-01-01

    In the scope of four related essays this thesis analyses the Chinese domestic coal sector and coal trade policies and their respective impact on international steam coal trade economics. In particular, the thesis investigates the role of domestic transport infrastructure investment policies as well as Chinese coal export and import controls and the potential exertion of market power through such trade instruments. For this purpose, several spatial equilibrium models have been developed that enable simulation runs to compare different policy scenarios. These models also permit ex-post analyses to empirically test hypotheses of non-competitive market conduct of individual players under the assumption of Cournot behaviour. These model-based analyses yield, among others, the following findings: If coal is converted into electricity early in the Chinese energy supply chain, worldwide marginal costs of supply are substantially lower than if coal is transported via railway. This can reduce China's dependence on international imports significantly. Allocation of welfare changes, particularly in favour of Chinese consumers while rents of international producers decrease. If not only seaborne trade but also interactions and feedbacks between domestic coal markets and international trade markets are accounted for, trade volumes and prices of a China - Indonesia duopoly fit the real market outcome best in 2008. Real Chinese export quotas have been consistent with simulated exports under a Cournot-Nash strategy. Uncertainties with regard to future Chinese coal demand and coal sector policies generate significant costs for international investors and lead to a spatial and temporal reallocation of mining and infrastructure investments. The potential exertion of Chinese demand side market power would further reduce the overall investment activity of exporters.

  13. Reducing and preventing internalizing and externalizing behavior problems in children with type 1 diabetes: a randomized controlled trial of the Triple P-Positive Parenting Program.

    Science.gov (United States)

    Westrupp, E M; Northam, E; Lee, K J; Scratch, S E; Cameron, F

    2015-11-01

    Children with type 1 diabetes are at increased risk of mental health problems, which in turn are associated with poor glycemic control, diabetes-related complications, and long-term psychiatric morbidity. We tested the efficacy of the Triple P-Positive Parenting Program in reducing or preventing mental health problems and improving glycemic control in children with type 1 diabetes in a randomized controlled trial. Participants were recruited from the Diabetes Clinic, Royal Children's Hospital, Melbourne, Australia, and randomized to Triple P or standard diabetes care. The primary outcome was child internalizing and externalizing behavior problems 3 and 12 months postrandomization. Secondary outcomes were glycemic control, parent mental health, parenting skills, and family functioning at 3 and 12 months, and glycemic control at 24 months. A total of 76 participants were randomized (38 to intervention and 38 to control), 60 completed 3-month, and 57 completed 12-month assessments. Benefits of Triple P were evident at 3 months for parent mental health, parenting skills, and family functioning (p externalizing behavior problems indicated greater improvements in child mental health, parent mental health, parenting skills, and diabetes family conflict (p parenting self-efficacy at 3 months. Improvements in parent mental health and parenting competency associated with Triple P were sustained to 12 months for children with pre-existing mental health problems. This study provides some support for the efficacy of Triple P in improving parent and family outcomes, and reducing child internalizing and externalizing behavior problems primarily in children who have pre-existing mental health problems. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  14. Proceedings of the 1994 international meeting on reduced enrichment for research and test reactors

    International Nuclear Information System (INIS)

    1997-08-01

    This meeting brought together participants in the international effort to minimize and eventually eliminate the use of highly enriched uranium in civilian nuclear programs. Papers cover the following topics: National programs; fuel cycle; nuclear fuels; analyses; advanced reactors; and reactor conversions. Selected papers have been indexed separately for inclusion to the Energy Science and Technology Database

  15. Proceedings of the 1994 international meeting on reduced enrichment for research and test reactors

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-08-01

    This meeting brought together participants in the international effort to minimize and eventually eliminate the use of highly enriched uranium in civilian nuclear programs. Papers cover the following topics: National programs; fuel cycle; nuclear fuels; analyses; advanced reactors; and reactor conversions. Selected papers have been indexed separately for inclusion to the Energy Science and Technology Database.

  16. The mechanisms behind decreased internalization of angiotensin II type 1 receptor.

    Science.gov (United States)

    Bian, Jingwei; Zhang, Suli; Yi, Ming; Yue, Mingming; Liu, Huirong

    2018-04-01

    The internalization of angiotensin II type 1 receptor (AT 1 R) plays an important role in maintaining cardiovascular homeostasis. Decreased receptor internalization is closely related to cardiovascular diseases induced by the abnormal activation of AT 1 R, such as hypertension. However, the mechanism behind reduced AT 1 R internalization is not fully understood. This review focuses on four parts of the receptor internalization process (the combination of agonists and receptors, receptor phosphorylation, endocytosis, and recycling) and summarizes the possible mechanisms by which AT 1 R internalization is reduced based on these four parts of the process. (1) The agonist has a large molecular weight or a stronger ability to hydrolyze phosphatidylinositol 4,5-bisphosphate (PtdIns (4,5) P 2 ), which can increase the consumption of PtdIns (4,5) P 2 . (2) AT 1 R phosphorylation is weakened because of an abnormal function of phosphorylated kinase or changes in phospho-barcoding and GPCR-β-arrestin complex conformation. (3) The abnormal formation of vesicles or AT 1 R heterodimers with fewer endocytic receptors results in less AT 1 R endocytosis. (4) The enhanced activity and upregulated expression of small GTP-binding protein 4 (Rab4) and 11 (Rab11), which regulate receptor recycling, and phosphatidylinositol 3-kinase increase AT 1 R recycling. In addition, lower expression of AT 1 R-associated protein (ATRAP) or higher expression of AT 1 R-associated protein 1 (ARAP1) can reduce receptor internalization. Copyright © 2018 Elsevier Inc. All rights reserved.

  17. International child health

    DEFF Research Database (Denmark)

    Kruse, Alexandra Y; Høgh, Birthe

    2007-01-01

    International child health has improved. Better healthcare strategies, like IMCI, have contributed implementing basic interventions: vaccinations, nutrition supplement, oral rehydration and antibiotics. But 11 million children still die every year before they turn five, most from infectious...... diseases and neonatal complications, over half associated with malnutrition. Conditions we could prevent and treat. One of UN's Millennium Development Goals is to reduce child mortality. However child health is more than mortality and morbidity indicators, it includes growth and development. Udgivelsesdato...

  18. Internal friction and elastic softening in polycrystalline Nb3Sn

    International Nuclear Information System (INIS)

    Bussiere, J.F.; Faucher, B.; Snead, C.L. Jr.; Welch, D.O.

    1981-01-01

    The vibrating-reed technique was used to measure internal friction and Young's modulus of polycrystalline Nb 3 Sn in the form of composite Nb/Nb 3 Sn tapes from 6 to 300 K. In tapes with only small residual strain in the A15 layers, a dramatic increase in internal friction with decreasing temperature is observed with an abrupt onset at approx.48 K. The internal friction Q -1 between 6 and 48 K is believed to be associated with stress-induced motion of martensitic-domain walls. In this temperature range, Q -1 is approximately proportional to the square of the tetragonal strain of the martensitic phase; Q -1 α (c/a-1) 2 . With residual compressive strains of approx.0.2%, the internal friction associated with domain-wall motion is considerably reduced. This is attributed to a biasing of domain-wall orientation with residual stress, which reduces wall motion induced by the (much smaller) applied stress. The transformation temperature, however, is unchanged (within +- 1 K) by residual strains of up to 0.2%. Young's modulus exhibits substantial softening on cooling from 300 to 6 K. This softening, is substantially reduced in the presence of small residual compressive strains, indicating a highly nonlinear stress-strain relationship as previously reported for V 3 Si

  19. Efforts to Reduce International Space Station Crew Maintenance for the Management of the Extravehicular Mobility Unit Transport Loop Water Quality

    Science.gov (United States)

    Steele, John W.; Etter, David; Rector, Tony; Boyle, Robert; Vandezande, Christopher

    2013-01-01

    The EMU (Extravehicular Mobility Unit) contains a semi-closed-loop re-circulating water circuit (Transport Loop) to absorb heat into a LCVG (Liquid Coolant and Ventilation Garment) worn by the astronaut. A second, single-pass water circuit (Feed-water Loop) provides water to a cooling device (Sublimator) containing porous plates, and that water sublimates through the porous plates to space vacuum. The cooling effect from the sublimation of this water translates to a cooling of the LCVG water that circulates through the Sublimator. The quality of the EMU Transport Loop water is maintained through the use of a water processing kit (ALCLR Airlock Cooling Loop Remediation) that is used to periodically clean and disinfect the water circuit. Opportunities to reduce crew time associated with on-orbit ALCLR operations include a detailed review of the historical water quality data for evidence to support an extension to the implementation cycle. Furthermore, an EMU returned after 2-years of use on the ISS (International Space Station) is being used as a test bed to evaluate the results of extended and repeated ALCLR implementation cycles. Finally, design, use and on-orbit location enhancements to the ALCLR kit components are being considered to allow the implementation cycle to occur in parallel with other EMU maintenance and check-out activities, and to extend the life of the ALCLR kit components. These efforts are undertaken to reduce the crew-time and logistics burdens for the EMU, while ensuring the long-term health of the EMU water circuits for a post-Shuttle 6-year service life.

  20. Reducing Resistance

    DEFF Research Database (Denmark)

    Lindell, Johanna

    care may influence decisions on antibiotic use. Based on video-and audio recordings of physician-patient consultations it is investigated how treatment recommendations are presented, can be changed, are forecast and explained, and finally, how they seemingly meet resistance and how this resistance......Antibiotic resistance is a growing public health problem both nationally and internationally, and efficient strategies are needed to reduce unnecessary use. This dissertation presents four research studies, which examine how communication between general practitioners and patients in Danish primary...... is responded to.The first study in the dissertation suggests that treatment recommendations on antibiotics are often done in a way that encourages patient acceptance. In extension of this, the second study of the dissertation examines a case, where acceptance of such a recommendation is changed into a shared...

  1. An empirical note on job turnover and internal mobility of workers

    OpenAIRE

    Hassink, W.H.J.

    1995-01-01

    I find that large firms have a higher rate of job turnover in which internal mobility of workers is involved. These firms are able to reduce turnover costs, by making use of their ability to attain a higher internal mobility rate.

  2. Search Results | Page 720 | IDRC - International Development ...

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

    Results 7191 - 7200 of 9175 ... This book is intended to assist both external and internal efforts to ... "information revolution," and "information economy" are used routinely to illustrate ... Urban agriculture, it is argued, can reduce this dependency.

  3. Search Results | Page 762 | IDRC - International Development ...

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

    Results 7611 - 7620 of 9601 ... This book is intended to assist both external and internal efforts to ... "information revolution," and "information economy" are used routinely to illustrate ... Urban agriculture, it is argued, can reduce this dependency.

  4. Impact of the internal contamination monitoring for national and international regulations

    International Nuclear Information System (INIS)

    Gaburo, J.C.; Sordi, G.M.

    1996-01-01

    An evaluation of the internal radiation dose received by workers between 1984 and 1994 was performed, after a brief description of IPEN facility. The National and International Recommendation aims to reduce the workers' doses below 1/10 of the annual limits. The routine monitoring should be eliminated, if the individual annual dose is below 3/10 of the annual limits. In this case, only the operational monitoring should be maintained. In principle, the concept of restricted area should be reviewed, because, according to Publication 26 of ICRP, 1977, it should be a supervised area instead. The new concept of restricted area recommended by the Publication 60, ICRP 1991, should be adjusted accordingly. Thus, the classification used by the Commission-controlled areas and supervised areas will be with the foreseeable dose and not with the actual dose. When the individual annual dose is kept below 1/10 of the annual limits, the routine monitoring is not necessary, and only operational monitoring is needed. Finally, the future possible activities of the Individual Internal Dosimetry Laboratory at IPEN are discussed, after the elimination of individual monitoring. (authors). 8 refs

  5. Clostridium perfringens bacteremia caused by choledocholithiasis in the absence of gallbladder stones

    OpenAIRE

    Atia, Antwan; Raiyani, Tejas; Patel, Pranav; Patton, Robert; Young, Mark

    2012-01-01

    A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens. Computed tomogram scan of the abdomen and abdominal ultrasound showed normal gallbladder and common bile duct (CBD). Subsequently magnetic resonance cholangiopancreaticogram showed choledocholithiasis. Endoscopic retrograde cholangiopancreaticogramwith sphincterotomy and CBD stone extraction was performed. The patient progressively improved...

  6. Controlling internal phosphorus loading in lakes by physical methods to reduce cyanobacterial blooms: a review

    Czech Academy of Sciences Publication Activity Database

    Bormans, M.; Maršálek, Blahoslav; Jančula, Daniel

    2016-01-01

    Roč. 50, č. 3 (2016), s. 407-422 ISSN 1386-2588 Institutional support: RVO:67985939 Keywords : internal P loading * cyanobacterial control * physical in-lake restoration methods * adverse impacts on biota Subject RIV: DJ - Water Pollution ; Quality Impact factor: 1.500, year: 2016

  7. International consensus statement on surgical education and training in an era of reduced working hours.

    Science.gov (United States)

    Collins, John P

    2011-01-01

    An international consensus statement has been developed as a reference on the key principles to be considered during discussions on surgical education and training and the delivery of surgical care in an era of restricted hours. Copyright © 2011. Published by Elsevier Ltd.

  8. Incentives to participate in an international environmental agreement

    International Nuclear Information System (INIS)

    Hoel, M.; Schneider, K.

    1997-01-01

    For international environmental problems involving many countries, such as the climate problem, it is unlikely that all countries will participate in an international environmental agreement. If some countries commit themselves to cooperate, while the remaining countries act independently and in pure self-interest, it appears to be possible to achieve a Pareto improvement if the non-signatory countries reduce their emissions, in exchange for transfers from the countries which sign an agreement. However, the paper shows that the prospect of receiving a transfer for reducing one's emissions provided the country does not commit itself to cooperation, tends to reduce the incentive a country might have to commit itself to cooperation. Moreover, if the disincentive effect of such side payments is strong, total emissions will be higher in a situation with side payments than in a situation in which the signatory countries commit themselves to not give transfers to free riding countries. 4 figs., 2 tabs., 2 appendices, 13 refs

  9. An empirical not on job turnover and internal mobility of workers

    NARCIS (Netherlands)

    Hassink, W.H.J.

    1996-01-01

    The rate of job turnover in which the internal mobility of workers is involved is higher in large firms than in small firms. Large firms are able to reduce turnover costs by using their ability to attain a higher internal mobility rate.

  10. International Taxation and Cross-Border Banking

    NARCIS (Netherlands)

    Huizinga, H.P.; Voget, J.; Wagner, W.B.

    2011-01-01

    This paper examines empirically how international taxation affects the volume and pricing of cross-border banking activities for a sample of banks in 38 countries over the 1998-2008 - period. Home country corporate income taxation of foreign-source bank income is found to reduce banking-sector FDI.

  11. The 'selfie' phenomenon: reducing the risk of harm while using smartphones during international travel.

    Science.gov (United States)

    Flaherty, Gerard T; Choi, Joonkoo

    2016-02-01

    Photography is an integral component of the international travel experience. Self-photography is becoming a mainstream behaviour in society and it has implications for the practice of travel medicine. Travellers who take selfies, including with the use of selfie sticks, may be subject to traumatic injuries associated with this activity. This review article is the first in the medical literature to address this emerging phenomenon. Articles indexed on PubMed and Scopus databases through 2015 were retrieved, using the search terms 'travel', combined with 'selfie', 'self-photography', 'smartphone', 'mobile phone' and 'social media'. The reference lists of articles were manually searched for additional publications, and published media reports of travel-related self-photography were examined. The lack of situational awareness and temporary distraction inherent in selfie-taking exposes the traveller to potential hazards. A diverse group of selfie injuries has been reported, including injury and death secondary to selfie-related falls, attacks from wild animals, electrocution, lightning strikes, trauma at sporting events, road traffic and pedestrian accidents. Public health measures adopted by the Russian Federation in response to over 100 reported selfie injuries in 2015 alone are presented. The review also discusses the potential for direct trauma from the use of selfie sticks. Travel-related scenarios where selfies should be avoided include photographs taken from a height, on a bridge, in the vicinity of vehicular traffic, during thunderstorms, at sporting events, and where wild animals are in the background. Recommendations exist which discourage use of mobile phones in drivers and pedestrians. The travel medicine practitioner should routinely counsel travellers about responsible self-photography during international travel and should include this advice in printed material given to the patient. The travel and mobile phone industries should reinforce these health

  12. International Treaties Tax Law in Brazilian Law

    Directory of Open Access Journals (Sweden)

    Milena Zampieri Sellmann

    2016-06-01

    Full Text Available International agreements are the primary source of obligations internationally, whi- ch generate reflections in national law. They have been extremely used in tax harvest because they avoid double taxation and reduce tax burden in international trade. They are formal sources of tax law, which the legislature is expressly recognized in Article 96 of the National Tax Code to set the “tax legislation” expression. Article 98 of the Code determines the supremacy of international tax agreements over national law. Against the odds, international tax agreements do not revoke or modify the national legislation, just limit the effectiveness of national law incompatible with them, with supra-legal hierarchy and infra-constitution. They are above national law, either after or before it is created, and are below the Federal Constitution, so agreements incompatible with it should not be approved by Congress and, if so, they will be subject to declaration of unconstitutionality by the Supreme Court. It is a reporting case the international agreement’s unconstitutio- nality after it is celebrated.

  13. Fuels for internal-combustion engines

    Energy Technology Data Exchange (ETDEWEB)

    1925-10-23

    To reduce knocking in internal-conbustion engines, the fuel is mixed with a small quantity, for instance 10 percent, of the hydrocarbon obtained by extracting with liquid sulfur dioxide hydrocarbon material, such as mineral oil fractions, coal tar and lignite tar distillates of higher boiling point, for example distillates boiling between 150 and 300/sup 0/C.

  14. Reducing stigma and discrimination: Candidate interventions

    OpenAIRE

    Thornicroft, Graham; Brohan, Elaine; Kassam, Aliya; Lewis-Holmes, Elanor

    2008-01-01

    Abstract This paper proposes that stigma in relation to people with mental illness can be understood as a combination of problems of knowledge (ignorance), attitudes (prejudice) and behaviour (discrimination). From a literature review, a series of candidate interventions are identified which may be effective in reducing stigmatisation and discrimination at the following levels: individuals with mental illness and their family members; the workplace; and local, national and international. The ...

  15. Trip internalization in multi-use developments : [summary].

    Science.gov (United States)

    2014-04-01

    Gas prices and fossil fuel concerns have promoted : reduced car use. More people are seeking : housing within a walk, bike, or shorter drive of : important destinations, leading to more mixed : use developments (MXD) with internal retail sites, : red...

  16. Reduced enrichment for research and test reactors: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    November 9--10, 1978, marked the first of what has become an annual event--the International Meeting on Reduced Enrichment for Research and Test Reactors (RERTR). The meeting brought together for the first time many people who became major program participants in later years. This first meeting emphasized fuel development, and it established the basis for all later meetings. Believing that the proceedings of this first meeting are important as a historical record of the beginning of the international RERTR effort. This report provides presentations and discussions of this original meeting. Individual papers have been cataloged separately.

  17. Reduced enrichment for research and test reactors: Proceedings

    International Nuclear Information System (INIS)

    1993-08-01

    November 9--10, 1978, marked the first of what has become an annual event--the International Meeting on Reduced Enrichment for Research and Test Reactors (RERTR). The meeting brought together for the first time many people who became major program participants in later years. This first meeting emphasized fuel development, and it established the basis for all later meetings. Believing that the proceedings of this first meeting are important as a historical record of the beginning of the international RERTR effort. This report provides presentations and discussions of this original meeting. Individual papers have been cataloged separately

  18. International standards for phytosanitary measures (ISPM), publication No. 15

    CERN Multimedia

    Tom Wegelius

    2006-01-01

    GUIDELINES FOR REGULATING WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE SCOPE This standard describes phytosanitary measures to reduce the risk of introduction and/or spread of quarantine pests associated with wood packaging material (including dunnage), made of coniferous and non-coniferous raw wood, in use in international trade. For more information, contact the Shipping Service (FI-LS-SH) at 79947. Table of guidelines

  19. The Non-Ergodic Nature of Internal Conversion

    DEFF Research Database (Denmark)

    Sølling, Theis I.; Kuhlman, Thomas Scheby; Stephansen, Anne B.

    2014-01-01

    The absorption of light by molecules can induce ultrafast dynamics and coupling of electronic and nuclear vibrational motion. The ultrafast nature in many cases rests on the importance of several potential energy surfaces in guiding the nuclear motion—a concept of central importance in many aspects...... of chemical reaction dynamics. This Minireview focuses on the non-ergodic nature of internal conversion, that is, on the concept that the nuclear dynamics only sample a reduced phase space, potentially resulting in localization of the dynamics in real space. A series of results that highlight...... it takes to reach it. 2) Localization of energy into a single reactive mode, which is dictated by the internal conversion process. 3) Initiation of the internal conversion by activation of a single complex motion, which then specifically couples to a reactive mode. 4) Nonstatistical internal conversion...

  20. Physical Activity and Psychological Benefits. International Society of Sport Psychology Position Statement.

    Science.gov (United States)

    Physician and Sportsmedicine, 1992

    1992-01-01

    International Society of Sport Psychology clarifies the psychological benefits of physical activity, noting the positive relationship between physical activity level and mental health. Exercise can reduce anxiety, decrease depression levels, reduce neuroticism and anxiety, reduce stress, and have beneficial emotional effects for both sexes across…

  1. The Modern Technologies to Reduce Turnover of Company Staff

    OpenAIRE

    Zaiko Tetiana O.; Poplavska Oksana M.

    2017-01-01

    The article is aimed at analyzing and substantiating the use in practice of modern technologies to reduce turnover of staff, which do not bear significant financial costs for the company. The authors have proved that non-material measures to reduce staff turnover in companies are becoming predominant nowadays. Among them as the most important are indicated: introduction of flexible schedule (mode) of work, transition to the remote form of employment, and distribution of internal shares, in pa...

  2. Search Results | Page 656 | IDRC - International Development ...

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

    Results 6551 - 6560 of 9602 ... Filter by type .... Reducing Vulnerability to Sexual and Gender-Based Violence in Kenya. While much national and international attention has focused on the rise in post-electoral violence in Kenya since the 1990s, ...

  3. Search Results | Page 29 | IDRC - International Development ...

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

    Results 281 - 290 of 657 ... Filter by type .... Reducing Vulnerability to Sexual and Gender-Based Violence in Kenya. While much national and international attention has focused on the rise in post-electoral violence in Kenya since the 1990s, the ...

  4. Search Results | Page 92 | IDRC - International Development ...

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

    Results 911 - 920 of 1804 ... Filter by type .... Reducing Vulnerability to Sexual and Gender-Based Violence in Kenya. While much national and international attention has focused on the rise in post-electoral violence in Kenya since the 1990s, the ...

  5. The stages of the international drug control system.

    Science.gov (United States)

    Carstairs, Catherine

    2005-01-01

    This paper argues that the history of the international drug control system of the League of Nations/United Nations can be divided into three cumulative stages. The first stage, the supply stage, dates back to early part of the 20th century, and aimed to reduce the supply of drugs through careful monitoring and trade regulations. This has remained the dominant control strategy. In the middle of the century, demand control, in the form of treatment and criminalization of the individual user, began to appear. This was the least successful stage. Finally, in the 1980s, the dangers of the drug traffic assumed an important place on the international agenda and measures to reduce drug-related organized crime were enacted. To date, this has been a process of proliferation of regulatory strategies. Recently, new challenges to the international drug control system have emerged, including well-funded non-governmental organizations critical of the war on drugs, and the adoption of harm reduction measures in national policies around the world.

  6. Double-Skinned Forward Osmosis Membranes for Reducing Internal Concentration Polarization within the Porous Sublayer

    KAUST Repository

    Wang, Kai Yu

    2010-05-19

    A scheme to fabricate forward osmosis membranes comprising a highly porous sublayer sandwiched between two selective skin layers via phase inversion was proposed. One severe deficiency of existing composite and asymmetric membranes used in forward osmosis is the presence of unfavorable internal concentration polarization within the porous support layer that hinders both (i) separation (salt flux) and (ii) the performance (water flux). The double skin layers of the tailored membrane may mitigate the internal concentration polarization by preventing the salt and other solutes in the draw solution from penetrating into the membrane porous support. The prototype double-skinned cellulose acetate membrane displayed a water flux of 48.2 L·m-2·h -1 and lower reverse salt transport of 6.5 g·m -2·h-1 using 5.0 M MgCl2 as the draw solution in a forward osmosis process performed at 22 °C. This can be attributed to the effective salt rejection by the double skin layers and the low water transport resistance within the porous support layer. The prospects of utilizing the double-selective layer membranes may have potential application in forward osmosis for desalination. This study may help pave the way to improve the membrane design for the forward osmosis process. © 2010 American Chemical Society.

  7. Double-Skinned Forward Osmosis Membranes for Reducing Internal Concentration Polarization within the Porous Sublayer

    KAUST Repository

    Wang, Kai Yu; Ong, Rui Chin; Chung, Tai-Shung

    2010-01-01

    A scheme to fabricate forward osmosis membranes comprising a highly porous sublayer sandwiched between two selective skin layers via phase inversion was proposed. One severe deficiency of existing composite and asymmetric membranes used in forward osmosis is the presence of unfavorable internal concentration polarization within the porous support layer that hinders both (i) separation (salt flux) and (ii) the performance (water flux). The double skin layers of the tailored membrane may mitigate the internal concentration polarization by preventing the salt and other solutes in the draw solution from penetrating into the membrane porous support. The prototype double-skinned cellulose acetate membrane displayed a water flux of 48.2 L·m-2·h -1 and lower reverse salt transport of 6.5 g·m -2·h-1 using 5.0 M MgCl2 as the draw solution in a forward osmosis process performed at 22 °C. This can be attributed to the effective salt rejection by the double skin layers and the low water transport resistance within the porous support layer. The prospects of utilizing the double-selective layer membranes may have potential application in forward osmosis for desalination. This study may help pave the way to improve the membrane design for the forward osmosis process. © 2010 American Chemical Society.

  8. Current approaches to the management of internally contaminated persons

    International Nuclear Information System (INIS)

    Voelz, G.L.

    1979-01-01

    Appropriate treatment for internal depositions of some radionuclides can reduce the radiation doses by as much as factors of two to ten. While at first thought that may seem a relatively small therapeutic effect, it is a useful gain for the patient in reducing the dose and may be a significant help in preventing late effects from the radiation. The list of important available treatments include agents that reduce gastrointestinal absorption, blocking and diluting compounds, mobilizing agents, and chelating drugs. Wound irrigation or excision and lung lavage are mechanical techniques that can reduce radionuclide depositions. Successful treatment depends on early application of these drugs and techniques following exposure. This must be done usually on the basis of very limited exposure information, which emphasizes the need for preplanning the medical emergency program if internal radioactive contamination is possible. In most cases, the risks of treatment are well identified. Since the exposure risks are often poorly understood when the decision for treatment must be made, the omission of treatment can be more serious than proceeding with a low or no risk therapeutic regimen

  9. Multicultural factors for international spaceflight.

    Science.gov (United States)

    Kring, J P

    2001-06-01

    Spaceflight operations, including the International Space Station (ISS) and a mission to Mars, depend on international cooperation. Accordingly, safety, performance, and mission success rely on how well crews and operational personnel with different cultural backgrounds operate together. This paper outlines 10 areas related to spaceflight that are influenced by the national culture and backgrounds of personnel: (a) Communication, (b) Cognition and Decision Making, (c) Technology Interfacing, (d) Interpersonal Interactions, (e) Work, Management, and Leadership Style, (f) Personal Hygiene and Clothing, (g) Food Preparation and Meals, (h) Religion and Holidays, (i) Recreation, and (j) Habitat Aesthetics. Research findings and recommendations are presented, as well as a multicultural training approach to reduce potential challenges for long-duration spaceflight.

  10. Center post type cyclo-speed reducer for sludge scrapers for sedimentation ponds; Chindenchi odei kakiyosekiyo center post gata saikuro {reg_sign} gensokuki

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-04-20

    This equipment is a compact center post type cyclo-speed reducer composed by combining an internal gear with the cyclo-speed reducer which is in wide use for water treatment equipment. The features are as follows: (1) Drastic size reduction by adopting a direct-coupled structure of the vertical cyclo-speed reducer and an internal gear, (2) High efficiency by combining an internal gear with the cyclo-speed reducer, (3) Easy maintenance and inspection by a simple speed-reducing mechanism. (4) Cyclo-speed reducer with a torque limiter being in wide use as safety device, (5) Torque limiters corresponding to the specifications of various cyclo-speed reducers, and (6) Low price and short delivery time by modification from a previous revolving bearing to a rail rolling bearing, and standardization of main parts. (translated by NEDO)

  11. Nonorthogonal orbital based N-body reduced density matrices and their applications to valence bond theory. I. Hamiltonian matrix elements between internally contracted excited valence bond wave functions

    Science.gov (United States)

    Chen, Zhenhua; Chen, Xun; Wu, Wei

    2013-04-01

    In this series, the n-body reduced density matrix (n-RDM) approach for nonorthogonal orbitals and their applications to ab initio valence bond (VB) methods are presented. As the first paper of this series, Hamiltonian matrix elements between internally contracted VB wave functions are explicitly provided by means of nonorthogonal orbital based RDM approach. To this end, a more generalized Wick's theorem, called enhanced Wick's theorem, is presented both in arithmetical and in graphical forms, by which the deduction of expressions for the matrix elements between internally contracted VB wave functions is dramatically simplified, and the matrix elements are finally expressed in terms of tensor contractions of electronic integrals and n-RDMs of the reference VB self-consistent field wave function. A string-based algorithm is developed for the purpose of evaluating n-RDMs in an efficient way. Using the techniques presented in this paper, one is able to develop new methods and efficient algorithms for nonorthogonal orbital based many-electron theory much easier than by use of the first quantized formulism.

  12. Response of international shipping to the current environmental challenges

    Directory of Open Access Journals (Sweden)

    Popek Marzenna

    2016-01-01

    Full Text Available The international shipping industry directly facilitates the growth of the world trade, economic development and improvement of the global living standards. As the world economy and population continue to expand, the volume of maritime trade is expected to increase significantly as well. Maritime transport already contributes significantly to the three pillars of sustainable development – social, environmental and economic. Maritime transportation is generally considered environmental friendly when compared to other transportation means, especially if the energy efficiency is measured per tonne transported/per mile. Nevertheless, emissions from the growing maritime transport sector represent a significant and growing source of air pollution. One of future goals in international shipping is to reduce CO2 emissions. The International Maritime Organization is the United agency responsible for the protection of the environment from the impact of maritime transport. All parts of shipping industry are examining a number of ways to reduce CO2 emissions, which are primarily linked to reducing fuel consumption. The paper identifies the main areas that should be addressed if maritime sustainable development is to be achieved. It presents analysis of activities focused on environmentally friendly solutions as a form of IMO support for realization of the strategy of sustainable development.

  13. Efforts to Reduce International Space Station Crew Maintenance Time in the Management of the Extravehicular Mobility Unit Transport Loop Water Quality

    Science.gov (United States)

    Etter,David; Rector, Tony; Boyle, robert; Zande, Chris Vande

    2012-01-01

    The EMU (Extravehicular Mobility Unit) contains a semi-closed-loop re-circulating water circuit (Transport Loop) to absorb heat into a LCVG (Liquid Coolant and Ventilation Garment) worn by the astronaut. A second, single-pass water circuit (Feed-water Loop) provides water to a cooling device (Sublimator) containing porous plates, and that water sublimates through the porous plates to space vacuum. The cooling effect from the sublimation of this water translates to a cooling of the LCVG water that circulates through the Sublimator. The quality of the EMU Transport Loop water is maintained through the use of a water processing kit (ALCLR - Airlock Cooling Loop Remediation) that is used to periodically clean and disinfect the water circuit. Opportunities to reduce crew time associated with ALCLR operations include a detailed review of the historical water quality data for evidence to support an extension to the implementation cycle. Furthermore, an EMU returned after 2-years of use on the ISS (International Space Station) is being used as a test bed to evaluate the results of extended and repeated ALCLR implementation cycles. Finally, design, use and on-orbit location enhancements to the ALCLR kit components are being considered to allow the implementation cycle to occur in parallel with other EMU maintenance and check-out activities, and to extend the life of the ALCLR kit components. These efforts are undertaken to reduce the crew-time and logistics burdens for the EMU, while ensuring the long-term health of the EMU water circuits for a post- Shuttle 6-year service life.

  14. Reducing enrichment of fuel for research reactors

    International Nuclear Information System (INIS)

    Kanda, Keiji; Matsuura, Shojiro.

    1980-01-01

    In research reactors, highly enriched uranium (HEU) is used as fuel for their purposes of operation. However, the United States strongly required in 1977 that these HEU should be replaced by low enrichment uranium (LEU) of 20% or less, or even in unavoidable cases, it should be replaced by medium enrichment uranium (MEU). INFCE (International Nuclear Fuel Cycle Evaluation) which started its activity just at that time decided to discuss this problem in the research reactor group of No. 8 sectional committee. Japan has been able to forward the work, taking a leading part in the international opinion because she has taken the countermeasures quickly. INFCE investigated the problem along the lines of policy that the possibility of reducing the degree of enrichment should be limited to the degree in which the core structures and equipments of research reactors will be modified as little as possible, and the change of fuel element geometry will be done within the permissible thermohydrodynamic capacity, and concluded that it might be possible in near future to reduce the degree of enrichment to about 45% MEU, while the reduction to 20% LEU might require considerable research, development and verification. On the other hand, the joint researches by Kyoto University and ANL (Argonne National Laboratory) and by Japan Atomic Energy Research Institute and ANL are being continued. IAEA has edited the guidebook (IAEA-TECDOC-233) for reducing the degree of enrichment for developing countries. (Wakatsuki, Y.)

  15. 12-step programs to reduce illicit drug use

    DEFF Research Database (Denmark)

    Filges, Trine; Nielsen, Sine Kirkegaard; Jørgensen, Anne-Marie Klint

    2014-01-01

    Many treatments are not rigorously evaluated as to their effectiveness, and it is uncertain which types of interventions are more effective than others in reducing illicit drug use. The aim of this paper is to provide a systematic mapping of the research literature of the effectiveness of 12-step...... programs in reducing illicit drug use. A systematic literature search was conducted based on 17 international and Nordic Bibliographic databases. A total of 15993 references were screened, and eleven unique studies were finally included in this mapping. The included studies demonstrated conflicting results...... regarding the effectiveness of the 12-step treatment and TSF in reducing individuals’ drug use. Two studies reported a positive effect of the TSF treatment compared to the comparison conditions in reducing drug use. Six studies reported no differences between 12-step program and the comparison condition...

  16. Effects of decarbonising international shipping and aviation on climate mitigation and air pollution

    International Nuclear Information System (INIS)

    Dessens, Olivier; Anger, Annela; Barker, Terry; Pyle, John

    2014-01-01

    Highlights: • A global emissions trading scheme is applied to international aviation and shipping. • We couple an energy–environment–economy model with an atmospheric model. • 65% reduction on CO 2 emissions in 2050 reduces other pollutants emissions. • Climate effects are reduced and air quality is improved by the scheme. - Abstract: This paper assesses the effects of a global emissions trading scheme (GETS) for international aviation and shipping as a way of reducing emissions of both greenhouse gases (GHG) and other atmospheric emissions that lead to air pollution. A prior assessment of such integration requires the coupling of energy–environment–economy (E3) global modelling of mitigation policies with the atmospheric modelling of pollution sources, mixing and deposition. We report the methodology and results of coupling of the E3MG model and the global atmospheric model, p-TOMCAT. We assess the effects of GETS on the concentrations of atmospheric gases and on the radiative forcing, comparing a GETS scenario to a reference BASE scenario with higher use of fossil fuels. The paper assesses the outcome of GETS for atmospheric composition and radiative forcing for 2050. GETS on international shipping and aviation reduces their CO 2 and non-CO 2 emissions up to 65%. As a consequence atmospheric concentrations are modified and the radiative forcing due to international transport is reduced by different amounts as a function of the pollutant studied (15% for CO 2 , 35% for methane and up to 50% for ozone)

  17. The plastic instability of clamped-clamped conical thin-walled pipe reducers

    International Nuclear Information System (INIS)

    Awad, Ibrahim; Saleh, Ch.A.R.; Ragab, A.R.

