WorldWideScience

Sample records for international review couts

  1. Lignes d’écoute, écoute en ligne

    OpenAIRE

    Bacot, Baptiste; Baker , Emily; Baumgartner, Thomas; Biermann, Clara; Contreras, Igor; Desjardins, Martin; Djebbari, Elina; Feldman, Jessica; Francfort, Didier; Fryberger, Annelies; Garratt, James; Giunta, Violeta Nigro; Goehr, Lydia; Gómez Gálvez, Mauricio; Grant, Morag Josephine

    2017-01-01

    Depuis les années 1990, l’écoute a fait l’objet d’un intérêt croissant, que ce soit dans la perspective de son histoire sociale, de ses supports techniques ou de ses enjeux philosophiques. Un champ — qui n’a certes rien d’homogène et qui ne se laisse pas contenir sans reste au sein de ce qu’on appelle désormais les sound studies — s’est constitué au fil de travaux comme ceux de James H. Johnson, Michael Bull, Peter Szendy, Jean-Luc Nancy, Jonathan Sterne, Sophie Maisonneuve et, plus récemment...

  2. A l'écoute des professionnels

    CERN Document Server

    Lebre-Peytard, Monique

    1994-01-01

    Cet ouvrage s'adresse aux étudiants de niveau moyen ou avancé en français. Il propose un travail d'écoute, de réflexion et d'expression autour d'interview authentiques. Des professionnels parlent de leur métier, des entreprises où ils travaillent, des fonctions qu'ils occupent... Ils appartiennent à divers secteurs de l'économie : banque, mode, tourisme, agriculture, télécommunications, etc.

  3. The organization of the automotive industry in an international context: a cost functions frontiers approach; L'organisation de la production automobile dans un contexte international: une approche par les fonctions frontieres de cout

    Energy Technology Data Exchange (ETDEWEB)

    Pompeigne, J

    2003-07-15

    The international automotive industry is under pinned by a dual recurrent movement of concentration and internationalization of the production. Its recent scale was the consequence of a set of strategies developed by the major auto-makers to cope with two exogenous phenomenon affecting the automotive industry. On one hand, we are talking about the saturation of the traditional automotive markets (North America, Western Europe and Japan). On the other hand, the increasing severity of the major regulations concerning the industry, notably the ones about environmental protection, is involved. The first part of the dissertation is first devoted to underline these two exogenous phenomenon, then the major strategies adopted by the auto-makers to face them are defined. Finally, the analysis turns on the resulting increase of the concentration and of the internationalization of the production. We focus on this last point and on the problem of international location of industrial activities faced by the auto-makers because of it. The second part is about providing an empirical framework to help solving these problems through parametric stochastic cost production frontiers and cost-efficiency levels. For this purpose, the analytical foundations of both of these notions are introduced, then several empirical estimation methods of a cost frontier are exposed. Finally, these methods are used to treat two real examples illustrating some of the problems about the international location of the productive activities of a major auto-maker. The point for him is to choose the most favorable configuration of its industrial system, by comparing the competing solutions through their respective cost-efficiency levels. The benefit of using additional data analysis methods to draw these comparisons is shown. (author)

  4. International student mobility literature review

    NARCIS (Netherlands)

    King, R.; Findlay, A.; Ahrens, J.

    2010-01-01

    To bring their understanding of patterns in students' study and work abroad up to date, HEFCE and the British Council, the UK National Agency for Erasmus, commissioned a review of international student mobility. Professor Russell King and Jill Ahrens of the University of Sussex, and Professor Allan

  5. International Peer Reviews of Design Basis

    International Nuclear Information System (INIS)

    Hughes, Peter

    2013-01-01

    International peer reviews: Design and safety assessment review service: - Review of design requirements; - Review in support of licensing; - Review in support of severe accident management; - Review in support of modifications; - Review in relation to periodic safety, or life extension; - Reviews take place at any time in NPP lifecycle from concept, through design and operations

  6. The Biosphere International Peer Review

    International Nuclear Information System (INIS)

    Van Luik, Abraham

    2002-01-01

    Abe van Luik (US DOE- YM, USA), ended the presentation by giving feedback from the IAEA peer review on the biosphere modelling strategy developed by the DOE Yucca Mountain Site Characterisation Office (YMSCO). This review was based on available international standards and guidance. The peer review team was constituted of both experts from regulatory and waste management organisations and national advisory committees. The implementation of the review consisted of an examination of biosphere reports mainly regarding the modelling and question and answer exchanges. The final report was submitted in April 2000. It contained twenty-three recommendations within two broad classifications; one concerning the regulatory framework, the other one regarding the framework to increase stakeholders' confidence in modelling. The three main categories of recommendations were outlined, namely (i) the DOE' s Biosphere assessment Approach, (ii) the definition of the biosphere system, and (iii) the model development, data and results. Regarding in particular the treatment of the uncertainties in the biosphere, it was viewed as a key issue during the review and thus it will be re-evaluated in the future performance assessment. The summary highlighted most of the recommendations received are to be acted on, and are to be included in the License Application plan for biosphere modelling

  7. Evaluation des retombees economiques des projets energetiques au Quebec : Analyse couts-avantages de la mini-centrale hydroelectrique de Val-Jalbert

    Science.gov (United States)

    Ossoro, Marcel Thierry

    Evaluer les retombees economiques d'un projet, cela consiste a evaluer le benefice du projet du point de vue de la collectivite. C'est le processus d'analyse, de mesure et d'appreciation de l'impact du projet, sur l'economie locale, regionale ou nationale. Il permet de prendre une decision optimale sur la faisabilite de l'investissement compte tenu de ses incidences sur l'ensemble des agents economiques. L'incoherence des approches et outils dans l'evaluation peut biaiser le calcul de l'impact net du projet, et par consequent, biaiser les termes de la hierarchisation des priorites en matiere d'investissement. Dans le cas des projets sensibles, necessitant de lourds investissements et beaucoup mediatises, comme cela est le cas des projets energetiques ; le biais peut s'averer desastreux et aboutir a une situation chaotique. La presente recherche porte sur l'evaluation des retombees economiques des projets energetiques au Quebec ; la pertinence et la coherence des outils et methodes d'evaluation. Elle est edifiee par une etude de cas. L'etude porte sur l'evaluation du projet de la mini-centrale hydroelectrique de Val Jalbert par la methode de l'analyse couts-avantages. Nous utilisons la methode des prix de reference selon l'approche de l'ONUDI. L'etude revele que le projet de la mini-centrale hydroelectrique de Val Jalbert repond positivement aux deux objectifs : l'efficience---maximisation de la consommation, et l'equite sociale---maximisation de la justice sociale. Il est donc considere, du point de vue de l'ONUDI, comme etant economiquement (ou socialement) rentable. L'analyse couts-avantages est un puissant evaluateur d'impact. Elle evalue le projet en l'integrant dans un cadre coherent d'analyses economiques, qui repose non seulement sur des valeurs nationales mais egalement, qui prend en compte les couts et avantages directs, indirects, internes et externes ; ce qui fait de l'outil, l'evaluateur le plus complet. A travers l'etude, nous montrons comment l

  8. CCAA Mid Term Review | IDRC - International Development ...

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

    2011-01-07

    Jan 7, 2011 ... This report presents the findings of the mid term review (MTR) of the Canadian International Development Research Centre (IDRC) and the UK Department for International Development (DFID) Climate Change Adaptation in Africa research and capacity development programme (CCAA). It aims to inform ...

  9. Patrick Modiano: À l’écoute de la voix ou les affects sonores

    Directory of Open Access Journals (Sweden)

    María Vicenta Hernández Álvarez

    2009-11-01

    Full Text Available La voix précède les personnages dans les romans de Patrick Modiano. Des sensations auditives les annoncent et les révèlent. Les affects du narrateur sont convoqués par l’écoute à un travail de réévaluation ou de décryptage du passé.La voix, métonymie de l’être, est dans le miroir du récepteur, de l’écouteur (car les narrateurs de Modiano sont de grands observateurs de l’écoute, des psychanalystes en herbe affublée de nuances, de sensations revisitées et de significations redécouvertes. Le narrateur, personnage principal et première personne dans la grammaire du récit, réinterprète les voix du passé, de son passé, celles qui l’ont marqué, troublé.

  10. Challenging the premises of international policy review

    DEFF Research Database (Denmark)

    Feinstein, Noah Weeth; Læssøe, Jeppe; Blum, Nicole

    2013-01-01

    In 2009, a think tank called the International Alliance of Leading Education Institutes (IALEI) announced the results of a study entitled Climate Change and Sustainable Development: The Response from Education. Intended for a policy audience, the study offered a glimpse into the status of Education...... for Sustainable Development (ESD) and an early look at the emergence of Climate Change Education (CCE), in 10 different nations. As with most international reports, the IALEI report provoked many questions, some of which are more broadly relevant to scholarship and practice. This paper introduces a review...

  11. 49 CFR 659.27 - Internal safety and security reviews.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Internal safety and security reviews. 659.27... State Oversight Agency § 659.27 Internal safety and security reviews. (a) The oversight agency shall... safety and security reviews in its system safety program plan. (b) The internal safety and security...

  12. Misuse of anabolic products in sport: a retrospective study of phone calls at the Écoute Dopage anti-doping hot-line.

    Science.gov (United States)

    Palmié, Nicolas; Peyrière, Hélène; Eiden, Céline; Condemine-Piron, Claire

    2013-01-01

    The aim of this retrospective study was to analyze the calls concerning anabolic products (AP), received at Écoute Dopage, a French anti-doping hot-line. We reviewed all phone calls handled between 2000 and 2008, among them 214 concerned AP. Information collected include demographic data, reason for the phone call, name of AP, characteristic of consumption, adverse reactions. Fifteen different AP (mainly testosterone) were reported. Calls concerned information about side-effects (42% of calls), risk for doping (28%), and risk for health (10%), psychological assistance (10%), and legislation (2%). Most calls came from fitness practitioners or bodybuilders (85%). The reason for use was documented in 137 subjects: to increase muscular strength (76%), improve social life ability (15%), improve sporting ability (6%), and losing weight (3%). Eighty subjects (37%) reported at least one side-effect mainly uro-genital (40 cases) or psychic disorders (25 cases), both 15 cases. Among these 80 patients, 17 patients (21.25%) presented signs of AP dependence. The abuse of AP in sport is a public health problem well known, but data on the dependence on AAS are sparser. Information and education should be emphasise to fight against doping. © 2013 Société Française de Pharmacologie et de Thérapeutique.

  13. Manual for Internal Audits and Management Review Energy Care; Handreiking Interne Audits en Management Review Energiezorg

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-09-15

    This document offers practical support for two important aspects of energy care: establishing an internal audit and a management review. Both are logical next steps following planned and implemented energy saving measures. They will help test if measures have (had) the desired effect or if they need to be adjusted and to establish if any follow-up measures are needed. (mk) [Dutch] Deze handreiking biedt praktische ondersteuning bij twee belangrijke onderdelen van Energiezorg: het opzetten van een interne audit en een management review. Beide onderdelen zijn een logisch vervolg op geplande en al genomen energiebesparende maatregelen. Het is een toetsing of de maatregelen effect hebben (gehad), of ze bijgesteld moeten worden en of er eventuele vervolgmaatregelen nodig zijn.

  14. Updating systematic reviews: an international survey.

    Directory of Open Access Journals (Sweden)

    Chantelle Garritty

    Full Text Available BACKGROUND: Systematic reviews (SRs should be up to date to maintain their importance in informing healthcare policy and practice. However, little guidance is available about when and how to update SRs. Moreover, the updating policies and practices of organizations that commission or produce SRs are unclear. METHODOLOGY/PRINCIPAL FINDINGS: The objective was to describe the updating practices and policies of agencies that sponsor or conduct SRs. An Internet-based survey was administered to a purposive non-random sample of 195 healthcare organizations within the international SR community. Survey results were analyzed using descriptive statistics. The completed response rate was 58% (n = 114 from across 26 countries with 70% (75/107 of participants identified as producers of SRs. Among responders, 79% (84/107 characterized the importance of updating as high or very-high and 57% (60/106 of organizations reported to have a formal policy for updating. However, only 29% (35/106 of organizations made reference to a written policy document. Several groups (62/105; 59% reported updating practices as irregular, and over half (53/103 of organizational respondents estimated that more than 50% of their respective SRs were likely out of date. Authors of the original SR (42/106; 40% were most often deemed responsible for ensuring SRs were current. Barriers to updating included resource constraints, reviewer motivation, lack of academic credit, and limited publishing formats. Most respondents (70/100; 70% indicated that they supported centralization of updating efforts across institutions or agencies. Furthermore, 84% (83/99 of respondents indicated they favoured the development of a central registry of SRs, analogous to efforts within the clinical trials community. CONCLUSIONS/SIGNIFICANCE: Most organizations that sponsor and/or carry out SRs consider updating important. Despite this recognition, updating practices are not regular, and many organizations lack

  15. International Experience in Upper Echelon Theory: Literature Review

    Directory of Open Access Journals (Sweden)

    Đerđa Dino

    2017-09-01

    Full Text Available Background: The international experience of top managers is an evolving research within the upper echelon theory; therefore this literature review summarizes everything made so far.

  16. Rethinking international migration: a review and critique.

    Science.gov (United States)

    Papademetriou, D G

    1983-01-01

    A new style of international migration, temporary and often illegal immigration in order to work, began to emerge after World War II. Many countries initiated immigration policies that gave the appearance of control, while their back doors remained open and, possibly, unclosable. In the US, it is slowly becoming obvious that foreign workers cannot be used as a temporary labor force at will. 2 usual theories of migration are the classical and the conflicts schools. The classical school presents migration as a rational, economic act that leads to economic adjustment between sending and receiving countries. The conflict school, often Marxist, views migration as an unequal process that leads to the inclusion of developing countries into the world capitalist system and to a widenin gap between rich and poor countries. The convergence of these 2 theories leads to the idea that although migration may be a survival strategy of individuals and households, it is also determined by a country's integration in the world economic system. The author reviews several books on immigration theory, which appreciate the complexity and worldwide character of migration; indicate that migration patterns are persistent; and support the view that migration is an economic, social, and political problem; and recommend that policies must be integrated and address the entire issue.

  17. A review of international underground laboratory developments

    International Nuclear Information System (INIS)

    Cheng Jianping; Yue Qian; Wu Shiyong; Shen Manbin

    2011-01-01

    Underground laboratories are essential for various important physics areas such as the search for dark matter, double beta decay, neutrino oscillation, and proton decay. At the same time, they are also a very important location for studying rock mechanics, earth structure evolution,and ecology. It is essential for a nation's basic research capability to construct and develop underground laboratories. In the past, China had no high-quality underground laboratory,in particular no deep underground laboratory,so her scientists could not work independently in major fields such as the search for dark matter,but had to collaborate with foreign scientists and share the space of foreign underground laboratories. In 2009, Tsinghua university collaborated with the Ertan Hydropower Development Company to construct an extremely deep underground laboratory, the first in China and currently the deepest in the world, in the Jinping traffic tunnel which was built to develop hydropower from the Yalong River in Sichuan province. This laboratory is named the China Jinping Underground Laboratory (CJPL) and formally opened on December 12, 2010. It is now a major independent platform in China and can host various leading basic research projects. We present a brief review of the development of various international underground laboratories,and especially describe CJPL in detail. (authors)

  18. 8 CFR 287.10 - Expedited internal review process.

    Science.gov (United States)

    2010-01-01

    ... jurisdiction regarding criminal violations of law. [68 FR 35281, June 13, 2003] ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Expedited internal review process. 287.10... OFFICERS; POWERS AND DUTIES § 287.10 Expedited internal review process. (a) Violations of standards for...

  19. 75 Years of the International Labour Review: A Retrospective.

    Science.gov (United States)

    Thomas, Albert; And Others

    1996-01-01

    Contains 18 articles published in International Labour Review from 1921-1975 that discuss the International Labour Organisation, international labor movement and law, economics and the labor market, family security, full employment, population growth, industrial welfare, trade policy and employment growth, and income expectations and rural-urban…

  20. A review of NASA international programs

    Science.gov (United States)

    1979-01-01

    A synoptic overview of NASA's international activities to January 1979 is presented. The cooperating countries and international organizations are identified. Topics covered include (1) cooperative arrangements for ground-based, spaceborne, airborne, rocket-borne, and balloon-borne ventures, joint development, and aeronautical R & D; (2) reimbursable launchings; (3) tracking and data acquisition; and (4) personnel exchanges. International participation in NASA's Earth resources investigations is summarized in the appendix. A list of automatic picture transmission stations is included.

  1. Offices of Industrial Security International: A Review

    National Research Council Canada - National Science Library

    Sands, W

    1998-01-01

    The Defense Security Service (DSS), formerly the Defense Investigative Service (DIS), handles many of its overseas industrial security issues through its Offices of Industrial Security International...

  2. International marine environmental governance: A review.

    Science.gov (United States)

    Grip, Kjell

    2017-05-01

    Impressive numbers of global and regional governmental and non-governmental organizations are working in the field of the marine environment and its resources. Many of these organizations operate within international legal frameworks ranging from comprehensive global conventions, such as the United Nations Convention on the Law of the Sea to regional agreements aiming at protection and development of regional seas. Characteristic for the management of these seas, both at the national and international level, is that sectoral approaches predominate. Over time, several initiatives have been taken to improve cooperation, coordination and integration to achieve greater coherence of policies and strategies between different organizations dealing with marine and maritime management, within and outside the United Nation system. However, the success has been limited. The weaknesses of international organizations depend fundamentally on problems at the national level. The international organizations are no stronger than their Contracting Parties allow them to be.

  3. International Journal of Development and Management Review ...

    African Journals Online (AJOL)

    Review of pension schemes of Ukraine and Argentina in comparison with Nigeria's 2014 pension reform act · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. JO Nweke, 81-94 ...

  4. An international review of restorative justice

    OpenAIRE

    Miers, David Robert

    2001-01-01

    This review provides an overview of the position and use of restorative justice programmes in twelve European jurisdictions, together with summaries and examples of programmes in Australia, Canada, New Zealand and the United States of America.

  5. New nuclear technology; International developments. Review 1995

    International Nuclear Information System (INIS)

    Devell, L.; Aggeryd, I.; Hultgren, Aa.; Lundell, B.; Pedersen, T.

    1995-09-01

    A summary review of the development of new nuclear rector technology is presented in this report. Fuel cycle strategies and waste handling developments are also commented. Different plans for dismantling nuclear weapons are presented. 18 refs

  6. Internal quality assurance reviews: challenges and processes ...

    African Journals Online (AJOL)

    of the processes followed and challenges encountered by the Department of Public Relations Management and Communication is utilised, whilst conducting an internal quality evaluation on the National Diploma: Public Relations Management. The article recommends a number of strategies that may be followed to smooth ...

  7. Internal combustion engines history - a review

    International Nuclear Information System (INIS)

    Gaviria Rios, Jorge Enrique; Mora Guzman, Jorge Hernan; Agudelo, John Ramiro

    2002-01-01

    In this article, a chronological analysis of the technologies and events that any way influenced in the evolution of the internal combustion engine is done everything it through the observation of the works carried out for scientific empiric and engineers whose technical and conceptual value meant the motivation of other people for the search of a better development in this engineering field

  8. International Service Learning: Analytical Review of Published Research Literature

    Science.gov (United States)

    Dixon, Brett

    2015-01-01

    International service learning (ISL) is an emerging area of international education. This paper summarizes academic journal articles on ISL programs and organizes the relevant publications by academic disciplines, service learning project areas, and other topics. The basis for this review is relevant literature from full-text scholarly peer…

  9. [Review of: S. Okazaki Handbook of research on international advertising

    NARCIS (Netherlands)

    Neijens, P.

    2012-01-01

    In this book review, Peter Neijens considers the Handbook of Research on International Advertising edited by Shintaro Okazki to be a seminal work, with contributions by top scholars from all over the world. It covers a wide range of topics relevant to the field of international advertising, in eight

  10. External Program Reviews (2012) | IDRC - International ...

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

    2016-06-24

    Jun 24, 2016 ... These final evaluations are our primary accountability mechanism in terms of the results, effectiveness, and relevance of program spending. External program reviews aim to: account to IDRC's Board of Governors for the implementation of the program prospectus; provide input into programming for learning ...

  11. Review: ICCS International Civics and Citizenship Study

    Directory of Open Access Journals (Sweden)

    Anu Toots

    2010-11-01

    Full Text Available In November 2010 the largest international study ever conducted on civic education in secondary schools has been released in Brussels. The study was performed under the auspices of the International Association for the Evaluation of Educational Achievement (IEA, an independent consortium that brings together educational researchers and policy makers in 62 countries around the world. The IEA is probably more widely known in connection of large-scale comparative studies on educational assessment in math and science (TIMSS and in reading (PIRLS. Yet, the association has longstanding and impressive expertise also in civic education. The first study in this area has been carried out already in 1971 (Torney et al., 1975, the second – so called CIVED in 1999 (Torney-Purta et al., 2001 and now, ten years later, 38 counties around the world participated in the third study – the IEA International Civic and Citizenship Education Study (ICCS. The study tested in 2008–2009 over 140,000 lower secondary students, over 62,000 teachers and headmasters from 5,300 schools in order to analyse how young people are prepared to undertake their roles as citizens.

  12. A Review of Antecedents of International Strategic Alliance Performance

    DEFF Research Database (Denmark)

    Christoffersen, Jeppe

    2013-01-01

    This paper provides a systematic review of 165 empirical studies on the antecedents of performance in international strategic alliances. It provides the most detailed display of definitions, rationales, measures and findings currently available. Hence, this state-of-the art literature review crea...

  13. Sexual abuse of children in residential care : an international review

    NARCIS (Netherlands)

    Timmerman, Margaretha; Schreuder, Pauline

    2014-01-01

    This paper reports the results of an international review of academic literature on sexual abuse in residential child and youth care, 1945-2011. The review focusses on questions related to the nature and scope of sexual abuse, on personal and institutional factors providing either protection or

  14. Systeme de navigation hybride GPS/INS a faible cout pour la navigation robuste en environnement urbain

    Science.gov (United States)

    Lavoie, Philippe

    Les systemes de guidage actuellement utilises pour la navigation automobile sont principalement bases sur l'utilisation autonome d'un recepteur GPS. Ces systemes presentent neanmoins des pertes de performances importantes lorsqu'ils sont soumis a un environnement difficile. Afin de repondre a cette problematique, plusieurs auteurs proposent l'integration des systemes GPS et INS a l'interieur d'un seul systeme hybride. Toutefois, l'utilisation de capteurs inertiels a faible cout demeure encore aujourd'hui le principal obstacle a la commercialisation de ces systemes hybrides GPS/INS etant donne le manque de calibration ainsi que la nature hautement stochastique des erreurs de mesure de ces capteurs. Ce memoire propose la realisation d'un systeme de navigation hybride GPS/INS a faible cout pour la navigation robuste en environnement difficile. Les resultats obtenus demontrent que l'utilisation d'un tel modele permet d'ameliorer considerablement la stabilite de la solution de navigation en canyon urbain severe comparativement a l'utilisation autonome d'un recepteur GPS. Il a egalement ete demontre que la methode d'integration par couplage serre permettrait une diminution de l'ordre de 40% des erreurs de positionnement en environnement difficile comparativement a la methode d'integration par couplage lâche. Cet ouvrage propose egalement la mise en place d'une nouvelle approche pour la calibration des capteurs inertiels. Cette methode basee sur l'utilisation d'un filtre de Kalman etendu permet d'obtenir des performances equivalentes aux methodes iteratives classiques tout en facilitant l'implementation de la procedure de calibration a l'interieur d'un systeme temps reel. L'impact de la calibration des capteurs sur la solution de navigation a ete evalue et les resultats obtenus demontrent qu'une calibration adequate permettrait de reduire de plus de 50% les erreurs de positionnement, de vitesse et d'orientation en canyon urbain severe. Par la suite, une etude du

  15. NEA international peer reviews of post-accident protection policy

    International Nuclear Information System (INIS)

    Lazo, T.

    2011-01-01

    For many years, the NEA has offered international peer reviews of national, high-level radioactive waste management policies and approaches. Until recently, this service had not been requested in the area of radiological protection. However, the 3. International Nuclear Emergency Exercise (INEX-3, 2005-2006) addressed post-accident consequence management for the first time in a broad, international sense, and helped generate significant national reflections in this area. In particular, in 2005 the French government began an extensive programme of post-emergency consequence management planning, resulting in a draft national policy to address such situations. The Finnish government used the INEX-3 exercise as a vehicle to discuss post-emergency consequence management with a broad group of governmental and private stakeholders, and also began to develop national policy in this area. In order to further refine national efforts, the French Nuclear Safety Authority (ASN) invited the NEA to perform in April 2011 its first international peer review in the radiological protection area focusing on its post-emergency consequence management policy under development. Finnish experts participated in this peer review team, and as a result, subsequently invited the NEA to perform an international peer review of its developing policy in this area in September 2011. These draft national policies and their international peer reviews are briefly presented in this paper. Feedback from both the French ASN and the Finnish STUK suggests that the detailed, external input provided by the international peer review teams have been extremely valuable in refining the content of the guides so that they are more clear, concise, understandable and implementable. It should be recalled that both national policy documents reviewed are far more detailed and extensive than described here. The intent of this article was not to provide a review of the national policies themselves, but rather to give an

  16. The International Sailing Canoe: A Technical Review

    Science.gov (United States)

    1994-10-01

    belongs to Brit- ish Army Captain John MacGregor. While recuperating from a railway accident in 1865 he designed a small boat for ex- ploring the coasts ...Review,~ COM. poIltn, Vol. 20, No. 4. July 1989. pp. 3 17-328 10 Vang. T. Y , F",.k Ekmtlllt 5trw:tural Al\\O.l)’,u. Prentice·Hall , En· glewood Clif " NJ

  17. International sore throat guidelines and international medical graduates: a mixed methods systematic review.

    Science.gov (United States)

    Hoare, Karen J; Ward, Erin; Arroll, Bruce

    2016-03-01

    AIM To examine national and international guidelines on sore throat management and subsequently, to explore the phenomenon of international medical graduates working in general and rural practice in New Zealand. METHOD Two separate systematic reviews were conducted that resulted in a contingent methodology. Contingent methodologies involve syntheses of data that are derived sequentially. The initial review for this study examined international sore throat guidelines and their key points. The results of this initial review resulted in the theory that international medical graduates may be unaware of the New Zealand specific sore throat guidelines and the problem of acute rheumatic fever in this country. The subsequent review examined the phenomenon of international medical graduates working in general or rural practice in New Zealand. Data sources were Medline, Google Scholar, Trip Database, and NHS Evidence, Embase and Scopus. Electronic databases were searched for relevant data published January 2000-December 2013. Additional hand searches found key references from articles and websites. RESULTS International guidelines for the management of sore throats differ from New Zealand guidelines. Of resource rich countries, New Zealand has the second highest number of international medical graduates: they may not use New Zealand specific sore throat guidelines. DISCUSSION Acute rheumatic fever is virtually eradicated in most resource rich countries. Rheumatic fever rates of among indigenous Māori and Pacifika people in New Zealand have failed to reduce over the last three decades. Knowledge and actions of international medical graduates in relation to sore throat management needs investigating. KEYWORDS Sore throats; acute rheumatic fever; clinical guidelines; international medical graduates; mixed methods review.

  18. International adoption: a case review of Korean children.

    Science.gov (United States)

    Kim, W J

    1995-01-01

    In contrast to the controversial transracial adoption of African American children by Caucasian families in the U.S., international, transracial adoption of Asian children has not received much scientific or societal attention. There has been a steady increase in this unnoticed minority group, made up largely of Korean children. This paper reviews the developmental characteristics of post-adoption adjustments among Korean adoptees and discusses the dynamics of their positive adjustments. Sociopolitical issues of international adoptions are also addressed.

  19. Transformational leadership on the athletic field : an international review

    OpenAIRE

    Álvarez Solves, Octavio

    2016-01-01

    This paper provides a comprehensive review of the international literature that used the paradigm of transformational leadership in the context of physical activity (PA) and sport. A bibliometric and content of all international publications (N = 28) analysis is performed by classifying research based on various parameters such as the contexts (high performance sports, educational/recreational sports, varsity sports, school/within-class of physical education), role of the leader studied (coac...

  20. Guidelines for IAEA International Regulatory Review Teams (IRRTs)

    International Nuclear Information System (INIS)

    1993-04-01

    This document is intended to be used by International regulatory review teams in reviewing the activities of a regulatory body as applicable to the regulation of nuclear power plants. The mission will, however, take note of any other activities of the regulatory body when drawing up the review report. The document does not specifically deal with the functions of a regulatory body responsible for other types of nuclear facilities or related nuclear activities, but it is intended that the concepts presented in the document could be applied where appropriate. Refs

  1. Audit Oversight: Quality Control Review of the Defense Finance and Accounting Service Office of Internal Review

    National Research Council Canada - National Science Library

    2004-01-01

    .... The Government Auditing Standards (GAS) require that an audit organization performing Government audits have an appropriate internal quality control system and undergo an external quality control review every 3 years by an organization...

  2. Faith-Based International Development Work: A Review

    Directory of Open Access Journals (Sweden)

    Dan Heist

    2016-02-01

    Full Text Available In the wake of the Faith-Based Initiative in the USA, substantial research has resulted in an increased awareness of religious congregations and faith-based organizations as welfare service providers. The next frontier appears to be the role of religious organizations in international social and economic development, a topic that only recently started to attract academic interest. In this paper, we review available literature on the role that religious, or faith-based, organizations play in international social and economic development. We also provide results from our own study of USA international NGOs1 that are faith-based. We divide the paper into the positive contributions of faith-based international NGOs and the drawbacks of these NGOs. We find that faith-based nonprofits constitute almost 60 percent of USA-based international development organizations, and their contribution to international social development is quite considerable. We conclude with a call for further research and nuanced understanding of the role religion plays in international development.

  3. Empirical research on international environmental migration: a systematic review.

    Science.gov (United States)

    Obokata, Reiko; Veronis, Luisa; McLeman, Robert

    2014-01-01

    This paper presents the findings of a systematic review of scholarly publications that report empirical findings from studies of environmentally-related international migration. There exists a small, but growing accumulation of empirical studies that consider environmentally-linked migration that spans international borders. These studies provide useful evidence for scholars and policymakers in understanding how environmental factors interact with political, economic and social factors to influence migration behavior and outcomes that are specific to international movements of people, in highlighting promising future research directions, and in raising important considerations for international policymaking. Our review identifies countries of migrant origin and destination that have so far been the subject of empirical research, the environmental factors believed to have influenced these migrations, the interactions of environmental and non-environmental factors as well as the role of context in influencing migration behavior, and the types of methods used by researchers. In reporting our findings, we identify the strengths and challenges associated with the main empirical approaches, highlight significant gaps and future opportunities for empirical work, and contribute to advancing understanding of environmental influences on international migration more generally. Specifically, we propose an exploratory framework to take into account the role of context in shaping environmental migration across borders, including the dynamic and complex interactions between environmental and non-environmental factors at a range of scales.

  4. A Systematic Review of Reproductive Coercion in International Settings

    Science.gov (United States)

    Grace, Karen Trister; Fleming, Christina

    2016-01-01

    Reproductive coercion is behavior that interferes with a woman's autonomous reproductive decision-making. It may take the form of birth control sabotage, pregnancy coercion, or controlling the outcome of a pregnancy. Perpetrators may be partners, a partner's family, or the woman's family. This article reviews the literature on reproductive coercion in international settings. In this review of 10 research studies, findings are presented on prevalence and type of reproductive coercion, associated factors, specific tactics, relationship with intimate partner violence and domestic violence (in-laws particularly), and implications for women's reproductive health. Findings highlight reproductive coercion as a subset of intimate partner violence that is poorly understood, especially in international settings. More research is needed on protective factors, how interventions can capitalize on protective factors, and the strategies women use to resist reproductive coercion. Policy implications and recommendations are discussed with particular attention to issues related to diverse social and cultural environments. PMID:28503353

  5. Russian Minatom nuclear safety research strategic plan. An international review

    International Nuclear Information System (INIS)

    Royen, J.

    1999-01-01

    An NEA study on safety research needs of Russian-designed reactors, carried out in 1996, strongly recommended that a strategic plan for safety research be developed with respect to Russian nuclear power plants. Such a plan was developed at the Russian International Nuclear Safety Centre (RINSC) of the Russian Ministry of Atomic Energy (Minatom). The Strategic Plan is designed to address high-priority safety-research needs, through a combination of domestic research, the application of appropriate foreign knowledge, and collaboration. It represents major progress toward developing a comprehensive and coherent safety-research programme for Russian nuclear power plants (NPPs). The NEA undertook its review of the Strategic Plan with the objective of providing independent verification on the scope, priority, and content of the research described in the Plan based upon the experience of the international group of experts. The principal conclusions of the review and the general comments of the NEA group are presented. (K.A.)

  6. Integrated thermal treatment systems study. Internal review panel report

    Energy Technology Data Exchange (ETDEWEB)

    Cudahy, J.; Escarda, T.; Gimpel, R. [and others

    1995-04-01

    The U.S. Department of Energy (DOE) Office of Technology Development (OTD) commissioned two studies to evaluate nineteen thermal treatment technologies for treatment of DOE mixed low-level waste. These studies were called the Integrated Thermal Treatment System (ITTS) Phase I and Phase II. With the help of the DOE Office of Environmental Management (EM) Mixed Waste Focus Group, OTD formed an ITTS Internal Review Panel to review and comment on the ITTS studies. This Panel was composed of scientists and engineers from throughout the DOE complex, the U.S. Environmental Protection Agency, the California EPA, and private experts. The Panel met from November 15-18, 1994 to review the ITTS studies and to make recommendations on the most promising thermal treatment systems for DOE mixed low-level wastes and on research and development necessary to prove the performance of the technologies. This report describes the findings and presents the recommendations of the Panel.

  7. Integrated thermal treatment systems study. Internal review panel report

    International Nuclear Information System (INIS)

    Cudahy, J.; Escarda, T.; Gimpel, R.

    1995-04-01

    The U.S. Department of Energy (DOE) Office of Technology Development (OTD) commissioned two studies to evaluate nineteen thermal treatment technologies for treatment of DOE mixed low-level waste. These studies were called the Integrated Thermal Treatment System (ITTS) Phase I and Phase II. With the help of the DOE Office of Environmental Management (EM) Mixed Waste Focus Group, OTD formed an ITTS Internal Review Panel to review and comment on the ITTS studies. This Panel was composed of scientists and engineers from throughout the DOE complex, the U.S. Environmental Protection Agency, the California EPA, and private experts. The Panel met from November 15-18, 1994 to review the ITTS studies and to make recommendations on the most promising thermal treatment systems for DOE mixed low-level wastes and on research and development necessary to prove the performance of the technologies. This report describes the findings and presents the recommendations of the Panel

  8. Domestic/family violence death reviews: an international comparison.

    Science.gov (United States)

    Bugeja, Lyndal; Dawson, Myrna; McIntyre, Sara-Jane; Walsh, Carolyn

    2015-04-01

    Domestic/Family Violence Death Reviews (D/FVDRs) have been established in a number of high-income countries since 1990 as a mechanism to inform prevention-focused interventions to reduce domestic/family violence. D/FVDRs differ in their structure, governance, case identification processes and inclusion criteria, review measures, and outputs. Outside of the United States, the extent of heterogeneity across and within countries has not been explored. This study comprised an international comparison of D/FVDRs and their core elements to inform the establishment of D/FVDRs in other developed countries, and potentially low- and middle-income countries where violence is a leading cause of death. Such a review is also a necessary foundation for any future evaluation D/FVDRs. The review identified 71 jurisdictions where a D/FVDRs had been established in the past two decades, 25 of which met the inclusion criteria. All D/FVDRs examined stated a reduction in deaths as a goal of the review process; however, none reported an actual reduction. The focus of the D/FVDRs examined was on intimate partner homicides; however, more recently established D/FVDRs include other familial relationships. Almost one third of the D/FVDRs examined reported changes to the domestic/family system that occurred as a result of recommendations made from the review process. While similar in many ways, D/FVDRs differ along a number of important dimensions that make it difficult to identify best practices for jurisdictions considering the establishment of such an initiative. To share knowledge, existing networks should be expanded nationally and internationally to include jurisdictions that may be considering this initiative. © The Author(s) 2013.

  9. Loads Providing Ancillary Services: Review of International Experience

    Energy Technology Data Exchange (ETDEWEB)

    Heffner, Grayson; Goldman, Charles; Kintner-Meyer, Michael

    2007-05-01

    In this study, we examine the arrangements for and experiences of end-use loads providing ancillary services (AS) in five electricity markets: Australia, the United Kingdom (UK), the Nordic market, and the ERCOT and PJM markets in the United States. Our objective in undertaking this review of international experience was to identify specific approaches or market designs that have enabled customer loads to effectively deliver various ancillary services (AS) products. We hope that this report will contribute to the ongoing discussion in the U.S. and elsewhere regarding what institutional and technical developments are needed to ensure that customer loads can meaningfully participate in all wholesale electricity markets.

  10. BOOK REVIEW - International Law and Child Soldiers by Gus Waschefort

    Directory of Open Access Journals (Sweden)

    Robbie Robinson

    2015-11-01

    Full Text Available Long gone are the days that the law pertaining to children essentially dealt with the position of children within the parent-child relationship. On the contrary it has become a highly specialised legal discipline in which international and regional conventions progressively establish norms and standards to be adhered to. This book by Waschefort, the 53rd volume in the series Studies in International Law, bears ample testimony to this. It reviews all of the international instruments containing proscriptive norms to prohibit the use and recruitment of child soldiers. It commences with an analysis of the current state of child soldiering internationally, after which relevant international instruments are comprehensively discussed with a clear focus on the question of whether or not the prohibitive norms are optimally enforced – are they capable of better enforcement? The author adopts an “issues-based approach” in terms of which no specific regime of law, for instance International Humanitarian Law, is considered dominant. He assesses universal and regional human rights law together with International Human Rights Law and International Criminal Law to establish a mutually reinforcing web of protection for children. He also critically assesses the international judicial, quasi-judicial and non-judicial entities most relevant to child soldier prevention. He argues that the effective implementation of child soldier prohibitive norms does not require fundamental changes to any entity or functionary engaged in such prevention. In fact, what is required according to the author is the constant reassessment and refinement of all such entities and functionaries. The conclusions which are reached are ultimately tested against the background of a comprehensive case study on the use and recruitment of child soldiers in the Democratic Republic of the Congo. International Law and Child Soldiers is to be welcomed as a timely contribution to the evaluation

  11. An international review of patient safety measures in radiotherapy practice

    International Nuclear Information System (INIS)

    Shafiq, Jesmin; Barton, Michael; Noble, Douglas; Lemer, Claire; Donaldson, Liam J.

    2009-01-01

    Errors from radiotherapy machine or software malfunction usually are well documented as they affect hundreds of patients, whereas random errors affecting individual patients are more difficult to be discovered and prevented. Although major clinical radiotherapy incidents have been reported, many more have remained unrecognised or have not been reported. The literature in this field is limited as it is mostly published as a result of investigation of major errors. We present a review of radiotherapy incidents internationally with the aim of identifying the domains where most errors occur through extensive review and synthesis of published reports, unpublished 'Grey literature' and departmental incident data. Our review of radiotherapy-related events in the last three decades (1976-2007) identified more than seven thousand (N = 7741) incidents and near misses. Three thousand one hundred and twenty-five incidents reported patient harm of variable intensity ranging from underdose increasing the risk of recurrence, to overdose causing toxicity, and even death for 1% (N = 38); 4616 events were near misses with no recognisable patient harm. Based on our review, a radiotherapy risk profile has been published by the WHO World Alliance for Patient Safety that highlights the role of communication, training and strict adherence to guidelines/protocols in improving the safety of radiotherapy process.

  12. Y a-t-il quelqu'un qui écoute les Haïtiens ? | IDRC - International ...

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

    12 oct. 2010 ... Project in Haiti to make medical care more efficient through technology. "Rebuild better" has become a mantra in Haiti as the nation struggles to recover from the devastating January earthquake. View moreProject in Haiti to make medical care more efficient through technology ...

  13. Different contributions of internal reviewers and external experts to labelling decisions on therapeutic indications in new drug reviews in Japan.

    Science.gov (United States)

    Yokota, M; Kusama, M; Matsuki, N; Ono, S

    2013-12-01

    External experts play an important role in shaping regulatory decisions in the new drug review process in the United States, Europe and Japan. No rigorous study has been performed addressing how and to what extent external experts, in contrast to internal reviewers in the agency, influence the regulatory decisions during new drug reviews. We examined their contributions in Japanese regulatory reviews in contrast to the internal reviewers, focusing on the labelling decision on therapeutic indications. With the data set of 219 new molecular entities (NMEs) approved in Japan from 2000 to 2009, we observed how proposed indications in labelling were modified in a stepwise manner during the review process and conducted multinomial logistic analysis to examine the possible mechanism behind. We found that interim assessment of indications by the internal reviewers was modified substantially by the influence of the external experts in about 20% of the 219 NMEs. Our analysis suggested that internal reviewers provided their opinion mainly based on strict review discipline, whereas external experts added flexibility and reality to their reviews. Our analysis revealed different evaluations between internal reviewers and external experts during regulatory discussions in new drug reviews and how the external panel contributes to changing internal decisions. This study provides a new and quantitative approach to better label setting by emphasizing the contributions of each stakeholder in new drug reviews, which would improve the efficiency, quality and transparency of new drug reviews to enhance public health. © 2013 John Wiley & Sons Ltd.