    2016-01-01

    The analytical study for plastic deformation of clamped–clamped conical reducer pipe under internal pressure does not deduce a closed form expression for the pressure at plastic instability. The presented study employs finite element analysis (FEA) to estimate the internal pressure at instability for conical reducers made of different materials and having different dimensional configurations. Forty dimensional configurations, classified as medium type, and five types of materials have been included in the analysis using ABAQUS package. A correlation expression is derived by nonlinear regression to predict the instability pressure. The proposed expression is verified for other dimensional configurations out of the above used forty models and for other materials. Experiments have been conducted by pressurizing conical clamped-clamped reducers until bursting in order to verify the finite element models. Comparison of instability pressures, strains and deflections at specific points along the conical surface shows satisfactory agreement between analysis and experiments. - Highlights: • This study offers a parametric study of the plastic instability pressure of clamped-clamped conical reducers. • A closed form analytical expression for the instability pressure is derived by using nonlinear regression. • The finite element analysis is validated by conducting bursting tests.

  18. Search Results | Page 845 | IDRC - International Development ...

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

    Results 8441 - 8450 of 8491 ... Risk management and audit. We reduce risk via a sound governance structure, robust management processes, effective systems, and internal controls. Webpage. Evaluation. Evaluations ensure we use public funds effectively, assess the results of our work, and learn as an organization.

  19. An Analysis of Internal Controls and Procurement Fraud Deterrence

    Science.gov (United States)

    2013-12-01

    might keep the organization from achieving its objectives and analyze risks , including fraud risk , so as to decide how the risk should be managed ( COSO ...internal control to adequately manage the risk ( COSO , 2013). Risk management involves developing the effective internal control targeted at a...structure and management . While the risk of fraud cannot be eliminated entirely, it can be greatly reduced with an appropriate procurement fraud prevention

  20. The evolving role of information technology in internal auditing

    OpenAIRE

    2015-01-01

    M.Com. (Computer Auditing) Modern organizations are increasingly dependent on information technology (IT) for various reasons: to enhance their operational efficiency, reduce costs or even attain a competitive advantage. The role of information technology in the organization continues to evolve and this has an impact for the internal audit functions that serve these organizations. The study investigated whether the King III report, ISACA standards and IIA standards assist the internal audi...

  1. Toward cleaner, quieter skies: An international debate

    Energy Technology Data Exchange (ETDEWEB)

    Aylesworth, H. Jr.

    1997-12-31

    The paper summarizes infrastructure and technology changes in the aerospace industry aimed at reducing fuel consumption and nitrous oxide emissions. Growth of total air traffic is predicted over the next 20 years; however, emissions are predicted to grow less rapidly due to increased fuel efficiency and operational productivity. Engine technology leading to fuel efficiency, reduced emissions, and noise reduction is described. Regulations pertinent to these issues are outlined, and international efforts in these areas are also briefly described. 4 figs.

  2. Can an Internal Locus of Control and Social Support Reduce Work-Related Levels of Stress and Strain?: A Comparative Study Between Spanish Owners and Managers.

    Science.gov (United States)

    Ariza-Montes, Antonio; Leal-Rodríguez, Antonio L; Rodríguez-Félix, Lucía; Albort-Morant, Gema

    2017-09-01

    The aim of this article is to assess the role played by both individual and contextual factors in reducing the manager's levels of stress and strain within the workplace setting. This article also highlights the manager's locus of control (LOC) as an internal factor and emphasizes the social support variable as a contextual factor. We use a sample of 332 respondents belonging to Spanish manufacturing and services firms and a structural equation modeling technique (partial least squares path modeling). The results reveal that there are significant differences between managers and owners about stress-strain relationship. The study provides support for the literature on stress management, which emphasizes the importance of a LOC and social support in influencing stress and strain between managers and owners.

  3. Publications | Page 178 | IDRC - International Development ...

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

    Drawing a line in the sand : managing coastal flooding risks in the city of Cape Town (restricted access). Cape Town is internationally renowned for its beaches and coastal beauty. In an effort to reduce storm surge and sea-level damage due to climate change, coastal municipalities in South Africa have begun to implement ...

  4. Internal and External Flow over Laser-Textured Superhydrophobic Polytetrafluoroethylene (PTFE).

    Science.gov (United States)

    Ahmmed, K M Tanvir; Patience, Christian; Kietzig, Anne-Marie

    2016-10-12

    In this work, internal and external flows over superhydrophobic (SH) polytetrafluoroethylene (PTFE) were studied. The SH surface was fabricated by a one-step femtosecond laser micromachining process. The drag reduction ability of the textured surface was studied experimentally both in microscale and macroscale internal flows. The slip length, which indicates drag reduction in fluid flow, was determined in microscale fluid flow with a cone-and-plate rheometer, whereas a pressure channel setup was used for macroscale flow experiments. The textured PTFE surface reduced drag in both experiments yielding comparable slip lengths. Moreover, the experimentally obtained slip lengths correspond well to the result obtained applying a semianalytical model, which considers the solid fraction of the textured surface. In addition to the internal flow studies, we fabricated SH PTFE spheres to test their drag reduction abilities in an external flow experiment, where the terminal velocities of the falling spheres were measured. These experiments were conducted at three different Reynolds numbers in both viscous and inertial flow regimes with pure glycerol, a 30% glycerol solution, and water. Surprisingly, the drag on the SH spheres was higher than the measured drag on the non-SH spheres. We hypothesize that the increase in form drag outweighs the decrease in friction drag on the SH sphere. Thus, the overall drag increased. These experiments demonstrate that a superhydrophobic surface that reduces drag in internal flow might not reduce drag in external flow.

  5. Application and numerical simulation research on biomimetic drag-reducing technology for gas pipelining

    Energy Technology Data Exchange (ETDEWEB)

    Zhang Deyuan; Luo Yuehao; Chen Huawei [Beihang Univ., Beijing (China). School of Mechanical Engineering and Automation

    2011-06-15

    For the purpose of increasing the transmission capacity of gas pipelines, the internal coating technology has been vastly put into application, and a remarkable benefit has been achieved so far. However, with the reduction of wall roughness, the small convex parts are all completely submerged in the viscous sublayer, the gas pipeline becomes a 'hydraulic smooth pipe', even by smoothing the coating surface further, it is difficult to reduce wall friction. Therefore, in order to increase the transportation capacity on the basis of internal coating, the new methods and technologies should be researched and investigated, and perhaps, the biomimetic drag-reducing technology is a good approach. In this paper, according to the planning parameters of the second pipeline of the West-to-East gas transmission project, the best drag reducing effect grooves are calculated and designed, and based on the characteristics and properties of internal coating (AW-01 epoxy resin), the Pre-Cured Micro- Rolling Technology (PCMRT) is discussed and presented, the rolling equipment is also designed and analyzed, the rolling process can be easily added on the available production line. Aiming at the field operating parameters of the gas pipeline in China, and the drag-reducing effect of the grooved surface is analyzed and discussed comprehensively. In addition, the economic benefit of adopting the biomimetic drag reduction technology is investigated. (orig.)

  6. International inspection activity impacts upon DOE safeguards requirements

    International Nuclear Information System (INIS)

    Zack, N.R.

    1995-01-01

    The US has placed certain special nuclear materials declared excess to their strategic needs under international safeguards through the International Atomic Energy Agency (IAEA). This Presidential initiative has obligated materials at several Department of Energy (DOE) facilities for these safeguards activities to demonstrate the willingness of the US to ban production or use of nuclear materials outside of international safeguards. However, IAEA inspection activities generally tend to be intrusive in nature and are not consistent with several domestic safeguards procedures implemented to reduce worker radiation exposures and increase the cost-effectiveness and efficiency of accounting for and storing of special nuclear materials. To help identify and provide workable solutions to these concerns, the Office of Safeguards and Security has conducted a program to determine possible changes to the DOE safeguards and security requirements designed to help facilities under international safeguards inspections more easily comply with domestic safeguards goals during international inspection activities. This paper will discuss the impact of international inspection activities on facility safeguards operations and departmental safeguards procedures and policies

  7. Reduced in vitro T-cell responses induced by glutaraldehyde-modified allergen extracts are caused mainly by retarded internalization of dendritic cells.

    Science.gov (United States)

    Heydenreich, Bärbel; Bellinghausen, Iris; Lorenz, Steffen; Henmar, Helene; Strand, Dennis; Würtzen, Peter A; Saloga, Joachim

    2012-06-01

    Although allergen-specific immunotherapy is a clinically effective therapy for IgE-mediated allergic diseases, the risk of IgE-mediated adverse effects still exists. For this reason, chemically modified allergoids have been introduced, which may destroy IgE-binding sites while T-cell activation should be retained. The aim of the study was to analyse the differences between intact allergens and differently modified/aggregated allergoids concerning their internalization as well as T-cell and basophil activation. For this purpose human monocyte-derived immature dendritic cells (DC) were incubated with Phleum pratense or Betula verrucosa pollen extract or with the corresponding allergoids, modified with formaldehyde or glutaraldehyde. After an additional maturation process, the antigen-loaded mature DC were co-cultured with autologous CD4(+) T cells. Allergenicity was tested by leukotriene release from basophils. In addition, the uptake of intact allergens and allergoids by immature DC was analysed. The proliferation of, as well as the interleukin-4 (IL-4), IL-10, IL-13 and interferon-γ production by, CD4(+) T cells which had been stimulated with glutaraldehyde allergoid-treated DC was reduced compared with CD4(+) T cells stimulated with intact allergen-treated or formaldehyde allergoid-treated DC. In line with this, glutaraldehyde-modified allergoids were more aggregated and were internalized more slowly. Furthermore, only the allergoids modified with glutaraldehyde induced a decreased leukotriene release by activated basophils. These findings suggest that IgE-reactive epitopes were destroyed more efficiently by modification with glutaraldehyde than with formaldehyde under the conditions chosen for these investigations. Glutaraldehyde-modified allergoids also displayed lower T-cell stimulatory capacity, which is mainly the result of greater modification/aggregation and diminished uptake by DC. © 2012 The Authors. Immunology © 2012 Blackwell Publishing Ltd.

  8. Improved Fin Designs to Reduce D Effective ln Internal-Tin Nb3Sn

    International Nuclear Information System (INIS)

    Gregory, Eric

    2010-01-01

    As interest has moved to higher field properties, we are now aiming to make 2000 A/mm2 at 15 T. With a view to approaching this we inserted Ti into the Sn core in the EG 36 sub-element. The data after testing is shown in Figs 39-42. The 12 T values are lower than when no Ti is present but the 15 T data is higher giving 1800 A/mm2. In summary, while we failed to show that the split sub-element method could yield sufficiently high properties to compete with the other approaches, we did achieve properties at least as high as those obtained by Oxford using the standard internal tin approach.

  9. Prospects of international trade in irradiated foods

    International Nuclear Information System (INIS)

    Loaharanu, P.

    1990-01-01

    Irradiation is gaining recognition as a physical process for reducing food losses, enhancing hygienic quality of food and facilitating food trade. At present, 36 countries have approved the use of irradiation for processing collectively over 40 food items either on an unconditional or restricted basis. Commercial use of irradiated foods and food ingredients is being carried out in 22 countries. Technology transfer on food irradiation is being intensified to local industry in different regions. Worldwide, a total of 40 commercial/demonstration irradiators available for treating foods have been or are being constructed. Acceptance and control of international trade in irradiated foods were discussed at the International Conference on the Acceptance, Control of and Trade in Irradiated Food, jointly convened by FAO, IAEA, WHO and ITC-UNCTAD/GATT in Geneva, Switzerland, 12-16 December 1988. An ''International Document on Food Irradiation'' was adopted by consensus at this Conference which will facilitate wider acceptance and control of international trade in irradiated foods. (author)

  10. An evaluation of early countermeasures to reduce the risk of internal radiation exposure after the Fukushima nuclear incident in Japan.

    Science.gov (United States)

    Nomura, Shuhei; Tsubokura, Masaharu; Gilmour, Stuart; Hayano, Ryugo S; Watanabe, Yuni N; Kami, Masahiro; Kanazawa, Yukio; Oikawa, Tomoyoshi

    2016-05-01

    After a radiation-release incident, intake of radionuclides in the initial stage immediately following the incident may be the major contributor to total internal radiation exposure for individuals in affected areas. However, evaluation of early internal contamination risk is greatly lacking. This study assessed the relationship between initial stage evacuation/indoor sheltering and internal radiation contamination levels 4 months after the 2011 Fukushima nuclear incident in Japan and estimated potential pathways of the contamination. The study population comprised 525 participants in the internal radiation screening program at Minamisoma Municipal General Hospital, 23 km north of the Fukushima nuclear plant. The analysed dataset included the results of a screening performed in July 2011, 4 months after the incident, and of a questionnaire on early-incident response behaviours, such as sheltering indoors and evacuations, completed by participants. Association between such early countermeasures and internal contamination levels of cesium-134 were assessed using Tobit multiple regression analyses. Our study shows that individuals who evacuated to areas outside Fukushima Prefecture had similar contamination levels of cesium-134 to individuals who stayed in Fukushima (relative risk: 0.86; 95% confidence interval: 0.74-0.99). Time spent outdoors had no significant relationship with contamination levels. The effects of inhalation from radiological plumes released from the nuclear plant on total internal radiation contamination might be so low as to be undetectable by the whole-body counting unit used to examine participants. Given the apparent limited effectiveness of evacuation and indoor sheltering on internal contamination, the decision to implement such early responses to a radiation-release incident should be made by carefully balancing their potential benefits and health risks. © The Author 2015. Published by Oxford University Press. All rights reserved. For

  11. Financial and ecological indicators of reduced impact logging performance in the eastern Amazon

    Science.gov (United States)

    Thomas P. Holmes; Geoffrey M. Blate; Johan C. Zweede; Rodrigo Pereira; Paulo Barreto; Frederick Boltz; Roberto Bauch

    2002-01-01

    Reduced impact logging (RIL) systems are currently being promoted in Brazil and other tropical countries in response to domestic and international concern over the ecological and economic sustainability of harvesting natural tropical forests. RIL systems are necessary, but not sufficient, for sustainable forest management because they reduce damage to the forest...

  12. REDD+ and international leakage via food and timber markets: a CGE analysis

    NARCIS (Netherlands)

    Kuik, O.J.

    2014-01-01

    This paper studies the effect of international trade in food and timber on land use and potential carbon leakage in the context of actions to reduce emissions from deforestation and forest degradation (REDD+). First a simple analytical model of international leakage is presented that focuses on

  13. Laparoendoscopic management of concomitant gallbladder stones and common bile duct stones: what is the best technique?

    Science.gov (United States)

    El-Geidie, Ahmed Abdel-Raouf

    2011-08-01

    The intraoperative use of endoscopic retrograde cholangiopancreatography (ERCP) during laparoscopic cholecystectomy (LC) is a safe, single-stage option for the management of concomitant gallstones (GS) and common bile duct stones (CBDS). This study aims to compare between 2 techniques of combined laparoendoscopic management, which are laparoendoscopic Rendez-vous (LC/LERV) technique and standard ERCP after the completion of LC intraoperative endoscopic sphincterotomy (IOES). Patients with GS and suspected CBDS were included. They were divided into 2 groups; LC/LERV and LC/IOES. Both groups were compared for failure of endoscopic sphincterotomy/stone extraction, operative time, conversion rate, mortality/morbidity, and length of hospital stay. Between October 2007 and February 2010, 98 patients with GS and CBDS were eligible for inclusion in the study. They were prospectively randomized into 2 groups; LC/LERV (N=45) and LC/IOES (N=53). There were no differences in preoperative parameters between both groups. There was a significant difference in operative time (shorter for LC/IOES). No difference was noted in success/failure rate, post-ERCP pancreatitis. Both Standard ERCP after the completion of LC and LC/LERV are valid single-session management for CBD stones, but LC-ERCP may be preferred.

  14. Recurrent Acute Pancreatitis as A Manifestation of Sphincter of Oddi Dysfunction

    Directory of Open Access Journals (Sweden)

    Ira Laurentika

    2016-04-01

    Full Text Available Recurrent acute pancreatitis (RAP is defined as two or more occurance of acute pancreatitis with no evidence of underlying chronic pancreatitis. Prevalence of RAP varied from 10-30%. One of the postulated mechanism of this condition is sphincter of Oddi dysfunction (SOD which is a clinical biliary pain syndrome or acute pancreatitis (AP due to pancreatobiliary obstruction at the level of sphincter of Oddi. We reported a 29-year-old female patient who came to Cipto Mangunkusomo Hospital regarding upper quadrant abdominal pain with previously well documented history of AP in the last six months before admission. Laboratory findings showed elevated pancreatic enzyme level which was consistent with AP. The patient underwent magnetic resonance cholangio-pancreatography (MRCP and endoscopic ultrasound (EUS examination and both of the results showed dilatation of pancreatic duct which suggested SOD. Due to the lack of further diagnostic modality, manometry was not performed on this patient. However, after excluding other possible etiology of SOD, the patient underwent endoscopic retrograde cholangio-pamcreatograhy (ERCP and sphincterotomy was performed. The signs and symptoms of AP was relieved after sphincterotomy and not yet recurred.

  15. International Reserves and the Composition of Equity Capital Inflows

    OpenAIRE

    Xingwang Qian; Andreas Steiner

    2012-01-01

    We study the effect of central banks' international reserve hoardings on the composition of equity capital inflows, namely the ratio of portfolio equity investment (PEI) to foreign direct investment (FDI). Foreign investors' decisions regarding the location and the type of equity capital investment might be influenced by a country's level of international reserves. In a simple theoretical model, we show that higher reserves, thanks to their ability to lower exchange rate risk, reduce the risk...

  16. Nuclear power issue as seen by the International Energy Agency

    International Nuclear Information System (INIS)

    Kelly, P.

    1976-01-01

    An account is given of the work of the International Energy Agency towards reducing the dependence of member states on imported oil. Forecasts of energy consumption are discussed, and the contributions that could be made by various energy sources, and by energy conservation, are examined. It is concluded that nuclear power is essential to a reduced dependence policy. The constraints on full realization of national nuclear programmes are stated as follows: licensing delays, waste disposal, financing, uranium supply, and fuel services. Ways in which these could be overcome by national and international action are suggested. Reference is made to the work of other atomic energy agencies: IAEA and OECD Nuclear Energy Agency. (U.K.)

  17. International efforts to reduce occupational radiation exposure at nuclear power plants

    International Nuclear Information System (INIS)

    Khan, T.A.; Baum, J.W.

    1986-01-01

    The efficacy of various national programs on dose reduction is examined with a view to evaluating the most significant factors that help in reducing occupational exposure. Among the most successful of the dose reduction programs at water reactors are those of France, Sweden, and Canada where average annual plant doses are significantly less than the dose at US plants. Important research is also going on in other countries such as the UK, West Germany, Switzerland, and Japan. Some programs are directed towards hardware solutions; others are oriented towards such approaches as better work planning and procedures. The general thrust and some of the specifics of these programs are examined and factors which may be applicable to US conditions are discussed

  18. Mergers and acquisitions in the international banking sector

    Directory of Open Access Journals (Sweden)

    Botis, S.

    2013-06-01

    Full Text Available The economic crisis emphasized the risks that banks assume and run. Reducing them is a strong reason for the acceleration of mergers and acquisitions in the international banking field. The merger of banking entities has established itself as a modern method of global credit risk management within every country and internationally. The main objective of this article is to highlight the latest developments on the bank mergers and acquisitions market in the U.S. and EU and on emerging market trends.

  19. Mask strategy at International SEMATECH

    Science.gov (United States)

    Kimmel, Kurt R.

    2002-08-01

    International SEMATECH (ISMT) is a consortium consisting of 13 leading semiconductor manufacturers from around the globe. Its objective is to develop the infrastructure necessary for its member companies to realize the International Technology Roadmap for Semiconductors (ITRS) through efficiencies of shared development resources and knowledge. The largest area of effort is lithography, recognized as a crucial enabler for microelectronics technology progress. Within the Lithography Division, most of the efforts center on mask-related issues. The development strategy at International SEMATCH will be presented and the interlock of lithography projects clarified. Because of the limited size of the mask production equipment market, the business case is weak for aggressive investment commensurate with the pace of the International Technology Roadmap for Semiconductors. With masks becoming the overwhelming component of lithography cost, new ways of reducing or eliminating mask costs are being explored. Will mask technology survive without a strong business case? Will the mask industry limit the growth of the semiconductor industry? Are advanced masks worth their escalating cost? An analysis of mask cost from the perspective of mask value imparted to the user is presented with examples and generic formulas for the reader to apply independently. A key part to the success for both International SEMATECH and the industry globally will be partnerships on both the local level between mask-maker and mask-user, and the macro level where global collaborations will be necessary to resolve technology development cost challenges.

  20. Incentives and stability of international climate coalitions: An integrated assessment

    International Nuclear Information System (INIS)

    Bosetti, Valentina; Carraro, Carlo; De Cian, Enrica; Massetti, Emanuele; Tavoni, Massimo

    2013-01-01

    This paper analyses the incentives to participate in an international climate agreement and the stability of the resulting climate coalition using the integrated assessment model WITCH. Coalition stability is assessed under alternative assumptions concerning the pure rate of time preference, the aggregation of social welfare, and the severity of climate damages. The profitability, stability, and strong potential internal stability of a number of coalitions, those potentially effective in reducing GHG emissions, is explored in the paper. The main conclusion is that only the grand coalition, i.e. a coalition where all world regions cooperate to reduce emissions, can maintain GHG concentration below 550 ppm CO 2 -eq. However, this coalition is not internally stable, even when allowing for monetary transfers across world regions. Nonetheless, the paper also shows that strongly potentially internally stable coalitions exist, though of smaller size, which can mitigate global warming and limit GHG concentrations to 600 ppm CO 2 -eq. - Highlights: ► We analyse climate coalitions with an integrated assessment model. ► Coalitions’ profitability and stability is analysed under alternative assumptions. ► Effective coalitions should include larger emitters (such as India and China). ► A coalition that achieves 550 ppm CO 2 -eq is not internally stable. ► A stable coalition can achieve around 518 ppme in 2050 and 600 ppme in 2100

  1. Percutaneous transhepatic biliary stenting in patients with intradiverticular papillae and biliary strictures caused by ampullary carcinoma: A case report

    OpenAIRE

    NIU, HONG-TAO; HUANG, QIANG; ZHAI, REN-YOU

    2014-01-01

    Endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy is a well-established procedure for the treatment of bile duct strictures. However, the procedure is difficult to perform in patients with intradiverticular papillae or tumor infiltration of the major papilla. Percutaneous transhepatic biliary stenting (PTBS) is commonly used in the management of malignant biliary stricture. The current study reports two cases of PTBS performed to treat malignant obstructive jaundic...

  2. Search Results | Page 65 | IDRC - International Development ...

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

    Results 641 - 650 of 875 ... ... YOUTH 17 Apply YOUTH filter · ADMINISTRATIVE REFORM 16 ... There is evidence that the new wave of information and ... are reducing the cost to small and medium enterprises (SMEs) of engaging with international markets. ... In most South Asian contexts, formal and informal legal systems ...

  3. Global climate change and international security

    Energy Technology Data Exchange (ETDEWEB)

    Rice, M.

    1991-01-01

    On May 8--10, 1991, the Midwest Consortium of International Security Studies (MCISS) and Argonne National Laboratory cosponsored a conference on Global Climate Change and International Security. The aim was to bring together natural and social scientists to examine the economic, sociopolitical, and security implications of the climate changes predicted by the general circulation models developed by natural scientists. Five themes emerged from the papers and discussions: (1) general circulation models and predicted climate change; (2) the effects of climate change on agriculture, especially in the Third World; (3) economic implications of policies to reduce greenhouse gas emissions; (4) the sociopolitical consequences of climate change; and (5) the effect of climate change on global security.

  4. International Medical Collaboration: Lessons from Cuba

    Science.gov (United States)

    Castelló González, Mauro; Pons Vásquez, Reinaldo; Rodriguez Bencomo, David; Choonara, Imti

    2016-01-01

    Over 50,000 Cuban health professionals are currently working overseas in 67 different countries. They work in conjunction with local health professionals. The majority work in primary care in deprived areas. The aim is to reduce morbidity and mortality but also improve health in the long term by training local health professionals, and building both institutions and a structure to deliver health care alongside educating the local population. Cuba is a small, middle-income country. It has, however, made a significant international contribution in relation to medical collaboration. Cuba’s international collaboration is based on the principles of social justice and equity for all. It has set an example for other countries to emulate. PMID:27763571

  5. International Medical Collaboration: Lessons from Cuba

    Directory of Open Access Journals (Sweden)

    Mauro Castelló González

    2016-10-01

    Full Text Available Over 50,000 Cuban health professionals are currently working overseas in 67 different countries. They work in conjunction with local health professionals. The majority work in primary care in deprived areas. The aim is to reduce morbidity and mortality but also improve health in the long term by training local health professionals, and building both institutions and a structure to deliver health care alongside educating the local population. Cuba is a small, middle-income country. It has, however, made a significant international contribution in relation to medical collaboration. Cuba’s international collaboration is based on the principles of social justice and equity for all. It has set an example for other countries to emulate.

  6. Reducing Unintentional Plagiarism amongst International Students in the Biological Sciences: An Embedded Academic Writing Development Programme

    Science.gov (United States)

    Divan, Aysha; Bowman, Marion; Seabourne, Anna

    2015-01-01

    There is general agreement in the literature that international students are more likely to plagiarise compared to their native speaker peers and, in many instances, plagiarism is unintentional. In this article we describe the effectiveness of an academic writing development programme embedded into a Biological Sciences Taught Masters course…

  7. HEU core conversion of Russian production reactors: a major threat to the international RERTR regime

    International Nuclear Information System (INIS)

    Kuperman, Alan J.; Leventhal, Paul L.

    1998-01-01

    This paper calls the attention for the major threat to the International Reduced Enrichment for Research and Test Reactors (RERTR) program, represented by the HEU core conversion of russian production reactors. This program aims to reduce and eventually eliminate international civilian commerce in nuclear weapons-usable, highly enriched uranium , and thereby significantly lower risks of the material being stolen or diverted by terrorist or states for producing nuclear weapons

  8. Investigating the Role of International Law in Controlling Communicable Diseases

    Directory of Open Access Journals (Sweden)

    Aliasghar Kheirkhah

    2017-02-01

    Full Text Available International law globally plays a key role in the surveillance and control of communicable diseases. Throughout the nineteenth century, international law played a dominant role in harmonizing the inconsistent national quarantine regulations of European nation states; facilitating the exchange of epidemiological information on infectious diseases; establishing international health organizations; and standardization of surveillance. Today, due to changed forms of infectious diseases and individuals' lifestyles as well as individuals' proximity caused by increased air travels, communicable diseases are in an international and cross-border form. In this regard, binding regulations and inconsistent rules adopted in international multilateral institutions like the World Health Organization, World Trade Organization, Food and Agriculture Organization can be of great use in surveillance and control of communicable diseases. With the globalization of public health, international law can be used as an essential tool in monitoring global health and reducing human vulnerability and mortality.

  9. Does Increased Extraction of Natural Gas Reduce Carbon Emissions?

    International Nuclear Information System (INIS)

    Aune, F.R.; Golombek, R.; Kittelsen, S.A. C.

    2004-01-01

    Without an international climate agreement, extraction of more natural gas could reduce emissions of CO2 as more 'clean' natural gas may drive out ''dirty'' coal and oil. Using a computable equilibrium model for the Western European electricity and natural gas markets, we examine whether increased extraction of natural gas in Norway reduces global emissions of CO2. We find that both in the short run and in the long run total emissions are reduced if the additional quantity of natural gas is used in gas power production in Norway. If instead the additional quantity is exported directly, total emissions increase both in the short run and in the long run. However, if modest CO2-taxes are imposed, increased extraction of natural gas will reduce CO2 emissions also when the additional natural gas is exported directed

  10. Wind and Solar Curtailment: International Experience and Practices

    DEFF Research Database (Denmark)

    Lew, Debra; Bird, Lori; Milligan, Michael

    2013-01-01

    High penetrations of wind and solar generation on power systems are resulting in increasing curtailment. Wind and solar integration studies predict increased curtailment as penetration levels grow. This paper examines experiences with curtailment on bulk power systems internationally. It discusses...... how much curtailment is occurring, how it is occurring, why it is occurring, and what is being done to reduce curtailment. This summary is produced as part of the International Energy Agency Wind Task 25 on Design and Operation of Power Systems with Large Amounts of Wind Power....

  11. Internalizing Externalities through Payments for Environmental Services

    Directory of Open Access Journals (Sweden)

    Sudarsono Soedomo

    2012-08-01

    Full Text Available Forest ecosystems, including plantation forests, provide goods and services that are marketable and non-marketable. Positive externalities produced by forest ecosystems are rarely considered in pricing of marketable products that result in economic inefficiencies. Internalizing externalities is required to improve the economic efficiency. The traditional way to internalize an externality is by providing subsidies or imposing taxes. Recently, payments for environmental services  are receiving more attention as an instrument for internalizing externalities provided by forest ecosystems. This promising alternative to improve our environment needs to be studied more extensively. In this paper, it can be indicated theoretically that the Pigovian tax, as a traditional way of addressing environmental problems, is able to mimic the result derived from the employment of environmental services payment. The difference is that environmental services payment improves the welfare of environmental service producers, whereas the Pigovian tax reduces it. A positive Pigovian tax increases the optimal rotation, which is positively associated with environmental improvement, but certainly reduces forest owner's welfare. This difference should be taken into account in the public policymaking so that perverse incentive may be avoided. Payment for environmental services  as an additional income to forest growers, not as alternative source of income, is a potential tool to address simultaneously issues of environment and poverty that are frequently contested.Keywords: externalities, payments for environmental services, tax, perverse incentive, social welfare

  12. Assessing the Impact of Current National Policies to Reduce Salt ...

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

    Assessing the Impact of Current National Policies to Reduce Salt and Trans Fatty Acids in Argentina ... The Codex Alimentarius, or international food safety standards, will also decrease trans fatty acids (TFA) ... Researchers will develop a strategy to share results with policymakers and other stakeholders. ... Journal articles.

  13. Nuclear reactor internals construction and failed fuel rod detection system

    International Nuclear Information System (INIS)

    Frisch, E.; Andrews, H.N.

    1976-01-01

    A system is provided for determining during operation of a nuclear reactor having fluid pressure operated control rod mechanisms the exact location of a fuel assembly with a defective fuel rod. The construction of the reactor internals is simplified in a manner to facilitate the testing for defective fuel rods and the reduce the cost of producing the upper internals of the reactor. 13 claims, 10 drawing figures

  14. COOPERATION AND COORDINATION BETWEEN INTERNAL AND EXTERNAL AUDITING

    Directory of Open Access Journals (Sweden)

    DIANA DUMITRESCU

    2016-02-01

    Full Text Available Between external and internal auditors it is necessary to be a good cooperation and coordination; both professionals have to be involved in building a good working relationship. Objectives of the external and internal auditors are different from the company point of view, but in the achievement of the specific goals, there are interactions and work cooperation. If the internal auditors work together with the external auditors the results will be an increasing of the quality and the effectiveness of the organization`s systems and activities. If the external auditors work together with the internal auditors will result a decreasing of the amount of the testing they do, and as consequences’ a reducing of the fees. Because there are many benefits of the cooperation between external and internal auditing it is important to find out how could be coordinated these two professional activities. This study has the purpose to examine the most important provisions that promote such kind of cooperation and work like necessary tools for coordination and to identify the Romanian`s internal and external auditors perceptions regarding that cooperation and coordination. The objective of the study is to identify the nature of the relationship between the internal audit function and the organizations’ external auditors regarding their interactions and their cooperation.

  15. Reducing 137Cs content of boletes by means available to the wide public

    International Nuclear Information System (INIS)

    Johnova, Kamila

    2014-01-01

    Radioactivity of dried mushrooms (boletes) can be reduced appreciably by leaching in hot water. Leaching of Boletus badius in water at 100 deg C for 20 minutes reduced 137 Cs to 29-54%. Addition of, e.g. salt or vinegar had no appreciable effect. The contribution of 40 K to internal irradiation was also estimated. (P.A.)

  16. Recent results of the reduced activation ferritic/martensitic steel development

    Energy Technology Data Exchange (ETDEWEB)

    Jitsukawa, S. E-mail: jitsukawa@ifmif.tokai.jaeri.go.jp; Kimura, A.; Kohyama, A.; Klueh, R.L.; Tavassoli, A.A.; Schaaf, B. van der; Odette, G.R.; Rensman, J.W.; Victoria, M.; Petersen, C

    2004-08-01

    Significant progress has been achieved in the international research effort on reduced-activation steels. Extensive tensile, fracture toughness, fatigue, and creep properties in unirradiated and irradiated conditions have been performed and evaluated. Since it is not possible to include all work in this limited review, selected areas will be presented to indicate the scope and progress of recent international efforts. These include (1) results from mechanical properties studies that have been combined in databases to determine materials design limits for the preliminary design of an ITER blanket module. (2) Results indicate that the effect of transmutation-produced helium on fracture toughness is smaller than indicated previously. (3) Further efforts to reduce irradiation-induced degradation of fracture toughness. (4) The introduction of a post-irradiation constitutive equation for plastic deformation. (5) The production of ODS steels that have been used to improve high-temperature strength. (6) The method developed to improve fracture toughness of ODS steels.

  17. Indian oil company joins efforts to reduce methane emissions

    Science.gov (United States)

    Kumar, Mohi

    The Oil and Natural Gas Corp, Ltd. (ONGC), headquartered in Dehradun, India, has joined seven U.S. and Canadian oil and natural gas companies as a partner in a U.S. Environmental Protection Agency program to reduce greenhouse gas emissions. EPA's Natural Gas STAR International Program aims to reduce methane emissions from the oil and natural gas sector while delivering more gas to markets around the world. With this partnership, ONGC agrees to implement emissions reduction practices and to submit annual reports on progress achieved; EPA agrees to assist ONGC with training technicians in new cost-effective technologies that will help achieve target emissions. The Natural Gas STAR International Program is administered under the Methane to Markets Partnership, a group of 20 countries and 600 companies across the globe that since 2004 has volunteered to cut methane emissions. More information on EPA's agreement with ONGC can be found at http://www.epa.gov/gasstar/index.htm; information about the Methane to Markets Partnership can be found at http://www.methanetomarkets.org.

  18. European labs brace for German cuts: international collaboration

    CERN Multimedia

    Clery, D

    1996-01-01

    Germany, the largest contributor to international European research labs, announced plans to reduce its contributions an average of 8% in the nation's latest budget. CERN and other labs are worried that the cuts will endanger ongoing projects and that other countries may follow Germany's lead.

  19. Perceptions of internal marketing and organizational commitment by nurses.

    Science.gov (United States)

    Chang, Ching Sheng; Chang, Hae Ching

    2009-01-01

    This paper is a report of a study to determine whether a favourable perception of internal marketing is associated with increased organizational commitment. The role of nurses in healthcare treatment is expanding, and becoming more important as time progresses. Therefore, the primary concern of business of health care is to use internal marketing strategies effectively to enhance and develop nurses' organizational commitment and reduce turnover to promote competitive advantages for the organization. A cross-sectional design was used. Questionnaires were distributed in 2006 to a convenience sample of 450 Registered Nurses in two teaching hospitals in Taiwan, and 318 questionnaires were returned. Eighteen were excluded because of incomplete answers, which left 300 usable questionnaires (response rate 66.7%). Validity and reliability testing of the questionnaire proved satisfactory and Structural Equation Modeling was used to analyse the data. A favourable perception of internal marketing was associated with increased organizational commitment. Communication management had the greatest influence on organizational commitment and external activity had the smallest impact. Hospital managers need to recognize the importance of internal marketing for staff retention and the survival of their organizations as competitive pressure increases. As a great deal of time and costs are involved in educating nurses, the best way to retain outstanding nurses and reduce turnover costs and personnel problems is for employers to understand the needs and expectations of their nursing staff.