  14. Endoscopic release of internal snapping hip: a review of literature

    Science.gov (United States)

    Via, Alessio Giai; Basile, Attilio; Wainer, Mauricio; Musa, Carlos; Padulo, Johnny; Mardones, Rodrigo

    2016-01-01

    Summary Background Internal snapping hip is a common clinical condition, characterized by an audible or palpable snap of the medial compartment of the hip. In most cases it is asymptomatic, while in a few patients, mostly in athletes who participate in activities requiring extremes of hip range of motion, the snap may become painful (internal snapping hip syndrome - ISHS). Materials and methods This is a review of current literature, focused on the pathogenesis, diagnosis and treatment of ISHS. Conclusion The pathogenesis of ISHS is multifactorial, and it is traditionally believed to be caused by the tendon snapping over the anterior femoral head or the iliopectineal ridge. Most cases of ISHS resolve with conservative treatment, which includes avoidance of aggravating activities, stretching, and NSAIDs. In recalcitrant cases, surgery may be indicated. Better results have been reported with endoscopic iliopsoas tendon release compared with open techniques, which may be related to the treatment of concomitant intra-articular pathologies. Furthermore, endoscopic treatment showed fewer complications, decreased failure rate and postop erative pain. It is important to remember that in most cases, a multiple iliopsoas tendon may exist, and that the incomplete release of the iliopsoas tendon can be a reason for refractory pain and poor results. Then, even if of not clinical relevance at long term follow-up, patients should be told about the inevitable loss of flexion strength after iliopsoas tenotomy. Level of evidence II. PMID:28066743

  15. 32 CFR Appendix B to Part 327 - Internal Management Control Review Checklist

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Internal Management Control Review Checklist B... B to Part 327—Internal Management Control Review Checklist (a) Task: Personnel and/or Organization... See footnote 2 to this Appendix B. (1) I attest that the above listed internal controls provide...

  16. Methodological review of UK and international low carbon scenarios

    International Nuclear Information System (INIS)

    Hughes, Nick; Strachan, Neil

    2010-01-01

    Scenarios have a long history in business, politics and military planning, as a tool for strategic planning to inform protective, proactive or consensus-based decision making in the face of uncertain futures. Recent years have seen a growth in scenarios for assessing the implications of low carbon futures, but relatively little work has linked these energy scenarios to the broader literature on scenario development. This paper undertakes a methodological review of a selection of UK and international low carbon scenario studies, using a typology of 'trend based', 'technical feasibility' and 'modelling' studies. Dominant methodologies in such studies have been the 2x2 axis and the 'back-casting' approach. Strengths of the studies reviewed include technological detail, and identification of key economic and social constraints. Weaknesses include the over-reliance on constructs such as exogenous emissions constraints, and high level trends, which diminish the ability to understand how the various future scenarios could be brought about or avoided. This is compounded by the lack of depiction of specific system actors; the tendency to abstract policy from the scenarios; and the resulting failure to consider policy, technology and behaviour in an iterative, 'co-evolving' fashion.

  17. International Linear Collider Technical Review Committee: Second Report, 2003

    Energy Technology Data Exchange (ETDEWEB)

    Loew, Gregory

    2003-02-21

    As this report is being published, the international high energy physics (HEP) community finds itself confronting a set of fascinating discoveries and new questions regarding the nature of matter and its fundamental particles and forces. The observation of neutrino oscillations that indicates that neutrinos have mass, measurements of the accelerating expansion of the universe that may be due to dark energy, and evidence for a period of rapid inflation at the beginning of the Big Bang are stimulating the entire field. Looming on the horizon are the potential discoveries of a Higgs particle that may reveal the origin of mass and of a whole family of supersymmetric particles that may be part of the cosmic dark matter. For the HEP community to elucidate these mysteries, new accelerators are indispensable. At this time, after careful deliberations, all three regional organizations of the HEP community (ACFA in Asia, HEPAP in North America, and ECFA in Europe) have reached the common conclusion that the next accelerator should be an electron-positron linear collider with an initial center-of-mass energy of 500 Giga-electronvolts (GeV), later upgradable to higher energies, and that it should be built and operated in parallel with the Large Hadron Collider under construction at CERN. Hence, this second report of the International Linear Collider Technical Review Committee (ILC-TRC) comes at a very timely moment. The report was requested by the International Committee on Future Accelerators (ICFA) in February 2001 to assess the current technical status of electron-positron linear collider designs in the various regions. Note that the ILC-TRC was not asked to concern itself with either cost studies or the ultimate selection process of a machine. This Executive Summary gives a short outline of the genesis of the report, the charge given to the committee, and its organization. It then presents a brief description of four electron-positron linear collider designs at hand. The

  18. Lessons Learned from PISA: A Systematic Review of Peer-Reviewed Articles on the Programme for International Student Assessment

    Science.gov (United States)

    Hopfenbeck, Therese N.; Lenkeit, Jenny; El Masri, Yasmine; Cantrell, Kate; Ryan, Jeanne; Baird, Jo-Anne

    2018-01-01

    International large-scale assessments are on the rise, with the Programme for International Student Assessment (PISA) seen by many as having strategic prominence in education policy debates. The present article reviews PISA-related English-language peer-reviewed articles from the programme's first cycle in 2000 to its most current in 2015. Five…

  19. Internalization of Western Culture's Thin-Ideal: A Literature Review on Internalization and Individuals with Eating Disorders.

    Science.gov (United States)

    Albertson, Nicole K.

    This paper is a review of literature regarding internalization of Western culture's thin-ideal. The media's portrayal of a thin-ideal associates success and beauty with being thin. Research has shown that exposure to the culture's thin-ideal does not necessarily lead to eating pathology, but those who internalize the standard are more likely to…

  20. Waste management assessment and technical review programme. WATRP. An international peer review service for radioactive waste management activities

    International Nuclear Information System (INIS)

    1994-09-01

    International Atomic Energy Agency provides international peer review services in radioactive waste management to those Member States that have established radioactive waste management programmes. Such services are provided within Waste Management Assessment and Technical Review Programme (WATRP). The main objective of WATRP is to provide international expertise and information on a requested subject in the field of radioactive waste management and to validate that programmes and activities are sound and performing well. Refs, figs and tabs

  1. Literature review on recent international activity in cooperative vehicle-highway automation systems.

    Science.gov (United States)

    2012-12-01

    This literature review supports the report, Recent International Activity in Cooperative VehicleHighway Automation Systems. It : reviews the published literature in English dating from 2007 or later about non-U.S.-based work on cooperative vehicle...

  2. International Linear Collider Technical Review Committee Report, 1995

    International Nuclear Information System (INIS)

    1995-12-01

    This 1995 report of the International Linear Collider Technical Review Committee is the first attempt to gather in one document the current status of all major e + e - linear collider projects in the world. The report is the result of a collaborative effort of scientists from many laboratories working together over a period of about one year. A short description of the organization, origins and history of the report is given below. To get an idea of the organization, the reader should first refer to the Table of Contents. Chapter 1 is an introduction and general overview of the respective 500 GeV c.m. energy machines. In contrast, Chapter 2, cutting across individual machine boundaries, gives a comparative description and discussion of all the major machine sub-systems as well as particle physics experimentation, showing where these subjects stand today and what additional work needs to be done in the next few years to reach the point where complete design reports can be prepared. Chapter 3 describes the various paths to energy upgrades, and other experimental options (γγ, e - e - , etc.). Chapter 4 gives a short status report of the machine experiments and test facilities being built in the world. Chapter 5 outlines current and other possible areas of collaboration and finally., Chapter 6 summarizes our principal conclusions

  3. International Linear Collider Technical Review Committee Report, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-01

    This 1995 report of the International Linear Collider Technical Review Committee is the first attempt to gather in one document the current status of all major e{sup +}e{sup {minus}} linear collider projects in the world. The report is the result of a collaborative effort of scientists from many laboratories working together over a period of about one year. A short description of the organization, origins and history of the report is given below. To get an idea of the organization, the reader should first refer to the Table of Contents. Chapter 1 is an introduction and general overview of the respective 500 GeV c.m. energy machines. In contrast, Chapter 2, cutting across individual machine boundaries, gives a comparative description and discussion of all the major machine sub-systems as well as particle physics experimentation, showing where these subjects stand today and what additional work needs to be done in the next few years to reach the point where complete design reports can be prepared. Chapter 3 describes the various paths to energy upgrades, and other experimental options ({gamma}{gamma}, e{sup {minus}}e{sup {minus}}, etc.). Chapter 4 gives a short status report of the machine experiments and test facilities being built in the world. Chapter 5 outlines current and other possible areas of collaboration and finally., Chapter 6 summarizes our principal conclusions.

  4. Reference costs for power generation; Couts de reference de la production electrique

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-12-01

    The first part of the 2003 study of reference costs for power generation has been completed. It was carried out by the General Directorate for Energy and Raw Materials (DGEMP) of the French Ministry of the Economy, Finance and Industry, with the collaboration of power-plant operators, construction firms and many other experts. A Review Committee of experts including economists (Forecasting Department, French Planning Office), qualified public figures, representatives of power-plant construction firms and operators, and non-governmental organization (NGO) experts, was consulted in the final phase. The study examines the costs of power generated by different methods (i.e. nuclear and fossil-fuel [gas-, coal-, and oil-fired] power plants) in the context of an industrial operation beginning in the year 2015. - The second part of the study relating to decentralized production methods (wind, photovoltaic, combined heat and power) is still in progress and will be presented at the beginning of next year. - 1. Study approach: The study is undertaken mainly from an investor's perspective and uses an 8% discount rate to evaluate the expenses and receipts from different years. In addition, the investment costs are considered explicitly in terms of interest during construction. - 2. Plant operating on a full-time basis (year-round): The following graph illustrates the main conclusions of the study for an effective operating period of 8000 hours. It can be seen that nuclear is more competitive than the other production methods for a year-round operation with an 8% discount rate applied to expenses. This competitiveness is even better if the costs related to greenhouse-gas (CO{sub 2}) emission are taken into account in estimating the MWh cost price. Integrating the costs resulting from CO{sub 2} emissions by non-nuclear fuels (gas, coal), which will be compulsory as of 2004 with the transposition of European directives, increases the total cost per MWh of these power

  5. CONFERENCE REVIEW:V. International Educational Technology Symposium

    Directory of Open Access Journals (Sweden)

    Reviewed by Mubin KIYICI

    2005-10-01

    Full Text Available 167V. International Educational Technology SymposiumWas held in Sakarya UniversityBetween 21 – 23 September 2005Reviewed by Mubin KIYICISakarya Universitymkiyici@anadolu.edu.trV. International Educational Technology Symposium was held in Sakarya University heldbetween 21 – 23 September 2005 by cooperation with Eastern Mediterranean University,Louisiana State University, Governors State University and Ohio University, and TOJET(The Turkish Online Journal of Educational Technology journal, at Sakarya UniversityCampus. Assoc. Prof. Dr. Aytekin ISMAN who was conference coordinator and Editor inchief of TOJET spoke at the opening ceremony of symposium. His speech was related todiffusion of distance education and diffusion of usage educational technology. And thenProf. Dr. Mehmet DURMAN who is Rector of Sakarya University, talked about aapplications of Distance Education which is applied by Sakarya University and educationaltechnology applications in Tukey. His Speech is here:168Dear GuestsWelcome to the “5th International Educational Technology ConferenceIETC/EGİTEK 2005. It is an international educational activity for academics,teachers and educators. This conference is now a well known educationaltechnology event and the number of paper submissions and attendeesincrease every year.This year, IETC-2005 received 268 applications. The conference academicadvisory board accepted 209 applications.IETC-2005 promotes the development and dissemination of theoreticalknowledge, conceptual research, and professional knowledge throughconference activities, the conference proceeding book, and the TurkishOnline Journal of Educational Technology (TOJET. Its focus is to create anddisseminate knowledge about the use instructional technology for learningand teaching in education.The main theme of IETC-2005 is distance education. Distance education is adelivery system of teaching and learning, when the teacher and the studentare separated by physical distance

  6. Comparing International and American Students' Challenges: A Literature Review

    Science.gov (United States)

    Perry, Cody J.

    2016-01-01

    International student numbers have increased drastically in the past few years. International students provide benefits to universities and American students such as greater revenue, and more open-mindedness. There have been myriad studies that have examined the international student experience, but most have focused solely on international…

  7. Book Review: Is Fair Value Fair? Financial Reporting from an International Perspective

    DEFF Research Database (Denmark)

    Thinggaard, Frank

    2005-01-01

    This is a review of Henk Langendijk, Dirk Swagerman and Willem Verhoog (Eds) "Is Fair Value Fair? Financial Reporting from an International Perspective," Chichester: John Wiley, 2003, ISBN 0 470 85028 0.......This is a review of Henk Langendijk, Dirk Swagerman and Willem Verhoog (Eds) "Is Fair Value Fair? Financial Reporting from an International Perspective," Chichester: John Wiley, 2003, ISBN 0 470 85028 0....

  8. Supplementary files: Experience of education in the international classroom-A systematic qualitative literature review study

    OpenAIRE

    Safipour, Jalal

    2017-01-01

    Experience of education in the international classroom-A systematic qualitative literature review study Jalal Safipour Linnaeus University, Sweden Stig Wenneberg Linnaeus University, Sweden Emina Hadziabdic Linnaeus University, Sweden ABSTRACT Experience of education in the international classroom can be challenging if both the students and the teachers have different approaches with regard to ways to learn and teaching methods. This literature review study ai...

  9. Book Review: Current Issues in International Human Resource Management and Strategy Research

    DEFF Research Database (Denmark)

    Gretzinger, Susanne

    2009-01-01

    The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer.......The article reviews the book "Current Issues in International Human Resource Management and Strategy Research," edited by Marion Festing and Susanne Royer....

  10. 5th International Conference OTEH 2012 - defense technology (Proceedings review

    Directory of Open Access Journals (Sweden)

    Vlado Petar Đurković

    2013-02-01

    Full Text Available This article gives an overview of all papers and events at the Fifth International ScientificConference on Defense Technologies OTEH 2012 held in Belgrade, in the Military Technical Institute (VTI, from 18th to 19th September 2012.The paper review presents the Conference Sections by subjects and guest-lectureres as well as the institutions of all authors who actively participated at the Conference.About the ConferenceThe Fifth International Scientific Conference on Defense Technologies OTEH 2012  was held in Belgrade in the Military Technical Institute in Žarkovo, from 18th to 19thSeptember 2012..The Conference program was organized in two plenary sessions and a working part which took place in four halls.In the plenary session, two key lectures were held by eminent experts from abroad. The first lecture entitled „An adaptive remeshing technique for 3D crack growth simulations”, was given by Dr Vincent Chiaruttini (ONERA Institute, Paris, France. The second one, „New Technologies for Advanced Defence Systems”, was held by Dr Filippo Neri (Virtualabs Company, Rome, Italy.Fifteen sessions were organised at the Conference. The authors presented their works in open discussions answering questions from the audience. The average number of attendees at each session was about 40.The papers were sorted by topic areas:Aerodynamics and flight dynamics: 12 papersAircraft: 23 papersWeapon systems, ammunition, energy materials, combat vehicles: 29 papersIntegrated sensor systems and robotic systems: 16 papersTelecommunication and information systems: 18 papersMaterials and technologies: 34 papersQuality, standardization, metrology, maintenance and exploitation: 11 papersOut of 163 submitted papers for this Conference, 145 papers were accepted and distributed in an electronic form on CDs to the present authors, co-authors, guests and invitees to the Conference. The number of participants with authors and co-authors was impressive - 243. The

  11. Value of External Reviews of Research at the International Agricultural Research Centers

    OpenAIRE

    Fuglie, Keith; Ruttan, Vernon W.

    1989-01-01

    The Consultative Groups on International Agricultural Research (CGIAR) funds a decentralized system of International Agricultural Research Centers. To monitor the Centers, the CGIAR has instituted a system of program and management reviews. But there is some controversy concerning the proper role, cost, and impact of these reviews. In 1984 we conducted a survey of scientific and administrative staff at the Centers to elicit their perspectives about the benefits and costs of the reviews. We al...

  12. An international peer review of the biosphere modelling programme of the US Department of Energy's Yucca mountain site characterization project. Report of the IAEA International Review Team

    International Nuclear Information System (INIS)

    2001-04-01

    The United States Department of Energy (DOE) has a project for characterizing the site of a facility for disposing of radioactive waste located at Yucca Mountain Nevada, USA (the Yucca Mountain Site Characterization Project). This Project has developed an approach for assessing the future potential impact of any releases of radionuclides to the biosphere from a potential disposal facility sited at Yucca Mountain The DOE requested the International Atomic Energy Agency (IAEA) to organize an independent international expert review of the assessment methodology being used in its biosphere modelling programme. The IAEA accepted the request in the context of its statutory obligation to provide for the application of its established international standards of safety for the protection of health, at the request of a State, to any of that State's activities in the field of atomic energy. The terms of reference of the peer review were to review the biosphere assessment methodology being used for the total system performance assessment of the potential disposal facility. The main purpose was to analyze critically the proposed rationale and methodology and to identify consistencies and inconsistencies between methods being used in the frame of the Project and those established in international standards or in international programmes such as the IAEA's Biosphere Modelling and Assessment Programme (BIOMASS). This report presents the consensus view of the international experts convened by the IAEA for carrying out the review

  13. Review of intern preparedness and education experiences in General Medicine.

    Science.gov (United States)

    Gome, J J; Paltridge, D; Inder, W J

    2008-04-01

    Few studies assess the transition from medical student to intern and there is limited understanding of what measures are required to assist intern development. The aim of the study was to assess interns' perception of their preparedness before commencing and on completion of their rotation in General Medicine, and their attitudes towards educational experiences at a tertiary metropolitan teaching hospital. Self-assessed preparedness for the General Medical internship and educational experiences were evaluated using a quantitative 5-point scale (1 = low score and 5 = high score) and qualitatively through interview, on interns based at St Vincent's Hospital (Melbourne). Data were collected at the beginning and at the end of each 10-week rotation (n = 25). Before commencement of the rotation, the interns identified areas where they felt inadequately prepared, particularly resuscitation skills and medico-legal aspects. When resurveyed at the completion of their 10-week rotation, the interns felt they had been better prepared for their role than they initially perceived, both generally and in specific aspects. Nine out of 16 parameters showed a significant increase in preparedness score at week 10 compared to week 1. The educational experiences most valued were peer driven education sessions and informal registrar teaching. Formal consultant teaching and online learning were perceived as being the least useful. Interns at St Vincent's Hospital have been adequately prepared for their role in General Medicine, although many realize this only in retrospect. Deficiencies in educational opportunities for interns have been uncovered that emphasize areas of attention for medical educators.

  14. International Human Resource Management: A Review from Pakistani Perspective

    OpenAIRE

    Shah, Syed Tanveer Hussain; Jamil, Raja Ahmed; Shah, Tazeem Ali; Kazmi, Zain

    2014-01-01

    This article provides information about the International Human Resource Management and discusses HRM according to the international prospective in Pakistan. In this article it is discussed that how environmental and cultural factors affect the recruitment, selection and industry/employee relation in Pakistan. In the end some conclusions are made in reference to the context.

  15. Review of International Experience with Renewable Energy Obligation Support Mechanisms

    Energy Technology Data Exchange (ETDEWEB)

    Wiser, R.

    2005-06-01

    The main policy instruments currently used in the EU Member States to achieve the targets set for electricity produced from renewable energy sources are: (1) the quota obligation system; (2) the feed-in tariff system; and (3) the tendering system. The current study aims to review the experience gained with the quota obligation system. The report provides an overview of the regions where obligation systems have been implemented and contains a detailed evaluation of the performance of the obligation systems in the USA, the UK and in Sweden. The obligation systems in these countries have been evaluated based on the following criteria: Effectiveness; Market efficiency; Certainty for the renewable energy industry; Cost effectiveness; Stakeholder support for the obligation system; and Equity. The evaluation of international experiences with the obligation system gives rise to a mixed picture. Although an obligation in theory is effective and cost effective, it seems too early to conclude that the system delivers these promises in practice. On the one hand this is due to the limited period of implementation that makes it hard to distinguish between the direct effect of the system and some teething problems that will be solved in due time. On the other hand, the conclusion can be drawn that the obligation is a complex system, which will only function well if designed carefully. It does seem worthwhile, however, to continue monitoring the experiences with the obligation system abroad, because this will further reveal whether the system is indeed effective and cost effective in practice. In the longer term, e.g. beyond 2010, the introduction of an obligation system in the Netherlands could be considered. Finally, as the design of support schemes is being improved, it appears that the basic concepts of both the obligation system and the feed in system have been refined in such a way that the two systems are gradually converging. An important difference between the two systems

  16. Children's knowledge of internal anatomy: conceptual orientation and review of research.

    Science.gov (United States)

    Jones, E G; Badger, T A; Moore, I

    1992-08-01

    Children's understanding of health and illness is influenced by their knowledge of internal anatomy and physiological functioning. This article provides a comprehensive review of studies of children's knowledge of internal anatomy, one component of internal body image. Consistencies, controversies, and methodological issues that emerge across the studies are discussed. A conceptual framework for the development of children's internal body image is presented. The framework posits relationships between cognitive development, health status, knowledge of internal body image, and understanding of physiological functioning. Future studies are needed to test and refine the conceptual framework and to develop interventions to facilitate children's internal body image.

  17. IPERS guidelines for the international peer review service. Second edition. Procedures for conducting independent peer reviews of probabilistic safety assessments

    International Nuclear Information System (INIS)

    1995-10-01

    This publication describes the purposes and the objectives of an International Peer Review Service (IPERS) review. The main objective is first to assess whether important technological and methodological issues in the PSA are treated in an adequate manner and, second, whether specific conclusions and applications of the PSA are supported by the underlying technical analysis in an appropriate way. An important aspect for an IPERS review is the communication and exchange of views between the international experts carrying out the review and the members of the PSA team. This TECDOC is intended to give guidance on how an IPERS review is organized and conducted, it describes the steps needed to prepare the review and it highlights the PSA aspects which should be covered in detail. 30 refs, 1 fig., 2 tabs

  18. Book Review: International terrorism. Current research and future ...

    African Journals Online (AJOL)

    Abstract. Book Title: International terrorism. Current research and future directions. Book Author: Alan D. Buckley & Daniel D. Olson (Eds.) Wayne Avery Publishing Group, 1980. 113pp., Illustrations ...

  19. A review and comparison of international exemption and clearance levels

    International Nuclear Information System (INIS)

    Cooper, J.R.; Mobbs, S.F.

    1997-01-01

    The publication of new European Basic Safety Standards by the European Commission and of new International Basic Safety Standards by the IAEA together with other international agencies, has led to increased interest in the application of the concepts of exemption and clearance. This paper discusses the derivation of radionuclide-specific exemption and clearance values for application in various areas of the regulation of radioactive materials. (author)

  20. International nursing students and what impacts their clinical learning: literature review.

    Science.gov (United States)

    Edgecombe, Kay; Jennings, Michele; Bowden, Margaret

    2013-02-01

    This paper reviews the sparse literature about international nursing students' clinical learning experiences, and also draws on the literature about international higher education students' learning experiences across disciplines as well as nursing students' experiences when undertaking international clinical placements. The paper aims to identify factors that may impact international nursing students' clinical learning with a view to initiating further research into these students' attributes and how to work with these to enhance the students' clinical learning. Issues commonly cited as affecting international students are socialisation, communication, culture, relationships, and unmet expectations and aspirations. International student attributes tend to be included by implication rather than as part of the literature's focus. The review concludes that recognition and valuing of international nursing students' attributes in academic and clinical contexts are needed to facilitate effective strategies to support their clinical practice in new environments. Copyright © 2012. Published by Elsevier Ltd.

  1. Ethical concerns of nursing reviewers: an international survey.

    Science.gov (United States)

    Broome, Marion; Dougherty, Molly C; Freda, Margaret C; Kearney, Margaret H; Baggs, Judith G

    2010-11-01

    Editors of scientific literature rely heavily on peer reviewers to evaluate the integrity of research conduct and validity of findings in manuscript submissions. The purpose of this study was to describe the ethical concerns of reviewers of nursing journals. This descriptive cross-sectional study was an anonymous online survey. The findings reported here were part of a larger investigation of experiences of reviewers. Fifty-two editors of nursing journals (six outside the USA) agreed to invite their review panels to participate. A 69-item forced-choice and open-ended survey developed by the authors based on the literature was pilot tested with 18 reviewers before being entered into SurveyMonkey(TM). A total of 1675 reviewers responded with useable surveys. Six questions elicited responses about ethical issues, such as conflict of interest, protection of human research participants, plagiarism, duplicate publication, misrepresentation of data and 'other'. The reviewers indicated whether they had experienced such a concern and notified the editor, and how satisfied they were with the outcome. They provided specific examples. Approximately 20% of the reviewers had experienced various ethical dilemmas. Although the majority reported their concerns to the editor, not all did so, and not all were satisfied with the outcomes. The most commonly reported concern perceived was inadequate protection of human participants. The least common was plagiarism, but this was most often reported to the editor and least often led to a satisfactory outcome. Qualitative responses at the end of the survey indicate this lack of satisfaction was most commonly related to feedback provided on resolution by the editor. The findings from this study suggest several areas that editors should note, including follow up with reviewers when they identify ethical concerns about a manuscript.

  2. Review of International Policies for Vehicle Fuel Efficiency

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    This paper reviews past and current voluntary and regulatory fuel efficiency programs and then assesses the effectiveness of these policies from the viewpoints of enforcement, standard design, standard stringency and standard related policies.

  3. Review of Air Traffic Controller Selection: An International Perspective

    National Research Council Canada - National Science Library

    Broach, Dana

    1997-01-01

    ...) in Hamburg is reviewed. Job analysis, test battery development, and validation research for the controller occupation in the United Kingdom is presented next, followed by a description of the Swedish "MRU Project" on controller...

  4. International school on electric and photonuclear reactions I. [Review

    Energy Technology Data Exchange (ETDEWEB)

    Costa, S.; Schairf, C. (eds.)

    1977-01-01

    The most significant achievements in the study of nuclear properties using electromagnetic probes with special emphasis on the most recent experimental and theoretical results obtained in this field are reviewed and discussed. Ten lectures are presented. (JFP)

  5. Book Review - International Migration and Development in Sub ...

    African Journals Online (AJOL)

    African Review of Economics and Finance. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 5, No 1 (2013) >. Log in or Register to get access to full text downloads.

  6. International peer reviews and radioactive waste management in France

    International Nuclear Information System (INIS)

    Gordelier, S.; Nordborg, C.; Pescatore, C.

    2006-01-01

    The French government recently requested the NEA to organize two peer reviews in the radioactive wastes management area. The first concerned the review of the ''dossier Argile 2005'', the second concerned the ''CEA 2005 report''. This document presents the major recommendations and conclusions of the team on deep geological disposal of the ''dossier Argile 2005'', the partitioning and transmutation of the ''CEA 2005 report''. (A.L.B.)

  7. Review: Current international research into cellulosic fibres and composites

    Science.gov (United States)

    S.J. Eichhorn; C.A. Baillie; N. Zafeiropoulos; L.Y. Mwaikambo; M.P. Ansell; A. Dufresne; K.M. Entwistle; P.J. Herrera-Franco; G.C. Escamilla; Leslie H. Groom; M. Hughes; C. Hill; Timothy G. Rials; P.M. Wild

    2001-01-01

    The following paper summarises a number of international research projects being undertaken to understand the mechanical properties of natural cellulose fibres and composite materials. In particular the use of novel techniques, such as Raman spectroscopy, synchrotron x-ray and half-fringe photoelastic methods of measuring the physical and micromechanical properties of...

  8. Homeopathy - A review | Oji | International Journal of Medicine and ...

    African Journals Online (AJOL)

    International Journal of Medicine and Health Development. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 1, No 2 (1996) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. DOWNLOAD FULL TEXT ...

  9. Cancer genetics – A review | Jaryum | International Journal of ...

    African Journals Online (AJOL)

    International Journal of Biological and Chemical Sciences. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 2, No 4 (2008) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Download this PDF file. The PDF ...

  10. Cost of illness in colorectal cancer: an international review.

    Science.gov (United States)

    Kriza, Christine; Emmert, Martin; Wahlster, Philip; Niederländer, Charlotte; Kolominsky-Rabas, Peter

    2013-07-01

    Given the current-and increasing-pressure to limit expenditure on health care provision in many countries, a better understanding of the cost burden of colorectal cancer is needed. Cost-of-illness studies and reviews thereof can be a useful tool for analysing and critically evaluating the cost-related development of colorectal cancer, and they highlight important cost drivers. A systematic review was conducted from 2002 to 2012 to identify cost-of-illness studies related to colorectal cancer, searching the Medline, PubMed, Science Direct, Cochrane Library and the York CRD databases. Among the 10 studies (from France, the US, Ireland and Taiwan) included in the review, 6 studies reported prevalence-based estimates and 4 studies focussed on incidence-based data. In the studies included in the review, long-term costs for colorectal cancer of up to $50,175 per patient (2008 values) were estimated. Most of the studies in the review showed that the initial and terminal phases of colorectal cancer care are the most expensive, with continuing treatment being the least costly phase. One study also highlighted that stage I CRC disease was the least costly and stage III the most costly of all 4 stages, due to the high cost impact of biological agents. This review has highlighted a trend for rising costs associated with CRC, which is linked to the increasing use of targeted biological therapies. COI studies in colorectal cancer can identify specific components and areas of care that are especially costly, thereby focussing attention on more cost-effective approaches, which is especially relevant to the increased use of biological agents in the field of personalised medicine. COI studies are an important tool for further health economic evaluations of personalised medicine.

  11. How global is international CSR research? Insights and recommendations from a systematic review

    NARCIS (Netherlands)

    Pisani, N.; Kourula, A.; Kolk, A.; Meijer, R.

    While studies on international corporate social responsibility (CSR) have expanded significantly, their true global nature can be questioned. We systematically review 494 articles in 31 journals over a 31-year period. We assess the embeddedness of CSR in international management/business (IB);

  12. Review on Korea Participation of Generation IV International Forum (GIF)

    International Nuclear Information System (INIS)

    Lee, Jewhan; Jeong, Ji-Young; Hahn, Dohee

    2015-01-01

    Generation IV International Forum (GIF) originates from US proposal of an initiative in 2000. The vision was to leapfrog LWR technology and collaborate with international partners to share R and D on advanced nuclear systems. Nine countries and EU joined the initiative and Gen IV concept was defined via technology goals and legal framework. Two years study with more than 100 experts worldwide has evaluated nearly 100 reactor designs and down selected six most promising concepts. In 2005, the first signatures on Framework Agreement were collected and the first research projects were defined in 2006. Korea is one of the founding members of GIF and actively participating in various areas. In 2013, TD was assigned to Korean expert and Korea is endeavoring to enhance the benefit of participation since this turning point. In this paper, pros and cons of engaging with GIF were briefly introduced and items to maximize the benefit were suggested

  13. Digital Review of Asia Pacific 2009–2010 | IDRC - International ...

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

    2009-06-02

    Jun 2, 2009 ... The Digital Review of Asia Pacific meets an urgent need for current and relevant information and viewpoints on ICT for development in Asia and the Pacific. As such, it is a tremendously valuable resource for the policymakers, government leaders, and public sector managers. — Hyeun-Suk Rhee (Director, ...

  14. Alzheimer's disease – A review | Aghaji | International Journal of ...

    African Journals Online (AJOL)

    It is accompanied by progressive functional deterioration, loss of independence, and numerous cognitive symptoms and behavioral problems. The number of patients with AD is expected to increase in the coming ... Chronic neurodegenerative disorder; Review Journal of College of Medicine Vol. 12 (1) 2007: pp.39-44 ...

  15. Priapism: A Review. | Ugwumba | International Journal of Medicine ...

    African Journals Online (AJOL)

    Aim: To explore the aetiological factors, pathogenesis and management of priapism and highlight its peculiar features in Nigerians. Materials & Methods: A literature search was carried out using MEDLINE –, these were reviewed in line with the aims for meaningful findings and case reports. Results: Priapism is currently ...

  16. Mentor experiences of international healthcare students' learning in a clinical environment: A systematic review.

    Science.gov (United States)

    Mikkonen, Kristina; Elo, Satu; Tuomikoski, Anna-Maria; Kääriäinen, Maria

    2016-05-01

    Globalisation has brought new possibilities for international growth in education and professional mobility among healthcare professionals. There has been a noticeable increase of international degree programmes in non-English speaking countries in Europe, creating clinical learning challenges for healthcare students. The aim of this systematic review was to describe mentors' experiences of international healthcare students' learning in a clinical environment. The objective of the review was to identify what influences the success or failure of mentoring international healthcare students when learning in the clinical environment, with the ultimate aim being to promote optimal mentoring practice. A systematic review was conducted according to the guidelines of the Centre for Reviews and Dissemination. Seven electronic databases were used to search for the published results of previous research: CINAHL, Medline Ovid, Scopus, the Web of Science, Academic Search Premiere, Eric, and the Cochrane Library. Search inclusion criteria were planned in the PICOS review format by including peer-reviewed articles published in any language between 2000 and 2014. Five peer-reviewed articles remained after the screening process. The results of the original studies were analysed using a thematic synthesis. The results indicate that a positive intercultural mentor enhanced reciprocal learning by improving the experience of international healthcare students and reducing stress in the clinical environment. Integrating international healthcare students into work with domestic students was seen to be important for reciprocal learning and the avoidance of discrimination. Many healthcare students were found to share similar experiences of mentoring and learning irrespective of their cultural background. However, the role of a positive intercultural mentor was found to make a significant difference for international students: such mentors advocated and mediated cultural differences and

  17. Internal versus External Control of Reinforcement: A Review of the Locus of Control Construct

    Science.gov (United States)

    Kormanik, Martin B.; Rocco, Tonette S.

    2009-01-01

    One aspect of personality, perceptions of internal versus external control of reinforcement, shifts under conditions of change. This review of the literature examines the relationship between planned organizational change and locus of control. The review includes literature from the disciplines of clinical and social psychology, adult development,…

  18. A Review of International Cross-Cultural Mixed Messages and Their Implications for Human Resource Development

    Science.gov (United States)

    Altman, Brian A.

    2013-01-01

    This paper presents a literature review on the concept of international cross-cultural mixed messages. Although there is limited literature on this topic, the review suggests that messages from one's home culture and a second culture can result in conflicting expectations for one's own behavior and for the behavior of others. Double bind theory is…

  19. External reviews, internal influences: consultations and the undergraduate neuroscience curriculum.

    Science.gov (United States)

    Wiertelak, Eric P

    2012-01-01

    In 2007 FUN established the FUN Program and Department Consultations Service, or FUN-PDCS. Since that founding, the service has provided numerous consultation recommendations to undergraduate programs seeking assistance with external program reviews, designing and improving courses and many other programmatic needs. FUN-PDCS, like FUN, is primarily a grassroots organization and draws on the expertise of the FUN membership to aid programs in their more personalized pursuit of the FUN mission: to promote and improve undergraduate neuroscience education and research.

  20. International review on safety requirements for the prototype fast breeder reactor “Monju”

    International Nuclear Information System (INIS)

    2016-01-01

    In response to the lessons learned from the serious nuclear accidents at the TEPCO's Fukushima Daiichi Nuclear Power Stations, an advisory committee, which was set up by the Japan Atomic Energy Agency, issued the report “Safety Requirements Expected to the Prototype Fast Breeder Reactor Monju” taking into account the SFR specific safety characteristics in July 2014. The report was reviewed by the leading international experts on SFR safety from five countries and one international organization in order to obtain independent and objective evaluation. The international review comments on each subsection were collected and compiled, and then a summary of results was derived through the discussion at the review meeting and individual feedbacks. As a result the basic concept for prevention of severe accidents and mitigation of their consequences of Monju is appropriate in consideration of SFR specific safety characteristics, and is in accordance with international common understanding. (author)

  1. 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.

  2. Challenges faced by international nurses when migrating: an integrative literature review.

    Science.gov (United States)

    Pung, L-X; Goh, Y-S

    2017-03-01

    Results from this literature review were used to identify the challenges faced by international nurses in their host countries following migration. The increasing strain of nursing shortages in the healthcare system has led to the recruitment of international nurses among many countries. However, following migration, international nurses are faced with challenges that may result in poor integration with their host countries. Using Cooper's five stages for integrative research reviews, a literature search was conducted across seven databases using a PRISMA search strategy. Additional manual searches were also conducted on the end-references of the retrieved articles. The authors then independently reviewed the selected articles using the Joanna Briggs Institute appraisal form to extract and generate the themes for the review. Twenty-four articles were selected for the review. The themes generated included: (i) difficulty orientating; (ii) a longing for what is missing; (iii) professional development and devaluing; (iv) communication barriers; (v) discrimination and marginalization; (vi) personal and professional differences; and (vii) a meaningful support system. By identifying the challenges faced by international nurses, interventions that ensure equal treatment (e.g. multifaceted transition programmes and culturally sensitive 'buddy' systems) can be implemented to help international nurses adapt to their new environments. Adequate communication can be achieved by encouraging international nurses to speak English and learn the colloquial language and non-verbal behaviours used by native nurses. With good integration international nurses may be able to reach their full career potential as professional nurses in their host countries. The adaptation process is a dynamic process that requires effort from both international and native nurses. Thus, any strategies that are developed and implemented must be multifaceted. © 2016 International Council of Nurses.

  3. Biodiesel Performance within Internal Combustion Engine Fuel System - A Review

    Directory of Open Access Journals (Sweden)

    Z.A. Khan

    2016-06-01

    Full Text Available This review paper highlights the tribological performance of biodiesel at contacting surfaces in the fuel delivery system of compression ignition (diesel engines. The focus is on the injection components that include low and high pressure injection pumps, diesel fuel injectors, electro-hydraulic valves, diesel fuel lubricity measurements and effects of biodiesel on the running conditions in a diesel fuel injection system. The common rail system and the distributor pump injection systems with electronic diesel control are among the modern trends that are specifically highlighted. Boundary, mixed and hydrodynamic lubrication regimes together with lubricant oil film thickness, pressure and engine performance are also considered.

  4. Using internal and external reviewers can help to optimise neonatal mortality and morbidity conferences.

    Science.gov (United States)

    Assaad, Michael-Andrew; Janvier, Annie; Lapointe, Anie

    2018-02-01

    This study determined whether there was a difference in the conclusions reached by neonatologists in morbidity and mortality conferences based on their level of involvement in a case. All neonatal deaths occurring between August 2014 and September 2015 at the neonatal intensive care unit of Sainte-Justine Hospital, Montreal, Quebec, Canada, were reviewed by internal physicians involved in the case and external physicians who were not. The reviewers were asked to identify positive and negative clinical practice items and provide written recommendations. These were classified into eight categories and compared for each case. During the study, 55 patients died leading to 110 reviews and a total of 590 positive and negative items. Most items were in the communication (25.2%), ethical decision-making (16.7%) and clinical management (14.8%) categories. Both the internal and external reviewers were in agreement 48.5% of the time for positive items and 44.8% for negative items. There were 242 written recommendations, which differed significantly among the internal and external reviewers. Reviews of neonatal deaths by two independent reviewers, internal physicians and external physicians, led to different positive and negative practice items and recommendations. This could allow for a richer discussion and improve recommendations for patient care. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  5. The physical environment and child development: an international review.

    Science.gov (United States)

    Ferguson, Kim T; Cassells, Rochelle C; MacAllister, Jack W; Evans, Gary W

    2013-01-01

    A growing body of research in the United States and Western Europe documents significant effects of the physical environment (toxins, pollutants, noise, crowding, chaos, and housing, school and neighborhood quality) on children and adolescents' cognitive and socioemotional development. Much less is known about these relations in other contexts, particularly the global South. We thus briefly review the evidence for relations between child development and the physical environment in Western contexts, and discuss some of the known mechanisms behind these relations. We then provide a more extensive review of the research to date outside of Western contexts, with a specific emphasis on research in the global South. Where the research is limited, we highlight relevant data documenting the physical environment conditions experienced by children, and make recommendations for future work. In these recommendations, we highlight the limitations of employing research methodologies developed in Western contexts (Ferguson & Lee, 2013). Finally, we propose a holistic, multidisciplinary, and multilevel approach based on Bronfenbrenner's (1979) bioecological model to better understand and reduce the aversive effects of multiple environmental risk factors on the cognitive and socioemotional development of children across the globe.

  6. An international peer review of the programme for evaluating sites for near surface disposal of radioactive waste in Lithuania. Report of the IAEA International Review Team

    International Nuclear Information System (INIS)

    2006-12-01

    Lithuania's national Radioactive Waste Management Agency (RATA) is mandated by national legislation to find a disposal solution for radioactive waste arising mainly from the operation and decommissioning of the Ignalina nuclear power plant. A key step in the process of obtaining a disposal solution is to identify potential sites for detailed consideration. The RATA has completed this first step and is now directing a programme for detailed investigation of these sites. In this context, the RATA requested that the IAEA, on the basis of its statutory mandate to establish safety standards and provide for their application, conduct a peer review of the safety of the proposed disposal concept. The objective of the peer review, carried out in December 2005, was to provide an independent assessment of the safety related aspects of the sites under consideration on the basis of international safety standards and applicable national standards. The review also considered the feasibility of the proposed reference design and its suitability for the local conditions. The peer review provides an independent opinion as to whether the RATA's siting and site characterization programme is consistent with international standards and agrees with good practice in other national disposal programmes. Peer reviews are increasingly being acknowledged as an important component in building broader stakeholder confidence in the safety of facilities. For this reason, an increase in their number and frequency is anticipated. The coming into force of the Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management has also focused attention on the demonstration of the safety of waste management facilities. This report presents the consensus view of the international group of experts convened by the IAEA to carry out the review. The findings and recommendations of the Review Team were grouped under six topics considered to be of fundamental importance

  7. Some economic aspects of natural uranium graphite gas reactor types. Present status and trends of costs in France; Quelques aspects economiques de la filiere uranium naturel - Graphite - gaz. Etat actuel et tendance des couts en France

    Energy Technology Data Exchange (ETDEWEB)

    Gaussens, J.; Tanguy, P. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires; Leo, B. [Electricite de France (EDF), 75 - Paris (France)

    1964-07-01

    reduction in investment costs can be obtained without relying on fuel enrichment, and that this development is accompanied moreover by improvements in the operational safety of the reactor. The economic aspects of the main technical problems entailed by these developments are discussed: loading and unloading machines, blowers etc... (authors) [French] Dans une premiere partie, on situe l'interet economique de l'utilisation de l'uranium naturel comme combustible. Cet interet reside a la fois dans le nombre limite et la simplicite relative des operations de mise en forme des elements combustibles, dans le faible cout du produit fini par kwh et dans les immobilisations modestes en capital qu'implique ce cycle par rapport ou cycle de l'uranium enrichi. Tous ces elements permettent de reduire le caractere aleatoire des evaluations des couts, particulierement marque dans le cas de l'uranium enrichi, en raison de la complexite de son cycle et des incertitudes concernant le prix du plutonium. Enfin, la diversite des sources d'approvisionnement en concentre d'uranium naturel opposee au quasi monopole actuel de la separation isotopique, et le faible cout du stockage de ce concentre, offrent des garanties en matiere de securite d'approvisionnement et d'independance economique et politique appreciables par rapport a l'uranium enrichi. En ce qui concerne l'ensemble des capitaux immobilises, on montre que si le cout des centrales au graphite-gaz est plus eleve que celui des centrales eau legere pour certaines gammes de puissance, ce resultat est fortement nuance des que l'on fait intervenir dans un souci d'independance nationale le cout de l'equipement de production des combustibles de l'une et l'autre filiere. Enfin, le cout marginal de la puissance du reacteur au graphite est faible, ses limitations technologiques ont considerablement recule (grace en particulier a l'utilisation du beton

  8. Minerals yearbook: The mineral industry of Brazil. 1988 international review

    International Nuclear Information System (INIS)

    Ensminger, H.R.