  20. The IAEA review of methods of reducing occupational exposures during decommissioning of nuclear facilities

    International Nuclear Information System (INIS)

    Alejnikov, V.E.

    1986-01-01

    International interest in decommissioning has increased rapidly in the last few years because of the large number of older facilities which are or soon will be retired from service and because of the many hundreds of new facilities which have been built or planned and will eventually require decommissioning. A state-of-the-art review of methods of reducing occupational exposures during decommissioning of nuclear facilities has been prepared recently by the International Atomic Energy Agency. The report concludes that decommissioning can be carried out without unacceptable impact on man or his environment. However, additional development is required to reduce occupational exposures during decommissioning. (author)

  1. Reducing the risk of nuclear terrorism

    International Nuclear Information System (INIS)

    Hibbs, R.

    2005-01-01

    Full text: The March 2005 'International conference on nuclear security, global directions for the future' noted that nuclear terrorism is one of the greatest threats to society. Eminent members of a multi-national panel stated that there is no one principal activity to reduce the risk of nuclear terrorism and that a combination of activities is required. This paper seeks to identify those activities by analyzing the elements that comprise the risk of nuclear terrorism. For the purpose of the analysis, risk is the product of the probability of a terrorist attack (A p ), the success of a terrorist act (S p ) and the consequence (C) of the attack: R=A p * S p * C. The paper examines each of these three elements of risk with the objective of identifying what we are doing and what else we could be doing to reduce risk. It takes into consideration some historic catastrophes, examines how they might have been prevented or their consequences reduced, and if there are lessons that are applicable to reducing the risk of nuclear terrorism. The paper demonstrates that we have concentrated on only one of the three elements of risk and offer suggestions for diminishing the risk of nuclear terrorism by addressing all the elements. (author)

  2. International Lunar Decade Status

    Science.gov (United States)

    Beldavs, VZ; Crisafulli, J.; Dunlop, D.; Foing, B.

    2017-09-01

    The International Lunar Decade is a global decadal event designed to provide a framework for strategically directed international cooperation for permanent return to the Moon. To be launched July 20, 2019, the 50th anniversary of the giant leap for mankind marked by Neil Armstrong's first step on the Moon, the ILD launch will include events around the world to celebrate space exploration, science, and the expansion of humanity into the Solar System. The ILD framework links lunar exploration and space sciences with the development of enabling technologies, infrastructure, means of financing, laws and policies aimed at lowering the costs and risks of venturing into space. Dramatically reduced costs will broaden the range of opportunities available in space and widen access to space for more states, companies and people worldwide. The ILD is intended to bring about the efflorescence of commercial business based on space resources from the Moon, asteroids, comets and other bodies in the Solar System.

  3. Internal Audit Service | Internal Audit Service

    Science.gov (United States)

    their internal auditing function in the areas of professional excellence, quality of service and Students and teachers Media Internal Audit Service Navbar Toggle Home About the Staff Risk Assessment and Planning Internal Audit Process Search for Search Home The mission of the Fermilab Internal Audit Service

  4. Advocacy for International Family Planning: What Terminology Works?

    Science.gov (United States)

    Huber, Douglas; Martin, Raymond; Bormet, Mona

    Advocating for international family planning while avoiding miscommunications with politically and religiously conservative policy makers and the public requires care and clarity with language. We find that terms such as "international family planning" are well received when the meaning is clearly explained, such as "enabling couples to determine the number and timing of pregnancies, including the voluntary use of methods for preventing pregnancy - not including abortion - harmonious with their beliefs and values". Family planning also helps reduce abortions - a powerful message for conservative policy makers and the public. We concur with Dyer et al. (2016) that the messenger is important; we find that many of the most effective advocates are religious leaders and faith-based health providers from the Global South. They know and validate the importance of family planning for improving family health and reducing abortions in their communities. "Healthy timing and spacing of pregnancy" is positive language for policy makers, especially when describing the health impact for women and children. Universal access to contraceptive services is emerging as vital for family health and also to help achieve the Sustainable Development Goals (UN 2015). Language on international family planning will evolve, and clarity of meaning will be foundational for effective advocacy.

  5. Exchange rate volatility and international trade: The option approach

    OpenAIRE

    Franke, Günter

    1986-01-01

    Usually it is argued that an increase in exchange rate volatility reduces the volume of international trade since trading firms are risk averse. This paper shows for risk neutral firms that the expected international trade volume in standardized commodities grows with exchange rate volatility. The firms adjust their trade volume to the exchange rate level. The more favorable the exchange rate is, the higher is the export volume. If the rate drops below some level, exports are stopped. Thus in...

  6. Examining the Efforts of a Small, Open Economy to Reduce Carbon Emissions

    DEFF Research Database (Denmark)

    Levitt, Clinton J.; Saaby Pedersen, Morten; Sørensen, Anders

    2015-01-01

    emissions by relatively small, open economies. Although, these economies are small players in international markets, international trade has an important influence on their economies. Investigating the outcome of efforts to curb emissions by these small, open economies provides insights into the situation...... faced by a large set of the world's economies. This paper has three objectives: (1) investigate the outcome of Denmark's efforts to reduce its carbon emissions by characterizing the relationship between Denmark's macroeconomic activity and carbon emissions; (2) determine the carbon content of Danish...... trade and document the important effects that growing trade with China has had on Danish consumption emissions; and (3), investigate the robustness of measures of consumption emissions under varying information requirements. Our analysis of the outcomes of Danish efforts to reduce carbon emissions...

  7. Internal and external attention and the default mode network.

    Science.gov (United States)

    Scheibner, Hannah J; Bogler, Carsten; Gleich, Tobias; Haynes, John-Dylan; Bermpohl, Felix

    2017-03-01

    Focused attention meditations have been shown to improve psychological health and wellbeing and are nowadays an integral part of many psychotherapies. While research on the neural correlates of focused attention meditation is increasing, findings vary on whether meditations are associated with high or low activity in the default mode network (DMN). To clarify the relationship between focused attention meditation and the activity in DMN regions, it may be helpful to distinguish internal and external attention as well as different phases within one meditation: During focused attention meditation, the practitioner switches between mindful attention, mind-wandering and refocusing. Here, we employed a thought-probe paradigm to study the neural correlates of these different phases. Twenty healthy, meditation naïve participants were introduced to external (mindfulness of sound) and internal (mindfulness of breathing) attention meditation and then practiced the meditation at home for four consecutive days. They then performed the same focused attention meditations during fMRI scanning, in four runs alternating between internal and external attention. At pseudorandom intervals, participants were asked whether they had just been focused on the task (mindful attention) or had been distracted (mind-wandering). During mindful attention, brain regions typically associated with the DMN, such as the medial prefrontal cortex, posterior cingulate cortex and left temporoparietal junction showed significantly less neural activation compared to mind-wandering phases. Reduced activity of the DMN was found during both external and internal attention, with stronger deactivation in the posterior cingulate cortex during internal attention compared to external attention. Moreover, refocusing after mind-wandering was associated with activity in the left inferior frontal gyrus. Our results support the theory that mindful attention is associated with reduced DMN activity compared to mind

  8. Carbon/Carbon Pistons for Internal Combustion Engines

    Science.gov (United States)

    Taylor, A. H.

    1986-01-01

    Carbon/carbon piston performs same function as aluminum pistons in reciprocating internal combustion engines while reducing weight and increasing mechanical and thermal efficiencies of engine. Carbon/carbon piston concept features low piston-to-cylinder wall clearance - so low piston rings and skirts unnecessary. Advantages possible by negligible coefficient of thermal expansion of carbon/carbon.

  9. CHANGES IN STRUCTURE OF ROMANIA'S INTERNATIONAL TRADE

    Directory of Open Access Journals (Sweden)

    CECILIA IRINA RABONTU

    2014-05-01

    Full Text Available Evolution of structural changes in Romanian trade is somewhat interesting if you look at it from the perspective of mutations that occurred in the categories of goods and services subject to international trade. After the Revolution of 1989, the Romanian economy has gone through dramatic changes that had determinate a total reconfiguration of foreign trade. At the same time, the economic instability has had further repercussions on the Romanian economy manifested through higher prices, reduced wages or earnings, reduced employment and rising unemployment, increasing interest rates on loans due to the devaluation of the national currency, increase value-added tax, consumption reduction etc. We proposed in this paper an analyze for a significant period of time evolution of international trade in goods and services of Romania in order to establish the main categories of goods traded but Romania's main trading partners, too. In order to achieve the central goal of this paper we will use statistical data found in the databases provided by the WTO, Eurostat and the National Statistical Institutes and statistical methods to support our initiative.

  10. Reducing emissions from deforestation and degradation: What contribution from carbon markets?

    OpenAIRE

    Bellassen , Valentin; Crassous , R.; Dietzsch , L.; Schwartzman , S.

    2008-01-01

    Tropical deforestation is responsible for 15-20% of total man-made emissions of greenhouse gases. In December 2007, at the international conference of Bali, the United Nations acknowledged that a viable solution to climate change must include a mechanism to limit deforestation and forest degradation. Today, the most widely used economic tool to reduce emissions is carbon markets: caps on emitters, and trade allowed between emitters and reducers, drive a price signal on carbon and provide ince...

  11. Synthesis of reduced-size gold nanostars and internalization in SH-SY5Y cells

    KAUST Repository

    Dacarro, Giacomo

    2017-07-01

    The synthesis of large pentatwinned five-branched gold nanostars (GNS) has been modified so to obtain overall dimensions shrunk to 60% and a lower branches aspect ratio, leading to a dramatic blue shift of their two near-infrared (NIR) localized surface plasmon resonances (LSPR) absorptions but still maintaining one LSPR in the biotransparent NIR range. The interactions of polyethylene glycol (PEG) coated large and shrunk GNS with SH-SY5Y cells revealed that the large ones (DCI - diameter of the circumference in which GNS can be inscribed = 76 nm) are internalized more efficiently than the shrunk ones (DCI = 46 nm), correlating with a decreased cells surving fraction.

  12. Synthesis of reduced-size gold nanostars and internalization in SH-SY5Y cells

    KAUST Repository

    Dacarro, Giacomo; Pallavicini, Piersandro; Bertani, Serena Maria; Chirico, Giuseppe; D'Alfonso, Laura; Falqui, Andrea; Marchesi, Nicoletta; Pascale, Alessia; Sironi, Laura; Taglietti, Angelo; Zuddas, Efisio

    2017-01-01

    The synthesis of large pentatwinned five-branched gold nanostars (GNS) has been modified so to obtain overall dimensions shrunk to 60% and a lower branches aspect ratio, leading to a dramatic blue shift of their two near-infrared (NIR) localized surface plasmon resonances (LSPR) absorptions but still maintaining one LSPR in the biotransparent NIR range. The interactions of polyethylene glycol (PEG) coated large and shrunk GNS with SH-SY5Y cells revealed that the large ones (DCI - diameter of the circumference in which GNS can be inscribed = 76 nm) are internalized more efficiently than the shrunk ones (DCI = 46 nm), correlating with a decreased cells surving fraction.

  13. INTERNATIONAL STANDARDS FOR FINANCIAL REPORTING: HARMONIZATION IN MACEDONIA

    Directory of Open Access Journals (Sweden)

    Sasho Kozuharov

    2015-12-01

    Full Text Available A continuous flow of reliable, relevant and financially important information is necessary for making economically justified and strategic investment decisions. Economic globalization has contributed to the need of creating a unified language for communication, a single set of international financial reporting standards with the sole purpose of enhancing transparency for investors and reducing the cost of capital. Harmonization of financial reporting provides more efficient use of global resources, easier consolidation of multinational companies foreign subsidiaries, alleviation of accounting staff mobility and reducing of audit costs. The research is based on the benefits that the national economy can gain if the international financial reporting standards are successfully implemented. Special attention in the paper is devoted to the factors that determine the harmonization of financial reporting. The analysis of the results show the managers' perception of financial reporting, and emphasize the effects of the implementation of IFRS in Republic of Macedonia.

  14. Plant biology in reduced gravity on the Moon and Mars.

    Science.gov (United States)

    Kiss, J Z

    2014-01-01

    While there have been numerous studies on the effects of microgravity on plant biology since the beginning of the Space Age, our knowledge of the effects of reduced gravity (less than the Earth nominal 1 g) on plant physiology and development is very limited. Since international space agencies have cited manned exploration of Moon/Mars as long-term goals, it is important to understand plant biology at the lunar (0.17 g) and Martian levels of gravity (0.38 g), as plants are likely to be part of bioregenerative life-support systems on these missions. First, the methods to obtain microgravity and reduced gravity such as drop towers, parabolic flights, sounding rockets and orbiting spacecraft are reviewed. Studies on gravitaxis and gravitropism in algae have suggested that the threshold level of gravity sensing is around 0.3 g or less. Recent experiments on the International Space Station (ISS) showed attenuation of phototropism in higher plants occurs at levels ranging from 0.l g to 0.3 g. Taken together, these studies suggest that the reduced gravity level on Mars of 0.38 g may be enough so that the gravity level per se would not be a major problem for plant development. Studies that have directly considered the impact of reduced gravity and microgravity on bioregenerative life-support systems have identified important biophysical changes in the reduced gravity environments that impact the design of these systems. The author suggests that the current ISS laboratory facilities with on-board centrifuges should be used as a test bed in which to explore the effects of reduced gravity on plant biology, including those factors that are directly related to developing life-support systems necessary for Moon and Mars exploration. © 2013 German Botanical Society and The Royal Botanical Society of the Netherlands.

  15. TTP specifically regulates the internalization of the transferrin receptor

    DEFF Research Database (Denmark)

    Tosoni, Daniela; Puri, Claudia; Confalonieri, Stefano

    2005-01-01

    Different plasma membrane receptors are internalized through saturable/noncompetitive pathways, suggesting cargo-specific regulation. Here, we report that TTP (SH3BP4), a SH3-containing protein, specifically regulates the internalization of the transferrin receptor (TfR). TTP interacts...... with endocytic proteins, including clathrin, dynamin, and the TfR, and localizes selectively to TfR-containing coated-pits (CCP) and -vesicles (CCV). Overexpression of TTP specifically inhibits TfR internalization, and causes the formation of morphologically aberrant CCP, which are probably fission impaired....... This effect is mediated by the SH3 of TTP, which can bind to dynamin, and it is rescued by overexpression of dynamin. Functional ablation of TTP causes a reduction in TfR internalization, and reduced cargo loading and size of TfR-CCV. Tyrosine phosphorylation of either TTP or dynamin prevents...

  16. International Trade. International Business

    OpenAIRE

    Мохнюк, А. М.; Mokhniuk, A. M.

    2015-01-01

    Work programme of the study course “International Trade. International Business” was prepared in accordance with educational and vocational training program for bachelors of training direction 6.030601 “Management”.

  17. Analysis of an Internal Combustion Engine Using Porous Foams for Thermal Energy Recovery

    Directory of Open Access Journals (Sweden)

    Mehdi Ali Ehyaei

    2016-03-01

    Full Text Available Homogeneous and complete combustion in internal combustion engines is advantageous. The use of a porous foam in the exhaust gas in an engine cylinder for heat recovery is examined here with the aim of reducing engine emissions. The internal combustion engine with a porous core regenerator is modeled using SOPHT software, which solved the differential equations for the thermal circuit in the engine. The engine thermal efficiency is observed to increase from 43% to 53% when the porous core regenerator is applied. Further, raising the compression ratio causes the peak pressure and thermal efficiency to increase, e.g., increasing the compression ratio from 13 to 15 causes the thermal efficiency and output work to increase from 53% to 55% and from 4.86 to 4.93 kJ, respectively. The regenerator can also be used as a catalytic converter for fine particles and some other emissions. The regenerator oxidizes unburned hydrocarbons. Meanwhile, heat recovered from the exhaust gases can reduce fuel consumption, further reducing pollutant emissions from the internal combustion engine.

  18. International Policy and Roma Education in Europe: Essential Inputs or Centralized Distractions?

    Science.gov (United States)

    Ram, Melanie H.

    2015-01-01

    This article examines the case of Roma inclusion in education as a study of the ways in which international policy can and cannot bring change at the local level. I first reflect on the numerous international organizations and initiatives to improve the educational outcomes of Roma, and to reduce segregation and other non-inclusionary practices.…

  19. Reducing youth internalizing symptoms: Effects of a family-based preventive intervention on parental guilt induction and youth cognitive style

    Science.gov (United States)

    McKEE, LAURA G.; PARENT, JUSTIN; FOREHAND, REX; RAKOW, AARON; WATSON, KELLY H.; DUNBAR, JENNIFER P.; REISING, MICHELLE M.; HARDCASTLE, EMILY; COMPAS, BRUCE E.

    2014-01-01

    This study utilized structural equation modeling to examine the associations among parental guilt induction (a form of psychological control), youth cognitive style, and youth internalizing symptoms, with parents and youth participating in a randomized controlled trial of a family-based group cognitive–behavioral preventive intervention targeting families with a history of caregiver depression. The authors present separate models utilizing parent report and youth report of internalizing symptoms. Findings suggest that families in the active condition (family-based group cognitive–behavioral group) relative to the comparison condition showed a significant decline in parent use of guilt induction at the conclusion of the intervention (6 months postbaseline). Furthermore, reductions in parental guilt induction at 6 months were associated with significantly lower levels of youth negative cognitive style at 12 months. Finally, reductions in parental use of guilt induction were associated with lower youth internalizing symptoms 1 year following the conclusion of the intervention (18 months postbaseline). PMID:24438999

  20. Reduced antituberculosis drug concentrations in HIV-infected patients who are men or have low weight: implications for international dosing guidelines.

    Science.gov (United States)

    McIlleron, Helen; Rustomjee, Roxana; Vahedi, Mahnaz; Mthiyane, Thuli; Denti, Paolo; Connolly, Catherine; Rida, Wasima; Pym, Alexander; Smith, Peter J; Onyebujoh, Philip C

    2012-06-01

    Reduced antituberculosis drug concentrations may contribute to unfavorable treatment outcomes among HIV-infected patients with more advanced immune suppression, and few studies have evaluated pharmacokinetics of the first-line antituberculosis drugs in such patients given fixed-dose combination tablets according to international guidelines using weight bands. In this study, pharmacokinetics were evaluated in 60 patients on 4 occasions during the first month of antituberculosis therapy. Multilevel linear mixed-effects regression analysis was used to examine the effects of age, sex, weight, drug dose/kilogram, CD4(+) lymphocyte count, treatment schedule (5 versus 7 days/week), and concurrent antiretrovirals (efavirenz plus lamivudine plus zidovudine) on the area under the concentration-time curve from 0 to 12 h (AUC(0-12)) of the respective antituberculosis drugs and to compare AUC(0-12)s at day 8, day 15, and day 29 with the day 1 AUC(0-12). Median (range) age, weight, and CD4(+) lymphocyte count were 32 (18 to 47) years, 55.2 (34.4 to 98.7) kg, and 252 (12 to 500)/μl. For every 10-kg increase in body weight, the predicted day 29 AUC(0-12) increased by 14.1% (95% confidence interval [CI], 7.5, 20.8), 14.1% (95% CI, -0.7, 31.1), 6.1% (95% CI, 2.7, 9.6) and 6.0% (95% CI, 0.8, 11.3) for rifampin, isoniazid, pyrazinamide, and ethambutol, respectively. Males had day 29 AUC(0-12)s 19.3% (95% CI, 3.6, 35.1) and 14.0% (95% CI, 5.6, 22.4) lower than females for rifampin and pyrazinamide, respectively. Level of immune suppression and concomitant antiretrovirals had little effect on the concentrations of the antituberculosis agents. As they had reduced drug concentrations, it is important to review treatment responses in patients in the lower weight bands and males to inform future treatment guidelines, and revision of doses in these patients should be considered.

  1. Oral immunisation of laying hens with the live vaccine strains of TAD Salmonella vac E and TAD Salmonella vac T reduces internal egg contamination with Salmonella Enteritidis.

    Science.gov (United States)

    Gantois, Inne; Ducatelle, Richard; Timbermont, Leen; Boyen, Filip; Bohez, Lotte; Haesebrouck, Freddy; Pasmans, Frank; van Immerseel, Filip

    2006-09-11

    Eggs are a major source of human infections with Salmonella. Therefore controlling egg contamination in laying hen flocks is one of the main targets for control programmes. A study was carried out to assess the effect of oral vaccination with TAD Salmonella vac E, TAD Salmonella vac T and with both vaccines TAD Salmonella vac E and TAD Salmonella vac T, on colonization of the reproductive tract and internal egg contamination of laying hens with Salmonella Enteritidis. Three groups of 30 laying hens were vaccinated at 1 day, 6 weeks and 16 weeks of age with either one of the vaccine strains, or a combination of both vaccine strains, while a fourth group was left unvaccinated. At 24 weeks of age, the birds were intravenously challenged with 0.5 ml containing 5 x 10(7)cfu Salmonella Enteritidis PT4 S1400/94. The number of oviducts from which Salmonella was isolated, was significantly lower in the vaccinated than in the non-vaccinated hens at 3 weeks post-challenge. Significantly less egg contents were Salmonella positive in the birds vaccinated with TAD Salmonella vac E or TAD Salmonella vac T (12/105 batches of eggs in both groups) than in the unvaccinated birds (28/105 batches of eggs). Internal egg contamination in the hens vaccinated with both TAD Salmonella vac E and TAD Salmonella vac T was even more reduced, as over the whole experiment, only one batch of eggs was positive. In conclusion, these data indicate that vaccination of laying hens with these live vaccines could be considered as a valuable tool in controlling internal egg contamination.

  2. Investigation of internally finned LED heat sinks

    Science.gov (United States)

    Li, Bin; Xiong, Lun; Lai, Chuan; Tang, Yumei

    2018-03-01

    A novel heat sink is proposed, which is composed of a perforated cylinder and internally arranged fins. Numerical studies are performed on the natural convection heat transfer from internally finned heat sinks; experimental studies are carried out to validate the numerical results. To compare the thermal performances of internally finned heat sinks and externally finned heat sinks, the effects of the overall diameter, overall height, and installation direction on maximum temperature, air flow and heat transfer coefficient are investigated. The results demonstrate that internally finned heat sinks show better thermal performance than externally finned heat sinks; the maximum temperature of internally finned heat sinks decreases by up to 20% compared with the externally finned heat sinks. The existence of a perforated cylinder and the installation direction of the heat sink affect the thermal performance significantly; it is shown that the heat transfer coefficient of the heat sink with the perforated cylinder is improved greater than that with the imperforated cylinder by up to 34%, while reducing the mass of the heat sink by up to 13%. Project supported by the Scientific Research Fund of Sichuan Provincial Education Department (No. 18ZB0516) and the Sichuan University of Arts and Science (No. 2016KZ009Y).

  3. Frustration-induced internal stresses are responsible for quasilocalized modes in structural glasses

    Science.gov (United States)

    Lerner, Edan; Bouchbinder, Eran

    2018-03-01

    It has been recently shown [E. Lerner, G. Düring, and E. Bouchbinder, Phys. Rev. Lett. 117, 035501 (2016), 10.1103/PhysRevLett.117.035501] that the nonphononic vibrational modes of structural glasses at low frequencies ω are quasilocalized and follow a universal density of states D (ω ) ˜ω4 . Here we show that the gapless nature of the observed density of states depends on the existence of internal stresses that generically emerge in glasses due to frustration, thus elucidating a basic element underlying this universal behavior. Similarly to jammed particulate packings, low-frequency modes in structural glasses emerge from a balance between a local elasticity term and an internal stress term in the dynamical matrix, where the difference between them is orders of magnitude smaller than their typical magnitude. By artificially reducing the magnitude of internal stresses in a computer glass former in three dimensions, we show that a gap is formed in the density of states below which no vibrational modes exist, thus demonstrating the crucial importance of internal stresses. Finally, we show that while better annealing the glass upon cooling from the liquid state significantly reduces its internal stresses, the self-organizational processes during cooling render the gapless D (ω ) ˜ω4 density of state unaffected.

  4. Peroral cholangioscopy with intracorporeal electrohydraulic lithotripsy for choledocholithiasis.

    Science.gov (United States)

    Hixson, L J; Fennerty, M B; Jaffee, P E; Pulju, J H; Palley, S L

    1992-03-01

    Five patients with choledocholithiasis refractory to standard extraction methods after endoscopic sphincterotomy underwent peroral cholangioscopy with the "mother-daughter" endoscopy system. electrohydraulic lithotripsy of nine stones was performed successfully and without complication, other than minor transient bleeding in one patient. The outer sheath of the "daughter scope" sustained a linear burn in one instance. This method of stone fragmentation is a useful adjunct to achieve ductal clearance in difficult cases.

  5. The International Lunar Decade Declaration

    Science.gov (United States)

    Beldavs, V.; Foing, B.; Bland, D.; Crisafulli, J.

    2015-10-01

    The International Lunar Decade Declaration was discussed at the conference held November 9-13, 2014 in Hawaii "The Next Giant Leap: Leveraging Lunar Assets for Sustainable Pathways to Space" - http://2014giantleap.aerospacehawaii.info/ and accepted by a core group that forms the International Lunar Decade Working Group (ILDWG) that is seeking to make the proposed global event and decade long process a reality. The Declaration will be updated from time to time by members of the ILDWreflecting new knowledge and fresh perspectives that bear on building a global consortium with a mission to progress from lunar exploration to the transformation of the Moon into a wealth gene rating platform for the expansion of humankind into the solar system. When key organizations have endorsed the idea and joined the effort the text of the Declaration will be considered final. An earlier International Lunar Decade proposal was issued at the 8th ICEUM Conference in 2006 in Beijing together with 13 specific initiatives for lunar exploration[1,2,3]. These initiatives have been largely implemented with coordination among the different space agencies involved provided by the International Lunar Exploration Working Group[2,3]. The Second International Lunar Decade from 2015 reflects current trends towards increasing involvement of commercial firms in space, particularly seeking opportunities beyond low Earth orbit. The central vision of the International Lunar Decade is to build the foundations for a sustainable space economy through international collaboration concurrently addressing Lunar exploration and building a shared knowledge base;Policy development that enables collabo rative research and development leading to lunar mining and industrial and commercial development;Infrastructure on the Moon and in cislunar space (communications, transport, energy systems, way-stations, other) that reduces costs, lowers risks and speeds up the time to profitable operations;Enabling technologies

  6. Apolipoprotein D Internalization Is a Basigin-dependent Mechanism.

    Science.gov (United States)

    Najyb, Ouafa; Brissette, Louise; Rassart, Eric

    2015-06-26

    Apolipoprotein D (apoD), a member of the lipocalin family, is a 29-kDa secreted glycoprotein that binds and transports small lipophilic molecules. Expressed in several tissues, apoD is up-regulated under different stress stimuli and in a variety of pathologies. Numerous studies have revealed that overexpression of apoD led to neuroprotection in various mouse models of acute stress and neurodegeneration. This multifunctional protein is internalized in several cells types, but the specific internalization mechanism remains unknown. In this study, we demonstrate that the internalization of apoD involves a specific cell surface receptor in 293T cells, identified as the transmembrane glycoprotein basigin (BSG, CD147); more particularly, its low glycosylated form. Our results show that internalized apoD colocalizes with BSG into vesicular compartments. Down-regulation of BSG disrupted the internalization of apoD in cells. In contrast, overexpression of basigin in SH-5YSY cells, which poorly express BSG, restored the uptake of apoD. Cyclophilin A, a known ligand of BSG, competitively reduced apoD internalization, confirming that BSG is a key player in the apoD internalization process. In summary, our results demonstrate that basigin is very likely the apoD receptor and provide additional clues on the mechanisms involved in apoD-mediated functions, including neuroprotection. © 2015 by The American Society for Biochemistry and Molecular Biology, Inc.

  7. 14 CFR 223.22 - Other persons to whom free and reduced-rate transportation may be furnished.

    Science.gov (United States)

    2010-01-01

    ... OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC REGULATIONS FREE AND REDUCED-RATE TRANSPORTATION International Travel § 223.22 Other persons to whom free and reduced-rate transportation may be furnished. Air... such transportation is undertaken for a promotional purpose; (f) Persons being transported on an...

  8. Household methods to reduce 137Cs contents of mushrooms

    International Nuclear Information System (INIS)

    Kostiainen, E.

    2005-01-01

    High radiocaesium contents in different species of mushrooms have been observed in areas contaminated by radiocaesium deposition after the Chernobyl accident in 1986. There has been no significant reduction in the 137 Cs contents of mushrooms during the past ten years, besides via radioactive decay. The internal radiation dose received via mushrooms can be reduced by processing mushrooms before consumption. Various household methods were studied to find out their efficiency to reduce 137 Cs contents of mushrooms. The methods tested were the same as normally used in cooking. The tests were made for the species of edible mushrooms widely consumed. The retention factors for the treatments tested were in most cases 0.2-0.3. The efficiency of treatments in reducing the 137 Cs contents increased with larger water volumes and prolonged treatment times

  9. Efforts for optimization of BWR core internals replacement

    International Nuclear Information System (INIS)

    Iizuka, N.

    2000-01-01

    The core internal components replacement of a BWR was successfully completed at Fukushima-Daiichi Unit 3 (1F3) of the Tokyo Electric Power Company (TEPCO) in 1998. The core shroud and the majority of the internal components made by type 304 stainless steel (SS) were replaced with the ones made of low carbon type 316L SS to improve Intergranular Stress Corrosion Cracking (IGSCC) resistance. Although this core internals replacement project was completed, several factors combined to result in a longer-than-expected period for the outage. It was partly because the removal work of the internal components was delayed. Learning a lesson from whole experience in this project, some methods were adopted for the next replacement project at Fukushima-Daiichi Unit 2 (1F2) to shorten the outage and reduce the total radiation exposure. Those are new removal processes and new welding machine and so on. The core internals replacement work was ended at 1F2 in 1999, and both the period of outage and the total radiation exposure were the same degree as expected previous to starting of this project. This result shows that the methods adopted in this project are basically applicable for the core internals replacement work and the whole works about the BWR core internals replacement were optimized. The outline of the core internals replacement project and applied technologies at 1F3 and 1F2 are discussed in this paper. (author)

  10. Cultural Factors in the Flow of International News: A Review of the Literature

    Directory of Open Access Journals (Sweden)

    Sakurai Takuya

    2017-01-01

    Full Text Available This paper offers a review of the literature of international news flow, and surveys how the previous studies have attempted to capture “cultural factors” influencing the flow. The factors are grouped into four types of variables: language, former colonial tie, ethnicity, and geographical proximity. This paper argues that cultural factors cannot be significant without economic interests in the era of post-Cold War, that the structure of international news is imbalanced because a few powerful countries dominate the international news market, and that international news reduces cultural varieties to the singular international realities disseminated by the media of such countries.

  11. Gas pipeline internal painting: an economical advantage; Uso da pintura interna em gasodutos: uma vantagem economica

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Christian E.; Santos, Paulo T. [Soco-Ril do Brasil S.A., Pindamonhangaba, SP (Brazil)]|[Faculdade de Engenharia Quimica de Lorena (FAENQUIL), SP (Brazil). Programa de Pos-graduacao em Engenharia Mecanica; Oliveira, Luiz C. [Confab Industrial S.A., Pindamonhangaba, SP (Brazil)]|[Faculdade de Engenharia Quimica de Lorena (FAENQUIL), SP (Brazil). Programa de Pos-graduacao em Engenharia Mecanica; Campos, Paulo H. [Confab Industrial S.A., Pindamonhangaba, SP (Brazil)

    2003-07-01

    Focusing the fabulous financial losses due to the corrosion problems, it had been necessary increase the range of new technologies and developments regarding material protection. The application of internal painting systems have become the most employed protection technical, showing a lot of benefits: improved flow characteristics of gas, reduced energy consumption of pumping, reduced pressure drops, easily application, inspection and maintenance, faster commissioning, reduced deposition of condensate and microorganism, excellent preventing corrosion during storage and operation, and others. The present paper describe the advantages and the technical and financial benefits of liquid epoxy internal coating. (author)

  12. Comparing climate and cost impacts of reference levels for reducing emissions from deforestation

    Energy Technology Data Exchange (ETDEWEB)

    Busch, Jonah [Center for Applied Biodiversity Science, Conservation International, 2011 Crystal Drive, Suite 500, Arlington, VA (United States); Strassburg, Bernardo [Center for Social and Economic Research on the Global Environment, University of East Anglia, Norwich NR4 7TJ (United Kingdom); Cattaneo, Andrea [Woods Hole Research Center, 149 Woods Hole Road, Falmouth, MA 02540-1644 (United States); Lubowski, Ruben [Environmental Defense Fund, 1875 Connecticut Avenue NW, Washington, DC (United States); Bruner, Aaron; Rice, Richard; Boltz, Frederick [Conservation International, 2011 Crystal Drive, Suite 500, Arlington, VA (United States); Creed, Anna; Ashton, Ralph, E-mail: jbusch@conservation.or [Terrestrial Carbon Group, 900 17th Street NW, Suite 700, Washington, DC (United States)

    2009-10-15

    The climate benefit and economic cost of an international mechanism for reducing emissions from deforestation and degradation (REDD) will depend on the design of reference levels for crediting emission reductions. We compare the impacts of six proposed reference level designs on emission reduction levels and on cost per emission reduction using a stylized partial equilibrium model (the open source impacts of REDD incentives spreadsheet; OSIRIS). The model explicitly incorporates national incentives to participate in an international REDD mechanism as well as international leakage of deforestation emissions. Our results show that a REDD mechanism can provide cost-efficient climate change mitigation benefits under a broad range of reference level designs. We find that the most effective reference level designs balance incentives to reduce historically high deforestation emissions with incentives to maintain historically low deforestation emissions. Estimates of emission reductions under REDD depend critically on the degree to which demand for tropical frontier agriculture generates leakage. This underscores the potential importance to REDD of complementary strategies to supply agricultural needs outside of the forest frontier.

  13. Comparing climate and cost impacts of reference levels for reducing emissions from deforestation

    International Nuclear Information System (INIS)

    Busch, Jonah; Strassburg, Bernardo; Cattaneo, Andrea; Lubowski, Ruben; Bruner, Aaron; Rice, Richard; Boltz, Frederick; Creed, Anna; Ashton, Ralph

    2009-01-01

    The climate benefit and economic cost of an international mechanism for reducing emissions from deforestation and degradation (REDD) will depend on the design of reference levels for crediting emission reductions. We compare the impacts of six proposed reference level designs on emission reduction levels and on cost per emission reduction using a stylized partial equilibrium model (the open source impacts of REDD incentives spreadsheet; OSIRIS). The model explicitly incorporates national incentives to participate in an international REDD mechanism as well as international leakage of deforestation emissions. Our results show that a REDD mechanism can provide cost-efficient climate change mitigation benefits under a broad range of reference level designs. We find that the most effective reference level designs balance incentives to reduce historically high deforestation emissions with incentives to maintain historically low deforestation emissions. Estimates of emission reductions under REDD depend critically on the degree to which demand for tropical frontier agriculture generates leakage. This underscores the potential importance to REDD of complementary strategies to supply agricultural needs outside of the forest frontier.