    1988-01-01

    Brazil's gross domestic product (GDP) grew only slightly in 1988 to $277 billion at current prices. The growth rate was the smallest registered since 1983, when the rate was minus 2.8%. The economy's performance was strongly influenced by a 2% to 3% decrease in industrial production and civil construction. The mineral industry, however, countered the downward trend in the industrial sector and grew a modest 1.4%. Topics discussed in the report include the following: Government policies and programs; Production; Trade; Commodity review--Metals (Aluminum, Aluminia, and Bauxite, Columbium, Copper, Gold, Iron and Steel, Manganese, Tin, Titanium); Industrial Minerals (Gem stones, Phosphate rock, Quartz); Mineral fuels (Coal, Natural gas, Petroleum, Nuclear power); Nonmineral energy sources (Alcohol, Hydroelectric)

  9. International Review of Frameworks for Standard Setting & Labeling Development

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Nan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Khanna, Nina Zheng [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Fridley, David [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Romankiewicz, John [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-09-01

    As appliance energy efficiency standards and labeling (S&L) programs reach a broader geographic and product scope, a series of sophisticated and complex technical and economic analyses have been adopted by different countries in the world to support and enhance these growing S&L programs. The initial supporting techno-economic and impact analyses for S&L development make up a defined framework and process for setting and developing appropriate appliance efficiency standards and labeling programs. This report reviews in-depth the existing framework for standards setting and label development in the well-established programs of the U.S., Australia and the EU to identify and evaluate major trends in how and why key analyses are undertaken and to understand major similarities and differences between each of the frameworks.

  10. Factors impacting on psychological wellbeing of international students in the health professions: A scoping review.

    Science.gov (United States)

    McKenna, Lisa; Robinson, Eddie; Penman, Joy; Hills, Danny

    2017-09-01

    There are increasing numbers of international students undertaking health professional courses, particularly in Western countries. These courses not only expose students to the usual stresses and strains of academic learning, but also require students to undertake clinical placements and practice-based learning. While much is known about general issues facing international students, less is known about factors that impact on those studying in the health professions. To explore what is known about factors that influence the psychological wellbeing of international students in the health professions. A scoping review. A range of databases were searched, including CINAHL, Medline, Scopus, Proquest and ERIC, as well as grey literature, reference lists and Google Scholar. The review included qualitative or quantitative primary peer reviewed research studies that focused on international undergraduate or postgraduate students in the health professions. The core concept underpinning the review was psychological issues, with the outcome being psychological and/or social wellbeing. Thematic analysis across studies was used to identify key themes emerging. A total of 13 studies were included in the review, from the disciplines of nursing, medicine and speech-language pathology. Four key factor groups emerged from the review: negotiating structures and systems, communication and learning, quality of life and self-care, and facing discrimination and social isolation. International health professional students face similar issues to other international students. The nature of their courses, however, also requires negotiating different health care systems, and managing a range of clinical practice issues including with communication, and isolation and discrimination from clinical staff and patients. Further research is needed to specifically explore factors impacting on student well-being and how international students can be appropriately prepared and supported for their

  11. Clinical Significance of Internal Mammary Lymph Node Biopsy during Microsurgical Breast Reconstruction: Review of 264 Cases.

    Science.gov (United States)

    Wright, Eric J; Momeni, Arash; Kraneburg, Ursula M; Otake, Leo R; Echo, Anthony; Lee, Tim; Buchanan, Edward P; Lee, Gordon K

    2016-06-01

    Despite the knowledge of alternate lymphatic draining patterns of the breast, routine evaluation of the internal mammary lymph node basin is still not considered standard of care. The advent of microsurgical breast reconstruction using the internal mammary vessels as recipients, however, has allowed sampling of internal mammary lymph nodes with technical ease, thus revisiting their role in breast cancer management. In the present study, the authors reviewed their experience with this practice. A retrospective analysis of patients who underwent internal mammary lymph node biopsy at the time of autologous breast reconstruction using the internal mammary vessels between 2004 and 2012 was performed. Parameters of interest included patient age, timing of reconstruction (immediate versus delayed), disease stage, and pathologic findings of internal mammary lymph nodes. A total of 264 autologous breast reconstructions using the internal mammary vessels were performed in 204 patients with a median age of 44.5 years. The majority of reconstructions were immediate [n = 211 (79.9 percent)]. Seventy-two percent of patients had either stage I [72 patients (35.3 percent)] or stage II disease [75 patients (36.8 percent)]. Six patients were found to have internal mammary lymph node metastasis. Stage migration and alteration in adjuvant therapy occurred in all patients. Internal mammary lymph node sampling at the time of autologous breast reconstruction using the internal mammary system should become routine practice, as the morbidity associated with internal mammary lymph node harvest is low and the impact in cases of nodal involvement is quite substantial. Therapeutic, IV.

  12. Practice standards for emergency nursing: An international review.

    Science.gov (United States)

    Jones, Tamsin; Shaban, Ramon Z; Creedy, Debra K

    2015-11-01

    Presentations to emergency departments (EDs) and patient acuity continue to increase. Whilst strategies to deliver safe patient care in the ED are evolving, emergency nurses need to be well educated through specialist qualifications to enable delivery of advanced patient care. This paper presents a comparative analysis of available international practice and competency standards for nurses graduating from emergency nursing courses in Australia, Canada, New Zealand, the United Kingdom, and the United States. CINAHL, Scopus, Ovid MEDLINE, and Embase were searched for papers, published in English, using the terms: 'emergency', 'accident and emergency', 'nursing', 'competency', 'practice standards', 'scope of practice', 'regulation', and 'specialist standards'. Secondary sources from relevant reference lists and professional websites were also searched. The standards from the five countries were common across five domains: clinical expertise, communication, teamwork, resources and environment, and legal. None of the standards were specific to the emergency nursing graduate, and there was variability in the level of expertise required for which the standards apply. The available practice standards demonstrated some commonality. Consideration of the utility of a universal framework for informing the development of emergency nursing practice standards and emergency nursing curriculum for nurses wishing to specialise is needed. Copyright © 2015 College of Emergency Nursing Australasia Ltd. Published by Elsevier Ltd. All rights reserved.

  13. A review of Studsvik's international power ramp test projects

    International Nuclear Information System (INIS)

    Mogard, H.; Kjaer-Pedersen, N.

    1985-11-01

    Since 1975 a series of internationally sponsored fuel irradiation research projects have been and are being conducted at Studsvik, Sweden, under the management of Studsvik Energiteknik AB. The sponsoring parties comprise fuel vendors, nuclear power utilities, national research organizations and, in some cases, safety authorities. Geographically the parties represent organizations in Europe, Japan, and the USA. The main research topic of the Studsvik projects is the Pellet Clad Interaction (PCI) induced Stress Corrosion Cracking (SCC) failure occurrence in LWR fuel under power ramping conditions. The research is conducted in the 50 MW R2 test reactor and the associated hot cell laboratory. Prior to the experiments the test fuel is base irradiated, normally in commercially operated light water reactors. Results have been published for the INTER-RAMP, OVER-RAMP, DEMO-RAMP I, DEMO-RAMP II and SUPER-RAMP projects. The release of the TRANS-RAMP I results is imminent. There are two ongoing projects, i.e. SUPER-RAMP EXTENSION and TRANS-RAMP II. The paper presents an overview of the objectives and main results of the various projects. An attempt is made to summarize the more important observations on PCI failure performance in the perspective of design parameters, fuel burnup levels, power histories, power ramp rates, etc. With 14 refs. (Author)

  14. International perspectives on workplace bullying among nurses: a review.

    Science.gov (United States)

    Johnson, S L

    2009-03-01

    This article examines the nursing literature on workplace bullying with the aim of reaching a better understanding of the phenomenon. Workplace bullying occurs in many occupations and workplaces, including nursing. The following databases were used for the literature review: CINAHL, PubMed, Pro Quest and EBSCO host. Only articles in English were used. Articles from outside the nursing literature were also examined to gain a broader understanding of workplace bullying. Workplace bullying is more than a simple conflict between two individuals. It is a complex phenomenon that can only be understood through an examination of social, individual and organizational factors. Workplace bullying has been shown to impact the physical and psychological health of victims, as well as their performance at work. Workplace bullying impacts the organization through decreased productivity, increased sick time and employee attrition. More nurse-specific research is needed in this area. Research needs to be conducted in a systematic and uniform manner so that generalizations across studies can be made. The ultimate goal of this research should be to generate an understanding of this phenomenon so that solutions can be found.

  15. Chronic spontaneous urticaria and internal parasites--a systematic review.

    Science.gov (United States)

    Kolkhir, P; Balakirski, G; Merk, H F; Olisova, O; Maurer, M

    2016-03-01

    Chronic spontaneous urticaria (CSU) is defined as persistent wheals, angioedema, or both lasting for >6 weeks due to known or unknown causes. Some epidemiological studies and case reports suggest that internal parasite infections (PI) can cause CSU. Here, we provide a systematic overview of published findings on the prevalence and relevance of PI in CSU and we discuss possible pathomechanisms. The prevalence of PI in CSU was investigated by 39 independent studies and comorbidity reportedly ranged from 0 to 75.4% (two-thirds of these studies reported infection rates of 10% or less). The prevalence of PI in adult and pediatric CSU patients ranged from 0% to 75.4% and from 0% to 37.8%, respectively. CSU patients were more often diagnosed with protozoa and had a significantly higher risk of toxocariasis seropositivity and Anisakis simplex sensitization when compared to healthy controls. Patients with chronic urticaria more frequently had seropositivity of fasciolosis, Anisakis simplex sensitization, and the presence of Blastocystis hominis allele 34 (ST3) as compared with control subjects. In 21 studies, efficacy of treatment with antiparasitic drugs ranged from 0 to 100% (35.7% of 269 CSU patients benefitted). In 9 (42.8%) of 21 studies, more than 50% of efficacy was observed. The reported rate of urticaria comorbidity in PI patients in 18 independent studies is 1-66.7%. Urticaria including CSU might be a quite common symptom of strongyloidiasis and blastocystosis. Pathogenic mechanisms in CSU due to PI may include specific IgE, Th2 cytokine skewing, eosinophils, activation of the complement, and the coagulation systems. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  16. Opposition to nuclear power: a review of international experience

    Energy Technology Data Exchange (ETDEWEB)

    Surrey, J.; Huggett, C.

    1976-12-01

    This paper examines the rise of opposition to nuclear power in the USA, the Federal Republic of Germany, France, Sweden, and Japan. It explores the course that opposition has taken, the issues on which it has focused, the factors that have influenced it, and the problems it poses for public decision making. Opinions differ about the causes of nuclear opposition. Indeed, it is probable that a variety of factors have contributed, including cultural and political values regarding continued economic and energy growth and fears of deliberate large-scale violence with the spread of radioactive materials, the protest movements against nuclear weapons testing, the upsurge in environmental concern in the 1960s, the movement towards greater social responsibility in science, and a growing distrust of ''the Establishment''--particularly in the USA because of Watergate. The upsurge in concern was reflected in greater attention to environmental matters in the mass media, schools, universities, and the international agencies. It is important to recognize that this concern cuts across conventional left-right divisions of politics. Radicals, communists, and conservatives can be found among both the proponents and the critics. These difficulties facing the policy maker are accentuated by the amorphous nature both of the opposition and the issues which have received attention and by the evidence of many opinion surveys: that more people are in favor of nuclear power than oppose it, but the majority are uncertain and do not understand the issues. For purposes of analysis it is useful to distinguish between three types of opposition--nuclear-specific, site-specific, and that related to planning and consent procedures. (MCW)

  17. A Bibliometric Review on Risk Management and Building Information Modeling for International Construction

    Directory of Open Access Journals (Sweden)

    Tsenguun Ganbat

    2018-01-01

    Full Text Available International construction is complicated and involves high risks. However, with the development of technological innovation, Building Information Modeling (BIM emerged and seems to be able to address certain risks. To understand BIM applications in risk management for international construction, a state-of-the-art review is required. Therefore, this paper aims to identify the research trends and opportunities for risk management in BIM-enabled international construction by reviewing 526 peer-reviewed journal articles for the years 2007–2017. Thus five steps of bibliometric analysis were conducted based on the proposed frameworks of BIM risk management in international construction (BIM-RM-INTL. The results show that the popularization of BIM not only attracts all stakeholders’ interests but also brings some risks. For example, financial factors are hard to detect and control through BIM, information loss during transmission stands out, and BIM has no unified standards and regulations for international construction. The research has mapped existing research results and their relationships for future risk management in BIM-enabled international construction.

  18. Anger, hostility, internalizing negative emotions, and intimate partner violence perpetration: A meta-analytic review.

    Science.gov (United States)

    Birkley, Erica L; Eckhardt, Christopher I

    2015-04-01

    Prior reviews have identified elevated trait anger as a risk factor for intimate partner violence (IPV) perpetration. Given that 10 years have passed since the last comprehensive review of this literature, we provide an updated meta-analytic review examining associations among anger, hostility, internalizing negative emotions, and IPV for male and female perpetrators. One hundred and five effect sizes from 64 independent samples (61 studies) were included for analysis. IPV perpetration was moderately associated with the constructs of anger, hostility, and internalizing negative emotions. This association appeared stronger for those who perpetrated moderate to severe IPV compared to those who perpetrated low to moderate IPV, and did not vary across perpetrator sex, measurement method, relationship type, or perpetrator population. Implications and limitations of findings were reviewed in the context of theoretical models of IPV, and future directions for empirical and clinical endeavors were proposed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Pre-Ratification Judicial Review of International Agreements to be Concluded by the European Union

    DEFF Research Database (Denmark)

    Butler, Graham

    2018-01-01

    incrementally shaping the law of EU external relations, and determining the manner in which the Union may enter into formal international relations. Understanding the Court’s importance in this field has been done time and again, but yet, consideration of the pre-ratification judicial review option, available...... for how ex ante judicial review can work in developing the Union into an even more enhanced global actor, through its own unique judicial order....

  20. The internal acoustic canal - another review area in paediatric sensorineural hearing loss

    Energy Technology Data Exchange (ETDEWEB)

    Chetcuti, Karen [The Royal Children' s Hospital, Department of Medical Imaging, Parkville, VIC (Australia); Kumbla, Surekha [The Royal Children' s Hospital, Department of Medical Imaging, Parkville, VIC (Australia); Monash Health, Clayton, VIC (Australia)

    2016-04-15

    Morphological abnormalities of the internal acoustic canal (IAC), albeit rare, are sometimes associated with hearing loss in children. We present an illustration of the spectrum of IAC abnormalities together with a brief review of the embryology and anatomy of the IAC and the techniques used when imaging the petrous temporal bone. This review focuses on morphological abnormalities of the IAC together with their clinical implications and impact on clinical management. (orig.)

  1. The internal acoustic canal - another review area in paediatric sensorineural hearing loss

    International Nuclear Information System (INIS)

    Chetcuti, Karen; Kumbla, Surekha

    2016-01-01

    Morphological abnormalities of the internal acoustic canal (IAC), albeit rare, are sometimes associated with hearing loss in children. We present an illustration of the spectrum of IAC abnormalities together with a brief review of the embryology and anatomy of the IAC and the techniques used when imaging the petrous temporal bone. This review focuses on morphological abnormalities of the IAC together with their clinical implications and impact on clinical management. (orig.)

  2. Guide for International Peer Reviews of Decommissioning Cost Studies for Nuclear Facilities

    International Nuclear Information System (INIS)

    LaGuardia, Thomas S.; Pescatore, Claudio; )

    2014-01-01

    Peer reviews are a standard co-operative OECD working tool that offer member countries a framework to compare experiences and examine best practices in a host of areas. The OECD Nuclear Energy Agency (NEA) has developed a proven methodology for conducting peer reviews in radioactive waste management and nuclear R and D. Using this methodology, the NEA Radioactive Waste Management Committee's Working Party on Decommissioning and Dismantling (WPDD) developed the present guide as a framework for decommissioning cost reviewers and reviewees to prepare for and conduct international peer reviews of decommissioning cost estimate studies for nuclear facilities. It includes checklists that will help national programmes or relevant organisations to assess and improve decommissioning cost estimate practices in the future. This guide will act as the NEA reference for conducting such international peer reviews. The remainder of this guide is divided into eight chapters. Chapter 2 describes gathering the cost estimate study and underpinning documents, reviewing the study and writing a final report. Chapter 3 provides a detailed checklist approach for the review of the cost study report. Chapter 4 provides checklists to assist in reviewing benchmarked information. Chapter 5 provides comments on the approach and recommendations for use of this guide. Chapters 6 and 7 provide the background material used in developing this guide and Chapter 8 provides a list of the abbreviations and acronyms used in this guide

  3. Des baladeurs MP3 en classe d'allemand - L'effet de l'autorégulation matérielle de l'écoute sur la compréhension auditive en langue seconde MP3-player in the German classroom: Effect of self-controlled listening on auditory comprehension in second language

    Directory of Open Access Journals (Sweden)

    Stéphanie Roussel

    2008-03-01

    Full Text Available Nous rendons compte de plusieurs expérimentations au cours desquelles des élèves français de secondes LV1 allemand ont écouté plusieurs documents sonores en allemand au format MP3 sur ordinateur. Pendant leur écoute, leur écran a été filmé. Les mouvements de la souris et donc précisément les codes temporels (time codes des pauses, des retours en arrière et des avances rapides effectués pendant l'écoute ont ainsi ��té enregistrés, puis analysés. Cette méthode nous a permis de rendre compte des stratégies cognitives d'écoute autorégulée. Les données sont analysées d'un point de vue linguistique et psycholinguistique. Nous avons pu dégager quatre grands types d'écoute. Il en ressort que les auditeurs plus compétents ont une approche plus globale de la tâche d'écoute et que les moins compétents s'arrêtent plus souvent et ont plus de difficultés à comprendre le message. Notre étude montre que la possibilité d'exercer un contrôle sur l'input sonore améliore en règle générale la performance en compréhension. Cette performance dépend elle-même de la stratégie d'écoute utilisée et du niveau initial des auditeurs.Several experiments have been carried out in which L2 learners (L1: French listened to a MP3-track in German on a computer while a video of the screen recorded "on-line" the movements of the mouse and its time-course. Such a new method enabled accurate analysis of the subjects' self-controlled cognitive strategies in information input/intake. Data were then analysed, from both a linguistic and psycholinguistic point of view, yielding a typology of learning strategies: we recognize four listening types. More skilled learners deal with the listening task globally; less skilled learners do indeed stop more often and have difficulties in grasping the meaning of the message. On the whole, our study nevertheless shows that self-control over information input/intake does improve the learners

  4. Literature Reviews on Modeling Internal Geometry of Textile Composites and Rate-Independent Continuum Damage

    Science.gov (United States)

    Su-Yuen, Hsu

    2011-01-01

    Textile composite materials have good potential for constructing composite structures where the effects of three-dimensional stresses are critical or geometric complexity is a manufacturing concern. There is a recent interest in advancing competence within Langley Research Center for modeling the degradation of mechanical properties of textile composites. In an initial effort, two critical areas are identified to pursue: (1) Construction of internal geometry of textile composites, and (2) Rate-independent continuum damage mechanics. This report documents reviews on the two subjects. Various reviewed approaches are categorized, their assumptions, methods, and progress are briefed, and then critiques are presented. Each review ends with recommended research.