  14. Reducing Alcohol Harm. International Benchmark

    Science.gov (United States)

    2008-01-01

    last 10 years.12 Apart from the cost of medical care, the cost of alcohol use can also be associated with absenteeism and property damage. Alcohol...related harms cost British industry approximately £2 billion a year13 and the NHS about £1.7 billion a year14. Alcohol affects labour and productivity...Harmful drinking, Factsheet, June (2007). 15 “ Absenteeism due to drink”, Healthcare Today Magazine, September 19th, 2007. (Accessed on 19/09/07, at

  15. Optimizing the use of intravenous therapy in internal medicine.

    Science.gov (United States)

    Champion, Karine; Mouly, Stéphane; Lloret-Linares, Celia; Lopes, Amanda; Vicaut, Eric; Bergmann, Jean-François

    2013-10-01

    We aimed to evaluate the impact of physicians' educational programs in the reduction of inappropriate intravenous lines in internal medicine. Fifty-six French internal medicine units were enrolled in a nationwide, prospective, blinded, randomized controlled trial. Forms describing the patients with an intravenous line and internal medicine department characteristics were filled out on 2 separate days in January and April 2007. Following the first visit, all units were randomly assigned to either a specific education program on the appropriate indications of an intravenous line, during February and March 2007, or no training (control group). The Investigators' Committee then blindly evaluated the clinical relevance of the intravenous line according to pre-established criteria. The primary outcome was the percentage of inappropriate intravenous lines. During January 2007, intravenous lines were used in 475 (24.9%) of the 1910 hospitalized patients. Of these, 80 (16.8%) were considered inappropriate. In April 2007, 416 (22.8%) of the 1823 hospitalized patients received an intravenous line, which was considered in 10.2% (21/205) of patients managed by trained physicians, versus 16.6% (35/211) of patients in the control group (relative difference 39%; 95% confidence interval, -0.6-13.3; P = .05). Reduced intravenous administration of fluids, antibiotics, and analgesics accounted for the observed decrease. The use of a simple education program reduced the rate of inappropriate intravenous lines by almost 40% in an internal medicine setting (NCT01633307). Copyright © 2013 Elsevier Inc. All rights reserved.

  16. Patterns of cognitive dissonance-reducing beliefs among smokers: a longitudinal analysis from the International Tobacco Control (ITC) Four Country Survey.

    Science.gov (United States)

    Fotuhi, Omid; Fong, Geoffrey T; Zanna, Mark P; Borland, Ron; Yong, Hua-Hie; Cummings, K Michael

    2013-01-01

    The purpose of this paper is to assess whether smokers adjust their beliefs in a pattern that is consistent with Cognitive Dissonance Theory. This is accomplished by examining the longitudinal pattern of belief change among smokers as their smoking behaviours change. A telephone survey was conducted of nationally representative samples of adult smokers from Canada, the USA, the UK and Australia from the International Tobacco Control Four Country Survey. Smokers were followed across three waves (October 2002 to December 2004), during which they were asked to report on their smoking-related beliefs and their quitting behaviour. Smokers with no history of quitting across the three waves exhibited the highest levels of rationalisations for smoking. When smokers quit smoking, they reported having fewer rationalisations for smoking compared with when they had previously been smoking. However, among those who attempted to quit but then relapsed, there was once again a renewed tendency to rationalise their smoking. This rebound in the use of rationalisations was higher for functional beliefs than for risk-minimising beliefs, as predicted by social psychological theory. Smokers are motivated to rationalise their behaviour through the endorsement of more positive beliefs about smoking, and these beliefs change systematically with changes in smoking status. More work is needed to determine if this cognitive dissonance-reducing function has an inhibiting effect on any subsequent intentions to quit.

  17. Patterns of cognitive dissonance-reducing beliefs among smokers: a longitudinal analysis from the International Tobacco Control (ITC) Four Country Survey

    Science.gov (United States)

    Fotuhi, Omid; Fong, Geoffrey T; Zanna, Mark P; Borland, Ron; Yong, Hua-Hie; Cummings, K Michael

    2013-01-01

    Objective The purpose of this paper is to assess whether smokers adjust their beliefs in a pattern that is consistent with Cognitive Dissonance Theory. This is accomplished by examining the longitudinal pattern of belief change among smokers as their smoking behaviours change. Methods A telephone survey was conducted of nationally representative samples of adult smokers from Canada, the USA, the UK and Australia from the International Tobacco Control Four Country Survey. Smokers were followed across three waves (October 2002 to December 2004), during which they were asked to report on their smoking-related beliefs and their quitting behaviour. Findings Smokers with no history of quitting across the three waves exhibited the highest levels of rationalisations for smoking. When smokers quit smoking, they reported having fewer rationalisations for smoking compared with when they had previously been smoking. However, among those who attempted to quit but then relapsed, there was once again a renewed tendency to rationalise their smoking. This rebound in the use of rationalisations was higher for functional beliefs than for risk-minimising beliefs, as predicted by social psychological theory. Conclusions Smokers are motivated to rationalise their behaviour through the endorsement of more positive beliefs about smoking, and these beliefs change systematically with changes in smoking status. More work is needed to determine if this cognitive dissonance-reducing function has an inhibiting effect on any subsequent intentions to quit. PMID:22218426

  18. Zimbabwe Children's act alignment with international and domestic ...

    African Journals Online (AJOL)

    This paper identifies shortfalls in the Children's Act (Zimbabwe) which reduce its alignment with the international and domestic legal instruments such as the United Nations Convention on the Rights of the Child (UNCRC), the African Charter on the Rights and Welfare of the Child (ACRWC), Child Protection Model Law, ...

  19. Reducible cationic lipids for gene transfer.

    Science.gov (United States)

    Wetzer, B; Byk, G; Frederic, M; Airiau, M; Blanche, F; Pitard, B; Scherman, D

    2001-01-01

    One of the main challenges of gene therapy remains the increase of gene delivery into eukaryotic cells. We tested whether intracellular DNA release, an essential step for gene transfer, could be facilitated by using reducible cationic DNA-delivery vectors. For this purpose, plasmid DNA was complexed with cationic lipids bearing a disulphide bond. This reduction-sensitive linker is expected to be reduced and cleaved in the reducing milieu of the cytoplasm, thus potentially improving DNA release and consequently transfection. The DNA--disulphide-lipid complexation was monitored by ethidium bromide exclusion, and the size of complexes was determined by dynamic light scattering. It was found that the reduction kinetics of disulphide groups in DNA--lipid complexes depended on the position of the disulphide linker within the lipid molecule. Furthermore, the internal structure of DNA--lipid particles was examined by small-angle X-ray scattering before and after lipid reduction. DNA release from lipid complexes was observed after the reduction of disulphide bonds of several lipids. Cell-transfection experiments suggested that complexes formed with selected reducible lipids resulted in up to 1000-fold higher reporter-gene activity, when compared with their analogues without disulphide bonds. In conclusion, reduction-sensitive groups introduced into cationic lipid backbones potentially allow enhanced DNA release from DNA--lipid complexes after intracellular reduction and represent a tool for improved vectorization. PMID:11389682

  20. Pure global externalities. International efficiency and equity

    International Nuclear Information System (INIS)

    Musgrave, P.B.

    1995-01-01

    The argument for a carbon tax to reduce CO 2 emissions to the global arena is extended and the distribution as well as efficiency issues posed by a global agreement on carbon taxation are examined. The author distinguishes four alternative international arrangements in addition to the 'no cooperation' case. The arrangements allow for various equity rules to reflect what are considered to be equitable changes from the baseline position. Although the results of Musgrave's exercise lay no strong claims to validity as empirical findings, the relative patterns that emerge, nonetheless, contribute to an understanding of the issues that must be faced in arriving at acceptable international forms of cooperation. 1 fig., 6 tabs., 10 refs

  1. Is the potential for international diversification disappearing?

    DEFF Research Database (Denmark)

    Christoffersen, Peter; Errunza, Vihang; Jacobs, Kris

    2012-01-01

    International equity markets are characterized by nonlinear dependence and asymmetries. We propose a new dynamic asymmetric copula model to capture long-run and short-run dependence, multivariate nonnormality, and asymmetries in large cross-sections. We find that correlations have increased...... markedly in both developed markets (DMs) and emerging markets (EMs), but they are much lower in EMs than in DMs. Tail dependence has also increased, but its level is still relatively low in EMs. We propose new measures of dynamic diversification benefits that take into account higher-order moments...... and nonlinear dependence. The benefits from international diversification have reduced over time, drastically so for DMs. EMs still offer significant diversification benefits, especially during large market downturns....

  2. Ultrasound guidance for internal jugular vein cannulation: Continuing Professional Development.

    Science.gov (United States)

    Ayoub, Christian; Lavallée, Catherine; Denault, André

    2010-05-01

    The objective of this continuing professional development module is to describe the role of ultrasound for central venous catheterization and to specify its benefits and limitations. Although ultrasound techniques are useful for all central venous access sites, the focus of this module is on the internal jugular vein approach. In recent years, several studies were published on the benefits of ultrasound use for central venous catheterization. This technique has evolved rapidly due to improvements in the equipment and technology available. Ultrasound helps to detect the anatomical variants of the internal jugular vein. The typical anterolateral position of the internal jugular vein with respect to the carotid is found in only 9-92% of cases. Ultrasound guidance reduces the rate of mechanical, infectious, and thrombotic complications by 57%, and it also reduces the failure rate by 86%. Cost-benefit analyses show that the cost of ultrasound equipment is compensated by the decrease in the expenses associated with the treatment of complications. In this article, we will review the history of ultrasound guidance as well as the reasons that account for its superiority over the classical anatomical landmark technique. We will describe the equipment needed for central venous catheterization as well as the various methods to visualize with ultrasound. To improve patient safety, we recommend the use of ultrasound for central venous catheterization using the internal jugular approach.

  3. Prospects for Mainstreaming Ecosystem Goods and Services in International Policies

    International Nuclear Information System (INIS)

    Kok, M.T.J.; Prins, A.G.; Tyler, S.R.; Pinter, L.; Baumuller, H.; Bernstein, J.; Tsioumani, E.; Venema, H.D.; Grosshans, R.

    2010-08-01

    Degradation of ecosystems worldwide threatens local and regional supplies of food, forest products and fresh water, and also biodiversity. Although most decisions that directly affect ecosystem management are made locally, these decisions are influenced by national and international policies. This study shows how local delivery of ecosystem goods and services (EGS) is closely linked to international policies on development cooperation, trade, climate change and reform of international financial institutions. Integrating or mainstreaming EGS considerations into these policies provides significant opportunities for reducing poverty, while simultaneously improving the quality of local EGS. Furthermore, mainstreaming EGS in international policies can contribute significantly to achieving policy objectives on biodiversity and sustainable management of natural resources. However, mainstreaming EGS requires careful consideration because many of the opportunities identified as reducing poverty, may have the opposite effect if poorly managed or implemented. A major challenge is, therefore, to ensure consistent policies across scales and policy domains based on analysis of the local situation. In order to support poverty reduction it matters how the mainstreaming is done and who benefits locally. Tools to mainstream EGS into non-environmental policy domains are available, but there are few examples of their systematic application. Examples of tools that could play a constructive role in this process are the monitoring and reporting mechanisms developed by the Convention on Biological Diversity (CBD)

  4. The oil market and international agreements on CO2 emissions

    International Nuclear Information System (INIS)

    Berger, K.; Fimreite, O.; Golombek, R.; Hoel, M.

    1992-01-01

    According to most scientists, greenhouse gas emissions must be reduced significantly relative to current trends to avoid dramatic adverse climatic changes during the next century. CO 2 is the most important greenhouse gas, so any international agreement will certainly cover CO 2 emissions. Any international agreement to reduce emissions of CO 2 is going to have a significant impact on the markets for fossil fuels. The analysis shows that it is not only the amount of CO 2 emissions permitted in an agreement which matters for fossil fuel prices, but also the type of agreement. Two obvious forms of agreements, which under certain assumptions both are cost efficient, are (a) tradeable emission permits, and (b) an international CO 2 tax. If the fossil fuel markets were perfectly competitive, these two types of agreements would have the same effect on the producer price of fossil fuels. However, fossil fuel markets are not completely competitive. It is shown that, under imperfect competition, direct regulation of the 'tradeable quotas' type tends to imply higher producer prices and a larger efficiency loss than an international CO 2 tax giving the same total CO 2 emissions. A numerical illustration of the oil market indicates that the difference in producer prices for the two types of CO 2 agreements is quite significant. 6 refs., 2 figs., 2 tabs

  5. The oil market and international agreements on CO2 emissions

    International Nuclear Information System (INIS)

    Berger, K.; Fimreite, Oe.; Golombek, R.; Hoel, M.

    1991-01-01

    In order to avoid a relatively large risk of dramatic adverse climatic changes during the next century, greenhouse gas emissions must be reduced significantly relative to present emissions. CO 2 is the most important greenhouse gas, so any international agreement will certainly cover CO 2 emissions. Any international agreement to reduce emissions of CO 2 is going to have a significant impact on the markets for fossil fuels. The analysis shows that is not only the amount of CO 2 emissions permitted in an agreement which matters for fossil fuel prices, but also the type of agreement. Two obvious forms of agreements, which under certain assumptions both are cost efficient, are (a) tradeable emission permits, and (b) an international CO 2 tax. If the fossil fuel markets were perfectly competitive, these two types of agreements would have the same effect on the producer price of fossil fuels. However, fossil fuel markets are not completely competitive. It is shown that, under imperfect competition, direct regulation of the ''tradeable quotas'' type tends to imply higher producer prices than an international CO 2 tax giving the same total CO 2 emissions. A numerical illustration of the oil market indicates that the difference in producer prices for the two types of CO 2 agreements is quite significant. 6 refs., 2 figs., 1 tab

  6. Reducing conflict-related employee strain: The benefits of an internal locus of control and a problem-solving conflict management strategy

    OpenAIRE

    Dijkstra, M.T.M.; Beersma, B.; Evers, A.

    2011-01-01

    Workplace conflict is a potent stressor, but most previous research has focused on its effect on productivity and performance rather than on individual well-being. This paper examines the moderating roles of an individual's internal locus of control and a problem-solving conflict management strategy. In the cross-sectional study, among 774 health care workers in the Netherlands, employees' internal locus of control did moderate the relationship between experienced conflict at work and psychol...

  7. Reducing stigma and discrimination: Candidate interventions

    Directory of Open Access Journals (Sweden)

    Kassam Aliya

    2008-04-01

    Full Text Available Abstract This paper proposes that stigma in relation to people with mental illness can be understood as a combination of problems of knowledge (ignorance, attitudes (prejudice and behaviour (discrimination. From a literature review, a series of candidate interventions are identified which may be effective in reducing stigmatisation and discrimination at the following levels: individuals with mental illness and their family members; the workplace; and local, national and international. The strongest evidence for effective interventions at present is for (i direct social contact with people with mental illness at the individual level, and (ii social marketing at the population level.

  8. Reducing stigma and discrimination: Candidate interventions.

    Science.gov (United States)

    Thornicroft, Graham; Brohan, Elaine; Kassam, Aliya; Lewis-Holmes, Elanor

    2008-04-13

    This paper proposes that stigma in relation to people with mental illness can be understood as a combination of problems of knowledge (ignorance), attitudes (prejudice) and behaviour (discrimination). From a literature review, a series of candidate interventions are identified which may be effective in reducing stigmatisation and discrimination at the following levels: individuals with mental illness and their family members; the workplace; and local, national and international. The strongest evidence for effective interventions at present is for (i) direct social contact with people with mental illness at the individual level, and (ii) social marketing at the population level.

  9. Effectiveness of the International Phytosanitary Standard ISPM No. 15 on reducing wood borer infestation rates in wood packaging material entering the United States

    Science.gov (United States)

    Robert A. Haack; Kerry O. Britton; Eckelhard G. Brockerhoff; Joseph F. Cavey; Lynn J. Garrett; Mark Kimberley; Frank Lowenstein; Amelia Nuding; Lars J. Olson; James Tumer; Kathryn N. Vasilaky

    2014-01-01

    Numerous bark- and wood-infesting insects have been introduced to new countries by international trade where some have caused severe environmental and economic damage. Wood packaging material (WPM), such as pallets, is one of the high risk pathways for the introduction of wood pests. International recognition of this risk resulted in adoption of International Standards...

  10. Nuclear fuel cycle: international market, international constraints and international cooperation

    International Nuclear Information System (INIS)

    Imai, R.

    1977-01-01

    Some of the constraints on the nuclear fuel cycle are ones arising from economic and financial reasons, those caused by uranium resources and their distribution, those arising from technical reasons, issues of public acceptance, and those quite independent of normal industrial considerations, but caused by elements of international politics. The nuclear fuel cycle and the international market, matters of nuclear non-proliferation, and international cooperation are discussed

  11. Over-the-catheter precut to gain access to the biliary duct during ERCP rendezvous.

    Science.gov (United States)

    Manes, Gianpiero; Baratti, Cinzia; Ardizzone, Sandro; Ferla, Fabio; Spiropoulos, Jean; Corsi, Fabio; Foschi, Diego; Trabucchi, Emilio; Bianchi Porro, Gabriele

    2008-10-01

    Endoscopic retrograde cholangiopancreatography (ERCP) rendezvous during laparoscopic cholecystectomy is an efficient and safe method to treat cholecystocholedocholithiasis. Advancing a guidewire through the cystic duct into the duodenum and withdrawing it in the accessory channel of duodenoscope may be, however, laborious. Moreover, rendezvous performed in the typical manner needs the use of several costly accessories. We herein describe a simpler and cheaper method to gain access to the biliary duct at rendezvous. Twenty-four consecutive patients undergoing ERCP rendezvous during laparoscopic cholecystectomy were considered. A catheter was introduced in the cystic duct and advanced into the duodenum. Access to the bile duct was than achieved by means of a precut sphincterotomy performed over the catheter emerging from the papilla. Cannulation was successful in all but two patients, in whom ERCP was performed in the conventional manner. The only complication was a case of mild post-sphincterotomy bleeding. In comparison with the typical rendezvous technique our procedure allowed savings of about 250, since its performance only requires a catheter and a knife sphincterotome. Over-the-catheter precut during ERCP rendezvous is a feasible and safe method which avoids the need for the manipulation of several accessories and guidewires, and thus results in money and time savings.

  12. International institutions for nuclear energy: issues of assessment and design

    International Nuclear Information System (INIS)

    Harris, W.R.

    1978-01-01

    Among the more attractive of candidate institutions and rules-of-trade for advanced fuel cycles are: extension of full-scope International Atomic Energy Agency (IAEA) safeguards as a condition of fuel assurances or technology transfer; international jurisdiction over spent fuel (custody or ownership); an IAEA remote near-real-time verification system for spent fuel remaining under national management; a convention on uniform nuclear fuel identification (tagging) designed to assist safeguards planners, trace diversionary pathways, assign liability, and enhance the credibility of fuel-cycle sanctions; international nuclear service centers for bulk processing operations (heavy water production, enrichment and reprocessing); and fuel-cycle specific regulations. Some risk-reduction measures, for example on internationally managed, remote shutdown and restart-delay system for bulk processing facilities, raise questions of acceptability. Despite uncertainties about international acceptability and hazards of enrichment technology transfer later in this century, it appears feasible to reduce proliferation risks associated with nuclear fuel cycles - existing ones and those under review within the International Nuclear Fuel Cycle Evaluation (INFCE). 6 refereces

  13. Specificity of continuous auditing approach on information technology internal controls

    Directory of Open Access Journals (Sweden)

    Kaćanski Slobodan

    2012-01-01

    Full Text Available Contemporary business world, can not be imagined without the use of information technology in all aspects of business. The use of information technology in manufacturing and non-production companies' activities can greatly facilitate and accelerate the process of operation and control. Because of its complexity, they possess vulnerable areas and provide space for the emergence of accidental and intentional frauds that can significantly materially affect the business decisions made by the companies' management. Implementation of internal controls can greatly reduce the level of errors that can contribute to making the wrong decisions. In order to protect the operating system, the company's management implement an internal audit to periodically examine the fundamental quality of the internal control systems. Since the internal audit, according to its character, only periodically checks quality of internal control systems and information technologies to be reported to the manager, the problem arises in the process of in wrong time reporting the management structures of the business entity. To eliminate this problem, management implements a special approach to internal audit, called continuous auditing.

  14. International cooperative initiatives and the United Nations Framework Convention on Climate Change

    DEFF Research Database (Denmark)

    Bakhtiari, Fatemeh

    2017-01-01

    International cooperative initiatives (ICIs) are multi-country, multi-actor non-state actions that have the potential to reduce emissions of greenhouse gases. The article summarizes the literature on estimates of emission reduction potentials attributed to ICIs. This summary highlights three key ...... efforts under the UNFCCC is uncertain, but believed to be quite large. •The UNFCCC is arguably ill suited to coordinate and strengthen the accountability of international cooperative initiatives.......International cooperative initiatives (ICIs) are multi-country, multi-actor non-state actions that have the potential to reduce emissions of greenhouse gases. The article summarizes the literature on estimates of emission reduction potentials attributed to ICIs. This summary highlights three key...... transparent performance monitoring and reporting mechanisms. The article concludes with two considerations. Firstly, it advocates for the United Nations Environment Programme as one entity that could bring much-needed coordination among ICIs, and between ICIs and national government-led efforts to mitigate...

  15. The Carbon Impact of International Tourists to an Island Country

    Directory of Open Access Journals (Sweden)

    Kang-Ting Tsai

    2018-05-01

    Full Text Available Taiwan, located in the East Asia, is an island country with limited natural resources. To increase economic growth and reduce CO2 emission levels, the Taiwanese government is promoting a sustainable low-carbon tourism industry. This study investigated the CO2 emission coefficient of tourist activities and identified the CO2 emissions (CE patterns of international visitors to Taiwan. The total CO2 emission per visitor without considering international transportation was estimated using a questionnaire. The total CO2 emission comprises the CO2 emission of transportation, the CO2 emission of accommodation, and the CO2 emission of tourist activities. The results suggest that more convenient public transportation might help to reduce the total CO2 emission. Without considering CO2 emission from international air travel, in contrast to many non-island countries where CO2 emission of transportation is the main contributor to total CO2 emission, the CO2 emission of accommodation was the main contributor to total CO2 emission in Taiwan. To reduce the CO2 emission of accommodation, the Taiwanese government should improve the energy-use efficiency of devices in tourist hotels and promote bed-and-breakfast accommodations with low CO2 emission coefficients. Visitors enjoyed culinary journeys and shopping, both of which are activities that contribute highly to the CO2 emission of tourist activities because of their high CO2 emission coefficients.

  16. INTEGRAL BENCHMARKS AVAILABLE THROUGH THE INTERNATIONAL REACTOR PHYSICS EXPERIMENT EVALUATION PROJECT AND THE INTERNATIONAL CRITICALITY SAFETY BENCHMARK EVALUATION PROJECT

    Energy Technology Data Exchange (ETDEWEB)

    J. Blair Briggs; Lori Scott; Enrico Sartori; Yolanda Rugama

    2008-09-01

    Interest in high-quality integral benchmark data is increasing as efforts to quantify and reduce calculational uncertainties accelerate to meet the demands of next generation reactor and advanced fuel cycle concepts. The International Reactor Physics Experiment Evaluation Project (IRPhEP) and the International Criticality Safety Benchmark Evaluation Project (ICSBEP) continue to expand their efforts and broaden their scope to identify, evaluate, and provide integral benchmark data for method and data validation. Benchmark model specifications provided by these two projects are used heavily by the international reactor physics, nuclear data, and criticality safety communities. Thus far, 14 countries have contributed to the IRPhEP, and 20 have contributed to the ICSBEP. The status of the IRPhEP and ICSBEP is discussed in this paper, and the future of the two projects is outlined and discussed. Selected benchmarks that have been added to the IRPhEP and ICSBEP handbooks since PHYSOR’06 are highlighted, and the future of the two projects is discussed.

  17. INTEGRAL BENCHMARKS AVAILABLE THROUGH THE INTERNATIONAL REACTOR PHYSICS EXPERIMENT EVALUATION PROJECT AND THE INTERNATIONAL CRITICALITY SAFETY BENCHMARK EVALUATION PROJECT

    International Nuclear Information System (INIS)

    J. Blair Briggs; Lori Scott; Enrico Sartori; Yolanda Rugama

    2008-01-01

    Interest in high-quality integral benchmark data is increasing as efforts to quantify and reduce calculational uncertainties accelerate to meet the demands of next generation reactor and advanced fuel cycle concepts. The International Reactor Physics Experiment Evaluation Project (IRPhEP) and the International Criticality Safety Benchmark Evaluation Project (ICSBEP) continue to expand their efforts and broaden their scope to identify, evaluate, and provide integral benchmark data for method and data validation. Benchmark model specifications provided by these two projects are used heavily by the international reactor physics, nuclear data, and criticality safety communities. Thus far, 14 countries have contributed to the IRPhEP, and 20 have contributed to the ICSBEP. The status of the IRPhEP and ICSBEP is discussed in this paper, and the future of the two projects is outlined and discussed. Selected benchmarks that have been added to the IRPhEP and ICSBEP handbooks since PHYSOR-06 are highlighted, and the future of the two projects is discussed

  18. Lessons learned: Infrastructure development and financial management for large, publicly funded, international trials.

    Science.gov (United States)

    Larson, Gregg S; Carey, Cate; Grarup, Jesper; Hudson, Fleur; Sachi, Karen; Vjecha, Michael J; Gordin, Fred

    2016-04-01

    Randomized clinical trials are widely recognized as essential to address worldwide clinical and public health research questions. However, their size and duration can overwhelm available public and private resources. To remain competitive in international research settings, advocates and practitioners of clinical trials must implement practices that reduce their cost. We identify approaches and practices for large, publicly funded, international trials that reduce cost without compromising data integrity and recommend an approach to cost reporting that permits comparison of clinical trials. We describe the organizational and financial characteristics of The International Network for Strategic Initiatives in Global HIV Trials, an infectious disease research network that conducts multiple, large, long-term, international trials, and examine challenges associated with simple and streamlined governance and an infrastructure and financial management model that is based on performance, transparency, and accountability. It is possible to reduce costs of participants' follow-up and not compromise clinical trial quality or integrity. The International Network for Strategic Initiatives in Global HIV Trials network has successfully completed three large HIV trials using cost-efficient practices that have not adversely affected investigator enthusiasm, accrual rates, loss-to-follow-up, adherence to the protocol, and completion of data collection. This experience is relevant to the conduct of large, publicly funded trials in other disease areas, particularly trials dependent on international collaborations. New approaches, or creative adaption of traditional clinical trial infrastructure and financial management tools, can render large, international clinical trials more cost-efficient by emphasizing structural simplicity, minimal up-front costs, payments for performance, and uniform algorithms and fees-for-service, irrespective of location. However, challenges remain. They

  19. Providing Japanese health care information for international visitors: digital animation intervention.

    Science.gov (United States)

    Nishikawa, Mariko; Yamanaka, Masaaki; Kiriya, Junko; Jimba, Masamine

    2018-05-21

    Over 24 million international visitors came to Japan in 2016 and the number is expected to increase. Visitors could be at a risk of illness or injury that may result in hospitalization in Japan. We assessed the effects of a four-minute digital animation titled Mari Info Japan on the level of anxiety experienced by international visitors to Japan. We conducted a non-randomized, controlled study at Narita International Airport outside Tokyo in December 2014. On the first day, we recruited international visitors for the intervention group at predetermined departure gates and, the following day, we sampled visitors for the control group at the same gates. We repeated this procedure twice over 4 days. The intervention group watched the digital animation and the control group read a standard travel guidebook in English. After receiving either intervention, they completed a questionnaire on their level of anxiety. The outcome was assessed using the Mari Meter-X, The State-Trait Anxiety Inventory Form Y (STAI-Y), and a face scale, before and immediately after the intervention. We analyzed data with Wilcoxon rank sum tests. We recruited 265 international visitors (134 in the intervention group, 131 in the control group), 241 (91%) of whom completed the questionnaire. Most of them had no previous Japanese health information before arrival in Japan. The level of anxiety about health services in Japan was significantly reduced in the intervention group (Mari Meter-X median: - 5 and 0, p animation is more effective in reducing anxiety among international visitors to Japan compared with reading a standard brochure or guidebook. Such effective animations of health information should be more widely distributed to international visitors. UMIN-CTR (University Hospital Medical Information Network Center Clinical Trials Registry), UMIN000015023 , September 3, 2014.

  20. International energy-promotion-activities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    Comprehensive promotion of energy and environmental measures are demanded in order to realize improvement in energy demand/supply structures in developing countries where increase in energy demand is anticipated. To achieve this goal, technical transfer related to energy saving technologies and clean coal as well as international energy promotion activities are implemented in China and Indonesia since fiscal 1993. In the field of energy saving, model operations are performed to improve efficiency in such energy consuming fields as steel making, power generation, and oil refining, in addition to cooperation in structuring databases and establishing master plans. In the clean coal field, model operations are conducted to reduce environmental load in coal utilizing areas, in addition to cooperation in establishing master plans for coal utilization. This paper describes feasibility studies on environmentally harmonious coal utilization systems in developing countries, assistance to introduction thereof, and joint verification operations. To rationalize international energy usage, basic surveys on energy utilization efficiency improvement and model operations are carried out mainly in the Asia-Pacific countries.

  1. Is the Potential for International Diversification Disappearing? A Dynamic Copula Approach

    DEFF Research Database (Denmark)

    Christoffersen, Peter; Errunza, Vihang; Jacobs, Kris

    International equity markets are characterized by nonlinear dependence and asymmetries. We propose a new dynamic asymmetric copula model to capture long-run and short-run dependence, multivariate nonnormality, and asymmetries in large cross-sections. We find that copula correlations have increased...... and nonlinear dependence. The bene…fits from international diversi…cation have reduced over time, drastically so for DMs. EMs still offer signi…cant diversi…cation bene…ts, especially during large market downturns....

  2. International Criminalization of International Terrorizm

    Directory of Open Access Journals (Sweden)

    Alexander Grigoryevich Volevodz

    2014-01-01

    Full Text Available Analysis and studying of the terrorism in all its facets is a complex entangled problem with less clear legal regulation that it might seem at first glance, especially after its transformation from local phenomenon into a world threat. Hitherto terrorism and actions connected to it have been criminalized by the majority of states. There are in modern criminal law whole systems of rules on criminal liability for terrorism which differs considerably from country to country. Terrorism has been criminalized in numerous international regional and universal antiterrorist legal instruments. The author notes that differences in definitions that are enshrined in them hinders international cooperation in criminal matters with respect to terrorist cases. Difficulties reside in the necessity to meet the dual criminality requirement and in the political offense exception. These difficulties can only be overcome through elaboration of a universally recognized definition of the notion of international terrorism and making it legally binding via its inclusion into a universal convention. The issue of definition of international terrorism is an important part of an efficient mutual assistance among states in fight against this crime. In this article the author accounts of actual ways of tackling by the international community of the issue of criminalization of international terrorism and of factors influencing them.

  3. International Survey on agriculture-climate change policy instruments

    Energy Technology Data Exchange (ETDEWEB)

    Fernagut, M.; Priem, M.; Sorgeloos, L.

    2011-09-15

    The title study provides an international overview of agriculture-climate change policy instruments for the reduction of methane and nitrous oxide emissions. The aim of this study is to clarify how national and/or international agriculture-climate-policies could or should be instrumented during the coming three to five years to achieve significant emission reductions of methane and nitrous oxide in the Dutch agricultural sector by 2020. The study includes an international survey, a quick-scan inventory of useful and inspiring examples of policy and reduction measures to reduce non CO2 greenhouse gases. ERM used an approach consisting out of three phases. In the first phase countries were selected on the basis of emissions and Kyoto protocol targets. In the second phase policy measures of these countries were listed, based on publicly available national and international sources. In a third phase a sub-set of this selection was analyzed in-depth through communications with local focal points and additional review of policy documents, to enhance the understanding of context, impact and results of each of these policies and measures.

  4. Internal Logistics System Selection with Total Cost of Ownership Analysis

    Science.gov (United States)

    Araújo, Inês; Pimentel, Carina; Godina, Radu; Matias, João C. O.

    2017-06-01

    In this paper a methodology was followed in order to support the decision-making of one industrial unit regarding its internal logistics system. The addressed factory was facing issues with their internal logistics approach. Some alternatives were pointed out and a proper total cost of ownership (TCO) analysis was developed. This analysis was taken in order to demonstrate the more cost-effective solution for the internal logistics system. This tool is more and more valued by the companies, due to their willing to reduce the costs that are associated with the way of doing business. Despite the proposal of the best choice for the internal logistics system of the enterprise, this study also intends to present some conclusions about the match between the nature of the industrial unit and the logistics systems that best fit the requirements of those.

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

    CSIR Research Space (South Africa)

    Cooper, Antony K

    2008-10-01

    Full Text Available ; visiting friends; and providing a reference context for presenting other information. The benefits of an international address standards include: enabling address interoperability across boundaries; reducing service delivery costs; enabling development...

  6. Anchored but not internalized: shape dependent endocytosis of nanodiamond

    Science.gov (United States)

    Zhang, Bokai; Feng, Xi; Yin, Hang; Ge, Zhenpeng; Wang, Yanhuan; Chu, Zhiqin; Raabova, Helena; Vavra, Jan; Cigler, Petr; Liu, Renbao; Wang, Yi; Li, Quan

    2017-04-01

    Nanoparticle-cell interactions begin with the cellular uptake of the nanoparticles, a process that eventually determines their cellular fate. In the present work, we show that the morphological features of nanodiamonds (NDs) affect both the anchoring and internalization stages of their endocytosis. While a prickly ND (with sharp edges/corners) has no trouble of anchoring onto the plasma membrane, it suffers from difficult internalization afterwards. In comparison, the internalization of a round ND (obtained by selective etching of the prickly ND) is not limited by its lower anchoring amount and presents a much higher endocytosis amount. Molecular dynamics simulation and continuum modelling results suggest that the observed difference in the anchoring of round and prickly NDs likely results from the reduced contact surface area with the cell membrane of the former, while the energy penalty associated with membrane curvature generation, which is lower for a round ND, may explain its higher probability of the subsequent internalization.

  7. The Interrelations Between Internalized Homophobia, Depressive Symptoms, and Suicidal Ideation Among Australian Gay Men, Lesbians, and Bisexual Women.

    Science.gov (United States)

    McLaren, Suzanne

    2016-01-01

    Internalized homophobia has been linked to depression among gay men, lesbians, and bisexuals. Relatively little research has investigated the link between internalized homophobia and suicidal thoughts and behaviors. The current research investigated the interrelations among internalized homophobia, depressive symptoms, and suicidal ideation by testing additive, mediation, and moderation models. Self-identified Australian gay men (n = 360), lesbians (n = 444), and bisexual women (n = 114) completed the Internalized Homophobia Scale, the Center for Epidemiological Studies Depression Scale, and the suicide subscale of the General Health Questionnaire. Results supported the additive and partial mediation models for gay men and the mediation and moderation models for lesbians. None of the models were supported for bisexual women. The findings imply that clinicians should focus on reducing internalized homophobia and depressive symptoms among gay men and lesbians, and depressive symptoms among bisexual women, to reduce suicidal ideation.

  8. Development of Probabilistic Internal Dosimetry Computer Code

    Energy Technology Data Exchange (ETDEWEB)

    Noh, Siwan [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Kwon, Tae-Eun [Korea Institute of Radiological and Medical Sciences, Seoul (Korea, Republic of); Lee, Jai-Ki [Korean Association for Radiation Protection, Seoul (Korea, Republic of)

    2017-02-15

    situations. In cases of severe internal exposure, the causation probability of a deterministic health effect can be derived from the dose distribution, and a high statistical value (e.g., the 95{sup th} percentile of the distribution) can be used to determine the appropriate intervention. The distribution-based sensitivity analysis can also be used to quantify the contribution of each factor to the dose uncertainty, which is essential information for reducing and optimizing the uncertainty in the internal dose assessment. Therefore, the present study can contribute to retrospective dose assessment for accidental internal exposure scenarios, as well as to internal dose monitoring optimization and uncertainty reduction.

  9. Development of Probabilistic Internal Dosimetry Computer Code

    International Nuclear Information System (INIS)

    Noh, Siwan; Kwon, Tae-Eun; Lee, Jai-Ki

    2017-01-01

    of severe internal exposure, the causation probability of a deterministic health effect can be derived from the dose distribution, and a high statistical value (e.g., the 95 th percentile of the distribution) can be used to determine the appropriate intervention. The distribution-based sensitivity analysis can also be used to quantify the contribution of each factor to the dose uncertainty, which is essential information for reducing and optimizing the uncertainty in the internal dose assessment. Therefore, the present study can contribute to retrospective dose assessment for accidental internal exposure scenarios, as well as to internal dose monitoring optimization and uncertainty reduction.