  5. Acknowledgement of reviewer services to the International Journal Applied Earth Observation and Geoinformation

    Science.gov (United States)

    van der Meer, Freek

    2017-06-01

    Peer review is the backbone of the scientific process. In 2016 a total of 866 scientist provided reviewer services for the International Journal Applied Earth Observation and Geoinformation. Frequent reviewers receive a recognition from the publisher in form of a Certificate of Outstanding Contribution in Reviewing and receive a 30 days free access to Scopus and ScienceDirect. More importantly they gain first hand insight into the latest developments in science as they are the first to read exciting new scientific papers. Nevertheless it is hard to find reviewers as the number of papers submitted to our journal has increased substantially over the last years and more remote sensing journals are put in the market each year. We are grateful to all those individuals that have devoted their precious time to reviewing papers for JAG. This has improved the quality of our communications which is well reflected in the number of citations our papers receive and the impact factor of the journal. JAG ranks third of all 28 remote sensing journals not the least because of the quality of the reviews we provide. As a token of our appreciation it is my pleasure to thank all reviewers that were active in 2016 on behalf of the editorial board, the associate editors, the Publisher and myself as Editor-in-Chief of JAG. To honor them we list all reviewers that provide four or more reviews in 2016:

  6. International Test Comparisons: Reviewing Translation Error in Different Source Language-Target Language Combinations

    Science.gov (United States)

    Zhao, Xueyu; Solano-Flores, Guillermo; Qian, Ming

    2018-01-01

    This article addresses test translation review in international test comparisons. We investigated the applicability of the theory of test translation error--a theory of the multidimensionality and inevitability of test translation error--across source language-target language combinations in the translation of PISA (Programme of International…

  7. 77 FR 12364 - Agency Information Collection; Activity Under OMB Review: Reporting Required for International...

    Science.gov (United States)

    2012-02-29

    ...-0002] Agency Information Collection; Activity Under OMB Review: Reporting Required for International... furnishing financial and traffic reports to ICAO; (2) BTS accurately estimated the reporting burden; (3) there are other ways to enhance the quality, utility and clarity of the information collected; and (4...

  8. A Critical Review of International Students' Adjustment Research from a Deleuzian Perspective

    Science.gov (United States)

    Vasilopoulos, Gene

    2016-01-01

    The author in this paper critically reviews recent literature on international student language and adjustment to Western Anglophone universities. Two streams of research are discussed: the problem-solving approach guided largely by positivist epistemologies and quantitative methodologies contrasted to the post-structuralist language and identity…

  9. International travel and acquisition of multidrug-resistant Enterobacteriaceae: a systematic review.

    Science.gov (United States)

    Hassing, Robert Jan; Alsma, Jelmer; Arcilla, Maris S; van Genderen, Perry J; Stricker, Bruno H; Verbon, Annelies

    2015-01-01

    International travel is considered to be an important risk factor for acquisition of multidrug-resistant Enterobacteriaceae (MRE). The aim of this systematic review was to determine the effect of international travel on the risk of post-travel faecal carriage of MRE. Secondary outcomes were risk factors for acquisition of MRE. A systematic search for relevant literature in seven international databases was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles needed to report on (i) foreign travel, (ii) screening of asymptomatic participants, (iii) antimicrobial susceptibility data and (iv) faecal Enterobacteriaceae carriage. Two researchers independently screened the abstracts, assessed the full article texts for eligibility and selected or rejected them for inclusion in the systematic review. In case of disagreement, a third researcher decided on inclusion. Eleven studies were identified. In all studies, a high prevalence (>20%) of carriage of MRE after international travel was found. The highest prevalence was observed in travellers returning from southern Asia. Foreign travel was associated with an increased risk of carriage of MRE. Further research is needed to assess if this leads to an increase in the number of infections with MRE. Systematic review registration number: PROSPERO CRD42015024973.

  10. The Reasons Requirement in International Investment Arbitration: Critical Case Studies (book review)

    DEFF Research Database (Denmark)

    Tang, Yi Shin

    2008-01-01

    3. In the article, the Researcher reviews the work of Professors Guillermo A. Alvarez and W. Michael Reisman from Yale Law School, regarding the mechanisms of international investment arbitration and their importance for developing countries. The article provides a critical perspective...

  11. Adjustment Issues of International Students Enrolled in American Colleges and Universities: A Review of the Literature

    Science.gov (United States)

    de Araujo, Abrahao Andre

    2011-01-01

    This article is a review of the literature concerning the adjustment issues experienced by international students enrolled in American colleges and universities. Convergent findings indicated that English fluency, social support, length of stay in the U.S., perceived discrimination or prejudice, establishing relationships with Americans, and…

  12. Advancing Research on Comparative and International Education in Asia: Contribution of the "Asia Pacific Education Review"

    Science.gov (United States)

    Gok, Enes; Weidman, John C.

    2015-01-01

    This article explored the contribution of Asia Pacific Education Review (APER) to expanding the scope of research on comparative and international education in Asia. We developed a rubric based on extensive studies (Rust et al. in "Comp Educ Rev," 43(1):86-109, 1999; Foster et al. in "Int J Educ Dev" 32:711-732, 2012) of…

  13. Teacher Strategies for Effective Intervention with Students Presenting Social, Emotional and Behavioural Difficulties: An International Review

    Science.gov (United States)

    Cooper, Paul

    2011-01-01

    A review of international research literature on teacher strategies for effective intervention with students presenting social, emotional and behavioural difficulties (SEBD) is presented. Particular attention is given to evidence defining the qualities and skills of effective teachers and the value of behavioural and cognitive behavioural…

  14. International peer reviews for radioactive waste management. General information and guidelines

    International Nuclear Information System (INIS)

    2005-01-01

    The NEA has an acknowledged role in developing a global strategy for examining the sustainability of the use of nuclear power and nuclear materials. One of the objectives of the NEA is to assist member countries in developing strategies for the safe, sustainable and broadly acceptable management of all types of radioactive waste, in particular long-lived waste and spent fuel. In this context, the Radioactive Waste Management Committee (RWMC) provides a forum for senior representatives from national agencies, regulatory authorities, policy making bodies, and research and development institutions with responsibilities in the management of radioactive waste and materials, as well as for other government-nominated specialists, to exchange information and experience on waste management policies and practices in NEA member countries, and to advance the state of the art on the technical and societal aspects of radioactive waste management. International peer reviews of national radioactive waste management programmes, or of specific aspects of them, have been increasingly carried out under the aegis of the RWMC over the past ten years. International peer review as a working method is closely associated with OECD practice, where it is facilitated by the homogeneous membership and the high degree of trust shared by the member countries. This document lays down the guidelines that the requesting country, the Secretariat and the international review team ought to have in mind when an international peer review is requested, organised or carried out. (author)

  15. A review of the evolution of the international legal framework for the ...

    African Journals Online (AJOL)

    Over the years, the world has developed a consensus on the need to adopt a global approach to the problem. This paper attempts to review the various legal instruments adopted at the international level for the purposes of curbing the illicit manufacture and use of narcotic drugs and their effectiveness in addressing the ...

  16. Multiple Sclerosis and Employment: A Research Review Based on the International Classification of Function

    Science.gov (United States)

    Frain, Michael P.; Bishop, Malachy; Rumrill, Phillip D., Jr.; Chan, Fong; Tansey, Timothy N.; Strauser, David; Chiu, Chung-Yi

    2015-01-01

    Multiple sclerosis (MS) is an unpredictable, sometimes progressive chronic illness affecting people in the prime of their working lives. This article reviews the effects of MS on employment based on the World Health Organization's International Classification of Functioning, Disability and Health model. Correlations between employment and…

  17. 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

  18. 2009 review and revisions of the international standards for the neurological classification of spinal cord injury

    DEFF Research Database (Denmark)

    Waring, William P; Biering-Sorensen, Fin; Burns, Stephen

    2010-01-01

    The International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI) were recently reviewed by the ASIA's Education and Standards Committees, in collaboration with the International Spinal Cord Society's Education Committee. Available educational materials for the ISNCSCI...... were also reviewed. The last citable reference for the ISNCSCI's methodology is the ISNCSCI Reference Manual, published in 2003 by ASIA. The Standards Committee recommended that the numerous items that were revised should be published and a precedent established for a routine published review...... of the ISNCSCI. The Standards Committee also noted that, although the 2008 reprint pocket booklet is current, the reference manual should be revised after proposals to modify/revise the ASIA Impairment Scale (AIS as modified from Frankel) are considered. In addition, the Standards Committee adopted a process...

  19. Prices and costs of energy sources; Les prix et les couts des sources d'energie

    Energy Technology Data Exchange (ETDEWEB)

    Martin-Amouroux, J.M. [Institut d' Economie et de Politique de l' Energie (CNRS- UPMF), 38 - Grenoble (France)

    2005-07-01

    An evaluation of the complete social energy cost should result from the sum of the production marginal cost, of the external marginal cost and of the marginal cost of substitution of non-renewable energy sources. This last parameter is difficult to estimate because of theoretical and methodological obstacles. The two others are evaluated for different energy sources, in the present day situation, and in the perspective of a probable evolution. Today, fossil fuels have the lowest internal costs whatever their use. Thus, in 'business as usual' energy scenarios, fossil fuels represent more than 80% of the energy supply at the 2050 prospects. However, several uncertainties can affect the future evolution of these costs, some are of geopolitical origin (political fragility of some exporting countries), and some are of environmental origin (internalized costs of CO{sub 2} emissions). Finally, the depletion of some resources should be anticipated. (J.S.)

  20. Y a-t-il quelqu'un qui écoute les Haïtiens ? | CRDI - Centre de ...

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

    12 oct. 2010 ... Une équipe de recherche associée à l'Université du Michigan et à l'organisme Small Arms Survey, et financée par le Centre de recherches pour le développement international, organisme canadien, tente de faire entendre les préoccupations du peuple haïtien. Au début du mois, l'équipe a interrogé près ...

  1. Radioactive waste safety appraisal. An international peer review of the licence application for the Australian near surface radioactive waste disposal facility. Report of the IAEA International Review Team

    International Nuclear Information System (INIS)

    2004-05-01

    Radioactive waste has been generated in Australia for a number of decades from the production and use of radioactive materials in medicine and industry, from the processing of various minerals containing natural radionuclides and from various research activities. It has been decided in the overall interest of safety and security to develop a radioactive waste disposal facility to accommodate the low level and short lived intermediate level waste, which make up the bulk of the waste, other than mining and minerals processing residues. A site selection process has been undertaken and environmental impact statement report prepared and approved. A licence application has been submitted to the national nuclear regulatory authority, the Australian Radiation Protection and Nuclear Safety Agency (ARPANSA) for siting, construction and operation of the facility. In order to assist the CEO of ARPANSA with his deliberations in this regard a request was made to the IAEA, in terms of its statutory mandate to establish international safety standards for radioactive waste safety and to provide for their application, to undertake an international peer review of the licence application and to advise the CEO accordingly. The outcome and recommendations of this peer review are presented in the report

  2. L’instrument de musique : réflexions sur le geste, l’écoute et la création

    Directory of Open Access Journals (Sweden)

    Jerrold Levinson

    2011-03-01

    Full Text Available Le son musical est vibration, et dépend des instruments utilisés. Être fidèle aux instruments prévus par le compositeur ne répond pas à un simple souci d’authenticité. Notre écoute de l’œuvre musicale dépend des gestes instrumentaux pratiqués par les musiciens (gestes que nous voyons au concert, ou que nous supposons si la musique est enregistrée. Les gestes proprement musicaux (liés à l’expressivité de la musique sont fonction des gestes effectifs pratiqués par l’instrumentiste. Chaque instrument dispose ainsi d’un véritable répertoire gestuel, plus important quand le bras est engagé (violon que lorsque ce sont seulement les doigts (flûte à bec. La technique de jeu de l’instrument, sa capacité à produire tel ou tel type d’ornement, jouent un rôle important dans la création musicale. L’orchestre, enfin, peut être considéré comme une sorte de grand corps discontinu dont joue le chef d’orchestre.Musical sound is fundamentally vibration, and the character of that vibration depends on the instruments employed in the making of sound. To be faithful to the instruments envisaged by a composer of a musical work isn’t simply a matter of authenticity for authenticity’s sake. Our grasp of the qualities of a musical work depends in part on our sense of the performing gestures of players, whether seen, as in live performance, or merely imagined, as with recordings, performing gestures that are specific to particular instruments. And that is because musical gesture, on which music’s expressivity directly depends, is in part a function of those instrument-specific performing gestures. Each type of instrument possesses a distinctive gestural repertoire, and one that is all the more extensive when not only the fingers, but the arms and the trunk, are importantly involved. Moreover, the performing technique proper to each instrument guides and inspires the creation of music written for it. Finally, the

  3. Estimating the international burden of sport-related death: a review of data sources.

    Science.gov (United States)

    Kucera, Kristen L; Fortington, Lauren V; Wolff, Catherine S; Marshall, Stephen W; Finch, Caroline F

    2018-02-01

    Despite detailed recommendations for sports injury data capture provided since the mid-1990s, international data collection efforts for sport-related death remains limited in scope. The purpose of this paper was to review the data sources available for studying sport-related death and describe their key features, coverage, accessibility and strengths and limitations. The outcomes of interest for this review was death occurring as a result of participation in organised sport-related activity. Data sources used to enumerate death in sport were identified, drawing from the authors' knowledge/experience and review of key references from international organisations. The general purpose, case identification, structure, strengths and limitations of each source in relation to collection of data for sport-related death were summarised, drawing on examples from the international published literature to illustrate this application. Seven types of resources were identified for capturing deaths in sport. Data sources varied considerably in their ability to identify: participant status, sport relatedness of the death, types of sport-related deaths they capture, level of detail provided about the circumstances and medical care received. The most detailed sources were those that were dedicated to sports surveillance. Sport relatedness and type of sport may not be reliably captured by systems not dedicated to sports injury surveillance. Only one source permitted international comparisons and was limited to one sport (soccer). Data on sport-related death are currently collected across a wide variety of data sources. This review highlights the need for robust, comprehensive approaches with standardised methodologies enabling linkage between sources and international comparisons. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  4. International heat pump status and policy review 1993-1996. Part 2. National Position Papers

    International Nuclear Information System (INIS)

    Breembroek, G.; Lazaro, F.

    1999-07-01

    Four years after the publication of the International heat pump status and policy review, the International Energy Agency (IEA) Heat Pump Centre set out to compile an update of this study. The update reviews developments in the years 1993-96 and provides an outlook on future developments. Where available it includes data on 1997 as well. In 1997, roughly 90 million heat pumps were in operation worldwide (55 million in 1992). The main objective of the update of the International heat pump status and policy review is to provide an assessment of basic factors affecting heat pumps, policy measures regarding heat pumps, the status of various heat pump technologies and the current and expected penetration of heat pumps in all marker sectors. The analysis is based on a survey of the heat pump situation in 18 countries: Austria, Canada, China, Denmark, France, Germany, Greece, Italy, Japan, the Netherlands, Norway, South Africa, South Korea, Spain, Sweden, Switzerland, UK and USA. In part one, for which a separate abstract has been prepared, the information from all these countries is brought together, compared and analysed. The information is gathered from detailed reviews of the situations in the individual countries, the so-called National Position Papers, which can be found in this volume (part two) of the report. The reports reveal that overall the heat pump market showed a favourable development in the years 1993-96

  5. An integrative review of the role of remittances in international nurse migration

    Directory of Open Access Journals (Sweden)

    Squires A

    2014-12-01

    Full Text Available Allison Squires,1 Angela Amico2 1College of Nursing, 2Global Institute of Public Health, New York University, New York, NY, USA Abstract: This review seeks to understand the role of remittances in international nurse migration within the context of three theories of international migration: equilibrium approaches, social networks, and globalization. To analyze the phenomenon, an integrative review of the literature was conducted. Search terms sought articles discussing, either directly or indirectly, remittances and international nurse migration. The initial search returned 369 articles, and further screening decreased the total to 65. Full text screening reduced the final number for the analysis to 48. A directed content analysis structured the analytic approach by examining how authors discussed remittances in the content and context of the paper. The final analysis showed the majority of papers were policy analyses (five; opinion papers, reviews, or editorials that indirectly discussed remittances (27; or were qualitative and quantitative studies (16, either with primary data collection (14 or secondary data analyses (two. Overall, a nurse’s individual motivation for sending remittances home stemmed from familial factors but was never a primary driver of migration. Domestic labor market factors were more likely to drive nurses to migrate. The nurse’s country of origin also was a factor in the remittance dynamic. The identity of the author of the paper played a role in how they discussed remittances in the context of international nurse migration. The three theories of migration helped explain various aspects of the role of remittances in international nursing migration. While the phenomenon has changed since the 2008 global economic crisis and the passing of the World Health Organization’s Global Code of Practice on the International Recruitment of Health Personnel in 2010, future research around the role of remittances needs to

  6. 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...

  7. Reviewing the safety of existing nuclear power plants. Proceedings of an international symposium

    International Nuclear Information System (INIS)

    1997-01-01

    The Symposium on Reviewing the Safety of Existing Nuclear Power Plants was held from 8 to 11 October 1996 at the Austria Center in Vienna. It was organized by the IAEA in co-operation with the Nuclear Energy Agency of the OECD (OECD/NEA). About 160 experts from 37 countries and three international organizations took part. The participants represented nuclear power plant owners, operators, regulators, technical support organizations, designers and manufacturers. The Symposium was a follow-up to the 1991 International Conference on The Safety of Nuclear Power: Strategy for the Future. This Conference will be remembered as the initiating force behind the Convention on Nuclear Safety, which entered into force on 24 October 1996. The Conference also formulated recommendations for future actions by both national and international organizations aimed at ensuring the safety of nuclear power. The goal of the present Symposium was to review the progress made in implementing the recommendations of the 1991 Conference relating to the safety of existing nuclear power plants, and to make available to all those involved in maintaining the safety of nuclear power plants information on effective methods, practices and criteria for safety review and operating experience feedback systems. The main Symposium sessions addressed the following topics: elements of the nuclear power safety strategy; ongoing safety reviews; periodic safety reviews; safety reviews of special issues and feedback of operating experience. In addition to the main sessions, two poster sessions illustrated safety assessment methods and experience; and information databases and operating experience feedback. In the closing Panel, the basis for continued safe operation of nuclear power plants was discussed

  8. Energy policy of the International Energy Agency (IEA) countries. General review of the year 1990

    International Nuclear Information System (INIS)

    1992-01-01

    This book is a general review on energy policy leaded by Members countries of International Energy Agency (IEA) during the year 1990. This book describes also the trends and the recent events which have affected energy demand, energy conservation, energy efficiency, energy supply and energy source development. This annual review gives the IEA energy forecasting for the next years, till year 2001. A detailed study of energy policy in Federal Republic of Germany, Austria, Denmark, Greece, Ireland and Japan is given. The policy of fifteen another Members countries, which have been analyzed the previous years, is recapitulated and briefly brought up to date

  9. Uranium Production Safety Assessment Team. UPSAT. An international peer review service for uranium production facilities

    International Nuclear Information System (INIS)

    1996-01-01

    The IAEA Uranium Production Safety Assessment Team (UPSAT) programme is designed to assist Member States to improve the safe operation of uranium production facilities. This programme facilitates the exchange of knowledge and experience between team members and industry personnel. An UPSAT mission is an international expert review, conducted outside of any regulatory framework. The programme is implemented in the spirit of voluntary co-operation to contribute to the enhancement of operational safety and practices where it is most effective, at the facility itself. An UPSAT review supplements other facility and regulatory efforts which may have the same objective

  10. International peer review in undergraduate dentistry: enhancing reflective practice in an online community of practice.

    Science.gov (United States)

    Gardner, K; Bridges, S; Walmsley, D

    2012-11-01

    To stimulate and enhance student learning in the areas of global citizenship, critical reflection and e-learning, an online international peer review using a purpose-built web platform, has been developed between international dental schools. Since its inception in 2007, n = 6 dental schools from six different countries have participated with n = 384 dental students engaged in online peer review. Project development was conceptually analysed utilising Lave and Wenger's notion of a community of practice (CoP). Analysis drew on the three core components within the CoP organising framework: domain, community and practice. All three components were evident in building project identity. The domain focused on both curriculum and institutional co-operation. The community was evident for both educators and students. Finally, analysis of practice was found to be significant in terms of sustained interaction and collaboration. Empirical evaluation is recommended as the next phase of project design. © 2012 John Wiley & Sons A/S.

  11. The learning experiences of international doctoral students with particular reference to nursing students: a literature review.

    Science.gov (United States)

    Evans, Catrin; Stevenson, Keith

    2010-02-01

    One of the key challenges for the advancement of nursing globally is the development of doctorally prepared educators and leaders in a context where there is a shortage of provision of doctoral nursing programmes. For the short term future, many nurses wishing to undertake a doctorate will need to complete this education in the USA, the UK or Australia. Very little is known however about the nature of their learning experiences in these countries. This paper presents a literature review on the international doctoral student experience, with specific reference to nursing. A thorough review of the literature from 1990 to 2009 was undertaken which yielded only three empirical studies related to nursing. The review was then expanded to include subjects other than nursing which yielded 16 studies in total. This paper presents key themes that appear to be generic to international doctoral students, and draws out specific implications for nursing. The review found that international doctoral students' learning experiences were strongly influenced by the extent to which they could engage with three key elements of doctoral programmes: The first months represented a critical time of transition and most international students seemed to want and expect considerable support and structured in-put during this period. Most studies concluded that there was a need for greater institutional support and supervisor training. The three nursing-specific papers were entirely consistent with these themes. The existing evidence is extremely heterogeneous and of variable methodological quality. In order to ensure that doctoral nursing students are getting a high quality and appropriate PhD experience, there is a need for more research specifically with this group. There is also a need to investigate the different stages of the doctoral process in nursing, including, for example, writing up and examination processes and post-doctoral career outcomes. Copyright 2009 Elsevier Ltd. All rights

  12. An International Review of Eco-City Theory, Indicators, and Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Nan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Williams, Christopher [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2013-03-01

    This report is intended to answer the question: “What international experiences with ‘eco-cities’ can help the central Chinese government evaluate the performance of Chinese cities that pursue ‘lowcarbon’ urban development?” To answer this question, we reviewed the literature on eco-cities and closely related concepts, surveyed performance indicators used to evaluate sustainable urban development around the world, and compiled case studies of exceptional eco- and sustainable cities.