  10. Exploring Regional and Institutional Factors of International Students' Dropout: The South Korea Case

    Science.gov (United States)

    Jung, Jisun; Kim, Yangson

    2018-01-01

    With an increasing number of international students in South Korea, the issue of retaining these students and reducing their dropout rates has become important. This study explores the multilevel factors that affect the institutional dropout rate among international students in Korea. The research questions are as follows: (a) to what extent do…

  11. Agency Agreements Process Champion Support Intern

    Science.gov (United States)

    Miksa, Ember

    2018-01-01

    This document will provide information on the 2018 Spring semester NIFS Intern who represented the Office of Chief Financial Officer (OCFO) as a Reimbursable Accountant at Kennedy Space Center (KSC). This intern supported the Agency Agreements Process Champions and Team Lead, Susan Kroskey, Sandy Massey and Mecca Murphy, with major initiatives to advance the KSC OCFO's vision of creating and innovating healthy financial management practices that maximize the value of resources entrusted to NASA. These initiatives include, but are not limited to: updating the Agency Guidance and NASA Procedural Guidance 9090.1 Agreements, implementing a new budget structure to be utilized across all centers, submitting a Call Request (CRQ) to enhance non-federal customer reporting, initiating a discussion to incorporate a 3-year funding program for NASA agreements, and undertaking the Office of Inspector General (OIG) Audit. In support of these initiatives, this intern identified technical methods to enhance and reduce the workload of financial processes for reimbursable and non-reimbursable agreements, prepared reports in support of accounting functions, and performed administrative work and miscellaneous technical tasks in support of the OCFO as requested. In conclusion of the internship, the intern will become knowledgeable on reimbursable accounting, reimbursable policy, types of reimbursable agreements, the agreements process, estimated pricing reports, and the roles and responsibilities of the Financial Accounting and Financial Services offices.

  12. The influence of attitudes toward immigrants on international migration

    DEFF Research Database (Denmark)

    Gorinas, Cedric; Pytlikova, Mariola

    2015-01-01

    We investigate whether anti-immigrant attitudes reduce migrant inflows in OECD countries. Using comprehensive data on international migration and natives’ attitudes, we find that natives’ hostility, when captured with natives’ propensity to discriminate against immigrants on the labor market......, reduces immigration. This effect persists after we control for changes in immigration policies and is stronger for immigrants from OECD countries. Further we show that knowledge of the destination country’s language reinforces the effect. Our results raise a challenge for policy makers in times when...

  13. The History of Romania’s Relations with the International Monetary Fund

    Directory of Open Access Journals (Sweden)

    Gheorghe Stefan

    2011-02-01

    Full Text Available The International Monetary Fund aims primarily at ensuring the stability of theinternational monetary system more specifically the international payment system which allowscountries and their citizens to buy, sell goods and services between them. This is essential forsustainable economic growth, improvement of life standards and reducing poverty all around theworld. The goals of Romania’s agreements with IMF subscribe these parameters, mostly the currentone, this being emphasized by the economic recession and the necessity of reducing fiscal imbalancein order to attain a deficit with normal values acceptable in the EU. These include: maintaining theinflation at the range aimed by RNB, ensuring a sufficient external financing and improvingcredibility, the attempt to amortize the effects of severe capital absorption and resolution forRomania’s external and fiscal imbalances and consolidation of the financial area.

  14. Reducing status quo bias in choice experiments

    DEFF Research Database (Denmark)

    Bonnichsen, Ole; Ladenburg, Jacob

    In stated preference literature, the tendency to choose the alternative representing the status quo situation seems to exceed real life status quo effects. Accordingly, status quo bias can be a problem. In Choice Experiments, status quo bias is found to be strongly correlated with protest attitudes...... toward the cost attribute. If economic values are to be elicited, this problem is difficult to remedy. In a split sample framework we test a novel ex-ante entreaty aimed specifically at the cost attribute and find that it effectively reduces status quo bias and improves the internal validity...

  15. How Much Is That in Dollars?: Costly International Downsizing

    Science.gov (United States)

    Renard, Monika; Tracy, Kay

    2011-01-01

    Economic downturns can lead companies doing business internationally to cut costs by reducing staff and/or closing subsidiaries. Efficiency in downsizing can put people and capital to their most effective use. This exercise educates students about country differences in labor termination practices, costs, legal requirements for downsizing, and…

  16. Process gas generator feeding internal combustion piston engines

    Energy Technology Data Exchange (ETDEWEB)

    Iwantscheff, G; Kostka, H; Henkel, H J

    1978-10-26

    The invention relates to a process gas generator feeding gaseous fuel to internal combustion piston engines. The cylinder linings of the internal combustion engine are enclosed by the catalytic reaction chamber of the process gas generator which contains perforated sintered nozzle bricks as carriers of the catalysts needed for the conversion. The reaction chamber is surrounded by the exhaust gas chamber around which a tube coil is ound which feeds the fuel charge to the reaction chamber after evaporation and mixing with exhaust gas and air. The fuel which may be used for this purpose, e.g., is low-octane gasoline or diesel fuel. In the reaction chamber the fuel is catalytically converted at temperatures above 200/sup 0/C, e.g., into low-molecular paraffins, carbon monoxide and hydrogen. Operation of the internal combustion engine with a process gas generator greatly reduces the pollutant content of the exhaust gases.

  17. TLR4-dependent internalization of CX3CR1 aggravates sepsis-induced immunoparalysis.

    Science.gov (United States)

    Ge, Xin-Yu; Fang, Shang-Ping; Zhou, Miao; Luo, Jing; Wei, Juan; Wen, Xue-Ping; Yan, Xiao-Di; Zou, Zui

    2016-01-01

    Sepsis, the most severe manifestation of infection, poses a major challenge to health-care systems around the world. Limited ability to clean and remove the pathogen renders difficulty in septic patients to recover from the phase of immunoparalysis. The present study found the vital role of CX3CR1 internalization on sepsis-induced immunoparalysis. A mouse model with cecal ligation and puncture (CLP) and cell model with lipopolysaccharides (LPS) were employed to explore the relationship between CX3CR1 internalization and septic immunoparalysis. Immunoparalysis model in mice was established 4 days after CLP with significantly decreased proinflammatory cytokines. Flow cytometry analysis found a decreased surface expression of CX3CR1 during immunoparalysis, which was associated with reduced mRNA level and increased internalization of CX3CR1. G-protein coupled receptor kinase 2 (GRK2) and β-arrestin2 were significantly increased during septic immunoparalysis and involved in the internalization of CX3CR1. TLR4 -/- or TLR4 inhibitor-treated macrophages exhibited an inhibited expression of GRK2 and β-arrestin2, along with reduced internalization of CX3CR1. Moreover, the knockdown of GRK2 and β-arrestin2 inhibited the internalization of CX3CR1 and led to a higher response on the second hit, which was associated with an increased activation of NF-κB. The critical association between internalization of CX3CR1 and immunosuppression in sepsis may provide a novel reference for clinical therapeutics.

  18. Catalysts, systems and methods to reduce NOX in an exhaust gas stream

    Science.gov (United States)

    Castellano, Christopher R.; Moini, Ahmad; Koermer, Gerald S.; Furbeck, Howard

    2010-07-20

    Catalysts, systems and methods are described to reduce NO.sub.x emissions of an internal combustion engine. In one embodiment, an emissions treatment system for an exhaust stream is provided having an SCR catalyst comprising silver tungstate on an alumina support. The emissions treatment system may be used for the treatment of exhaust streams from diesel engines and lean burn gasoline engines. An emissions treatment system may further comprise an injection device operative to dispense a hydrocarbon reducing agent upstream of the catalyst.

  19. The hitchhiker's guide to altruism: gene-culture coevolution, and the internalization of norms.

    Science.gov (United States)

    Gintis, Herbert

    2003-02-21

    An internal norm is a pattern of behavior enforced in part by internal sanctions, such as shame, guilt and loss of self-esteem, as opposed to purely external sanctions, such as material rewards and punishment. The ability to internalize norms is widespread among humans, although in some so-called "sociopaths", this capacity is diminished or lacking. Suppose there is one genetic locus that controls the capacity to internalize norms. This model shows that if an internal norm is fitness enhancing, then for plausible patterns of socialization, the allele for internalization of norms is evolutionarily stable. This framework can be used to model Herbert Simon's (1990) explanation of altruism, showing that altruistic norms can "hitchhike" on the general tendency of internal norms to be personally fitness-enhancing. A multi-level selection, gene-culture coevolution argument then explains why individually fitness-reducing internal norms are likely to be prosocial as opposed to socially harmful.

  20. Selected Tax Aspects of International Business

    OpenAIRE

    Tichá, Dominika

    2014-01-01

    The result of the global integration of the world economy are globally operating corporations. Multinational enterprises operate in different countries whose economic policies are different from each other. These differences have considerable impact on tax policy. Taxes are the subject of conflicting interests of the international business and tax policy. One of the current objectives of the MNEs is to reduce the total cost in order to achieving competitive advantage in the global market as w...

  1. External versus Internal Distraction Devices in Treatment of Obstructive Sleep Apnea in Craniofacial Anomalies.

    Science.gov (United States)

    Rachmiel, Adi; Nseir, Saleh; Emodi, Omri; Aizenbud, Dror

    2014-07-01

    Obstructive sleep apnea is often associated with congenital craniofacial malformations due to hypoplastic mandible and decreased pharyngeal airway. In this study, we will compare external and internal distraction devices for mandibular lengthening in terms of effectiveness, results, patient comfort, and complications. Thirty-seven patients were treated by bilateral mandibular distraction osteogenesis for obstructive sleep apnea: 20 with external and 17 with internal distraction devices. Lengthening of the mandible and increase of the pharyngeal airway were obtained in all patients. Using the external devices, the average mandibular elongation was 30 mm versus 22 mm with the internal devices; however, after 1 year, the results were more stable with internal devices. External devices carried greater risk for pin tract infection than the internal devices (27.5% vs 5.88%). In addition, pin loosening in 22.5% required pin replacement or led to reduced retention period. Internal devices had a precise and predictable vector of lengthening and left less visible scars at the submandibular area but carried the disadvantage of requiring a second operation for device removal. In very young children with severe micrognathia, it was impossible to place internal devices, and external devices were used. Internal devices should be the first choice because they are more comfortable to the patients, more predictable vector of lengthening, are less vulnerable to dislodgement, and leave reduced scarring, with the great disadvantage of second operation for removal. However, external devices still should be considered mainly in severely hypoplastic cases, and the surgeon should be prepared for both options.

  2. Panel discussion on vaccine development to meet U.S. and international needs. Strategies for reducing the disincentives to HIV vaccine development: description of a successful public-private sector international collaboration.

    Science.gov (United States)

    Bronnenkant, L

    1994-01-01

    A representative of Finishing Enterprises, the world's largest manufacturer of intrauterine contraceptive devices (IUDs), discusses how to alter the balance of incentives-disincentives to expedite the development of HIV vaccines for international evaluation. Three main disincentives exist for private manufacturers in the United States to develop a new HIV vaccine to be used in developing countries, outside the profitable North American and western European markets: 1) low profit margin because of limited money, time, and resources. Medium and large-sized corporations are more concerned with a high return on their investment owing to stockholder pressure than with the human benefit of that investment. 2) Lengthy regulatory approval process. The current regulatory process in the US is tedious, time-consuming, and costly. 3) Liability risk. The United States is the most litigious society in the world. Suits filed against US corporations involved in drug manufacture incur legal defence costs, which make an already low profit margin HIV vaccine even lower. Finishing Enterprises' IUD program aimed at providing the safest and most effective IUD at an affordable price in a socially responsible way. The Population Council developed the Copper T and retained the patent rights. They and other international health authorities, such as the World Health Organization, conducted or monitored international clinical trials to determine safety and efficacy. Private foundations and public donor agencies funded these activities. When donor agencies committed to volume purchases for their commodity programs, Finishing Enterprises could commit to volume pricing. Whenever high-margin private sector sales occur, Population Council receives a royalty payment. Thus, the disincentives were overcome: 1) Low profit margin was less an issue for a small, private company created specifically to manufacture IUDs and guaranteed volume orders. 2) Lengthy regulatory approval processes were avoided by

  3. Evidence for the involvement of cofilin in Aspergillus fumigatus internalization into type II alveolar epithelial cells.

    Science.gov (United States)

    Bao, Zhiyao; Han, Xuelin; Chen, Fangyan; Jia, Xiaodong; Zhao, Jingya; Zhang, Changjian; Yong, Chen; Tian, Shuguang; Zhou, Xin; Han, Li

    2015-08-13

    The internalization of Aspergillus fumigatus into alveolar epithelial cells (AECs) is tightly controlled by host cellular actin dynamics, which require close modulation of the ADF (actin depolymerizing factor)/cofilin family. However, the role of cofilin in A. fumigatus internalization into AECs remains unclear. Here, we demonstrated that germinated A. fumigatus conidia were able to induce phosphorylation of cofilin in A549 cells during the early stage of internalization. The modulation of cofilin activity by overexpression, knockdown, or mutation of the cofilin gene in A549 cells decreased the efficacy of A. fumigatus internalization. Reducing the phosphorylation status of cofilin with BMS-5 (LIM kinase inhibitor) or overexpression of the slingshot phosphatases also impeded A. fumigatus internalization. Both the C. botulimun C3 transferase (a specific RhoA inhibitor) and Y27632 (a specific ROCK inhibitor) reduced the internalization of A. fumigatus and the level of phosphorylated cofilin. β-1,3-glucan (the major component of the conidial cell wall) and its host cell receptor dectin-1 did not seem to be associated with cofilin phosphorylation during A. fumigatus infection. These results indicated that cofilin might be involved in the modulation of A. fumigatus internalization into type II alveolar epithelial cells through the RhoA-ROCK-LIM kinase pathway.

  4. Combined sodium ion sensitivity in agonist binding and internalization of vasopressin V1b receptors.

    Science.gov (United States)

    Koshimizu, Taka-Aki; Kashiwazaki, Aki; Taniguchi, Junichi

    2016-05-03

    Reducing Na(+) in the extracellular environment may lead to two beneficial effects for increasing agonist binding to cell surface G-protein coupled receptors (GPCRs): reduction of Na(+)-mediated binding block and reduce of receptor internalization. However, such combined effects have not been explored. We used Chinese Hamster Ovary cells expressing vasopressin V1b receptors as a model to explore Na(+) sensitivity in agonist binding and receptor internalization. Under basal conditions, a large fraction of V1b receptors is located intracellularly, and a small fraction is in the plasma membrane. Decreases in external Na(+) increased cell surface [(3)H]AVP binding and decreased receptor internalization. Substitution of Na(+) by Cs(+) or NH4(+) inhibited agonist binding. To suppress receptor internalization, the concentration of NaCl, but not of CsCl, had to be less than 50 mM, due to the high sensitivity of the internalization machinery to Na(+) over Cs(+). Iso-osmotic supplementation of glucose or NH4Cl maintained internalization of the V1b receptor, even in a low-NaCl environment. Moreover, iodide ions, which acted as a counter anion, inhibited V1b agonist binding. In summary, we found external ionic conditions that could increase the presence of high-affinity state receptors at the cell surface with minimum internalization during agonist stimulations.

  5. Mathematics of flexible risers including pressure and internal flow affects

    Energy Technology Data Exchange (ETDEWEB)

    Seyed, F.B. (John Brown Engineers and Constructors Ltd., London (GB)); Patel, M.H. (University Coll., London (GB). Dept. of Mechanical Engineering)

    1992-01-01

    Derivations are presented for calculation of pressure and internal flow induced forces on flexible risers and other curved pipes using a mathematically rigorous approach. Approximate and exact methods are presented for calculation of pressure forces on straight and curved pipes in two dimensions. The mathematical identity of these equations with those for effective tension is illustrated. The force arising from the flow of an internal fluid of constant density is then calculated and combined with those for pressure forces in derivation of the catenary equations including pressure and internal flow terms. It is shown that internal flow contributes a new term to the expression for effective tension. These governing equations are then reduced for the specific cases of simple catenary, steep-S, lazy-S, steep-wave and lazy-wave risers. In each case, the solution method has been presented and the governing equilibrium and geometric compatability conditions cited. (author).

  6. Estimates of Future Supply of International Greenhouse Gas Offsets: A Critical Review

    Energy Technology Data Exchange (ETDEWEB)

    Erickson, Peter; Lazarus, Michael (Stockholm Environment Inst. (United States)), e-mail: mlaz@sei-us.org; Kelly, Alexia (World Resources Inst., (United States))

    2010-07-01

    This report reviews estimates of the projected availability (i.e., supply) of international offsets, evaluates the various methods used and outlines factors that should be incorporated into future analyses of international offset supply and quality. U.S. policymakers have relied on offsets from developing countries as a primary form of cost containment in proposed cap-and-trade legislation. These legislative proposals allow for emitters to use up to 1.5 billion tons CO{sub 2}e of offsets from developing countries to meet their annual compliance obligations. In this paper, we review estimates of the projected availability (i.e., supply) of international offsets, and evaluate the various methods used. We find that: (1) Estimates of supply of international offsets to global markets vary widely, with estimates differing by billions of tons CO{sub 2}e annually in 2020; (2) Despite the variation, existing studies suggest that by 2020 gross international offset supply will likely exceed U.S. demand for international offsets under current Congressional cap-and-trade designs; (3) Competition with governments and entities with emission reduction obligations (e.g. the EU), as well as with policies and measures undertaken by developing countries as part of their own mitigation contributions, could reduce the net offset supply available to U.S. entities; and (4) Several important offset program design and market factors that are central to future offset markets and credit issuance (e.g., sources of offset supply, program stringency and crediting methods, establishment of international governance and market structures) have yet to be systematically considered in offset supply assessments. This paper outlines factors that should be incorporated into future analyses of international offset supply and quality. 7 Such analyses could prove particularly germane as policy makers continue to deliberate on the role of international offsets, including whether and how to recognize credits

  7. Interventions to reduce corruption in the health sector.

    Science.gov (United States)

    Gaitonde, Rakhal; Oxman, Andrew D; Okebukola, Peter O; Rada, Gabriel

    2016-08-16

    Corruption is the abuse or complicity in abuse, of public or private position, power or authority to benefit oneself, a group, an organisation or others close to oneself; where the benefits may be financial, material or non-material. It is wide-spread in the health sector and represents a major problem. Our primary objective was to systematically summarise empirical evidence of the effects of strategies to reduce corruption in the health sector. Our secondary objective was to describe the range of strategies that have been tried and to guide future evaluations of promising strategies for which there is insufficient evidence. We searched 14 electronic databases up to January 2014, including: CENTRAL; MEDLINE; EMBASE; sociological, economic, political and other health databases; Human Resources Abstracts up to November 2010; Euroethics up to August 2015; and PubMed alerts from January 2014 to June 2016. We searched another 23 websites and online databases for grey literature up to August 2015, including the World Bank, the International Monetary Fund, the U4 Anti-Corruption Resource Centre, Transparency International, healthcare anti-fraud association websites and trial registries. We conducted citation searches in Science Citation Index and Google Scholar, and searched PubMed for related articles up to August 2015. We contacted corruption researchers in December 2015, and screened reference lists of articles up to May 2016. For the primary analysis, we included randomised trials, non-randomised trials, interrupted time series studies and controlled before-after studies that evaluated the effects of an intervention to reduce corruption in the health sector. For the secondary analysis, we included case studies that clearly described an intervention to reduce corruption in the health sector, addressed either our primary or secondary objective, and stated the methods that the study authors used to collect and analyse data. One review author extracted data from the

  8. Removal of internal fixation--the effect on patients' complaints: a study of 66 cases of removal of internal fixation after malleolar fractures

    DEFF Research Database (Denmark)

    Jacobsen, S; Honnens de Lichtenberg, M; Jensen, C M

    1994-01-01

    To estimate the effect of removal of internal fixation after treatment of malleolar fractures on postoperatively presented complaints, we retrospectively evaluated 66 patients by their records and by personal questionnaires. Of all the patients, 89.4% had one or more complaints. These were...... typically soreness over implant and cicatrix, reduced movement of the ankle joint, and strain-related pain. About 75% of these patients reported improvement after removal. The AO mode of fixation, i.e., typically by lateral semitubular plating and transsyndesmotic screw and a medial screw or pins...... period. We conclude that removal of internal fixation after malleolar fractures is indicated when common types of complaints are presented....

  9. Effect of tooth profile modification on wear in internal gears

    Science.gov (United States)

    Tunalioglu, M. S.; Tuc, B.

    2018-05-01

    Internal gears are often used in the automotive industry when two gears are required to rotate in the same direction. Tooth shapes, slippage speeds at the beginning and end of meshing are different according to the external gears. Manufacturing of internal gears is more difficult than external gears. Thus, it is necessary to determine the working conditions and wear behavior of internal gears carefully. The profile modification method in terms of strength and surface tension of the gear mechanism are performed in order to increase the load-carrying capability. In this study, profile modification method was performed in the internal gears to reduce the wear on the teeth. For this purpose, the wear of the internal gears was theoretically investigated by adapting the Archard wear equation to the internal gears. Closed circuit power circulation system was designed and manufactured to experimentally investigate the wear in internal gears. With this system, wear tests of gears made of St 50 material without profile modification and different profile modifications were made and the results were compared. Experimental study was performed in the same loading and cycle time conditions to validate the theoretical results and it was seen that the results are compatible. According to the experimental results, it is seen that in the internal gears, when profile modification done the wear is decreased in the teeth tip region.

  10. The International Double Taxation – causes and avoidance

    Directory of Open Access Journals (Sweden)

    Nicoleta Barbuta-Misu

    2009-10-01

    Full Text Available The politics and tax legislation being a manifestation of strict sovereignty of the State, the phenomenon of double taxation occursfrequently representing a difficult poison for the foreign trade activity, especially hindering investments abroad, technology transfer or proliferationoutside of the state of the companies’ branches. Therefore, international legal double taxation, by the repeated taxation of the income, it is anobstacle to the development of economic relations between states, reducing the revenue of the international operators and their interests in makinginvestment abroad. This paper presents the main causes that determine double taxation, its forms, i.e. the economic double taxation and theinternational legal double taxation, the need for eliminating the double taxation and avoidance methods.

  11. Evolution of international trade and investment networks

    Science.gov (United States)

    Zhang, Shuhong; Wang, Lin; Liu, Zhixin; Wang, Xiaofan

    2016-11-01

    In this paper, an evolving two-layer international economy network (IEN) consisting of international trade network (ITN) and international investment network (IIN) as layers, is constructed to investigate the world economy from 2001 to 2010. First, the structure analysis shows that the average partner numbers for both trade and investment are increasing year by year, and the average volume has a significant decrease in 2008 for investment and 2009 for trade. The IIN has longer average path length and dramatically lower edge density compared with the ITN, yet its clustering coefficient is larger in all years. Then, the regional relativity indicates that the longer the distance between two countries, the smaller trade and investment volumes they carry in are general, and the impact of the geographical distance gradually reduces as time goes on. Furthermore, the countries and regions are ranked by Pagerank in ITN, IIN and IEN to illustrate the roles they played. And finally, community structures are detected to visualize the global economic landscape, with countries and regions in the same community ranked according to the total volume of trade or investment.

  12. Efficiency, equity or disagreement? The economics of international carbon abatement negotiations

    International Nuclear Information System (INIS)

    Mabey, N.; Smith, C.

    1995-01-01

    The current international effort to reduce greenhouse gas emissions, as embodied in the Framework Convention on Climate Change, is often criticized as inefficient by economists because it uses uniform targets instead of more theoretically efficient instruments such as international taxes. However, the effectiveness of any international treaty in producing environmental benefits is not wholly dependent on its economic efficiency but also on its political stability and the ability to accurately monitor and enforce its conditions. Stability depends on the magnitude and distribution of costs and benefits between countries which have heterogeneous economies, environmental damages, trading partners and abatement costs. The distribution of costs between countries will also depend on the type of policy instrument used to coordinate international abatement efforts. This paper analyses trade-offs that must be made when negotiating international agreements in order to balance the need for administrative convenience and economic efficiency with the realization that any agreement is better than no agreement

  13. Hypoxia Decreases Invasin-Mediated Yersinia enterocolitica Internalization into Caco-2 Cells.

    Science.gov (United States)

    Zeitouni, Nathalie E; Dersch, Petra; Naim, Hassan Y; von Köckritz-Blickwede, Maren

    2016-01-01

    Yersinia enterocolitica is a major cause of human yersiniosis, with enterocolitis being a typical manifestation. These bacteria can cross the intestinal mucosa, and invade eukaryotic cells by binding to host β1 integrins, a process mediated by the bacterial effector protein invasin. This study examines the role of hypoxia on the internalization of Y. enterocolitica into intestinal epithelial cells, since the gastrointestinal tract has been shown to be physiologically deficient in oxygen levels (hypoxic), especially in cases of infection and inflammation. We show that hypoxic pre-incubation of Caco-2 cells resulted in significantly decreased bacterial internalization compared to cells grown under normoxia. This phenotype was absent after functionally blocking host β1 integrins as well as upon infection with an invasin-deficient Y. enterocolitica strain. Furthermore, downstream phosphorylation of the focal adhesion kinase was also reduced under hypoxia after infection. In good correlation to these data, cells grown under hypoxia showed decreased protein levels of β1 integrins at the apical cell surface whereas the total protein level of the hypoxia inducible factor (HIF-1) alpha was elevated. Furthermore, treatment of cells with the HIF-1 α stabilizer dimethyloxalylglycine (DMOG) also reduced invasion and decreased β1 integrin protein levels compared to control cells, indicating a potential role for HIF-1α in this process. These results suggest that hypoxia decreases invasin-integrin-mediated internalization of Y. enterocolitica into intestinal epithelial cells by reducing cell surface localization of host β1 integrins.

  14. The Development of Customary International Law by International Organizations

    DEFF Research Database (Denmark)

    Odermatt, Jed

    2017-01-01

    In his Fourth Report on the Identification of Customary International Law (2016), Special Rapporteur Michael Wood confirmed that ‘[i]n certain cases, the practice of international organizations also contributes to the expression, or creation, of rules of customary international law.......’ That the practice of international organizations can be relevant when identifying customary international law is relatively uncontroversial. The practice of states within international organizations such as the UN General Assembly, for example, may contribute to the development of custom. Yet, there is little...... discussion about whether and how the practice of international organizations as such may contribute to the development of customary international law. This contribution discusses the organization that is the most capable of contributing to the development of customary international law in its own right...

  15. In which sectors could new illumination technology strategically reduce CO2 emissions?

    DEFF Research Database (Denmark)

    Bjarklev, Araceli; Andersen, Jan; Kjær, Tyge

    2009-01-01

    , is engaged in several actions to reduce its CO2 emissions. The problem severity demands a capacity to react quickly and efficiently to better reach the international goals.   Traditionally, the efforts have concentrated on the residential sector. Consequently, the aim of this paper is to contribute...

  16. The international law commission and international environmental law

    International Nuclear Information System (INIS)

    Ramcharan, B.G.

    1975-01-01

    If the oceans are destroyed through pollution there will be nothing left to manage. Protection against pollution is thus a fundamental aspect of ocean management. What legal principles are available for the protection of the oceans. This paper brings together the relevant practice of the foremost international body responsible for the codification and development of international law: the International Law Commission. It describes the work of the Commission concerning: 1) pollution of the high seas; 2) pollution of international watercourses; and 3) international responsibility for environmental hazards. It concludes by expressing the hope that the Commission will further study, codify and develop international environmental law

  17. Internationalism and Globalization as Contexts for International Education

    Science.gov (United States)

    Cambridge, James; Thompson, Jeff

    2004-01-01

    A problem with the construction of an inclusive definition of international education is that the word 'international' has a variety of connotations. It is proposed that the term 'international education' is ambiguous because it appears to refer to contrasting usages in educational studies. International education is frequently discussed in the…

  18. Internal water curing with Liapor aggregates

    DEFF Research Database (Denmark)

    Lura, Pietro

    2005-01-01

    Internal water curing is a very efficient way to counteract self-desiccation and autogenous shrinkage in high performance concrete, thereby reducing the likelihood of early-age cracking. This paper deals with early-age volume changes and moisture transport in lightweight aggregate concrete realized...... with wet lightweight aggregates. Lightweight aggregate concrete mixtures with different degree of saturation and different particle size of the lightweight aggregates were studied and compared to normal weight concrete. Autogenous deformations, selfinduced stresses in fully restrained conditions, elastic...

  19. 75 FR 39204 - Notice of Public Information Collections Being Reviewed by the U.S. Agency for International...

    Science.gov (United States)

    2010-07-08

    ... Emergency Relief Information. Type of Review: Renewal of Information Collection. Purpose: The purpose of... AGENCY FOR INTERNATIONAL DEVELOPMENT Notice of Public Information Collections Being Reviewed by... International Development (USAID) is making efforts to reduce the paperwork burden. USAID invites the general...

  20. Non-linear Heart Rate Variability as a Discriminator of Internalizing Psychopathology and Negative Affect in Children With Internalizing Problems and Healthy Controls

    Directory of Open Access Journals (Sweden)

    Charlotte Fiskum

    2018-05-01

    Full Text Available Background: Internalizing psychopathology and dysregulated negative affect are characterized by dysregulation in the autonomic nervous system and reduced heart rate variability (HRV due to increases in sympathetic activity alongside reduced vagal tone. The neurovisceral system is however, a complex nonlinear system, and nonlinear indices related to psychopathology are so far less studied in children. Essential nonlinear properties of a system can be found in two main domains: the informational domain and the invariant domain. sample entropy (SampEn is a much-used method from the informational domain, while detrended fluctuation analysis (DFA represents a widely-used method from the invariant domain. To see if nonlinear HRV can provide information beyond linear indices of autonomic activation, this study investigated SampEn and DFA as discriminators of internalizing psychopathology and negative affect alongside measures of vagally-mediated HRV and sympathetic activation.Material and Methods: Thirty-Two children with internalizing difficulties and 25 healthy controls (aged 9–13 were assessed with the Child Behavior Checklist and the Early Adolescent Temperament Questionnaire, Revised, giving an estimate of internalizing psychopathology, negative affect and effortful control, a protective factor against psychopathology. Five minute electrocardiogram and impedance cardiography recordings were collected during a resting baseline, giving estimates of SampEn, DFA short-term scaling exponent α1, root mean square of successive differences (RMSSD, and pre-ejection period (PEP. Between-group differences and correlations were assessed with parametric and non-parametric tests, and the relationships between cardiac variables, psychopathology and negative affect were assessed using generalized linear modeling.Results: SampEn and DFA were not significantly different between the groups. SampEn was weakly negatively related to heart rate (HR in the controls

  1. Huge biloma after endoscopic retrograde cholangiopancreatography and endoscopic biliary sphincterotomy

    Directory of Open Access Journals (Sweden)

    Harith M. Alkhateeb

    2015-01-01

    Conclusions: (1 Following endoscopic retrograde cholangiopancreatography, a patient’s complaints should not be ignored. (2 A massive biloma can occur due to such procedures. (3 Conservative treatment with minimal invasive technique can prove to be effective.

  2. From Public International to International Public Law: Translating World Public Opinion into International Public Authority

    NARCIS (Netherlands)

    von Bogdandy, A.; Goldmann, M.; Venzke, I.

    This article argues that increasing demands in world public opinion for legitimate and effective international institutions require a paradigm shift in public international law. There is a part of public international law that should be better understood as international public law because it

  3. Reducing Environmental Allergic Triggers: Policy Issues.

    Science.gov (United States)

    Abramson, Stuart L

    The implementation of policies to reduce environmental allergic triggers can be an important adjunct to optimal patient care for allergic rhinitis and allergic asthma. Policies at the local level in schools and other public as well as private buildings can make an impact on disease morbidity. Occupational exposures for allergens have not yet been met with the same rigorous policy standards applied for exposures to toxicants by Occupational Safety and Health Administration. Further benefit may be obtained through policies by local, county, state, and national governments, and possibly through international cooperative agreements. The reduction of allergenic exposures can and should be affected by policies with strong scientific, evidence-based derivation. However, a judicious application of the precautionary principle may be needed in circumstances where the health effect of inaction could lead to more serious threats to vulnerable populations with allergic disease. This commentary covers the scientific basis, current implementation, knowledge gaps, and pro/con views on policy issues in reducing environmental allergic triggers. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  4. Household methods to reduce {sup 137}Cs contents of mushrooms

    Energy Technology Data Exchange (ETDEWEB)

    Kostiainen, E. [Radiation and Nuclear Safety Authority - STUK, Helsinki (Finland)

    2005-09-15

    High radiocaesium contents in different species of mushrooms have been observed in areas contaminated by radiocaesium deposition after the Chernobyl accident in 1986. There has been no significant reduction in the {sup 137}Cs contents of mushrooms during the past ten years, besides via radioactive decay. The internal radiation dose received via mushrooms can be reduced by processing mushrooms before consumption. Various household methods were studied to find out their efficiency to reduce {sup 137}Cs contents of mushrooms. The methods tested were the same as normally used in cooking. The tests were made for the species of edible mushrooms widely consumed. The retention factors for the treatments tested were in most cases 0.2-0.3. The efficiency of treatments in reducing the {sup 137}Cs contents increased with larger water volumes and prolonged treatment times.

  5. Science review of internal combustion engines

    International Nuclear Information System (INIS)

    Taylor, Alex M.K.P.

    2008-01-01

    Internal combustion engines used in transportation produce about 23% of the UK's carbon dioxide emission, up from 14% in 1980. The current science described in this paper suggests that there could be 6-15% improvements in internal combustion fuel efficiency in the coming decade, although filters to meet emission legislation reduce these gains. Using these engines as hybrids with electric motors produces a reduction in energy requirements in the order of 21-28%. Developments beyond the next decade are likely to be dominated by four topics: emission legislation and emission control, new fuels, improved combustion and a range of advanced concepts for energy saving. Emission control is important because current methods for limiting nitrogen oxides and particulate emissions imply extra energy consumption. Of the new fuels, non-conventional fossil-derived fuels are associated with larger greenhouse gas emissions than conventional petroleum-based fuels, while a vehicle propelled by fuel cells consuming non-renewable hydrogen does not necessarily offer an improvement in emissions over the best hybrid internal combustion engines. Improved combustion may be developed for both gasoline and diesel fuels and promises better efficiency as well as lower noxious emissions without the need for filtering. Finally, four advanced concepts are considered: new thermodynamic cycles, a Rankine bottoming cycle, electric turbo-compounding and the use of thermoelectric devices. The latter three all have the common theme of trying to extract energy from waste heat, which represents about 30% of the energy input to an internal combustion engine

  6. Internalized stigma and quality of life domains among people with mental illness: the mediating role of self-esteem.

    Science.gov (United States)

    Oliveira, Sandra E H; Carvalho, Helena; Esteves, Francisco

    2016-01-01

    People with mental illness who internalize stigma often experience reduced self-esteem and impaired quality of life (QOL). To propose a theoretical model in which self-esteem mediates the effects of internalized stigma on the multidimensional domains comprising QOL. In 403 inpatients and outpatients (DSM-IV, American Psychiatric Association, 1994), from hospital-based and community mental health facilities, self-report measures of internalized stigma (ISMI), self-esteem (RSES) and QOL (WHOQOL-Bref) were administrated. Structural equation modeling results supported the proposed model. Self-esteem fully mediated the relation between internalized stigma and the physical and the social relationships domains, and partially mediated the relationship between internalized stigma and psychological, environment and level of independence QOL domains. Such results provided empirical support and shed light upon previous research. Specifically the results emphasize the mediating role that self-esteem plays in the degree to which internalized stigma exerts a negative effect on specific QOL domains. Self-esteem appears to be a core element in reducing the negative effects of internalized stigma on aspects of QOL among people with mental illness. These findings suggest there is a crucial impact regarding clinical mental health interventions along with important theoretical implications.

  7. Internal reforming of methane in solid oxide fuel cell systems

    Science.gov (United States)

    Peters, R.; Dahl, R.; Klüttgen, U.; Palm, C.; Stolten, D.

    Internal reforming is an attractive option offering a significant cost reduction, higher efficiencies and faster load response of a solid oxide fuel cell (SOFC) power plant. However, complete internal reforming may lead to several problems which can be avoided with partial pre-reforming of natural gas. In order to achieve high total plant efficiency associated with low energy consumption and low investment costs, a process concept has been developed based on all the components of the SOFC system. In the case of anode gas recycling an internal steam circuit exists. This has the advantage that there is no need for an external steam generator and the steam concentration in the anode gas is reduced. However, anode gas recycling has to be proven by experiments in a pre-reformer and for internal reforming. The addition of carbon dioxide clearly shows a decrease in catalyst activity, while for temperatures higher than 1000 K hydrogen leads to an increase of the measured methane conversion rates.

  8. International obligations through collective rights: Moving from foreign health assistance to global health governance.

    Science.gov (United States)

    Meier, Benjamin Mason; Fox, Ashley M

    2010-06-15

    This article analyzes the growing chasm between international power and state responsibility in health rights, proposing an international legal framework for collective rights - rights that can reform international institutions and empower developing states to realize the determinants of health structured by global forces. With longstanding recognition that many developing state governments cannot realize the health of their peoples without international cooperation, scholars have increasingly sought to codify international obligations under the purview of an evolving human right to health, applying this rights-based approach as a foundational framework for reducing global health inequalities through foreign assistance. Yet the inherent limitations of the individual human rights framework stymie the right to health in impacting the global institutions that are most crucial for realizing underlying determinants of health through the strengthening of primary health care systems. Whereas the right to health has been advanced as an individual right to be realized by a state duty-bearer, the authors find that this limited, atomized right has proven insufficient to create accountability for international obligations in global health policy, enabling the deterioration of primary health care systems that lack the ability to address an expanding set of public health claims. For rights scholars to advance disease protection and health promotion through national primary health care systems - creating the international legal obligations necessary to spur development supportive of the public's health - the authors conclude that scholars must look beyond the individual right to health to create collective international legal obligations commensurate with a public health-centered approach to primary health care. Through the development and implementation of these collective health rights, states can address interconnected determinants of health within and across countries

  9. International Review of Standards and Labeling Programs for Distribution Transformers

    Energy Technology Data Exchange (ETDEWEB)

    Letschert, Virginie [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Scholand, Michael [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Carreño, Ana María [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Hernandez, Carolina [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2017-06-20

    Transmission and distribution (T&D) losses in electricity networks represent 8.5% of final energy consumption in the world. In Latin America, T&D losses range between 6% and 20% of final energy consumption, and represent 7% in Chile. Because approximately one-third of T&D losses take place in distribution transformers alone, there is significant potential to save energy and reduce costs and carbon emissions through policy intervention to increase distribution transformer efficiency. A large number of economies around the world have recognized the significant impact of addressing distribution losses and have implemented policies to support market transformation towards more efficient distribution transformers. As a result, there is considerable international experience to be shared and leveraged to inform countries interested in reducing distribution losses through policy intervention. The report builds upon past international studies of standards and labeling (S&L) programs for distribution transformers to present the current energy efficiency programs for distribution transformers around the world.

  10. Performance analysis of an organic Rankine cycle with internal heat exchanger having zeotropic working fluid

    Directory of Open Access Journals (Sweden)

    Thoranis Deethayat

    2015-09-01

    Full Text Available In this study, performance of a 50 kW organic Rankine cycle (ORC with internal heat exchanger (IHE having R245fa/R152a zeotropic refrigerant with various compositions was investigated. The IHE could reduce heat rate at the ORC evaporator and better cycle efficiency could be obtained. The zeotropic mixture could reduce the irreversibilities during the heat exchanges at the ORC evaporator and the ORC condenser due to its gliding temperature; thus the cycle working temperatures came closer to the temperatures of the heat source and the heat sink. In this paper, effects of evaporating temperature, mass fraction of R152a and effectiveness of internal heat exchanger on the ORC performances for the first law and the second law of thermodynamics were considered. The simulated results showed that reduction of R245fa composition could reduce the irreversibilities at the evaporator and the condenser. The suitable composition of R245fa was around 80% mass fraction and below this the irreversibilities were nearly steady. Higher evaporating temperature and higher internal heat exchanger effectiveness also increased the first law and second law efficiencies. A set of correlations to estimate the first and the second law efficiencies with the mass fraction of R245fa, the internal heat exchanger effectiveness and the evaporating temperature were also developed.

  11. Thin-ideal internalization: How much is too much?

    Science.gov (United States)

    Schaefer, Lauren M; Burke, Natasha L; Thompson, J Kevin

    2018-03-16

    Internalization of the thin-ideal is a risk factor for eating disorders that frequently persists into recovery and increases patient risk for relapse. Addressing thin-ideal internalization as a core element of eating disorder prevention and treatment produces significant reductions in eating pathology. However, research has not yet quantified levels of thin-ideal internalization that may signal increased versus decreased risk for disordered eating. To address this gap in the literature, receiver operating characteristic (ROC) curve analysis was used to identify a thin-ideal internalization cutoff score that signified clinically-meaningful eating disorder pathology. 787 college women (age M = 20.17, SD = 2.41; BMI M = 23.58, SD = 5.29) were classified as "healthy" (N = 717) or those with significant disordered eating (N = 70) using established clinical cutoffs for the Eating Disorder Examination-Questionnaire. ROC curve analysis was used to test the performance of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4) Internalization: Thin/Low Body Fat subscale in predicting disordered eating status, and to identify a cutoff score that maximized sensitivity and specificity to discriminate between healthy and disordered eating samples. Mean SATAQ-4 internalization scores were 3.29 (SD = 0.92) and 4.27 (SD = 0.62) for healthy and disordered eating participants, respectively. The SATAQ-4 internalization scores were good predictors of disordered eating status (area under the curve = 0.81, 95% CI: 0.76-0.86). The optimal cutoff of 3.78 (measured on a 1-5 Likert scale) yielded a sensitivity of 0.81 and specificity of 0.64. Overall, results provide preliminary support for the discriminant validity of SATAQ-4 thin internalization scores and suggest that even moderate levels of thin-ideal internalization may be predictive of clinically-significant eating pathology. It may be important for prevention and intervention work to actively seek to reduce

  12. Analysis of benefits of using internal exhaust gas recirculation in biogas-fueled HCCI engines

    International Nuclear Information System (INIS)

    Kozarac, Darko; Vuilleumier, David; Saxena, Samveg; Dibble, Robert W.

    2014-01-01

    Highlights: • The influence of EGR on combustion of biogas fueled HCCI was investigated. • The aim was to reduce intake temperature requirement by internal EGR. • Combustion products caused the delay of combustion in similar conditions. • Internal EGR enabled by negative valve overlap increased cylinder temperature. • This increase was not enough to significantly reduce the intake temperature. - Abstract: This paper describes a numerical study that analyzed the influence of combustion products (CP) concentration on the combustion characteristics (combustion timing and combustion duration) of a biogas fueled homogeneous charge compression ignition (HCCI) engine and the possibility of reducing the high intake temperature requirement necessary for igniting biogas in a HCCI engine by using internal exhaust gas recirculation (EGR) enabled by negative valve overlap (NVO). An engine model created in AVL Boost, and validated against experimental engine data, was used in this study. The results show, somewhat counter-intuitively, that when CP concentrations are increased the required intake temperature for maintaining the same combustion timing must be increased. When greater NVO is used to increase the in-cylinder CP concentration, the in-cylinder temperature does increase, but the chemical dilution influence of CP almost entirely counteracts this thermal effect. Additionally, it has been observed that with larger fractions of CP some instability of combustion in the calculation was obtained which indicates that the increase of internal EGR might produce some combustion instability

  13. Combating hidden hunger: the role of international agencies.

    Science.gov (United States)

    Dalmiya, Nita; Schultink, Werner

    2003-12-01

    The importance of micronutrient deficiencies or "hidden hunger" was clearly emphasized by the inclusion of specific goals on iron, vitamin A, and iodine deficiency at the 1990 World Summit for Children and other major international nutrition conferences. Significant progress has since been made toward eliminating vitamin A and iodine deficiencies, with less progress made toward reducing the burden of iron-deficiency anemia. The role of international agencies, such as the World Health Organization, United Nations Children's Fund, Food and Agricultural Organization, and World Bank in assisting countries to make progress toward the World Summit for Children goals has been very important. International agencies have played a critical role in advocating for and raising awareness of these issues at the international, regional, and national levels among policymakers and the general population. Using a rights-based approach, UNICEF and other agencies have been instrumental in elevating to the highest political level the discussion of every child's right to adequate nutrition. International agencies have also been very supportive at the national level in providing technical guidance for programs, including monitoring and evaluation. These agencies have played a critical role in engaging the cooperation of other partners, including bilateral donors, non-governmental organizations, and the private sector for micronutrient programs. Furthermore, international agencies provide financial and material support for micronutrient programs. In the future, such agencies must continue to be heavily involved in programs to achieve the newly confirmed goals for 2010. The present paper focuses on the role of international agencies in combating micronutrient deficiencies, drawing on the lessons learned over the last decade. The first section of the paper summarizes the progress achieved since 1990, and the second section describes the specific role of international agencies in contributing

  14. Social functioning and internalized stigma in individuals diagnosed with substance use disorder.

    Science.gov (United States)

    Can, Ganime; Tanrıverdi, Derya

    2015-12-01

    The aim of this descriptive study was to determine social functioning and internalized stigma in individuals with substance use disorder. The study sample consisted of 105 patients diagnosed with substance use disorder according to the DSM-IV-TR diagnostic criteria. A Descriptive Information Form, Internalized Stigma of Mental Illness Scale (ISMI) and Social Functioning Scale (SFS) were used for data collection. Average total SFS score of the patients was 103.25±25.09 points, indicating an intermediate level of social functioning. Average total ISMI score of patients was 2.92±0.48 points, reflecting a high level of internalized stigma. A negative significant association was observed between the internalized stigma levels and social functioning of patients. These results suggest that rehabilitation of substance users should include counseling services in order to reduce internal perception of stigma and improve their social functioning. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Challenges and opportunities in international molecular cancer prevention research: An ASPO Molecular Epidemiology and the Environment and International Cancer Prevention Interest Groups Report.

    Science.gov (United States)

    Epplein, Meira; Bostick, Roberd M; Mu, Lina; Ogino, Shuji; Braithwaite, Dejana; Kanetsky, Peter A

    2014-11-01

    The International Agency for Research on Cancer estimates that over half of the new cancer cases and almost two-thirds of the cancer deaths in 2012 occurred in low and middle income countries. To discuss the challenges and opportunities to reducing the burden of cancer worldwide, the Molecular Epidemiology and the Environment and the International Issues in Cancer Special Interest Groups joined forces to hold a session during the 38th Annual Meeting of the American Society of Preventive Oncology (March 2014, Arlington, Virginia). The session highlighted three topics of particular interest to molecular cancer prevention researchers working internationally, specifically: 1) biomarkers in cancer research; 2) environmental exposures and cancer; and 3) molecular pathological epidemiology. A major factor for successful collaboration illuminated during the discussion was the need for strong, committed, and reliable international partners. A key element of establishing such relationships is to thoroughly involve individual international collaborators in the development of the research question; engaged international collaborators are particularly motivated to champion and shepherd the project through all necessary steps, including issues relating to institutional review boards, political sensitivity, laboratory-based assays, and tumor subtyping. Also essential is allotting time for the building, maintaining, and investing in such relationships so that successful international collaborations may take root and bloom. While there are many challenges inherent to international molecular cancer research, the opportunities for furthering the science and prevention of cancer worldwide are great, particularly at this time of increasing cancer incidence and prevalence in low and middle income countries. ©2014 American Association for Cancer Research.

  16. Evaluation of the internal contamination risk for isotope laboratory workers

    International Nuclear Information System (INIS)

    Adamiak-Ziemba, J.; Doniec, J.; Kocznow, W.; Hawrynski, M.

    1985-01-01

    The investigation covered 484 workers. Altogether 1787 determinations have been made, in this - 1648 internal contaminations and 139 contaminations of air, hand skin and working surfaces. The internal contaminations (22% of results) resulted mainly from deviation from radiological protection rules and were reduced by certain changes. Those were tritium contaminations (application of tritium radioluminescence dyes) and 125, 131 J. The highest levels of which were 20 mSv and 0.25% ALI respectively. The results of 238 Pu air contamination measurements indicates that the dust arising during the production of smoke detectors (with 238 PuO 2 sources) probably has no respirable fraction properties, what confines its absorption in lower parts of the respiratory tract. It has been demonstrated that in Poland is no need of a central system of permanent internal contamination control. (author)

  17. Proceedings of the 6. international green energy conference IGEC-6

    Energy Technology Data Exchange (ETDEWEB)

    Karakoc, T.H.; Midilli, A.; Turan, O.; Orman, E.; Tunca, F.; Yazar, I. (eds.) [School of Civil Aviation, Anadolu University, Eskisehir (Turkey)

    2011-07-01

    The 6th International Green Energy Conference (IGEC) took place in Eskisehir, Turkey, from June 5 to June 9, 2011 and was organized by the International Association for Green Energy and Anadolu University. The IGEC is a multi-disciplinary international conference on the use of energy with reduced environmental impacts. Around 150 experts from all over the world attended and presentations were given on energy diversity, energy localization, energy security and sustainable development. The conference provided these experts with an opportunity to hear about studies done by their peers, gather and discuss the latest technical information and research results, and to debate future directions and priorities in sustainable development and energy security. All 124 papers presented during the conference have been catalogued separately for inclusion in this database.

  18. Internal Hernia in a Liver Transplant Recipien: A Case Report

    Directory of Open Access Journals (Sweden)

    Hironori Hayashi

    2013-01-01

    Full Text Available Biliary complications have great importance for liver transplant recipients because of affecting long-term prognosis. In rare situations, an internal hernia of the Roux-en-Y loop cause graft injury. A 42-year-old woman with a history of living donor liver transplantation 6 years ago presented with prolonged graft injury during the past 6 months. She suddenly developed ileus of the small bowel with internal hernia through the defect of the mesentery around the Roux-en-Y limb of the hepaticojejunostomy. Emergent surgery was performed to reduce the hernia and volvulus; also the mesenteric rent was closed with interrupted suture of silk. Internal hernia of the small bowel after liver transplantation is rare but causes graft injury due to associated biliary complications and rapid deterioration of patient’s condition.

  19. International trade agreements challenge tobacco and alcohol control policies.

    Science.gov (United States)

    Zeigler, Donald W

    2006-11-01

    This report reviews aspects of trade agreements that challenge tobacco and alcohol control policies. Trade agreements reduce barriers, increase competition, lower prices and promote consumption. Conversely, tobacco and alcohol control measures seek to reduce access and consumption, raise prices and restrict advertising and promotion in order to reduce health and social problems. However, under current and pending international agreements, negotiated by trade experts without public health input, governments and corporations may challenge these protections as constraints on trade. Advocates must recognise the inherent conflicts between free trade and public health and work to exclude alcohol and tobacco from trade agreements. The Framework Convention on Tobacco Control has potential to protect tobacco policies and serve as a model for alcohol control.

  20. Some means of avoiding of international juridical double taxation used by Romania

    OpenAIRE

    Daniela Lidia Roman

    2013-01-01

    Barrier to the free movement of persons, capital, goods and services, international juridical double taxation is an objective pursued by interested states in international financial flows increase, they act to eliminate or reduce it. Fiscal law and practice of world states leads, in many cases, to tax the same income or the same property in the same fiscal year by two different states. Thus, the entrepreneurs, the capital owners, residents of a state are discouraged in investing, obtaining in...

  1. In praise of tax havens: international tax planning and foreign direct investment

    OpenAIRE

    Hong, Qing; Smart, Michael

    2007-01-01

    The multinationalization of corporate investment in recent years has given rise to a number of international tax avoidance schemes that may be eroding tax revenues in industrialized countries, but which may also reduce tax burdens on mobile capital and so facilitate investment. Both the welfare effects of and the optimal response to international tax planning are therefore ambiguous. Evaluating these factors in a simple general equilibrium model, we find that citizens of high-tax countries be...

  2. Improvements and artifact analysis in conductivity images using multiple internal electrodes

    International Nuclear Information System (INIS)

    Farooq, Adnan; McEwan, Alistair Lee; Woo, Eung Je; Oh, Tong In; Tehrani, Joubin Nasehi

    2014-01-01

    Electrical impedance tomography is an attractive functional imaging method. It is currently limited in resolution and sensitivity due to the complexity of the inverse problem and the safety limits of introducing current. Recently, internal electrodes have been proposed for some clinical situations such as intensive care or RF ablation. This paper addresses the research question related to the benefit of one or more internal electrodes usage since these are invasive. Internal electrodes would be able to reduce the effect of insulating boundaries such as fat and bone and provide improved internal sensitivity. We found there was a measurable benefit with increased numbers of internal electrodes in saline tanks of a cylindrical and complex shape with up to two insulating boundary gel layers modeling fat and muscle. The internal electrodes provide increased sensitivity to internal changes, thereby increasing the amplitude response and improving resolution. However, they also present an additional challenge of increasing sensitivity to position and modeling errors. In comparison with previous work that used point sources for the internal electrodes, we found that it is important to use a detailed mesh of the internal electrodes with these voxels assigned to the conductivity of the internal electrode and its associated holder. A study of different internal electrode materials found that it is optimal to use a conductivity similar to the background. In the tank with a complex shape, the additional internal electrodes provided more robustness in a ventilation model of the lungs via air filled balloons. (paper)

  3. International Developments of Food Irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Loaharanu, P. [Head, Food Preservation Section, Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture, Wagramerstr. 5, A-1400, Vienna (Austria)

    1997-12-31

    Food irradiation is increasingly accepted and applied in many countries in the past decade. Through its use, food losses and food-borne diseases can be reduced significantly, and wider trade in many food items can be facilitated. The past five decades have witnessed a positive evolution on food irradiation according to the following: 1940`s: discovery of principles of food irradiation; 1950`s: initiation of research in advanced countries; 1960`s: research and development were intensified in some advanced and developing countries; 1970`s: proof of wholesomeness of irradiated foods; 1980`s: establishment of national regulations; 1990`s: commercialization and international trade. (Author)

  4. International Developments of Food Irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Loaharanu, P [Head, Food Preservation Section, Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture, Wagramerstr. 5, A-1400, Vienna (Austria)

    1998-12-31

    Food irradiation is increasingly accepted and applied in many countries in the past decade. Through its use, food losses and food-borne diseases can be reduced significantly, and wider trade in many food items can be facilitated. The past five decades have witnessed a positive evolution on food irradiation according to the following: 1940`s: discovery of principles of food irradiation; 1950`s: initiation of research in advanced countries; 1960`s: research and development were intensified in some advanced and developing countries; 1970`s: proof of wholesomeness of irradiated foods; 1980`s: establishment of national regulations; 1990`s: commercialization and international trade. (Author)

  5. INSTITUTIONS, GOVERNANCE AND INTERNATIONAL TRADE

    Directory of Open Access Journals (Sweden)

    Henri L.F. de GROOT

    2005-01-01

    Full Text Available Ineffective institutions and bad governance increase transaction costs and reduce international transport flows. In this paper, we empirically investigate this basic notion, and we show that it can account for several, so far, somewhat puzzling results in the empirical literature estimating gravity equations of bilateral trade. More specifically, we show that differences in the quality and effectiveness of institutions offer an explanation for the tendency of OECD countries to trade disproportionately with each other, and with non-OECD countries, as well as for the positive effect of GDP per capita on bilateral trade.

  6. International Developments of Food Irradiation

    International Nuclear Information System (INIS)

    Loaharanu, P.

    1997-01-01

    Food irradiation is increasingly accepted and applied in many countries in the past decade. Through its use, food losses and food-borne diseases can be reduced significantly, and wider trade in many food items can be facilitated. The past five decades have witnessed a positive evolution on food irradiation according to the following: 1940's: discovery of principles of food irradiation; 1950's: initiation of research in advanced countries; 1960's: research and development were intensified in some advanced and developing countries; 1970's: proof of wholesomeness of irradiated foods; 1980's: establishment of national regulations; 1990's: commercialization and international trade. (Author)

  7. International standards for financial reporting: Harmonization in Macedonia

    OpenAIRE

    Kozuharov, Sasho; Ristovska, Natasha; Blazeska, Daliborka

    2015-01-01

    A continuous flow of reliable, relevant and financially important information is necessary for making economically justified and strategic investment decisions. Economic globalization has contributed to the need of creating a unified language for communication, a single set of international financial reporting standards with the sole purpose of enhancing transparency for investors and reducing the cost of capital. Harmonization of financial reporting provides more efficient use of...

  8. Offsets : An innovative approach to reducing greenhouse gases

    International Nuclear Information System (INIS)

    Steward, B.

    1998-01-01

    One of the most innovative ways to address climate change is the use of offsets, which refers to actions taken outside of a company's operations, domestically and internationally, to reduce greenhouse gas emissions. This paper is devoted to a discussion of Suncor Energy's action plan for greenhouse gases which include offsets, and to an explanation of the reasons why offsets are fundamental to successful greenhouse gas management. Suncor Energy Inc., has developed a plan with seven elements to meet their target of stabilizing their greenhouse gas emissions at 1990 levels by year 2000. The seven elements include: (1) energy efficiency and process improvements at their oil sands facility, (2) the development of alternative and renewable sources of energy, such as ethanol blended gasolines and the use of wind turbines to generate electricity, (3) promoting environmental and economic research to develop more advanced oil and gas technology to reduce greenhouse gas emissions, (4) implementing a constructive public policy input in support of sustainable development, (5) educating employees, customers and communities on global climate change, (6) measuring and reporting the company's environmental progress, and (7) pursuing domestic and international offset opportunities such as transfer of technology to developing countries, cogeneration of energy using natural gas, energy efficiency, renewable energy sources, emission reduction purchases and forest conservation. Of these proposed measures, offsets are the critical element which could spell the difference between success and failure in managing greenhouse gas emissions and the difference between economic hardship and economic opportunity

  9. Challenges imposed by International Environmental Law to Classical International Law

    Directory of Open Access Journals (Sweden)

    Fabian Augusto Cárdenas Castañeda

    2010-05-01

    Full Text Available The emergence of international environmental law has produced important challenges to the very foundations of public international law. Traditional concepts such as state sovereignty, subjects of international law, and the early perspectives of national security are being transformed. The needs of the contemporary international society differ from the ones of the Wesphalian conception, situations which clearly explains the raise of alternative views for the understanding of the current dynamics of international law, where concepts like res communis, common concerns and simply “commons” take a privileged place in the study of international law. The foregoing has been strengthened by the international development of the so called erga ommnes obligations, label which is being used by international environmental law as the perfect explanation of its own existence. This academic article presents and studies the abovementioned concepts trying to compare what international law used to be before the emergence of international environmental law and what it is and what it should be in order to attend the developments and challenges imposed by the contemporary international society, particularly by international environmental law, a new fi eld of the corpus juris of public international law.

  10. International Ecohealth Forum 2008 | IDRC - International ...

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

    ... the International Forum on Ecosystem Approaches to Human Health (Montreal, ... the International Association of Ecology and Health (IAEH), and a Brazilian ... Nutrition, health policy, and ethics in the age of public-private partnerships.

  11. The Implications of the Modernization of International Transactions: INCOTERMS 2010

    Directory of Open Access Journals (Sweden)

    Simona Petrina Gavrila

    2011-05-01

    Full Text Available Over time, in the global trade relations were formed a few types of individual international sales, particularly in relation to how the obligations of the parties are defined. Collection and collation of commercial practices in international sale of goods found their first expression in a coded form in 1936 under the auspices of the International Chamber of Commerce in Paris as Trade Terms – Trade Terms. The paper was the result of laborious work of several trading experts, assembling in a Special Committee, constituted on the occasion of the first Congress of the International Chamber of Commerce, whose works were held in Paris in 1920. The significant development of international trade determined the elaboration by the International Chamber of Commerce of a new set of codified practices, known as Incoterms 2010, which applied from 1st January 2011. Since the last review in 2000, there have been many changes in global trade, which makes the current review to consider issues related to development of techniques used to secure the load and the need to replace paper documents with the electronic ones. The new terms of delivery clearly define the obligations of the parties and reduce the risk of legal complications.

  12. Public versus internal conceptions of addiction: An analysis of internal Philip Morris documents.

    Directory of Open Access Journals (Sweden)

    Jesse Elias

    2018-05-01

    Full Text Available Tobacco addiction is a complex, multicomponent phenomenon stemming from nicotine's pharmacology and the user's biology, psychology, sociology, and environment. After decades of public denial, the tobacco industry now agrees with public health authorities that nicotine is addictive. In 2000, Philip Morris became the first major tobacco company to admit nicotine's addictiveness. Evolving definitions of addiction have historically affected subsequent policymaking. This article examines how Philip Morris internally conceptualized addiction immediately before and after this announcement.We analyzed previously secret, internal Philip Morris documents made available as a result of litigation against the tobacco industry. We compared these documents to public company statements and found that Philip Morris's move from public denial to public affirmation of nicotine's addictiveness coincided with pressure on the industry from poor public approval ratings, the Master Settlement Agreement (MSA, the United States government's filing of the Racketeer Influenced and Corrupt Organizations (RICO suit, and the Institute of Medicine's (IoM's endorsement of potentially reduced risk products. Philip Morris continued to research the causes of addiction through the 2000s in order to create successful potentially reduced exposure products (PREPs. While Philip Morris's public statements reinforce the idea that nicotine's pharmacology principally drives smoking addiction, company scientists framed addiction as the result of interconnected biological, social, psychological, and environmental determinants, with nicotine as but one component. Due to the fragmentary nature of the industry document database, we may have missed relevant information that could have affected our analysis.Philip Morris's research suggests that tobacco industry activity influences addiction treatment outcomes. Beyond nicotine's pharmacology, the industry's continued aggressive advertising

  13. Benchmark studies of the effectiveness of structural and internal materials as radiation shielding for the international space station

    Science.gov (United States)

    Miller, J.; Zeitlin, C.; Cucinotta, F. A.; Heilbronn, L.; Stephens, D.; Wilson, J. W.

    2003-01-01

    Accelerator-based measurements and model calculations have been used to study the heavy-ion radiation transport properties of materials in use on the International Space Station (ISS). Samples of the ISS aluminum outer hull were augmented with various configurations of internal wall material and polyethylene. The materials were bombarded with high-energy iron ions characteristic of a significant part of the galactic cosmic-ray (GCR) heavy-ion spectrum. Transmitted primary ions and charged fragments produced in nuclear collisions in the materials were measured near the beam axis, and a model was used to extrapolate from the data to lower beam energies and to a lighter ion. For the materials and ions studied, at incident particle energies from 1037 MeV/nucleon down to at least 600 MeV/nucleon, nuclear fragmentation reduces the average dose and dose equivalent per incident ion. At energies below 400 MeV/nucleon, the calculation predicts that as material is added, increased ionization energy loss produces increases in some dosimetric quantities. These limited results suggest that the addition of modest amounts of polyethylene or similar material to the interior of the ISS will reduce the dose to ISS crews from space radiation; however, the radiation transport properties of ISS materials should be evaluated with a realistic space radiation field. Copyright 2003 by Radiation Research Society.

  14. Brain signal variability is modulated as a function of internal and external demand in younger and older adults.

    Science.gov (United States)

    Grady, Cheryl L; Garrett, Douglas D

    2018-04-01

    Variability in the Blood Oxygen-Level Dependent (BOLD) signal from fMRI is often associated with better cognitive performance and younger age. It has been proposed that neural variability enables flexible responding to uncertainty in a changing environment. However, signal variability reflecting environmental uncertainty may reduce to the extent that a task depends on internally-directed attention and is supported by neural "solutions" that are schematic and relatively stable within each individual. Accordingly, we examined the hypothesis that BOLD variability will be low at rest, higher during internally-directed tasks, and higher still during externally-directed tasks, and that this effect will be reduced with aging. Modulation of BOLD variability across conditions was consistent with these hypotheses, and was associated with faster and more stable behavioral performance in both young and older adults. These data support the idea that brain signal variability may modulate in response to environmental uncertainty, which is presumed to be greater in the external environment than in the internal milieu. Reduced flexibility of signal variability with age may indicate less ability to switch between internal and external brain states. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Verification in the international treaty and expected its activities for FMCT

    International Nuclear Information System (INIS)

    Kikuchi, Masahiro

    1997-01-01

    Cold war had been finished and the international society was going to move detente. The mass destruction weapons decrease its object and they are going to be reduced or reversed. By change of the international conditions in the field of non-proliferation, it is necessary to the activities for decreasing atomic weapons and a countermeasure of diffusion of nuclear materials produced by waste and dissection of excess atomic weapon to other countries and stranger. We understand that non-proliferation means a countermeasure of decreasing nuclear weapon. So that the non-proliferation system should be regulated systematically in order to foresee the international tendency in the future and the verification activities to attain reliability assurance of international treaty for disarmament and non-proliferation. NPT reconsider congress decided to begin early negotiation of Fissile Material Cut-off Treaty (FMCT) in 1995. The functions, verification and expected activities of FMCT are discussed. (S.Y.)

  16. The Moderating Role of Experiential Avoidance in the Relationships Between Internal Distress and Smoking Behavior During a Quit Attempt

    Science.gov (United States)

    Minami, Haruka; Bloom, Erika Litvin; Reed, Kathleen M. Palm; Hayes, Steven C.; Brown, Richard A.

    2015-01-01

    Recent smoking cessation studies have shown that decreasing experiential avoidance (EA) (i.e., tendency to reduce or avoid internal distress) improves success, but to date none have examined the moderating effect of EA on the role of specific internal distress in smoking cessation. This study examined whether pre-quit general EA (Acceptance & Action Questionnaire) and smoking-specific EA (Avoidance and Inflexibility Scale) moderated the relations between four measures of post-quit internal distress (depressive symptoms, negative affect, physical withdrawal symptoms, craving), and smoking. Participates: 40 adult smokers who participated in a randomized controlled trial of Distress Tolerance treatment for smokers with a history of early lapse. Results: Multilevel models showed that pre-quit smoking-specific EA, but not general EA, significantly moderated the relationship between all measures of internal distress, except craving, and smoking over 13 weeks post-quit. When examined over 26 weeks, these relations remained unchanged for all, but the moderating effect became trend-level for depressive symptoms. Significant associations between post-quit internal distress and smoking were found only in those with high pre-quit smoking-specific EA. Moreover, pre-quit smoking-specific EA did not predict post-quit levels or changes in internal distress, suggesting that decreasing smoking-specific EA pre-quit may not reduce internal distress, but may instead reduce smoking risk in response to such distress during a quit attempt. Conclusions: Results mainly supported hypothesized relations, but only for smoking-specific EA. Smoking cessation interventions focusing on EA reduction may especially benefit those vulnerable to greater post-quit depressive and withdrawal symptoms, and those who smoke to regulate aversive internal states. PMID:25347023

  17. International opportunities and value creation in international entrepreneurship.

    NARCIS (Netherlands)

    Mainela, Tuija; Puhakka, Vesa; Wakkee, Ingrid; Marinova, Svetla; Larimo, Jorma; Nummela, Niina

    2016-01-01

    International entrepreneurship (IE) as a field of research has emerged at the intersection of internationalization and entrepreneurship theories. At this intersection it has come to emphasize the activities centered on international opportunities. International opportunities, then, are about value

  18. Learning together, growing apart. Global warming, energy policy and international trust

    International Nuclear Information System (INIS)

    Kydd, Andrew H.

    2010-01-01

    Standard models of uncertainty in economics imply that sharing information can reduce uncertainty and help identify welfare improving policies. In international relations, 'epistemic communities' of scientists are thought to help provide information for these purposes. However, conflicting preferences can frustrate the transmission of information and prevent effective information sharing. In addition, opportunities for information sharing can deepen distrust as actors observe each other's reaction to what to them is credible information. A model that assumes uncertainty both about the state of the world and the parties' motivations is applied to international climate change negotiations. (author)

  19. International cooperation and support in environmental remediation - is there any room for improvement?

    Science.gov (United States)

    Fernandes, Horst Monken; Recio, Manuel Santamaria; Forsstrom, Hans; Carson, Philip Michael

    2013-05-01

    The challenges faced by states seeking to implement Environmental Remediation works are many. To this end, the International Atomic Energy Agency attempts to provide assistance and guidance to Member States wherever possible. This review article provides a brief overview of these challenges and highlights the international sources of financial and implementation support discussed at an international conference on the topic in Astana, Kazakhstan in 2009. The conference concluded the importance of institutional structures as a pre-requisite for remediation work, recognized privatization as a useful but limited financing tool for remediation and illustrated the need for better coordination between international funding organizations to reduce overlap and optimization of resources to secure the best outcomes. Copyright © 2011 Elsevier Ltd. All rights reserved.

  20. REFLECTIONS ON PRODUCTION INTERNALIZATION AND ITS INTERNATIONAL TRADE IMPLICATIONS

    Directory of Open Access Journals (Sweden)

    CLIPA RALUCA IRINA

    2014-06-01

    Full Text Available Vertically-integrated multinational companies place the different stages of production and marketing chain in different countries, looking for advantages such as low production costs, lower taxes, abundant resources and so on, while benefiting from the advantages of economies of scale, control of supplies or outlets. In fact, this vertical integration of multinational companies has led to the expansion of intra-firm trade and "internalized" operations, thus creating their own markets for the vertically-integrated production. Internationally active firms operate in a way that replaces the different functions of an open market with internal transactions, i.e. intra-firm transactions, whenever internal transaction costs are lower than the open-market ones. The direct consequence over international trade is the increase of intra-firm share of trade flows to one third of world trade, those companies making a suppression of international market segments that act in favour of an internal market. The creation of a multinational market and the enhancement of intra-firm trade have profound quantitative and qualitative implications on the composition, geographic orientation and dynamics of international trade. This paper deals with the issue of production internalization, with an overview of the main contributions made to the theory of internalization, while tackling its relative dimension. However, we intend to highlight the implications of this phenomenon on international trade. The work methodology falls within the range of qualitative approaches: logical argumentation, critical theoretical analysis.

  1. Quantifying Nanoparticle Internalization Using a High Throughput Internalization Assay.

    Science.gov (United States)

    Mann, Sarah K; Czuba, Ewa; Selby, Laura I; Such, Georgina K; Johnston, Angus P R

    2016-10-01

    The internalization of nanoparticles into cells is critical for effective nanoparticle mediated drug delivery. To investigate the kinetics and mechanism of internalization of nanoparticles into cells we have developed a DNA molecular sensor, termed the Specific Hybridization Internalization Probe - SHIP. Self-assembling polymeric 'pHlexi' nanoparticles were functionalized with a Fluorescent Internalization Probe (FIP) and the interactions with two different cell lines (3T3 and CEM cells) were studied. The kinetics of internalization were quantified and chemical inhibitors that inhibited energy dependent endocytosis (sodium azide), dynamin dependent endocytosis (Dyngo-4a) and macropinocytosis (5-(N-ethyl-N-isopropyl) amiloride (EIPA)) were used to study the mechanism of internalization. Nanoparticle internalization kinetics were significantly faster in 3T3 cells than CEM cells. We have shown that ~90% of the nanoparticles associated with 3T3 cells were internalized, compared to only 20% of the nanoparticles associated with CEM cells. Nanoparticle uptake was via a dynamin-dependent pathway, and the nanoparticles were trafficked to lysosomal compartments once internalized. SHIP is able to distinguish between nanoparticles that are associated on the outer cell membrane from nanoparticles that are internalized. This study demonstrates the assay can be used to probe the kinetics of nanoparticle internalization and the mechanisms by which the nanoparticles are taken up by cells. This information is fundamental for engineering more effective nanoparticle delivery systems. The SHIP assay is a simple and a high-throughput technique that could have wide application in therapeutic delivery research.