  13. Health of International Marriage Immigrant Women in South Korea: A Systematic Review.

    Science.gov (United States)

    Ahn, Jeong-Ah; Kim, Tiffany; Roh, Eun Ha; Song, Ju-Eun

    2017-06-05

    International marriage migration is now one of the most prominent forms of migration in Asia, and the number of women migrating to South Korea for marriage has increased dramatically in the last two decades. In this article, we provide a systematic review regarding the health status and health-related issues of international marriage immigrant women. The literature search identified 620 articles, of which 53 studies are presented in the article. Three overarching categories including six subcategories were identified according to the research focus; 'Environmental factors of health' including social support and barriers, 'Health status' including physical, psychological and social health, and quality of life as 'Outcome of health'. Overall women immigrants by marriage showed relatively poor health outcomes. Social support was an important factor affecting the health status and quality of life in this population. We offer recommendations to develop and implement culturally and linguistically appropriate health promoting programs for international marriage immigrant women in South Korea.

  14. New recommendations from the International Commission on Radiological Protection-a review

    International Nuclear Information System (INIS)

    Wrixon, A D

    2008-01-01

    For almost half a century, the International Commission on Radiological Protection (ICRP) has revised its recommendations on radiological protection with an average frequency of about 10 years, building on the experience gained in their implementation. This has ensured that the recommendations remain up to date and fit for purpose and it is this that has led in turn to their wide acceptance internationally. Indeed, the 1990 version of the recommendations forms the basis of the international radiological protection standards and the systems of control of exposure to ionizing radiation in many countries throughout the world. This version introduced new concepts and a more holistic approach to radiological protection but marrying the different exposure situations into one coherent framework has proved not to be straightforward and further reflection seemed necessary in order to satisfy both those who are responsible for the development of the control systems as well as a broader audience. Review of the 1990 recommendations started around 1998 and, since then, many ideas have been explored and avenues followed. Eventually, new recommendations were agreed by the Commission at its meeting in Essen in March 2007. This paper provides a review of these new recommendations and their possible implications. (topical review)

  15. International experts conclude IAEA peer review of Iran's safety regulation of Bushehr NPP

    International Nuclear Information System (INIS)

    2010-01-01

    Full text: An international team of nuclear safety experts today completed an IAEA mission to review the effectiveness of Iran's safety regulation of its first nuclear power plant and to identify possible improvements before the plant begins operation. Upon invitation of the Islamic Republic of Iran, the International Atomic Energy Agency (IAEA) assembled a team of senior regulators from seven Member States for an Integrated Regulatory Review Service (IRRS) mission. The scope of the mission was limited to the safety regulation of Bushehr nuclear power plant (BNPP-1). The IRRS review took place from 20 February to 2 March at the INRA offices in Tehran and included a technical visit to the BNPP-1 site. The mission was an objective peer review based on IAEA safety standards, and was neither an inspection, nor an audit. Ms. Olena Mykolaichuk, IRRS Team Leader and Head of the State Nuclear Regulatory Committee of Ukraine, commended her INRA counterparts: 'The regulatory work performed on the Bushehr construction and in preparation for commissioning has demonstrated significant progress of INRA as a nuclear regulatory authority,' she said. Philippe Jamet, Director of the IAEA's Nuclear Installation Safety Division, added: 'Through this IRRS mission, both Iran and the international experts contribute to the enhancement of nuclear safety and worldwide experience sharing.' In the course of its review the IRRS team identified the following strengths: - INRA has a dedicated, conscientious staff, demonstrating clear commitments to further improvements. - INRA clearly recognizes the value of peer reviews and international cooperation regarding nuclear safety. - Despite a shortage of staff, INRA demonstrated strong leadership while performing both review and assessment and inspection tasks during the BNPP-1 construction and pre-commissioning. - INRA has developed an excellent computerized documentation control system. Recommendations and suggestions to improve INRA's regulatory

  16. Review of the Shoreham Nuclear Power Station Probabilistic Risk Assessment: internal events and core damage frequency

    International Nuclear Information System (INIS)

    Ilberg, D.; Shiu, K.; Hanan, N.; Anavim, E.

    1985-11-01

    A review of the Probabilistic Risk Assessment of the Shoreham Nuclear Power Station was conducted with the broad objective of evaluating its risks in relation to those identified in the Reactor Safety Study (WASH-1400). The scope of the review was limited to the ''front end'' part, i.e., to the evaluation of the frequencies of states in which core damage may occur. Furthermore, the review considered only internally generated accidents, consistent with the scope of the PRA. The review included an assessment of the assumptions and methods used in the Shoreham study. It also encompassed a reevaluation of the main results within the scope and general methodological framework of the Shoreham PRA, including both qualitative and quantitative analyses of accident initiators, data bases, and accident sequences which result in initiation of core damage. Specific comparisons are given between the Shoreham study, the results of the present review, and the WASH-1400 BWR, for the core damage frequency. The effect of modeling uncertainties was considered by a limited sensitivity study so as to show how the results would change if other assumptions were made. This review provides an independently assessed point value estimate of core damage frequency and describes the major contributors, by frontline systems and by accident sequences. 17 figs., 81 tabs

  17. International Nuclear Officials Discuss IAEA Peer Reviews of Nuclear Safety Regulations

    International Nuclear Information System (INIS)

    2011-01-01

    Full text: Senior nuclear regulators today concluded a Workshop on the Lessons Learned from the IAEA Integrated Regulatory Review Service (IRRS) Missions. The U.S. Nuclear Regulatory Commission (NRC) hosted the workshop, in cooperation with the International Atomic Energy Agency, in Washington, DC, from 26 to 28 October 2011. About 60 senior regulators from 22 IAEA Member States took part in this workshop. The IRRS programme is an international peer review service offered by the IAEA to its Member States to provide an objective evaluation of their nuclear safety regulatory framework. The review is based on the internationally recognized IAEA Safety Standards. ''The United States Nuclear Regulatory Commission was pleased to host the IAEA's IRRS meeting this week. The discussions over the past three days have provided an important opportunity for regulators from many countries to come together to strengthen the international peer review process,'' said U.S. NRC Chairman Gregory B. Jaczko. ''Especially after the Fukushima Daiichi accident, the global community recognizes that IRRS missions fill a vital role in strengthening nuclear safety and security programs around the world, and we are proud to be a part of this important effort.'' The IAEA Action Plan on Nuclear Safety includes actions focused towards strengthening the existing IAEA peer reviews, incorporating lessons learned and improving their effectiveness. The workshop provided a platform for the exchange of information, experience and lessons learned from the IRRS missions, as well as expectations for the IRRS programme for the near future. Further improvements in the planning and implementation of the IRRS missions in the longer term were discussed. A strong commitment of all relevant national authorities to the IRRS programme was identified as a key element of an effective regulatory framework. The conclusions of the workshop will be issued in November 2011 and the main results will be reported to the IAEA

  18. International palliative care research in the context of global development: a systematic mapping review.

    Science.gov (United States)

    Clark, Joseph; Gardiner, Clare; Barnes, Amy

    2018-03-01

    An increasing amount of health policy is formulated at global level. At this global level, palliative care has attracted support primarily from normative institutions (WHO), not funding agencies. To attract greater global attention from policymakers, it has been argued that an international approach to research is required. However, the extent to which an international approach is being undertaken is unknown. To systematically identify and thematically synthesise all international palliative care research, defined as research involving two or more countries, or focused on the global level. Five bibliographic databases (CINAHL, Cochrane Library, ASSIA, Web of Knowledge, Psychinfo) were searched for journal articles relevant to international and global palliative care and end-of-life care. Data were extracted using a piloted extraction form and findings were synthesised. 184 studies were included, published across 75 different academic journals. Research emanates from and focuses on all world regions and there is increasing focus on the global level. Thematically, there is a high focus on Evaluation (n=53) and views of Stakeholders (n=38). The review revealed a predominantly observational research approach and few interventional studies were identified. International palliative care research is a relatively new, but growing field. However, many gaps in the evidence base remain and palliative care research continues to take place outside broader discourses of international development. The relative absence of interventional research demonstrating the effectiveness and cost-effectiveness of palliative care risks limiting the tools with which advocates can engage with international policymakers on this topic. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  19. Potential and economics of CO{sub 2} sequestration; Sequestration du CO{sub 2}: faisabilite et cout

    Energy Technology Data Exchange (ETDEWEB)

    Jean-Baptiste, Ph.; Ciais, Ph.; Orr, J. [CEA Saclay, 91 - Gif sur Yvette (France). Direction des Sciences de la Matiere; Ducroux, R. [Centre d' Initiative et de Recherche sur l' Energie et l' Environnement, CIRENE, 91 - Palaiseau (France)

    2001-07-01

    Increasing atmospheric level of greenhouse gases are causing global warming and putting at risk the global climate system. The main anthropogenic greenhouse gas is CO{sub 2}. Some techniques could be used to reduced CO{sub 2} emission and stabilize atmospheric CO{sub 2} concentration, including i) energy savings and energy efficiency, ii) switch to lower carbon content fuels (natural gas) and use energy sources with zero CO{sub 2} emissions such as renewable or nuclear energy, iii) capture and store CO{sub 2} from fossil fuels combustion, and enhance the natural sinks for CO{sub 2} (forests, soils, ocean...). The purpose of this report is to provide an overview of the technology and cost for capture and storage of CO{sub 2} and to review the various options for CO{sub 2} sequestration by enhancing natural carbon sinks. Some of the factors which will influence application, including environmental impact, cost and efficiency, are discussed. Capturing CO{sub 2} and storing it in underground geological reservoirs appears as the best environmentally acceptable option. It can be done with existing technology, however, substantial R and D is needed to improve available technology and to lower the cost. Applicable to large CO{sub 2} emitting industrial facilities such as power plants, cement factories, steel industry, etc., which amount to about 30% of the global anthropic CO{sub 2} emission, it represents a valuable tool in the baffle against global warming. About 50% of the anthropic CO{sub 2} is being naturally absorbed by the biosphere and the ocean. The 'natural assistance' provided by these two large carbon reservoirs to the mitigation of climate change is substantial. The existing natural sinks could be enhanced by deliberate action. Given the known and likely environmental consequences, which could be very damaging indeed, enhancing ocean sinks does not appears as a satisfactory option. In contrast, the promotion of land sinks through demonstrated carbon

  20. The experiences of internationally recruited nurses in the UK (1995-2007): an integrative review.

    Science.gov (United States)

    Nichols, Julia; Campbell, Jackie

    2010-10-01

    This review explores the experiences of international nurses recently recruited to the UK nursing workforce (1995-2007) and the implications for retention. An acute shortage of nurses in the mid 1990s, combined with policy initiatives to increase the number of qualified nurses working in the NHS, resulted in an active campaign to recruit nurses from overseas. Since 1997, approximately 100,000 international nurses have been admitted to the nursing register from more than 50 countries worldwide. Many practice areas are now dependent on overseas nurses as an essential part of their workforce. An integrative review. The review was conducted using a range of electronic databases to capture the experiences of this cohort of migrant nurses. Much literature has been generated over the past decade in relation to the experiences of international nurses recruited during this campaign. Five main themes emerged from the review: motivation for migration, adapting to British nursing, experiences of first world healthcare, feeling devalued and deskilled and vectors of racial discrimination. Although some positive experiences are described, significant numbers of nurses describe not feeling personally or professionally valued by the UK nursing establishment, common emotions expressed are disappointment and unmet expectations. This will have implications for job satisfaction and intention to leave or stay. If overseas nurses choose to leave the UK in large numbers, the health services could face a severe staffing shortage. It is important that we listen carefully to their experiences to help identify priorities for policy and practice aimed at improving job satisfaction for migrant nurses and articulating the value that they bring to UK nursing. © 2010 Blackwell Publishing Ltd.

  1. Tibial internal rotation negatively affects clinical outcomes in total knee arthroplasty: a systematic review.

    Science.gov (United States)

    Panni, Alfredo Schiavone; Ascione, Francesco; Rossini, Marco; Braile, Adriano; Corona, Katia; Vasso, Michele; Hirschmann, Michael T

    2017-12-15

    The aim of this systematic review is to analyze the effect of tibial rotational alignment after total knee arthroplasty (TKA) on clinical outcomes and assess the eventual cut-off values for tibial TKA rotation leading to poor outcomes. A detailed and systematic search from 1997 to 2017 of the Pubmed, Medline, Cochrane Reviews, and the Google Scholar databases was performed using the keyword terms "total knee arthroplasty", "total knee replacement", "tibial alignment", "tibial malalignement", "tibial rotation", "rotational error", "axis", "angle", "tibial malrotation", "clinical outcome", in several combinations. The modified Coleman scoring methodology (mCMS) was used. All the primary TKAs studies analyzing correlation between clinical results and tibial rotation were included. Five articles met the inclusion criteria. A total of 333 arthroplasties were included in this review; 139 had tibial component malalignment, while 194 were in control groups. The mean age of patients was 67.3 (SD 0.57) years. The mean average postoperative follow-up delay was 34.7 months (range 21-70). The mean mCMS score was 59.2 points indicating good methodological quality in the included studies. Functional outcomes were assessed through KSS, OKS, KOOS and VAS, negatively related to tibial internal rotation. Our review confirmed that excessive internal rotation of the tibial TKA component represents a significant risk factor for pain and inferior functional outcomes after TKA (> 10° of internal rotation demonstrated the common value), since external rotation does not affect the results. However, a universal precise cut-off value has not been found in the available literature and there remains a debate about CT rotation assessment and surgical intra-operative landmarks. III.

  2. Facilitators and barriers to adjustment of international nurses: an integrative review.

    Science.gov (United States)

    Kawi, J; Xu, Y

    2009-06-01

    There is a scarcity of research focusing on issues encountered by international nurses (INs) in their adjustment to foreign health-care environments. Increasingly, INs are relied upon to address staffing shortages in many Western countries. As such, it is vital to identify what facilitates and what the barriers are to the successful adjustment in order to assist their integration into new workplace environments. This integrative review identifies facilitators and barriers encountered by INs as they adjust to foreign health-care environments. Based on Cooper's Five Stages of Integrative Research Review, a systematic search of eight electronic databases was conducted, combined with hand and ancestral searches. Two authors independently reviewed each qualified study for relevance and significance. Subsequently, facilitators and barriers were identified and categorized into themes and subthemes. Twenty-nine studies conducted in Australia, Canada, Iceland, UK and the USA were included in this review. Findings indicated that positive work ethic, persistence, psychosocial and logistical support, learning to be assertive and continuous learning facilitated the adjustment of INs to their new workplace environments. In contrast, language and communication difficulties, differences in culture-based lifeways, lack of support, inadequate orientation, differences in nursing practice and inequality were barriers. The review findings provide the basis for the development and testing of an evidence-informed programme to facilitate the successful adjustment of INs to their new work environments.

  3. Audit Report on the Sacramento Army Depot Internal Review and Audit Compliance Office's "Audits of Warranties, Quality Deficiency Reports, and Reports of Discrepancies"

    National Research Council Canada - National Science Library

    1992-01-01

    The Sacramento Army Depot (SAAD) Internal Review and Audit Compliance Office (Internal Review) issued an audit report, "Audit of Warranties, Quality Deficiency Reports, and Reports of Discrepancies," on July 20, 1990...

  4. Primary hyperparathyroidism: review and recommendations on evaluation, diagnosis, and management. A Canadian and international consensus.

    Science.gov (United States)

    Khan, A A; Hanley, D A; Rizzoli, R; Bollerslev, J; Young, J E M; Rejnmark, L; Thakker, R; D'Amour, P; Paul, T; Van Uum, S; Shrayyef, M Zakaria; Goltzman, D; Kaiser, S; Cusano, N E; Bouillon, R; Mosekilde, L; Kung, A W; Rao, S D; Bhadada, S K; Clarke, B L; Liu, J; Duh, Q; Lewiecki, E Michael; Bandeira, F; Eastell, R; Marcocci, C; Silverberg, S J; Udelsman, R; Davison, K Shawn; Potts, J T; Brandi, M L; Bilezikian, J P

    2017-01-01

    The purpose of this review is to assess the most recent evidence in the management of primary hyperparathyroidism (PHPT) and provide updated recommendations for its evaluation, diagnosis and treatment. A Medline search of "Hyperparathyroidism. Primary" was conducted and the literature with the highest levels of evidence were reviewed and used to formulate recommendations. PHPT is a common endocrine disorder usually discovered by routine biochemical screening. PHPT is defined as hypercalcemia with increased or inappropriately normal plasma parathyroid hormone (PTH). It is most commonly seen after the age of 50 years, with women predominating by three to fourfold. In countries with routine multichannel screening, PHPT is identified earlier and may be asymptomatic. Where biochemical testing is not routine, PHPT is more likely to present with skeletal complications, or nephrolithiasis. Parathyroidectomy (PTx) is indicated for those with symptomatic disease. For asymptomatic patients, recent guidelines have recommended criteria for surgery, however PTx can also be considered in those who do not meet criteria, and prefer surgery. Non-surgical therapies are available when surgery is not appropriate. This review presents the current state of the art in the diagnosis and management of PHPT and updates the Canadian Position paper on PHPT. An overview of the impact of PHPT on the skeleton and other target organs is presented with international consensus. Differences in the international presentation of this condition are also summarized.

  5. IPUMS International: A review and future prospects of a unique global statistical cooperation programme.

    Science.gov (United States)

    MacDonald, Alphonse L

    2016-01-01

    At the invitation of the University of Minnesota Population Center (MPC) the author carried out an assessment of the IPUMS International integrated census microdata programme during January - March 2016. The terms of reference included the assessment of the measures taken by the MPC to safe guard the security of the microdata, the quality and adequacy of services provided, characteristics of users and satisfaction with IPUMS, use of available microdata, support to participating developing country National Statistical Offices (NSOs) and adequacy of a proposed Remote Data Center (RDC). The conclusions of the review are that IPUMS International is a unique, flexible, successful and secure programme for managing access to anonymized, harmonised and integrated microdata to academic users and policy makers. While currently the user base is predominantly in developed countries, steps are being taken to expand usage by researchers world-wide. The physical, methodological and technical arrangements for safeguarding the security and confidentiality of the data files are excellent; the possibilities of breaches are minimal. Data users have very positive opinions of the quality of the data, scope of services and expertise of staff but desire more detailed, up-to-date microdata. NSOs rate IPUMS International and its services positively but request advanced methodological training for staff and regular information on the use of their country's data. IPUMS International planned activities are presented and their contributions to census methodology are highlighted.

  6. Review of international geothermal activities and assessment of US industry opportunities: Final report

    Energy Technology Data Exchange (ETDEWEB)

    1987-08-01

    This study was initiated to review and assess international developments in the geothermal energy field and to define business opportunities for the US geothermal industry. The report establishes data bases on the status of worldwide geothermal development and the competitiveness of US industry. Other factors identified include existing legislation, tax incentives, and government institutions or agencies and private sector organizations that promote geothermal exports. Based on the initial search of 177 countries and geographic entities, 71 countries and areas were selected as the most likely targets for the expansion of the geothermal industry internationally. The study then determined to what extent their geothermal resource had been developed, what countries had aided or participated in this development, and what plans existed for future development. Data on the energy, economic, and financial situations were gathered.

  7. Review of international geothermal activities and assessment of US industry opportunities: Summary report

    Energy Technology Data Exchange (ETDEWEB)

    1987-08-01

    This report summarizes a study initiated to review and assess international developments in the geothermal energy field and to define business opportunities for the US geothermal industry. The report establishes data bases on the status of worldwide geothermal development and the competitiveness of US industry. Other factors identified include existing legislation, tax incentives, and government institutions or agencies and private sector organizations that promote geothermal exports. Based on the initial search of 177 countries and geographic entities, 71 countries and areas were selected as the most likely targets for the expansion of the geothermal industry internationally. The study then determined to what extent their geothermal resource had been developed, what countries had aided or participated in this development, and what plans existed for future development. Data on the energy, economic, and financial situations were gathered.

  8. Human internal and external exposure to PBDEs--a review of levels and sources

    DEFF Research Database (Denmark)

    Frederiksen, Marie; Vorkamp, Katrin; Thomsen, Marianne

    2009-01-01

    This paper reviews the existing literature on human exposure to polybrominated diphenyl ethers (PBDEs), with particular focus on external exposure routes (e.g. dust, diet, and air) and the resulting internal exposure to PBDEs (e.g. breast milk and blood). Being lipophilic and persistent organic...... ingest more dust than adults. Infants are also exposed to PBDEs via breast milk. Internal human exposure has generally been found to be one order of magnitude larger in North America than in Europe and Asia. These differences cannot solely be explained by the dietary intake as meat products are the only...... food group where some differences has been observed. However, indoor air and dust concentrations have been found to be approximately one order of magnitude higher in North America than in Europe, possibly a result of different fire safety standards. Within Europe, higher PBDE concentrations in dust...