  2. I was expecting her to be a fanatic Catholic, but she was not. How International Exchange Programmes Reduce Prejudice

    Czech Academy of Sciences Publication Activity Database

    Leix, Alicja

    2013-01-01

    Roč. 31, č. 1 (2013), s. 205-216 ISSN 1732-6729 R&D Projects: GA ČR GA13-25656S Keywords : international exchange programmes * Lifelong Learning Programmes * Erasmus generation Subject RIV: AN - Psychology Impact factor: 0.149, year: 2012

  3. An attitude of gratitude: The effects of body-focused gratitude on weight bias internalization and body image.

    Science.gov (United States)

    Dunaev, Jamie; Markey, Charlotte H; Brochu, Paula M

    2018-06-01

    Internalized weight bias and body dissatisfaction are associated with a number of negative psychological and physical health outcomes. The current study examined the effectiveness of body-focused gratitude, through a short writing exercise, as a strategy to reduce internalized weight bias and improve body image. Young adults (M age  = 22.71, SD = 2.08, 51.2% female) were randomly assigned to either a body gratitude condition (n = 185) or a control condition (n = 184). Results indicated that participants in the gratitude condition reported significantly lower weight bias internalization and significantly more favorable appearance evaluation and greater body satisfaction when compared to the control condition. These effects were in the small range (ds = 0.27-0.33), and neither gender nor BMI moderated these effects. These findings provide preliminary support for body-focused gratitude writing exercises as an effective individual-level strategy for both reducing internalized weight bias and improving body image. Copyright © 2018 Elsevier Ltd. All rights reserved.

  4. Does more international transmission capacity increase competition in the Belgian electricity market?

    NARCIS (Netherlands)

    Kupper, G.; Delarue, E.; Delvaux, B.; Meeus, L.; Bekaert, D.; Willems, Bert; Proost, S.; D'haeseleer, W.; Deketelaere, K.; Belmans, R.

    2009-01-01

    From a national market perspective, taking transmission capacity into account reduces current concentration measures, although they remain fairly high even after substantial capacity increases. From an international perspective, a more efficient use of current transmission capacity by coupling

  5. Elevated Body Mass Index is Associated with Increased Integration and Reduced Cohesion of Sensory-Driven and Internally Guided Resting-State Functional Brain Networks.

    Science.gov (United States)

    Doucet, Gaelle E; Rasgon, Natalie; McEwen, Bruce S; Micali, Nadia; Frangou, Sophia

    2018-03-01

    Elevated body mass index (BMI) is associated with increased multi-morbidity and mortality. The investigation of the relationship between BMI and brain organization has the potential to provide new insights relevant to clinical and policy strategies for weight control. Here, we quantified the association between increasing BMI and the functional organization of resting-state brain networks in a sample of 496 healthy individuals that were studied as part of the Human Connectome Project. We demonstrated that higher BMI was associated with changes in the functional connectivity of the default-mode network (DMN), central executive network (CEN), sensorimotor network (SMN), visual network (VN), and their constituent modules. In siblings discordant for obesity, we showed that person-specific factors contributing to obesity are linked to reduced cohesiveness of the sensory networks (SMN and VN). We conclude that higher BMI is associated with widespread alterations in brain networks that balance sensory-driven (SMN, VN) and internally guided (DMN, CEN) states which may augment sensory-driven behavior leading to overeating and subsequent weight gain. Our results provide a neurobiological context for understanding the association between BMI and brain functional organization while accounting for familial and person-specific influences. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  6. Study of Internal and External Leaks in Tests of Anode-Supported SOFCs

    DEFF Research Database (Denmark)

    Rasmussen, Jens Foldager Bregnballe; Hendriksen, Peter Vang; Hagen, Anke

    2008-01-01

    A planar anode-supported solid oxide fuel cell (SOFC) has been tested to investigate gas tightness of the electrolyte and the applied seals. Gas leaks reduce the efficiency of the SOFC and it is thus important to determine and minimise them. Probe gases (He and Ar) and a Quadrupole Mass Spectrome......A planar anode-supported solid oxide fuel cell (SOFC) has been tested to investigate gas tightness of the electrolyte and the applied seals. Gas leaks reduce the efficiency of the SOFC and it is thus important to determine and minimise them. Probe gases (He and Ar) and a Quadrupole Mass...... Spectrometer were used to detect both internal (through electrolyte) and external (through seals) gas leaks. The internal gas leak through the electrolyte was quantified under different conditions, as was the external leak from the surroundings to the anode. The internal gas leak did not depend on the pressure...... difference between the anode and the cathode gas compartment, and can thus be described as diffusion driven. External leaks between the surroundings and the anode, but not the cathode gas compartment was observed. They were influenced by the pressure difference and are thus driven by both concentration...

  7. International criminal justice: a pillar for the international rule of law

    Directory of Open Access Journals (Sweden)

    Gonzalo Aguilar Cavallo

    2012-12-01

    Full Text Available The international criminal justice has experienced a rapid change over the past years. This circumstance has underscored the need for interaction and complementation between international and domestic law. Some authors consider that the international criminal justice, and the activities of its tribunals, jeopardize the legality of international law. Our vision is that international criminal justice is a central pillar of the rule of law, at the national and the international levels. Far from undermining the legality of international law, international criminal justice paves the way towards a true international public order.

  8. Energy policy under the aspect of international economic interdependencies

    International Nuclear Information System (INIS)

    Michaelis, H.

    1978-01-01

    A few introductory remarks on the status of and on prospects fo the world energy economy as well as on reasons given for the necessity of a world-wide coordination of energy policy and economic policy are followed by an explanation of the policy led by oil extracting countries and of the endeavour of western industrialized countries to reduce oil imports. Even if the state of utilizing nuclear energy does not yet present a sufficient alternative, the international nuclear energy continues to be directed towards this goal. Seen from an international viewpoint, relieving contributions are to be expected from energy-conservation-actions and from the development of regenerative energy sources. (UA) [de

  9. An Overview of the International Reactor Physics Experiment Evaluation Project

    International Nuclear Information System (INIS)

    Briggs, J. Blair; Gulliford, Jim

    2014-01-01

    Interest in high-quality integral benchmark data is increasing as efforts to quantify and reduce calculational uncertainties associated with advanced modeling and simulation accelerate to meet the demands of next generation reactor and advanced fuel cycle concepts. Two Organization for Economic Cooperation and Development (OECD) Nuclear Energy Agency (NEA) activities, the International Criticality Safety Benchmark Evaluation Project (ICSBEP), initiated in 1992, and the International Reactor Physics Experiment Evaluation Project (IRPhEP), initiated in 2003, have been identifying existing integral experiment data, evaluating those data, and providing integral benchmark specifications for methods and data validation for nearly two decades. Data provided by those two projects will be of use to the international reactor physics, criticality safety, and nuclear data communities for future decades. An overview of the IRPhEP and a brief update of the ICSBEP are provided in this paper.

  10. New final doublets and power densities for the international linear ...

    Indian Academy of Sciences (India)

    Abstract. In this paper we use current and proposed final doublet magnet technologies to reoptimise the interaction region of the international linear collider and reduce the power losses. The result is a set of three new final doublet layouts with improved beam transport properties. The effect of localised power deposition and ...

  11. International greenhouse gas trading programs: a discussion of measurement and accounting issues

    International Nuclear Information System (INIS)

    Vine, Edward; Kats, Gregory; Sathaye, Jayant; Joshi, Hemant

    2003-01-01

    There is general scientific consensus that global warming is occurring and that this results from human activities, primarily burning fossil fuels. There is also a growing international consensus that the most cost-effective way to slow global warming is to establish international climate change trading programs that let institutions sell greenhouse gas (GHG) reductions in an international trading program. A well designed international GHG trading program could save billions or tens of billions of dollars and could result in a more rapid transfer of cleaner, more modern energy generating, transmitting and using technologies to developing nations. Establishing an international GHG trading program will require the development of international consensus rules on how to value and credit investments, for example in energy efficiency, that result in reduced emissions of greenhouse gases. Such a program would require the development of an international technical agreement on how to value emissions reductions attributed to energy-efficiency investments that reflect realistic estimates of future energy savings--and emissions reductions--that come from those investments. This paper examines five possible approaches for valuing energy savings which might serve as the basis for an international agreement, discusses the strengths and weaknesses of each approach, and discusses lessons learned from conducting this evaluation process

  12. Computational design of patterned interfaces using reduced order models

    International Nuclear Information System (INIS)

    Vattre, A.J.; Abdolrahim, N.; Kolluri, K.; Demkowicz, M.J.

    2014-01-01

    Patterning is a familiar approach for imparting novel functionalities to free surfaces. We extend the patterning paradigm to interfaces between crystalline solids. Many interfaces have non-uniform internal structures comprised of misfit dislocations, which in turn govern interface properties. We develop and validate a computational strategy for designing interfaces with controlled misfit dislocation patterns by tailoring interface crystallography and composition. Our approach relies on a novel method for predicting the internal structure of interfaces: rather than obtaining it from resource-intensive atomistic simulations, we compute it using an efficient reduced order model based on anisotropic elasticity theory. Moreover, our strategy incorporates interface synthesis as a constraint on the design process. As an illustration, we apply our approach to the design of interfaces with rapid, 1-D point defect diffusion. Patterned interfaces may be integrated into the microstructure of composite materials, markedly improving performance. (authors)

  13. Massive hemobilia due to hepatic arteriobiliary fistula during endoscopic retrograde cholangiopancretography: An extremely rare guidewir-related complication

    Energy Technology Data Exchange (ETDEWEB)

    Nam, Jeong Gu; Seo, Young Woo; Hwang, Jae Cheol; Weon, Young Cheol; Kang, Byeong Seong; Bang, Sung Jo; Bang, Min Seo [Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan (Korea, Republic of)

    2015-05-15

    Although endoscopic retrograde cholangiopancreatography (ERCP) is an effective modality for diagnosis and treatment of biliary and pancreatic diseases, the risk for procedure-related complications is high. Hemorrhage is one of major complications of ERCP. Most ERCP-associated bleeding is primarily a complication related to sphincterotomy rather than diagnostic ERCP. We are reporting a case of massive hemobilia due to hepatic arteriobiliary fistula caused by guidewire-associated injury during ERCP, which was successfully treated with transarterial embolization of the hepatic artery.

  14. An international perspective

    International Nuclear Information System (INIS)

    Skinner, R.

    2004-01-01

    Recent developments in the oil markets were reviewed in order to examine the international context for energy policy and challenges. The main elements and trends in global energy supply and demand were also reviewed along with the issues they present. Oil markets and energy supply industries in North America are influenced by industry consolidation, regulatory reform and oil pricing. Grid-based industries have been the main target of market reform policies. This presentation examined the world energy outlook in terms of fossil fuel use, demand growth in developing countries, energy security, and how to reduce greenhouse gases. It was noted that in addition to energy efficiency and renewable energy sources, unconventional oil from Canada's oil sands will appear in the oil business scene. The author emphasized that a key policy goal will be the removal of barriers to investment in energy supplies. figs

  15. Effect of reduced enrichment on the fuel cycle for research reactors

    International Nuclear Information System (INIS)

    Travelli, A.

    1982-01-01

    The new fuels developed by the RERTR Program and by other international programs for application in research reactors with reduced uranium enrichment (<20% EU) are discussed. It is shown that these fuels, combined with proper fuel-element design and fuel-management strategies, can provide at least the same core residence time as high-enrichment fuels in current use, and can frequently significantly extend it. The effect of enrichment reduction on other components of the research reactor fuel cycle, such as uranium and enrichment requirements, fuel fabrication, fuel shipment, and reprocessing are also briefly discussed with their economic implications. From a systematic comparison of HEU and LEU cores for the same reference research reactor, it is concluded that the new fuels have a potential for reducing the research reactor fuel cycle costs while reducing, at the same time, the uranium enrichment of the fuel

  16. Model tracking dual stochastic controller design under irregular internal noises

    International Nuclear Information System (INIS)

    Lee, Jong Bok; Heo, Hoon; Cho, Yun Hyun; Ji, Tae Young

    2006-01-01

    Although many methods about the control of irregular external noise have been introduced and implemented, it is still necessary to design a controller that will be more effective and efficient methods to exclude for various noises. Accumulation of errors due to model tracking, internal noises (thermal noise, shot noise and l/f noise) that come from elements such as resistor, diode and transistor etc. in the circuit system and numerical errors due to digital process often destabilize the system and reduce the system performance. New stochastic controller is adopted to remove those noises using conventional controller simultaneously. Design method of a model tracking dual controller is proposed to improve the stability of system while removing external and internal noises. In the study, design process of the model tracking dual stochastic controller is introduced that improves system performance and guarantees robustness under irregular internal noises which can be created internally. The model tracking dual stochastic controller utilizing F-P-K stochastic control technique developed earlier is implemented to reveal its performance via simulation

  17. Pengaruh Pemasaran Internal dan Kualitas Layanan Internal Terhadap Kepuasan Pelanggan Internal (Studi Pada Industri Kepariwisataan di Daerah Istimewa Yogyakarta

    Directory of Open Access Journals (Sweden)

    Jumadi Jumadi

    2016-06-01

    Full Text Available The aim of this research is to investigate the implication of internal marketing and internal service quality effectivity towards internal customer satisfaction in Tourism Industry in Yogyakarta Special Territory. This internal marketing studyinvolves variables of motivation and reward system, effective communication, effective employee's selection, effective recruitment, effective development, effective support system, and healthy work environment. While the internal quality service aspects that will be examined in this study are: tangible, emphaty, responsiveness, reliability and assurance, and then their influences on internal customer satisfaction would be analyzed.The sample size is 210 respondents,which is determined using purposive sampling method. The main instrument for data collection in this study is through questionnaire. The analysis tool used to examine the hypothesis of the study is Structural Equation Modeling using AMOS Version 20.0 Software. The result of the study shows that: Internal marketing and internal quality service significantly influence internal customers satisfation. However, the internal quality service influence the internal customers satisfaction more significantly. Therefore the managers in tourism industry should improve the internal marketing more than the internal quality service.

  18. Online Hemodiafiltration Reduces Bisphenol A Levels.

    Science.gov (United States)

    Quiroga, Borja; Bosch, Ricardo J; Fiallos, Ruth A; Sánchez-Heras, Marta; Olea-Herrero, Nuria; López-Aparicio, Pilar; Muñóz-Moreno, Carmen; Pérez-Alvarsan, Miguel Angel; De Arriba, Gabriel

    2017-02-01

    Several uremic toxins have been identified and related to higher rates of morbidity and mortality in dialysis patients. Bisphenol A (BPA) accumulates in patients with chronic kidney disease. The aim of this study is to demonstrate the usefulness of online hemodiafiltration (OL-HDF) in reducing BPA levels. Thirty stable hemodialysis patients were selected to participate in this paired study. During three periods of 3 weeks each, patients were switched from high-flux hemodialysis (HF-HD) to OL-HDF, and back to HF-HD. BPA levels were measured in the last session of each period (pre- and post-dialysis) using ELISA and HPLC. Twenty-two patients (mean age 73 ± 14 years; 86.4% males) were included. Measurements of BPA levels by HPLC and ELISA assays showed a weak but significant correlation (r = 0.218, P = 0.012). BPA levels decreased in the OL-HDF period of hemodialysis, in contrast to the HF-HD period when they remained stable (P = 0.002). In conclusion, OL-HDF reduced BPA levels in dialysis patients. © 2016 International Society for Apheresis, Japanese Society for Apheresis, and Japanese Society for Dialysis Therapy.

  19. Two degree of freedom internal model control-PID design for LFC of power systems via logarithmic approximations.

    Science.gov (United States)

    Singh, Jay; Chattterjee, Kalyan; Vishwakarma, C B

    2018-01-01

    Load frequency controller has been designed for reduced order model of single area and two-area reheat hydro-thermal power system through internal model control - proportional integral derivative (IMC-PID) control techniques. The controller design method is based on two degree of freedom (2DOF) internal model control which combines with model order reduction technique. Here, in spite of taking full order system model a reduced order model has been considered for 2DOF-IMC-PID design and the designed controller is directly applied to full order system model. The Logarithmic based model order reduction technique is proposed to reduce the single and two-area high order power systems for the application of controller design.The proposed IMC-PID design of reduced order model achieves good dynamic response and robustness against load disturbance with the original high order system. Copyright © 2018 ISA. Published by Elsevier Ltd. All rights reserved.

  20. Output-based allocation as a form of protection for internationally competitive industries

    International Nuclear Information System (INIS)

    Haites, Erik

    2003-12-01

    Policies adopted by Annex B Parties to reduce their greenhouse gas (GHG) emissions are likely to increase costs for industries vulnerable to international competition in domestic or export markets. Domestic emissions trading, by enabling the aggregate emissions target to be met at least cost, helps to reduce the adverse impacts on these industries. An output-based allocation of allowances reduces the output decline due to imposition of the emissions trading program relative to a lump-sum (historic) allocation and so helps reduce the adverse impacts on these industries. The effectiveness of an output-based allocation in maintaining production must be assessed empirically because it depends on the characteristics of all of the firms covered by the trading program as well as other factors. Modeling results for a possible emissions trading program for Alberta confirm the expected impacts of an output-based allocation and indicate that the effectiveness varies across industries. While encouraging greater production, an output-based allocation lowers profits relative to a lump-sum allocation and leads to a different distribution of costs. Other policy options for reducing the output decline in industries vulnerable to international competition include lump-sum allocations or auctioned allowances combined with assistance programs for emission reduction actions or a requirement to meet 'world best' emission performance standard. These policy options should be compared with an output-based allocation in terms of effectiveness, total cost and other impacts, before a policy is adopted

  1. Internalization and cellular processing of cholecystokinin in rat pancreatic acinar cells

    International Nuclear Information System (INIS)

    Izzo, R.S.; Pellecchia, C.; Praissman, M.

    1988-01-01

    To evaluate the internalization of cholecystokinin, monoiodinated imidoester of cholecystokinin octapeptide [ 125 I-(IE)-CCK-8] was bound to dispersed pancreatic acinar cells, and surface-bound and internalized radioligand were differentiated by treating with an acidified glycine buffer. The amount of internalized radioligand was four- and sevenfold greater at 24 and 37 degree C than at 4 degree C between 5 and 60 min of association. Specific binding of radioligand to cell surface receptors was not significantly different at these temperatures. Chloroquine, a lysosomotropic agent that blocks intracellular proteolysis, significantly increased the amount of CCK-8 internalized by 18 and 16% at 30 and 60 min of binding, respectively, compared with control. Dithiothreitol (DTT), a sulfhydryl reducing agent, also augmented the amount of CCK-8 radioligand internalized by 25 and 29% at 30 and 60 min, respectively. The effect of chloroquine and DTT on the processing of internalized radioligand was also considered after an initial 60 min of binding of radioligand to acinar cells. After 180 min of processing, the amount of radioligand internalized was significantly greater in the presence of chloroquine compared with controls, whereas the amount of radioligand declined in acinar cells treated with DTT. Internalized and released radioactivity from acinar cells was rebound to pancreatic membrane homogenates to determine the amount of intact radioligand during intracellular processing. Chloroquine significantly increased the amount of intact 125 I-(IE)-CCK-8 radioligand in released and internalized radioactivity while DTT increased the amount of intact radioligand only in internalized samples. This study shows that pancreatic acinar cells rapidly internalize large amounts of CCK-8 and that chloroquine and DTT inhibit intracellular degradation

  2. Complete coverage of reduced graphene oxide on silicon dioxide substrates

    International Nuclear Information System (INIS)

    Jingfeng Huang; Hu Chen; Yoong Alfred Tok Iing; Larisika, Melanie; Nowak, Christoph; Faulkner, Steve; Nimmo, Myra A.

    2014-01-01

    Reduced graphene oxide (RGO) has the advantage of an aqueous and industrial-scale production route. No other approaches can rival the RGO field effect transistor platform in terms of cost (reduced by 99.95%. Thus this process could enable RGO to be used in practical electronic devices. (special topic — international conference on nanoscience and technology, china 2013)

  3. The Non-Ergodic Nature of Internal Conversion

    DEFF Research Database (Denmark)

    Kuhlman, Thomas Scheby

    The absorption of light by molecules can induce ultrafast dynamics of coupled electronic and nuclear vibrational motion. The ultrafast nature in many cases rests on the importance of several potential energy surfaces in guiding the nuclear dynamics – a concept of central importance in many aspects...... of chemical reaction dynamics. In this thesis, we focus on the non-ergodic nature of internal conversion, i.e. the concept that the nuclear dynamics only sample a reduced phase space potentially resulting in localization of the dynamics in real space. In essence, this is a consequence of vibrational energy...... cyclopentadienes and dithiane. In the case of the cycloketones, the rate of internal conversion varies by more than an order of magnitude between the molecules. This non-ergodic process was found to primarily involve ring-puckering motion, and the different timescales observed could be rationalized on the basis...

  4. Study of SUSY particles properties at the future International Linear Collider with the International Large Detector

    International Nuclear Information System (INIS)

    Wichmann, K.

    2009-01-01

    Recently, Letters of Intent (LoI) for experiments at the International Linear Collider (ILC) have been submitted. Among the three proposals is the International Large Detector (ILD) concept which is at the focus of these studies. From various subjects addressed in the LoI, a wide spectrum of studies of SUSY particle properties is presented here. Most of them are benchmark reactions for the ILC and can be used both in physics studies and in work on detector design and optimization, respectively. All studies were performed with a full detector simulation using GEANT4, which is a great improvement compared to the previous results with much less detailed, so called f ast , simulation (SIMDET). The importance of this improved simulation is reflected in the results. The presented analyzes have been chosen to be the most challenging for the detector to study its performance and guide the detector development. Additionally an important problem of unavoidable beam induced backgrounds at linear colliders is addressed and ways of reducing its impact on physics studies are shown for an example SUSY analysis. (author)

  5. Internal Versus External Fixation of Charcot Midfoot Deformity Realignment.

    Science.gov (United States)

    Lee, Daniel J; Schaffer, Joseph; Chen, Tien; Oh, Irvin

    2016-07-01

    Internal and external fixation techniques have been described for realignment and arthrodesis of Charcot midfoot deformity. There currently is no consensus on the optimal method of surgical reconstruction. This systematic review compared the clinical results of surgical realignment with internal and external fixation, specifically in regard to return to functional ambulation, ulcer occurrence, nonunion, extremity amputation, unplanned further surgery, deep infection, wound healing problems, peri- or intraoperative fractures, and total cases with any complication. A search of multiple databases for all relevant articles published from January 1, 1990, to March 22, 2014, was performed. A logistic regression model evaluated each of the outcomes and its association with the type of fixation method. The odds of returning to functional ambulation were 25% higher for internal fixation (odds ratio [OR], 1.259). Internal fixation had a 42% reduced rate of ulcer occurrence (OR, 0.578). External fixation was 8 times more likely to develop radiographic nonunion than internal fixation (OR, 8.2). Internal fixation resulted in a 1.5-fold increase in extremity amputation (OR, 1.488), a 2-fold increase in deep infection (OR, 2.068), a 3.4-fold increase in wound healing complications (OR, 3.405), and a 1.5-fold increase in the total number of cases experiencing any complication (OR, 1.525). This was associated with a 20% increase in the need for unplanned further surgery with internal fixation (OR, 1.221). Although internal fixation may decrease the risk of nonunion and increase return to functional ambulation, it had a higher rate of overall complications than external fixation for realignment and arthrodesis of Charcot midfoot deformity. [Orthopedics. 2016; 39(4):e595-e601.]. Copyright 2016, SLACK Incorporated.

  6. Reducing Air Pollution from International Transportation

    Science.gov (United States)

    Because of their reliance on petroleum-based fuels and their dramatic growth rates in recent decades, air and sea transport are responsible for significant emissions of both traditional air pollutants and greenhouse gases.

  7. Determining the k in k-means with MapReduce

    OpenAIRE

    Debatty , Thibault; Michiardi , Pietro; Mees , Wim; Thonnard , Olivier

    2014-01-01

    International audience; In this paper we propose a MapReduce implementation of G-means, a variant of k-means that is able to automatically determine k, the number of clusters. We show that our implementation scales to very large datasets and very large values of k, as the computation cost is proportional to nk. Other techniques that run a clustering algorithm with different values of k and choose the value of k that provides the " best " results have a computation cost that is proportional to...

  8. International Tax Evasion in the Current Geopolitical Context

    OpenAIRE

    Constantin Sergiu-Bogdan

    2014-01-01

    Tax evasion means the avoidance of declaring and paying the tax obligations. Through the manifestation of this phenomenon, the state incomes are reduced, the governments not being capable of complying with their tasks. As the economic globalization progresses, tax evasion becomes international thanks to the tax havens which usually are small states that provide various tax facilities to those who want to carry out their activity through their agency, especially through offshore companies. It ...

  9. Baffle-former arrangement for nuclear reactor vessel internals

    International Nuclear Information System (INIS)

    Machado, O.J.; Berringer, R.T.

    1978-01-01

    A baffle-former arrangement for the reactor vessel internals of a nuclear reactor is described. The arrangement includes positioning of formers at the same elevations as the fuel assembly grids, and positioning flow holes in the baffle plates directly beneath selected former grid elevations. The arrangement reduces detrimental cross flows, maintains proper core barrel and baffle temperatures, and alleviates the potential of overpressurization within the baffle-former assembly under assumed major accident conditions

  10. Language proficiency and the international postgraduate student experience

    OpenAIRE

    Weaver, M

    2016-01-01

    In an increasingly competitive environment, with reduced government funding, full fee-paying international students are an important source of revenue for higher education institutions (HEIs). Although many previous studies have focused on the role of English language proficiency on academic success, there is little known about the extent to which levels of English language proficiency affect these non-native English speaking students’ overall course experience. There have been a wealth of st...

  11. Assessing interventions available to internally displaced persons in Abia state, Nigeria.

    Science.gov (United States)

    Enwereji, Ee

    2009-03-01

    Internally displaced persons are faced with several problems, such as sexual violence, and deserve appropriate intervention, especially in view of the increasing prevalence of HIV/AIDS and other infections in Nigeria. This study attempts to assess interventions offered by governmental authorities and organizations to internally displaced persons and to identify gaps in services as well as to identify what needs to be strengthened. The author reviewed relevant published and unpublished documents and collected data by interviews with semi-structured questions. Twenty-five organizations and government and police departments and 55 internally displaced persons were interviewed. None of the organizations, including governmental institutions, provided social services or assistance in prevention of HIV/AIDS to internally displaced persons. The main services provided by 17 (68%) organizations to 43 (78.2%) of internally displaced persons were provision of food, clothing and money, but these were provided on an ad hoc basis. Only 3 organizations (12%) included spiritual counseling and resolution of communal conflicts in their services. The fact that most organizations, including the government, do not have services for internally displaced persons indicates lack of support for internally displaced persons. The government should be urged to include these people in most prevention services, including HIV/AIDS prevention and treatment. This should help reduce the national prevalence of HIV/AIDS.

  12. Learning together, growing apart. Global warming, energy policy and international trust

    Energy Technology Data Exchange (ETDEWEB)

    Kydd, Andrew H. [Department of Political Science, University of Wisconsin, 110 North Hall, 1050 Bascom Mall, Madison, WI 53706 (United States)

    2010-06-15

    Standard models of uncertainty in economics imply that sharing information can reduce uncertainty and help identify welfare improving policies. In international relations, 'epistemic communities' of scientists are thought to help provide information for these purposes. However, conflicting preferences can frustrate the transmission of information and prevent effective information sharing. In addition, opportunities for information sharing can deepen distrust as actors observe each other's reaction to what to them is credible information. A model that assumes uncertainty both about the state of the world and the parties' motivations is applied to international climate change negotiations. (author)

  13. Learning together, growing apart: Global warming, energy policy and international trust

    Energy Technology Data Exchange (ETDEWEB)

    Kydd, Andrew H., E-mail: akydd@sas.upenn.ed [Department of Political Science, University of Wisconsin, 110 North Hall, 1050 Bascom Mall, Madison, WI 53706 (United States)

    2010-06-15

    Standard models of uncertainty in economics imply that sharing information can reduce uncertainty and help identify welfare improving policies. In international relations, 'epistemic communities' of scientists are thought to help provide information for these purposes. However, conflicting preferences can frustrate the transmission of information and prevent effective information sharing. In addition, opportunities for information sharing can deepen distrust as actors observe each other's reaction to what to them is credible information. A model that assumes uncertainty both about the state of the world and the parties' motivations is applied to international climate change negotiations.

  14. Scoping Study. Linking RE Promotion Policies with International Carbon Trade (LINK)

    Energy Technology Data Exchange (ETDEWEB)

    Castro, Paula; Hayashi, Daisuke; Kristiansen, Kjell Olav; Michaelowa, Axel; Stadelmann, Martin

    2011-06-15

    Implementing national policies may threaten the eligibility of renewable energy projects for Clean Development Mechanism/Joint Implementation (CDM/JI), thus reducing international development financing. Countries hence need to be very careful when crafting their national promotion policies. The objectives of the Renewable Energy Technology Deployment (IEA-RETD) project were to perform a scoping study on the interplay between national Renewable Energy (RE) promotion policies and international carbon trade. The study summarizes the ongoing discussion, describes the main barriers that may hinder -- or at least not sufficiently support -- the implementation of national RE promotion policies, and provides suggestions for removing these barriers.

  15. [Decorporation agents for internal radioactive contamination].

    Science.gov (United States)

    Ohmachi, Yasushi

    2015-01-01

    When radionuclides are accidentally ingested or inhaled, blood circulation or tissue/organ deposition of the radionuclides causes systemic or local radiation effects. In such cases, decorporation therapy is used to reduce the health risks due to their intake. Decorporation therapy includes reduction and/or inhibition of absorption from the gastrointestinal tract, isotopic dilution, and the use of diuretics, adsorbents, and chelating agents. For example, penicillamine is recommended as a chelating agent for copper contamination, and diethylene triamine pentaacetic acid is approved for the treatment of internal contamination with plutonium. During chelation therapy, the removal effect of the drugs should be monitored using a whole-body counter and/or bioassay. Some authorities, such as the National Council on Radiation Protection and Measurements and International Atomic Energy Agency, have reported recommended decorporation agents for each radionuclide. However, few drugs are approved by the US Food and Drug Administration, and many are off-label-use agents. Because many decontamination agents are drugs that have been available for a long time and have limited efficacy, the development of new, higher-efficacy drugs has been carried out mainly in the USA and France. In this article, in addition to an outline of decorporation agents for internal radioactive contamination, an outline of our research on decorporation agents for actinide (uranium and plutonium) contamination and for radio-cesium contamination is also presented.

  16. A proposal for an international convention on radiation safety

    International Nuclear Information System (INIS)

    Ahmed, J.U.

    1998-01-01

    One century has passed since harmful effects of radiation on living tissues were recognized. Organized efforts to reduce radiation hazards began in early 1920s. Major efforts by the ICRP since 1928, aided by ICRU, greatly helped in formulating principles, policies and guidance for radiation protection. The WHO formally recognized ICRP in 1956 and began implementing ICRP recommendations and guidance throughout the world. The IAEA, after it took office in 1957, began to establish or adopt standards of safety based on ICRP recommendations and provide for application of these standards in the field of atomic energy. Later on, other pertinent international organizations joined IAEA in establishing the Basic Safety Standards on radiation safety. The IAEA has issued, until now, nearly couple of hundred safety related documents on radiation safety and waste management. However, in spite of all such international efforts for three quarter of a century, there has been no effective universal control in radiation safety. Problems exist at the user, national, international and manufacturers and suppliers levels. Other problems are management of spent sources and smuggling of sources across international borders. Although, radiation and radionuclides are used by all countries of the world, regulatory and technical control measures in many countries are either lacking or inadequate. The recommendations and technical guidance provided by the international organizations are only advisory and carry no mandatory force to oblige countries to apply them. Member States approve IAEA safety standards and guides at the technical meetings and General Conference, but many of them do not apply these. An International Convention is, therefore, essential to establish international instrument to ensure universal application of radiation safety. (author)

  17. International trade in carbon emission rights and basic materials: General equilibrium calculations for 2020

    International Nuclear Information System (INIS)

    Perroni, C.; Rutherford, T.F.

    1993-01-01

    Restrictions on CO 2 emissions affect international trade and the pattern of comparative advantage. This paper, based on calculations with a static general equilibrium model, suggests that international trade in carbon rights is a substitute for trade in energy-intensive goods, and thus international trading in carbon rights reduces sectoral effects of emission reductions. In our model, we surprisingly find that free riding by non-signatory countries may not render unilateral action ineffective. If the OECD unilaterally cuts global emissions by 5 per cent from 1990 levels by the year 2020, emission by non-OECD regions increase but offset less than 15 per cent of this cutback. Moreover, carbon taxes depress international oil prices and create incentives for increased trade in natural gas. 14 refs, 7 figs

  18. International protocol on volatile organic compounds

    International Nuclear Information System (INIS)

    Gauthier, J.-P.

    1992-01-01

    In August 1991, negotiations between Canada, the USA, and 33 European countries led to an international protocol on reducing the emissions of volatile organic compounds (VOC), which are responsible for serious ozone pollution problems. This was the third transborder pollution agreement developed under the auspices of the United Nations Economic Commission for Europe. Certain aspects of negotiations related to an earlier protocol developed for SO 2 and nitrogen oxide emissions had reappeared during the VOC negotiations, and these aspects are discussed. The VOC protocol proposes three approaches to satisfy basic obligations: reducing VOC emissions of a country by 30%, reducing VOC emissions by 30% in certain regions, and ensuring a freeze in VOC emissions in a country starting on a specified date. The protocol also introduces a new concept, that of zones of tropospheric ozone management. In Canada, plans for management of nitrogen oxides and VOC have been adapted to the ozone problem, and the management plan has been developed by a consultation process involving all sectors of society including industry, environmental groups, and governments. In Canada, it will be sufficient to reduce total VOC emissions by 16% during a first phase and to increase these reductions slightly in the second phase. Special ozone management zones in the Quebec City/Windsor corridor and the Fraser River valley have been established

  19. Hierarchical Targeting Strategy for Enhanced Tumor Tissue Accumulation/Retention and Cellular Internalization.

    Science.gov (United States)

    Wang, Sheng; Huang, Peng; Chen, Xiaoyuan

    2016-09-01

    Targeted delivery of therapeutic agents is an important way to improve the therapeutic index and reduce side effects. To design nanoparticles for targeted delivery, both enhanced tumor tissue accumulation/retention and enhanced cellular internalization should be considered simultaneously. So far, there have been very few nanoparticles with immutable structures that can achieve this goal efficiently. Hierarchical targeting, a novel targeting strategy based on stimuli responsiveness, shows good potential to enhance both tumor tissue accumulation/retention and cellular internalization. Here, the recent design and development of hierarchical targeting nanoplatforms, based on changeable particle sizes, switchable surface charges and activatable surface ligands, will be introduced. In general, the targeting moieties in these nanoplatforms are not activated during blood circulation for efficient tumor tissue accumulation, but re-activated by certain internal or external stimuli in the tumor microenvironment for enhanced cellular internalization. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  20. Student nurse perceptions of risk in relation to international placements: a phenomenological research study.

    Science.gov (United States)

    Morgan, Debra A

    2012-11-01

    International nursing electives have been identified as a positive learning experience for students. However, whilst there are risks associated with international student placements in general, there is a scarcity of research specifically relating to student nurse's experiences of risk. This study aimed to investigate UK undergraduate student nurse experiences of risk during an international placement. A phenomenological methodology was applied and semi-structured interviews were conducted with student nurses who had recently returned from an international clinical placement abroad. Ten, second year student nurses, studying on a pre-registration diploma/BSc (Hons) Nursing Studies/Registered Nurse programme from one UK University participated in the study. Findings from the study highlighted that students felt that three types of risk existed; physical risk, clinical-professional risk and socio-cultural risk. Perceptions of risk were influenced by sociological theory relating to the concept of 'the other' and students attempted to reduce risk by employing strategies to reduce 'Otherness'. They also applied psychological theory relating to heuristics such as 'safety in numbers.' It also emerged from the study that exposure to perceived risk enhanced learning as students reported that it encouraged personal and professional development in particular and so assisted students in their move toward self-actualisation. It is suggested, and intended, that findings from this study can be applied to the preparation of students to further enhance their safety and learning experience during international placements abroad. Copyright © 2011 Elsevier Ltd. All rights reserved.

  1. International Relations

    OpenAIRE

    McGlinchey, S.

    2017-01-01

    A ‘Day 0’ introduction to International Relations for beginners. Written by a range of emerging and established experts, the chapters offer a broad sweep of the basic components of International Relations and the key contemporary issues that concern the discipline. The narrative arc forms a complete circle, taking readers from no knowledge to competency. The journey starts by examining how the international system was formed and ends by reflecting that International Relations is always adapti...

  2. Does SDDS Subscription Reduce Borrowing Costs for Emerging Market Economies?

    OpenAIRE

    John Cady

    2005-01-01

    Does macroeconomic data transparency-as signaled by subscription to the IMF's Special Data Dissemination Standard (SDDS)-help reduce borrowing costs in international capital markets? This question is examined using data on new issues of sovereign foreign-currency-denominated (U.S. dollar, yen, and euro) bonds for several emerging market economies. Panel econometric estimates indicate that spreads on new bond issues declined on average by close to 20 percent, or by an average of about 55 basis...

  3. An adaptation study of internal and external features in facial representations.

    Science.gov (United States)

    Hills, Charlotte; Romano, Kali; Davies-Thompson, Jodie; Barton, Jason J S

    2014-07-01

    Prior work suggests that internal features contribute more than external features to face processing. Whether this asymmetry is also true of the mental representations of faces is not known. We used face adaptation to determine whether the internal and external features of faces contribute differently to the representation of facial identity, whether this was affected by familiarity, and whether the results differed if the features were presented in isolation or as part of a whole face. In a first experiment, subjects performed a study of identity adaptation for famous and novel faces, in which the adapting stimuli were whole faces, the internal features alone, or the external features alone. In a second experiment, the same faces were used, but the adapting internal and external features were superimposed on whole faces that were ambiguous to identity. The first experiment showed larger aftereffects for unfamiliar faces, and greater aftereffects from internal than from external features, and the latter was true for both familiar and unfamiliar faces. When internal and external features were presented in a whole-face context in the second experiment, aftereffects from either internal or external features was less than that from the whole face, and did not differ from each other. While we reproduce the greater importance of internal features when presented in isolation, we find this is equally true for familiar and unfamiliar faces. The dominant influence of internal features is reduced when integrated into a whole-face context, suggesting another facet of expert face processing. Copyright © 2014 Elsevier B.V. All rights reserved.

  4. Panorama 2018 - Reducing sulfur emissions in shipping: an economic and technological challenge

    International Nuclear Information System (INIS)

    Dumas, Cecile; Marion, Pierre; Saint Antonin, Valerie; Weiss, Wilfried

    2018-01-01

    Sulfur oxides emissions from maritime traffic are constantly rising, unlike those generated by all land-based sources, which are subject to numerous regulations on both fuels and emission caps on equipment that uses them. Accordingly, the International Maritime Organization (IMO) adopted a resolution to reduce the sulfur content of marine fuels, but its implementation, set for 2020, could prove complicated. (authors)

  5. Piston pump and method of reducing vapor lock

    Science.gov (United States)

    Phillips, Benjamin A.; Harvey, Michael N.

    2000-02-15

    A pump includes a housing defining a cavity, at least one bore, a bore inlet, and a bore outlet. The bore extends from the cavity to the outlet and the inlet communicates with the bore at a position between the cavity and the outlet. A crankshaft is mounted in supports and has an eccentric portion disposed in the cavity. The eccentric portion is coupled to a piston so that rotation of the crankshaft reciprocates the piston in the bore between a discharge position an intake position. The bore may be offset from an axis of rotation to reduce bending of the piston during crankshaft rotation. During assembly of the pump, separate parts of the housing can be connected together to facilitate installation of internal pumping components. Also disclosed is a method of reducing vapor lock by mixing vapor and liquid portions of a substance and introducing the mixture into a piston bore.

  6. Reducing Mission Logistics with Multipurpose Cargo Transfer Bags

    Science.gov (United States)

    Baccus, Shelley; Broyan, James Lee, Jr.; Borrego, Melissa

    2016-01-01

    The Logistics Reduction (LR) project within Advanced Exploration Systems (AES) is tasked with reducing logistical mass and repurposing logistical items. Multipurpose Cargo Transfer Bags (MCTB) have been designed such that they can serve the same purpose as a Cargo Transfer Bag (CTB), the common logistics carrying bag for the International Space Station (ISS). After use as a cargo carrier, a regular CTB becomes trash, whereas the MCTB can be unfolded into a flat panel for reuse. Concepts and potential benefits for various MCTB applications will be discussed including partitions, crew quarters, solar radiation storm shelters, acoustic blankets, and forward osmosis water processing. Acoustic MCTBs are currently in use on ISS to reduce the noise generated by the T2 treadmill, which reaches the hazard limit at high speeds. The development of the AMCTB included identification of keep-out zones, acoustic properties, deployment considerations, and structural testing. Features developed for these considerations are applicable to MCTBs for all crew outfitting applications.

  7. Economics of reducing CO2 emissions from China

    International Nuclear Information System (INIS)

    Wu Zhongxin

    1991-01-01

    Relative to the nations of the industrialized world, developing countries emit far lower levels of CO 2 per capita. In coming years, however, as the developing world experiences more rapid rates of economic and population growth, their carbon emissions per capita inevitably will rise. Therefore, developing countries should be encouraged both to adopt more advanced energy technologies in order to improve the efficiency of energy exploration, transportation, generation and end-use and to replace carbon-intensive fuels sources with less carbon-intensive sources (non-fossil fuels and renewable energy). By incorporating methods aimed at curtailing carbon emissions into their energy development strategies, developing nations can reduce the risks posed by higher CO 2 emissions. However, adopting more advanced energy technologies generally entails high costs. These higher prices serve as a particularly large obstacle for developing nations. In order to serve the common interest of protecting the global environment, international funds should be devoted to cover the high costs of reducing developing world CO 2 emissions

  8. Proceedings of the first international seminar on seismic base isolation for nuclear power facilities

    International Nuclear Information System (INIS)

    1989-01-01

    The First International Seminar on Seismic Base Isolation of Nuclear Power Facilities was organized by the authors of this paper. It was held in San Francisco, California, USA, on August 21--22, 1989, in conjunction with the tenth International Conference on Structural Mechanics in Reactor Technology (SMiRT-10). The purpose of the seminar was to provide an international forum for discussion on the application of base isolation to nuclear power plants and of its effectiveness in reducing seismic loads and permitting standard plant designs. It also provided an opportunity for technical interchange between base isolation system designers, structural engineers, and nuclear power plant engineers. Seismic isolation is certainly one of the most significant earthquake engineering developments in recent years. This was clearly demonstrated by the very large attendance at this seminar and the various papers presented. Isolation system act as filters that reduce the seismic forces and increase the ability of isolated structures and their contents to withstand the damaging effects of earthquake motions. Each individual paper has been cataloged separately

  9. Methane, a greenhouse gas: measures to reduce and valorize anthropogenic emissions

    International Nuclear Information System (INIS)

    2010-03-01

    This report first presents the greenhouse effect properties of methane (one of the six gases the emissions of which must be reduced according to the Kyoto protocol), comments the available data on methane emission assessment in the World, in Europe and in France, and outlines the possibilities of improvement of data and indicators on a short and middle term. It describes how methane can be captured and valorized, indicates the concerned quantities. Notably, it discussed the management of methane generating and spreading practices (from waste water treatment, from domestic wastes), how to reduce methane emissions in agriculture. It finally proposes elements aimed at elaborating a national and international policy regarding methane emission reductions

  10. International law

    CERN Document Server

    Shaw, Malcolm N

    2017-01-01

    International Law is the definitive and authoritative text on the subject, offering Shaw's unbeatable combination of clarity of expression and academic rigour and ensuring both understanding and critical analysis in an engaging and authoritative style. Encompassing the leading principles, practice and cases, and retaining and developing the detailed references which encourage and assist the reader in further study, this new edition motivates and challenges students and professionals while remaining accessible and engaging. Fully updated to reflect recent case law and treaty developments, this edition contains an expanded treatment of the relationship between international and domestic law, the principles of international humanitarian law, and international criminal law alongside additional material on international economic law.

  11. A reduced-form intensity-based model under fuzzy environments

    Science.gov (United States)

    Wu, Liang; Zhuang, Yaming

    2015-05-01

    The external shocks and internal contagion are the important sources of default events. However, the external shocks and internal contagion effect on the company is not observed, we cannot get the accurate size of the shocks. The information of investors relative to the default process exhibits a certain fuzziness. Therefore, using randomness and fuzziness to study such problems as derivative pricing or default probability has practical needs. But the idea of fuzzifying credit risk models is little exploited, especially in a reduced-form model. This paper proposes a new default intensity model with fuzziness and presents a fuzzy default probability and default loss rate, and puts them into default debt and credit derivative pricing. Finally, the simulation analysis verifies the rationality of the model. Using fuzzy numbers and random analysis one can consider more uncertain sources in the default process of default and investors' subjective judgment on the financial markets in a variety of fuzzy reliability so as to broaden the scope of possible credit spreads.

  12. 78 FR 13221 - Reduced 2009 Estimated Income Tax Payments for Individuals With Small Business Income

    Science.gov (United States)

    2013-02-27

    ... 2009 Estimated Income Tax Payments for Individuals With Small Business Income AGENCY: Internal Revenue... reduced estimated income tax payments for qualified individuals with small business income for any taxable... of 2009. The final regulations provide guidance for qualified individuals with small business income...

  13. Determination of crystal oscillatory spectra by internal friction data spectroscopic analysis

    International Nuclear Information System (INIS)

    Zaykin, Yu.A.

    1998-01-01

    Technique for relaxation spectra determination on the basis of internal friction averaging over relaxation frequencies is developed. It is shown that mathematically the problem is reduced to solution of the first type Fredholm integral equation. Impurity oscillatory spectra in alpha-iron, molybdenum and Fe-Cr-Ni alloy are obtained. (author)

  14. International Market Leakage from China’s Forestry Policies

    Directory of Open Access Journals (Sweden)

    Xin Hu

    2014-11-01

    Full Text Available Carbon leakage can be a problem when seeking to reduce carbon emissions through forest policy. International market leakage is mainly caused by supply and demand imbalances in the timber market. This paper selects China, which is implementing forestry policy changes, as the research object. We begin by offering a brief analysis of China’s forestry policy changes, such as the logging quota and Six Key Forestry Programs to determine whether those policies affect timber supply. Second, through the use of three shock variables, carbon leakage is simulated under different scenarios by the Global Trade Analysis Project (GTAP model. The results reveal that the magnitude of leakage caused by implementing China’s forestry policies is between 79.7% and 88.8% with carbon leakage mainly displaced to Russia, Southeast Asia, and the EU. Two effective scenarios for reducing market leakage are presented: forest tenure reform and fast growing forest projects to improve domestic timber production, and raising tariffs on timber imports to reduce imports.

  15. Hydrogen enrichment of an internal combustion engine via closed loop thermochemical recuperation

    NARCIS (Netherlands)

    Zwitserlood, J.G.; Hofman, T.; Erickson, P.A.

    2013-01-01

    Hydrogen enrichment in an internal combustion engine can greatly improve efficiency and at the same time reduce emissions without the need for extensive engine modifications. One option for a hydrogen source for the enrichment is actively producing hydrogen on-board the vehicle through steam

  16. Dose to the lens of the eye when scanning internal auditory meati

    International Nuclear Information System (INIS)

    English, P.T.

    1988-01-01

    With particular reference to the lens of the eye when CT scanning the internal auditory meati (IAMs), the practice of angling the scanner gantry to avoid the orbits completely justifies itself, reducing dosage to 5% of that given by a pre-orbital scan. (author)

  17. Breaststroke swimmers moderate internal work increases toward the highest stroke frequencies.

    Science.gov (United States)

    Lauer, Jessy; Olstad, Bjørn Harald; Minetti, Alberto Enrico; Kjendlie, Per-Ludvik; Rouard, Annie Hélène

    2015-09-18

    A model to predict the mechanical internal work of breaststroke swimming was designed. It allowed us to explore the frequency-internal work relationship in aquatic locomotion. Its accuracy was checked against internal work values calculated from kinematic sequences of eight participants swimming at three different self-chosen paces. Model predictions closely matched experimental data (0.58 ± 0.07 vs 0.59 ± 0.05 J kg(-1)m(-1); t(23)=-0.30, P=0.77), which was reflected in a slope of the major axis regression between measured and predicted total internal work whose 95% confidence intervals included the value of 1 (β=0.84, [0.61, 1.07], N=24). The model shed light on swimmers ability to moderate the increase in internal work at high stroke frequencies. This strategy of energy minimization has never been observed before in humans, but is present in quadrupedal and octopedal animal locomotion. This was achieved through a reduced angular excursion of the heaviest segments (7.2 ± 2.9° and 3.6 ± 1.5° for the thighs and trunk, respectively, Paquatic movements. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. LC-MS/MS quantitative analysis of reducing carbohydrates in soil solutions extracted from crop rhizospheres.

    Science.gov (United States)

    McRae, G; Monreal, C M

    2011-06-01

    A simple, sensitive, and specific analytical method has been developed for the quantitative determination of 15 reducing carbohydrates in the soil solution of crop rhizosphere. Reducing carbohydrates were derivatized with 1-phenyl-3-methyl-5-pyrazolone, separated by reversed-phase high-performance liquid chromatography and detected by electrospray ionization tandem mass spectrometry. Lower limits of quantitation of 2 ng/mL were achieved for all carbohydrates. Quantitation was performed using peak area ratios (analyte/internal standard) and a calibration curve spiked in water with glucose-d(2) as the internal standard. Calibration curves showed excellent linearity over the range 2-100 ng/mL (10-1,000 ng/mL for glucose). The method has been tested with quality control samples spiked in water and soil solution samples obtained from the rhizosphere of wheat and canola and has been found to provide accurate and precise results.

  19. Elaboration of reduced versions of Measurement tools: A practical Perspective

    Directory of Open Access Journals (Sweden)

    Nekane Balluerka

    2012-01-01

    Full Text Available The aim of the present study is to show, from a practical perspective, the guidelines that may be followed to create a reduced version of a measurement tool. Therefore, it describes in detail the process of creating the reduced Basque version of the CDS scale (Children's Depression Scale; Lang and Tisher, 1978, which measures depression in children and adolescents. In a first study, the items that make up the reduced version of the CDS (CDS-R are selected from a set of analysis conducted on a sample of 886 children and adolescents who were administered the extensive version of the CDS adapted to the Basque language (Balluerka, Gorostiaga, and Haranburu, 2012. Subsequently, the CDS-R is validated on a sample of 2,165 participants. This second study examines the factorial structure, the internal consistency and the temporal stability of the instrument, as well as the relationship between its dimensions and gender, academic performance, emotional intelligence and attachment. Thus, evidence is obtained on the reliability and validity of the reduced version of the instrument, which guarantees suitable evaluation of the construct the instrument is intended to measure.

  20. Reducing global NOx emissions: developing advanced energy and transportation technologies.

    Science.gov (United States)

    Bradley, Michael J; Jones, Brian M

    2002-03-01

    Globally, energy demand is projected to continue to increase well into the future. As a result, global NOx emissions are projected to continue on an upward trend for the foreseeable future as developing countries increase their standards of living. While the US has experienced improvements in reducing NOx emissions from stationary and mobile sources to reduce ozone, further progress is needed to reduce the health and ecosystem impacts associated with NOx emissions. In other parts of the world, (in developing countries in particular) NOx emissions have been increasing steadily with the growth in demand for electricity and transportation. Advancements in energy and transportation technologies may help avoid this increase in emissions if appropriate policies are implemented. This paper evaluates commercially available power generation and transportation technologies that produce fewer NOx emissions than conventional technologies, and advanced technologies that are on the 10-year commercialization horizon. Various policy approaches will be evaluated which can be implemented on the regional, national and international levels to promote these advanced technologies and ultimately reduce NOx emissions. The concept of the technology leap is offered as a possibility for the developing world to avoid the projected increases in NOx emissions.

  1. Gating based on internal/external signals with dynamic correlation updates

    International Nuclear Information System (INIS)

    Wu Huanmei; Zhao Qingya; Berbeco, Ross I; Nishioka, Seiko; Shirato, Hiroki; Jiang, Steve B

    2008-01-01

    Precise localization of mobile tumor positions in real time is critical to the success of gated radiotherapy. Tumor positions are usually derived from either internal or external surrogates. Fluoroscopic gating based on internal surrogates, such as implanted fiducial markers, is accurate however requiring a large amount of imaging dose. Gating based on external surrogates, such as patient abdominal surface motion, is non-invasive however less accurate due to the uncertainty in the correlation between tumor location and external surrogates. To address these complications, we propose to investigate an approach based on hybrid gating with dynamic internal/external correlation updates. In this approach, the external signal is acquired at high frequency (such as 30 Hz) while the internal signal is sparsely acquired (such as 0.5 Hz or less). The internal signal is used to validate and update the internal/external correlation during treatment. Tumor positions are derived from the external signal based on the newly updated correlation. Two dynamic correlation updating algorithms are introduced. One is based on the motion amplitude and the other is based on the motion phase. Nine patients with synchronized internal/external motion signals are simulated retrospectively to evaluate the effectiveness of hybrid gating. The influences of different clinical conditions on hybrid gating, such as the size of gating windows, the optimal timing for internal signal acquisition and the acquisition frequency are investigated. The results demonstrate that dynamically updating the internal/external correlation in or around the gating window will reduce false positive with relatively diminished treatment efficiency. This improvement will benefit patients with mobile tumors, especially greater for early stage lung cancers, for which the tumors are less attached or freely floating in the lung.

  2. Gating based on internal/external signals with dynamic correlation updates

    Energy Technology Data Exchange (ETDEWEB)

    Wu Huanmei [Purdue School of Engineering and Technology, Indiana University School of Informatics, IUPUI, Indianapolis, IN (United States); Zhao Qingya [School of Health Sciences, Purdue University, West Lafayette, IN (United States); Berbeco, Ross I [Department of Radiation Oncology, Dana-Farber/Brigham and Womens Cancer Center and Harvard Medical School, Boston, MA (United States); Nishioka, Seiko [NTT East-Japan Sapporo Hospital, Sapporo (Japan); Shirato, Hiroki [Hokkaido University Graduate School of Medicine, Sapporo (Japan); Jiang, Steve B [Department of Radiation Oncology, School of Medicine, University of California, San Diego, CA (United States)], E-mail: hw9@iupui.edu, E-mail: sbjiang@ucsd.edu

    2008-12-21

    Precise localization of mobile tumor positions in real time is critical to the success of gated radiotherapy. Tumor positions are usually derived from either internal or external surrogates. Fluoroscopic gating based on internal surrogates, such as implanted fiducial markers, is accurate however requiring a large amount of imaging dose. Gating based on external surrogates, such as patient abdominal surface motion, is non-invasive however less accurate due to the uncertainty in the correlation between tumor location and external surrogates. To address these complications, we propose to investigate an approach based on hybrid gating with dynamic internal/external correlation updates. In this approach, the external signal is acquired at high frequency (such as 30 Hz) while the internal signal is sparsely acquired (such as 0.5 Hz or less). The internal signal is used to validate and update the internal/external correlation during treatment. Tumor positions are derived from the external signal based on the newly updated correlation. Two dynamic correlation updating algorithms are introduced. One is based on the motion amplitude and the other is based on the motion phase. Nine patients with synchronized internal/external motion signals are simulated retrospectively to evaluate the effectiveness of hybrid gating. The influences of different clinical conditions on hybrid gating, such as the size of gating windows, the optimal timing for internal signal acquisition and the acquisition frequency are investigated. The results demonstrate that dynamically updating the internal/external correlation in or around the gating window will reduce false positive with relatively diminished treatment efficiency. This improvement will benefit patients with mobile tumors, especially greater for early stage lung cancers, for which the tumors are less attached or freely floating in the lung.

  3. City-based action to reduce harmful alcohol use: review of reviews.

    Science.gov (United States)

    Anderson, Peter; Jané-Llopis, Eva; Hasan, Omer Syed Muhammad; Rehm, Jürgen

    2018-01-01

    Background: The World Health Organization global strategy on alcohol called for municipal policies to reduce the harmful use of alcohol. Yet, there is limited evidence that documents the impact of city-level alcohol policies. Methods: Review of reviews for all years to July 2017. Searches on OVID Medline, Healthstar, Embase, PsycINFO, AMED, Social Work Abstracts, CAB Abstracts, Mental Measurements Yearbook, Health and Psychosocial Instruments, International Pharmaceutical Abstracts, International Political Science Abstracts, NASW Clinical Register, and Epub Ahead of Print databases. All reviews that address adults, without language or date restrictions resulting from combining the terms ("review" or "literature review" or "review literature" or "data pooling" or "comparative study" or "systematic review" or "meta-analysis" or "pooled analysis"), and "alcohol", and "intervention" and ("municipal" or "city" or "community"). Results: Five relevant reviews were identified. Studies in the reviews were all from high income countries and focussed on the acute consequences of drinking, usually with one target intervention, commonly bars, media, or drink-driving. No studies in the reviews reported the impact of comprehensive city-based action. One community cluster randomized controlled trial in Australia, published after the reviews, failed to find convincing evidence of an impact of community-based interventions in reducing adult harmful use of alcohol.     Conclusions: To date, with one exception, the impact of adult-oriented comprehensive community and municipal action to reduce the harmful use of alcohol has not been studied. The one exception failed to find a convincing effect. We conclude with recommendations for closing this evidence gap.

  4. Cyclical Effects of Bank Capital Buffers with Imperfect Credit Markets: international evidence

    OpenAIRE

    A. R. Fonseca; F. González; L. Pereira da Silva

    2010-01-01

    This paper analyzes the cyclical effects of bank capital buffers using an international sample of 2,361 banks from 92 countries over the 1990-2007 period. We find that capital buffers reduce the bank credit supply but – through what could be “monitoring or signaling effects” – have also an expansionary effect on economic activity by reducing lending and deposit rate spreads. This influence on lending and deposit rate spreads is more pronunced in developing countries and during downturns. The ...

  5. Russian Identities and the Idea of International Society 20 Years after the Fall of the USSR

    Directory of Open Access Journals (Sweden)

    Andrey S. Makarychev

    2014-12-01

    Full Text Available In the paper the author analyzes different Russian international identities of the post-Soviet period. Stressing that the Russian identity discourse cannot be simply reduced to the Soviet one, the paper emphasizes the plurality of Russia’s identity discourses. At the same time the menu of Russian foreign policy identities to a large extent depends upon a variety of international structures in which Russia may imagine to engage with. The paper suggests that there are four possible types (models of the international society, which different Russian identities might be inscribed in. The author seeks to explain the range of Russian international identities by the variety of the patterns of international society which co-exist and offer alternative policy strategies for Moscow.

  6. 3-D fracture analysis using a partial-reduced integration scheme

    International Nuclear Information System (INIS)

    Leitch, B.W.

    1987-01-01

    This paper presents details of 3-D elastic-plastic analyses of axially orientated external surface flaw in an internally pressurized thin-walled cylinder and discusses the variation of the J-integral values around the crack tip. A partial-reduced-integration-penalty method is introduced to minimize this variation of the J-integral near the crack tip. Utilizing 3-D symmetry, an eighth segment of a tube containing an elliptically shaped external surface flaw is modelled using 20-noded isoparametric elements. The crack-tip elements are collapsed to form a 1/r stress singularity about the curved crack front. The finite element model is subjected to internal pressure and axial pressure-generated loads. The virtual crack extension method is used to determine linear elastic stress intensity factors from the J-integral results at various points around the crack front. Despite the different material constants and the thinner wall thickness in this analysis, the elastic results compare favourably with those obtained by other researchers. The nonlinear stress-strain behaviour of the tube material is modelled using an incremental theory of plasticity. Variations of the J-integral values around the curved crack front of the 3-D flaw were seen. These variations could not be resolved by neglecting the immediate crack-tip elements J-integral results in favour of the more remote contour paths or else smoothed out when all the path results are averaged. Numerical incompatabilities in the 20-noded 3-D finite elements used to model the surface flaw were found. A partial-reduced integration scheme, using a combination of full and reduced integration elements, is proposed to determine J-integral results for 3-D fracture analyses. This procedure is applied to the analysis of an external semicircular surface flaw projecting halfway into the tube wall thickness. Examples of the J-integral values, before and after the partial-reduced integration method is employed, are given around the

  7. Beam Flutter and Energy Harvesting in Internal Flow

    Science.gov (United States)

    Tosi, Luis Phillipe; Colonius, Tim; Sherrit, Stewart; Lee, Hyeong Jae

    2017-11-01

    Aeroelastic flutter, largely studied for causing engineering failures, has more recently been used as a means of extracting energy from the flow. Particularly, flutter of a cantilever or an elastically mounted plate in a converging-diverging flow passage has shown promise as an energy harvesting concept for internal flow applications. The instability onset is observed as a function of throat velocity, internal wall geometry, fluid and structure material properties. To enable these devices, our work explores features of the fluid-structure coupled dynamics as a function of relevant nondimensional parameters. The flutter boundary is examined through stability analysis of a reduced order model, and corroborated with numerical simulations at low Reynolds number. Experiments for an energy harvester design are qualitatively compared to results from analytical and numerical work, suggesting a robust limit cycle ensues due to a subcritical Hopf bifurcation. Bosch Corporation.

  8. Percutaneous transhepatic biliary stenting in patients with intradiverticular papillae and biliary strictures caused by ampullary carcinoma: A case report.

    Science.gov (United States)

    Niu, Hong-Tao; Huang, Qiang; Zhai, Ren-You

    2014-04-01

    Endoscopic retrograde cholangiopancreatography with endoscopic sphincterotomy is a well-established procedure for the treatment of bile duct strictures. However, the procedure is difficult to perform in patients with intradiverticular papillae or tumor infiltration of the major papilla. Percutaneous transhepatic biliary stenting (PTBS) is commonly used in the management of malignant biliary stricture. The current study reports two cases of PTBS performed to treat malignant obstructive jaundice caused by ampullary carcinoma complicated with intradiverticular papillae. PTBS is potentially a safe technique for this relatively rare condition.

  9. Clostridium perfringens bacteremia caused by choledocholithiasis in the absence of gallbladder stones.

    Science.gov (United States)

    Atia, Antwan; Raiyani, Tejas; Patel, Pranav; Patton, Robert; Young, Mark

    2012-10-21

    A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens. Computed tomogram scan of the abdomen and abdominal ultrasound showed normal gallbladder and common bile duct (CBD). Subsequently magnetic resonance cholangiopancreaticogram showed choledocholithiasis. Endoscopic retrograde cholangiopancreaticogramwith sphincterotomy and CBD stone extraction was performed. The patient progressively improved with antibiotic therapy Choledocholithiasis should be considered as a source of clostridium perfringens bacteremia especially in the setting of elevated liver enzymes with cholestatic pattern.

  10. Experimental performance investigation of glazing system combined with internal roller blinds

    DEFF Research Database (Denmark)

    Larsen, Olena Kalyanova; Jensen, Rasmus Lund; Iversen, Tore Dahl

    2016-01-01

    Modern low-energy buildings are often associated with efficient shading devices, as an inevitable component to reduce the peak heat gain in the building and to improve visual comfort. Internal shading devices may have inferior performance compared to external shading, but these are still the most...... used in practice due to lower cost, simplicity and better acceptance between architects and users. The interplay between glazing systems and internal shading devices has been studied and in everyday practice this interplay is described by the solar shading coefficient and the total g......-value of the system (window + roller blind). Solar shading coefficient in such practice is assumed to be independent of the window properties and solar incidence angle. This paper is aimed to illustrate the deviation between the actual and assumed performance of the window system with internal roller blind. This task...

  11. Innovative Corporate Initiatives to Reduce Climate Risk: Lessons from East Asia

    Directory of Open Access Journals (Sweden)

    Edward B. Barbier

    2017-12-01

    Full Text Available Businesses, investors, and insurers are requiring better quantitative assessments of their exposure to climate risks and their impact on climate change. They are incorporating these assessments in their day-to-day management and long-term investment decisions. Already, there are efforts to develop international guidelines, common policies and legal frameworks for such assessments, as well as the desire to foster climate financing. We examine recent progress in East Asia and the rest of the world in setting targets, pricing policies, and other mechanisms to reduce climate risks. We develop a model that demonstrates how reduced climate risk management may lower the total cost of capital of firms, thus making them more attractive to investors. We discuss the additional policies needed to support improved climate risk management in investment decisions, private investments in climate science, technology and innovation (STI expansion, and more widespread adoption of climate financing and principles. Central banks, financial authorities, and governments can advance this objective by creating financial incentives to support investment decision-making. This would take into account factors such as improving climate performance, establishing better climate risk management and reporting requirements to foster green STI, and developing international guidelines and common policy and legal frameworks to support better climate risk management, assessments and reporting.

  12. Understanding International Differences in the Gender Pay Gap

    OpenAIRE

    Francine D. Blau; Lawrence M. Kahn

    2003-01-01

    This paper tests the hypotheses that overall wage compression and low female supply relative to demand reduce a country's gender pay gap. Using micro-data for 22 countries over the 1985-94 period, we find that more compressed male wage structures and lower female net supply are both associated with a lower gender pay gap. Since it is likely that labor market institutions are responsible for an important portion of international differences in wage inequality, the inverse relationship between ...

  13. The International Linear Collider Progress Report 2015

    Energy Technology Data Exchange (ETDEWEB)

    Evans, L. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States); Yamamoto, A. [Fermi National Accelerator Lab. (FNAL), Batavia, IL (United States)

    2015-07-15

    The International Committee for Future Accelerators (ICFA) set up the Global Design Effort (GDE) for the design of the International Linear Collider (ILC) in 2005. Drawing on the resources of over 300 national laboratories, universities and institutes worldwide, the GDE produced a Reference Design Report in 2007, followed by a more detailed Technical Design Report (TDR) in 2013. Following this report, the GDE was disbanded. A compact core team, the Linear Collider Collaboration (LCC), replaced it. This is still under the auspices of ICFA and is directly overseen by the Linear Collider Board, which reports to ICFA. The LCC is charged with continuing the design effort on a much-reduced scale until the Project is approved for construction. An additional mandate of the LCC was to bring together all linear collider work, including the CERN-based Compact Linear Collider (CLIC) under one structure in order to exploit synergies between the two studies.

  14. 75 FR 9141 - Reduced 2009 Estimated Income Tax Payments for Individuals With Small Business Income

    Science.gov (United States)

    2010-03-01

    ... Reduced 2009 Estimated Income Tax Payments for Individuals With Small Business Income AGENCY: Internal... issuing temporary regulations that provide guidance as to qualified individuals with small business income who certify that they satisfy the gross income requirement for purposes of claiming a reduction in...

  15. Using Alcohols as an Alternative Fuel in Internal Combustion Engines

    Directory of Open Access Journals (Sweden)

    Salih ÖZER

    2014-04-01

    Full Text Available This study summarizes the studies on alcohol use in internal combustion engines nature. Nowadays, alcohol is used in internal combustion engines sometimes in order to reduce emissions and sometimes as an alternative fuel. Even vehicle manufacturers are producing and launching vehicles that are running directly with alcohol. Many types of pure alcohol that can be used on vehicles are available on the world. Using all of these types of alcohol led to the formation of engine emissions and power curves. The studies reveal that these changes are because of the physical and chemical characteristics of alcohols. Thıs study tries to explain what kind of conclusions the physical and chemical properties cause

  16. Reconsideration of the international management in terms of modern tendencies

    Directory of Open Access Journals (Sweden)

    Zharova Lubov Valeriivna

    2017-06-01

    Full Text Available The article analyzes main directions to reconsider modern international management within sustainable development. Attention is paid to the necessity to comprise all aspects of development far from usual boundaries of the economic growth, including material and non-material life needs. Main directions to form new concept of the international management, particularly, natural resources effective use, necessity to reduce emissions of greenhouse gases, care about health and bio-variety for innovations, are distinguished. It is concluded about mutuality and interdependence of such constituents as corporations and society. It is underlined that being aware and understanding the necessity of changes, society becomes strong and supporting power to realize sustainable development postulates.

  17. The educational yield of the international summer school "Oncology for medical students"

    NARCIS (Netherlands)

    de Vries, Jakob; Szabo, BG; Sleijfer, DT

    2002-01-01

    Background. The international summer school "Oncology for Medical Students" (ISOMS) is a two-week summer program for medical students aiming to increase knowledge of cancer care in general health practice, to reduce fear related to contacts with patients with malignant disease, and to expose them to

  18. Internal sandblasting of gas pipelines

    Energy Technology Data Exchange (ETDEWEB)

    Murray, A B

    1969-09-29

    Trans-Canada is completing the fourth season of internal cleaning by sandblasting of its multiple-line gas transmission system, with Kleen Kote, Inc., as contractor. Flow efficiencies of 93% have been attained and have been maintained for periods of more than 2 yr for all normally expected flow rates, compared with 83.8% previously at flow rates up to 1.2 billion cu ft per day. It was estimated that increased efficiency through sandblasting reduced line pipe requirements for 36-in. looping by 47 miles, saving $8.7 million capital expenditures. At 70 cents/ft or $3,700 a mile for sandblasting, the cost of sandblasting was only one-quarter that of looping.

  19. Hydraulic design of a boiler feed pump to ensure stable operation at reduced flows

    International Nuclear Information System (INIS)

    Singal, R.K.

    1991-01-01

    The boiler feed pumps for industrial and power station boilers have to operate often at reduced capacities to meet the changing demand of steam and electricity. The operation of centrifugal pumps at reduced capacities lead to a number of unfavourable results seriously affecting the pump reliability. Some of these, such as internal recirculation of flow inside the pump have been recently studied. The paper discusses these unfavourable results and analyses various design factors which can control unstable operation of the pumps at reduced flows. The commissioning problems of boiler feed pumps faced at Rajasthan Atomic Power Plant at Kota and modifications carried out in the light of the above studies are described in the paper. (author). 2 tabs

  20. Receptor-mediated internalization of [3H]-neurotensin in synaptosomal preparations from rat neostriatum.

    Science.gov (United States)

    Nguyen, Ha Minh Ky; Cahill, Catherine M; McPherson, Peter S; Beaudet, Alain

    2002-06-01

    Following its binding to somatodendritic receptors, the neuropeptide neurotensin (NT) internalizes via a clathrin-mediated process. In the present study, we investigated whether NT also internalizes presynaptically using synaptosomes from rat neostriatum, a region in which NT1 receptors are virtually all presynaptic. Binding of [(3)H]-NT to striatal synaptosomes in the presence of levocabastine to block NT2 receptors is specific, saturable, and has NT1 binding properties. A significant fraction of the bound radioactivity is resistant to hypertonic acid wash indicating that it is internalized. Internalization of [(3)H]-NT, like that of [(125)I]-transferrin, is blocked by sucrose and low temperature, consistent with endocytosis occurring via a clathrin-dependent pathway. However, contrary to what was reported at the somatodendritic level, neither [(3)H]-NT nor [(125)I]-transferrin internalization in synaptosomes is sensitive to the endocytosis inhibitor phenylarsine oxide. Moreover, treatment of synaptosomes with monensin, which prevents internalized receptors from recycling to the plasma membrane, reduces [(3)H]-NT binding and internalization, suggesting that presynaptic NT1 receptors, in contrast to somatodendritic ones, are recycled back to the plasma membrane. Taken together, these results suggest that NT internalizes in nerve terminals via an endocytic pathway that is related to, but is mechanistically distinct from that responsible for NT internalization in nerve cell bodies.