  9. A review of fatal accident incidence rate trends in fishing international

    DEFF Research Database (Denmark)

    Jensen, Olaf; Pétursdóttir, G; Abrahamsen, Annbjørg

    2014-01-01

    Background. Injury prevention in fishing is one of the most important occupational health challenges. The aim was to describe and compare internationally the trends of the fatal injury incidence rates and to discuss the impact of the implemented safety programs. Methods. The review is based...... on journal articles and reports from the maritime authorities in Poland, UK, Norway, Iceland, Denmark, US and Alaska and Canada. The original incidence rates were recalculated as per 1000 person-years for international comparison of the trends. Results. The risk of fatal accidents in fishing in the northern...... countries has been reduced by around 50% to an average of about 1 per 1000 person-years. Norway and Canada keep the lowest rates with around 0.5 and 0.25 per 1000 person-years. About half of the fatal injuries are related to vessel disasters and drowning. The safety programs seem to have good effects still...

  10. Teamwork assessment in internal medicine: a systematic review of validity evidence and outcomes.

    Science.gov (United States)

    Havyer, Rachel D A; Wingo, Majken T; Comfere, Nneka I; Nelson, Darlene R; Halvorsen, Andrew J; McDonald, Furman S; Reed, Darcy A

    2014-06-01

    Valid teamwork assessment is imperative to determine physician competency and optimize patient outcomes. We systematically reviewed published instruments assessing teamwork in undergraduate, graduate, and continuing medical education in general internal medicine and all medical subspecialties. We searched MEDLINE, MEDLINE In-process, CINAHL and PsycINFO from January 1979 through October 2012, references of included articles, and abstracts from four professional meetings. Two content experts were queried for additional studies. Included studies described quantitative tools measuring teamwork among medical students, residents, fellows, and practicing physicians on single or multi-professional (interprofessional) teams. Instrument validity and study quality were extracted using established frameworks with existing validity evidence. Two authors independently abstracted 30 % of articles and agreement was calculated. Of 12,922 citations, 178 articles describing 73 unique teamwork assessment tools met inclusion criteria. Interrater agreement was intraclass correlation coefficient 0.73 (95 % CI 0.63-0.81). Studies involved practicing physicians (142, 80 %), residents/fellows (70, 39 %), and medical students (11, 6 %). The majority (152, 85 %) assessed interprofessional teams. Studies were conducted in inpatient (77, 43 %), outpatient (42, 24 %), simulation (37, 21 %), and classroom (13, 7 %) settings. Validity evidence for the 73 tools included content (54, 74 %), internal structure (51, 70 %), relationships to other variables (25, 34 %), and response process (12, 16 %). Attitudes and opinions were the most frequently assessed outcomes. Relationships between teamwork scores and patient outcomes were directly examined for 13 (18 %) of tools. Scores from the Safety Attitudes Questionnaire and Team Climate Inventory have substantial validity evidence and have been associated with improved patient outcomes. Review is limited to quantitative assessments of teamwork in internal

  11. Technical Letter Report: Evaluation and Analysis of a Few International Periodic Safety Review Summary Reports

    International Nuclear Information System (INIS)

    Chopra, Omesh K.; Diercks, Dwight R.; Ma, David Chia-Chiun; Garud, Yogendra S.

    2013-01-01

    At the request of the United States (U.S.) government, the International Atomic Energy Agency (IAEA) assembled a team of 20 senior safety experts to review the regulatory framework for the safety of operating nuclear power plants in the United States. This review focused on the effectiveness of the regulatory functions implemented by the NRC and on its commitment to nuclear safety and continuous improvement. One suggestion resulting from that review was that the U.S. Nuclear Regulatory Commission (NRC) incorporate lessons learned from periodic safety reviews (PSRs) performed in other countries as an input to the NRC's assessment processes. In the U.S., commercial nuclear power plants (NPPs) are granted an initial 40-year operating license, which may be renewed for additional 20-year periods, subject to complying with regulatory requirements. The NRC has established a framework through its inspection, and operational experience processes to ensure the safe operation of licensed nuclear facilities on an ongoing basis. In contrast, most other countries do not impose a specific time limit on the operating licenses for NPPs, they instead require that the utility operating the plant perform PSRs, typically at approximately 10-year intervals, to assure continued safe operation until the next assessment. The staff contracted with Argonne National Laboratory (Argonne) to perform a pilot review of selected translated PSR assessment reports and related documentation from foreign nuclear regulatory authorities to identify any potential new regulatory insights regarding license renewal-related topics and NPP operating experience (OpE). A total of 14 PSR assessment documents from 9 countries were reviewed. For all of the countries except France, individual reports were provided for each of the plants reviewed. In the case of France, three reports were provided that reviewed the performance assessment of thirty-four 900-MWe reactors of similar design commissioned between 1978 and

  12. Technical Letter Report: Evaluation and Analysis of a Few International Periodic Safety Review Summary Reports

    Energy Technology Data Exchange (ETDEWEB)

    Chopra, Omesh K. [Argonne National Lab., IL (United States). Environmental Science Division; Diercks, Dwight R. [Argonne National Lab., IL (United States). Nuclear Engineering Division; Ma, David Chia-Chiun [Argonne National Lab., IL (United States). Environmental Science Division; Garud, Yogendra S. [Argonne National Lab., IL (United States). Environmental Science Division

    2013-12-17

    At the request of the United States (U.S.) government, the International Atomic Energy Agency (IAEA) assembled a team of 20 senior safety experts to review the regulatory framework for the safety of operating nuclear power plants in the United States. This review focused on the effectiveness of the regulatory functions implemented by the NRC and on its commitment to nuclear safety and continuous improvement. One suggestion resulting from that review was that the U.S. Nuclear Regulatory Commission (NRC) incorporate lessons learned from periodic safety reviews (PSRs) performed in other countries as an input to the NRC’s assessment processes. In the U.S., commercial nuclear power plants (NPPs) are granted an initial 40-year operating license, which may be renewed for additional 20-year periods, subject to complying with regulatory requirements. The NRC has established a framework through its inspection, and operational experience processes to ensure the safe operation of licensed nuclear facilities on an ongoing basis. In contrast, most other countries do not impose a specific time limit on the operating licenses for NPPs, they instead require that the utility operating the plant perform PSRs, typically at approximately 10-year intervals, to assure continued safe operation until the next assessment. The staff contracted with Argonne National Laboratory (Argonne) to perform a pilot review of selected translated PSR assessment reports and related documentation from foreign nuclear regulatory authorities to identify any potential new regulatory insights regarding license renewal-related topics and NPP operating experience (OpE). A total of 14 PSR assessment documents from 9 countries were reviewed. For all of the countries except France, individual reports were provided for each of the plants reviewed. In the case of France, three reports were provided that reviewed the performance assessment of thirty-four 900-MWe reactors of similar design commissioned between 1978

  13. Status and trends in the development of Total Productive Maintenance (TPM) - a review of international articles

    DEFF Research Database (Denmark)

    Andreassen, Mads; Gertsen, Frank; Christiansen, Thomas Bøhm

    2004-01-01

    Corporate continuous innovation efforts are often guided by (more or less) customized standard management concepts such as "TQM", "BPR" or "Lean". The focus of this article, Total Productive Maintenance (TPM), is a contemporary example of such a concept. Although the concept first appeared more...... on extensive reviews of international research articles this article focuses on TPM as a conceptin order to detect the development process and current status of the concept. The first part is an introduction where TPM is compared with "TQM", "BPR" and Lean Manufacturing. The second part describes...

  14. Loads Providing Ancillary Services: Review of InternationalExperience-- Technical Appendix: Market Descriptions

    Energy Technology Data Exchange (ETDEWEB)

    Grayson Heffner, Charles Goldman, Kintner-Meyer, M; Kirby, Brendan

    2007-05-01

    In this study, we examine the arrangements for andexperiences of end-use loads providing ancillary services (AS) in fiveelectricity markets: Australia, the United Kingdom (UK), the Nordicmarket, and the ERCOT and PJM markets in the United States. Our objectivein undertaking this review of international experience was to identifyspecific approaches or market designs that have enabled customer loads toeffectively deliver various ancillary services (AS) products. We hopethat this report will contribute to the ongoing discussion in the U.S.and elsewhere regarding what institutional and technical developments areneeded to ensure that customer loads can meaningfully participate in allwholesale electricity markets.

  15. Integrated Thermal Treatment Systems study: US Department of Energy Internal Review Panel report

    Energy Technology Data Exchange (ETDEWEB)

    Cudahy, J.; Escarda, T.; Gimpel, R. [and others

    1995-04-01

    The U.S. Department of Energy`s (DOE) Office of Technology Development (OTD) commissioned two studies to uniformly evaluate nineteen thermal treatment technologies. These studies were called the Integrated Thermal Treatment System (ITTS) Phase I and Phase II. With the advice and guidance of the DOE Office of Environmental Management`s (EM`s) Mixed Waste Focus Group, OTD formed an ITTS Internal Review Panel, composed of scientists and engineers from throughout the DOE complex, the U.S. Environmental Protection Agency (EPA), the California EPA, and private experts. The Panel met from November 15-18, 1994, to review and comment on the ITTS studies, to make recommendations on the most promising thermal treatment systems for DOE mixed low level wastes (MLLW), and to make recommendations on research and development necessary to prove the performance of the technologies on MLLW.

  16. Extracranial Internal Carotid Artery Aneurysms: Report of a Ruptured Case and Review of the Literature

    International Nuclear Information System (INIS)

    Siablis, Dimitrios; Karnabatidis, Dimitrios; Katsanos, Konstantinos; Mastronikolis, Nikos; Zabakis, Peter; Kraniotis, Pantelis

    2004-01-01

    Aneurysms of the extracranial carotid arteries (ECAA) are extremely rare. Schechter et al. documented 835 cases in the literature up to 1977. One hundred and sixteen cases of ECAA have been documented in the Chinese literature since 1981, suggesting a higher prevalence of carotid aneurysmal disease in China than in the West. Four percent of all peripheral artery aneurysms are reported to be ECAA. Those arising from the internal carotid artery (EICAA) are even more rare. Two recent reviews reported 24 and 25 cases of EICAA during 21 and 17 years, respectively, the majority of them is treated surgically. Our literature review revealed only a few true EICAA managed endovascularly, but none of them with a covered stent. We describe a rare such case of ruptured atherosclerotic EICAA which was treated percutaneously

  17. Diablo Canyon internal events PRA [Probabilistic Risk Assessment] review: Methodology and findings

    International Nuclear Information System (INIS)

    Fitzpatrick, R.G.; Bozoki, G.; Sabek, M.

    1990-01-01

    The review of the Diablo Canyon Probabilistic Risk Assessment (DCRPA) incorporated some new and innovative approaches. These were necessitated by the unprecedented size, scope and level of detail of the DCRPA, which was submitted to the NRC for licensing purposes. This paper outlines the elements of the internal events portion of the review citing selected findings to illustrate the various approaches employed. The paper also provides a description of the extensive and comprehensive importance analysis applied by BNL to the DCRPA model. Importance calculations included: top event/function level; individual split fractions; pair importances between frontline-support and support-support systems; system importance by initiator; and others. The paper concludes with a brief discussion of the effectiveness of the applied methodology. 3 refs., 5 tabs

  18. Review of the International Thermonuclear Experimental Reactor (ITER) detailed design report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-04-18

    Dr. Martha Krebs, Director, Office of Energy Research at the US Department of Energy (DOE), wrote to the Fusion Energy Sciences Advisory Committee (FESAC), in letters dated September 23 and November 6, 1996, requesting that FESAC review the International Thermonuclear Experimental Reactor (ITER) Detailed Design Report (DDR) and provide its view of the adequacy of the DDR as part of the basis for the United States decision to enter negotiations with the other interested Parties regarding the terms and conditions for an agreement for the construction, operations, exploitation and decommissioning of ITER. The letter from Dr. Krebs, referred to as the Charge Letter, provided context for the review and a set of questions of specific interest.

  19. Integrated Thermal Treatment Systems study: US Department of Energy Internal Review Panel report

    International Nuclear Information System (INIS)

    Cudahy, J.; Escarda, T.; Gimpel, R.

    1995-04-01

    The U.S. Department of Energy's (DOE) Office of Technology Development (OTD) commissioned two studies to uniformly evaluate nineteen thermal treatment technologies. These studies were called the Integrated Thermal Treatment System (ITTS) Phase I and Phase II. With the advice and guidance of the DOE Office of Environmental Management's (EM's) Mixed Waste Focus Group, OTD formed an ITTS Internal Review Panel, composed of scientists and engineers from throughout the DOE complex, the U.S. Environmental Protection Agency (EPA), the California EPA, and private experts. The Panel met from November 15-18, 1994, to review and comment on the ITTS studies, to make recommendations on the most promising thermal treatment systems for DOE mixed low level wastes (MLLW), and to make recommendations on research and development necessary to prove the performance of the technologies on MLLW

  20. Availability of caregiver-friendly workplace policies (CFWPs): an international scoping review.

    Science.gov (United States)

    Ireson, Rachelle; Sethi, Bharati; Williams, Allison

    2018-01-01

    Little research has been done to summarise: what is currently available to caregiver-employees (CEs), what types of employers are offering caregiver-friendly workplace policies (CFWPs), and the characteristics of employers offering CFWPs. The purpose of this scoping review was to explore the availability of CFWPs within workplaces on an international scale while being observant of how gender is implicated in care-giving. This paper followed the Arksey & O'Malley (2005) methodology for conducting scoping reviews. The authors applied an iterative method of determining study search strings, study inclusion and data extraction, and qualitative thematic analysis of the search results. Searches were performed in both the academic and grey literature, published between 1994 and 2014. A total of 701 articles were found. Seventy (n = 70) articles met all inclusion criteria and were included in this review. Four main qualitative themes were identified: (i) Diversity and Inclusiveness, (ii) Motivation, (iii) Accessibility, and (iv) Workplace Culture. Policy recommendations are discussed. This scoping review narrows the gap in the literature with respect to determining: (i) the workplaces which offer CFWPs, (ii) the sectors of the labour force shown to be supportive and (iii) the most frequently offered CFWPs. © 2016 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd.

  1. A review of international pharmacy-based minor ailment services and proposed service design model.

    Science.gov (United States)

    Aly, Mariyam; García-Cárdenas, Victoria; Williams, Kylie; Benrimoj, Shalom I

    2018-01-05

    The need to consider sustainable healthcare solutions is essential. An innovative strategy used to promote minor ailment care is the utilisation of community pharmacists to deliver minor ailment services (MASs). Promoting higher levels of self-care can potentially reduce the strain on existing resources. To explore the features of international MASs, including their similarities and differences, and consider the essential elements to design a MAS model. A grey literature search strategy was completed in June 2017 to comply with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standard. This included (1) Google/Yahoo! search engines, (2) targeted websites, and (3) contact with commissioning organisations. Executive summaries, table of contents and title pages of documents were reviewed. Key characteristics of MASs were extracted and a MAS model was developed. A total of 147 publications were included in the review. Key service elements identified included eligibility, accessibility, staff involvement, reimbursement systems. Several factors need to be considered when designing a MAS model; including contextualisation of MAS to the market. Stakeholder engagement, service planning, governance, implementation and review have emerged as key aspects involved with a design model. MASs differ in their structural parameters. Consideration of these parameters is necessary when devising MAS aims and assessing outcomes to promote sustainability and success of the service. Copyright © 2018 Elsevier Inc. All rights reserved.

  2. 77 FR 56854 - Submission for OMB Review; Comment Request: A Multi-Center International Hospital-Based Case...

    Science.gov (United States)

    2012-09-14

    ...; Comment Request: A Multi-Center International Hospital-Based Case-Control Study of Lymphoma in Asia (Asia... the Office of Management and Budget (OMB) a request to review and approve the information collection... Multi-Center International Hospital- Based Case-Control Study of Lymphoma in Asia (AsiaLymph) (NCI) (OMB...

  3. A Review of International Large-Scale Assessments in Education: Assessing Component Skills and Collecting Contextual Data. PISA for Development

    Science.gov (United States)

    Cresswell, John; Schwantner, Ursula; Waters, Charlotte

    2015-01-01

    This report reviews the major international and regional large-scale educational assessments, including international surveys, school-based surveys and household-based surveys. The report compares and contrasts the cognitive and contextual data collection instruments and implementation methods used by the different assessments in order to identify…

  4. International Expert Team Concludes IAEA Peer Review of Poland's Regulatory Framework for Nuclear and Radiation Safety

    International Nuclear Information System (INIS)

    2013-01-01

    Full text: International safety experts last week concluded a two-week International Atomic Energy Agency (IAEA) mission to review the regulatory framework for nuclear and radiation safety in Poland. In its preliminary report, the Integrated Regulatory Review Service (IRRS) mission team found that Poland's nuclear regulator, Panstwowa Agencja Atomistyki (PAA), has a clear commitment to safety, a high level of transparency, competent staff and leadership, and a good recognition of challenges ahead related to Poland's efforts to develop nuclear power. ''Poland's regulatory framework and the work of PAA give high confidence of strong radiation protection for the Polish people. Further, there has been significant progress in the development of Poland's regulatory framework in preparation for the challenge of regulating nuclear power,'' said team leader Robert Lewis, a senior executive in the US Nuclear Regulatory Commission. The mission was conducted at the request of the Government of Poland from 15-25 April. The team was made up of 11 regulatory experts from Belgium, the Czech Republic, Finland, France, the Republic of Korea, Slovakia, Slovenia, Sweden, the United Arab Emirates, the United Kingdom and the United States, as well as five IAEA staff members. The IRRS review team was very thorough in its review, and we welcome its advice on how to continue to improve our programmes to protect people and the environment , said Janusz Wlodarski, President of PAA. The team interviewed members of PAA and officials from various ministries, as well as key players in the Polish safety framework. Such IRRS missions are peer reviews based on IAEA Safety Standards, not inspections or audits. Among its main observations the IRRS review team identified the following good practices: Applying the considerable experience of PAA's senior management to regulatory issues; The introduction of changes to Poland's laws and regulations following broad public consultation at an early stage in

  5. Defining pediatric traumatic brain injury using International Classification of Diseases Version 10 Codes: a systematic review.

    Science.gov (United States)

    Chan, Vincy; Thurairajah, Pravheen; Colantonio, Angela

    2015-02-04

    Although healthcare administrative data are commonly used for traumatic brain injury (TBI) research, there is currently no consensus or consistency on the International Classification of Diseases Version 10 (ICD-10) codes used to define TBI among children and youth internationally. This study systematically reviewed the literature to explore the range of ICD-10 codes that are used to define TBI in this population. The identification of the range of ICD-10 codes to define this population in administrative data is crucial, as it has implications for policy, resource allocation, planning of healthcare services, and prevention strategies. The databases MEDLINE, MEDLINE In-Process, Embase, PsychINFO, CINAHL, SPORTDiscus, and Cochrane Database of Systematic Reviews were systematically searched. Grey literature was searched using Grey Matters and Google. Reference lists of included articles were also searched for relevant studies. Two reviewers independently screened all titles and abstracts using pre-defined inclusion and exclusion criteria. A full text screen was conducted on articles that met the first screen inclusion criteria. All full text articles that met the pre-defined inclusion criteria were included for analysis in this systematic review. A total of 1,326 publications were identified through the predetermined search strategy and 32 articles/reports met all eligibility criteria for inclusion in this review. Five articles specifically examined children and youth aged 19 years or under with TBI. ICD-10 case definitions ranged from the broad injuries to the head codes (ICD-10 S00 to S09) to concussion only (S06.0). There was overwhelming consensus on the inclusion of ICD-10 code S06, intracranial injury, while codes S00 (superficial injury of the head), S03 (dislocation, sprain, and strain of joints and ligaments of head), and S05 (injury of eye and orbit) were only used by articles that examined head injury, none of which specifically examined children and

  6. International evolution of fat, oil and grease (FOG) waste management - A review.

    Science.gov (United States)

    Wallace, Thomas; Gibbons, David; O'Dwyer, Michael; Curran, Thomas P

    2017-02-01

    In recent years, issues relating to fat, oil and grease (FOG) in sewer systems have intensified. In the media, sewer blockages caused by FOG waste deposits, commonly referred to as 'fatbergs', are becoming a reminder of the problems that FOG waste can cause when left untreated. These FOG blockages lead to sanitary sewer overflows, property flooding and contamination of water bodies with sewage. Despite these financial and environmentally detrimental effects, a homogenous FOG waste management method has not been developed internationally. However, some successful enduring FOG management programmes have been established, such as in Dublin city and in Scandinavian countries. The aim of this paper is to carry out a review on existing FOG research and management approaches. FOG management involves comprehending: (1) FOG deposition factors in the sewer, (2) FOG prevention and awareness tactics undertaken internationally and (3) potential utilisation methods for FOG waste. This review will highlight that preventing FOG from entering the sewer is the most common approach, often through simple awareness campaigns. The diverted FOG is rarely valorised to bioenergy or biomaterials, despite its potential. Thus, all facets of the FOG waste lifecycle must be identified and managed. Advancements in processes and techniques must be assessed to best determine the future evolution of FOG waste management to assist in achieving a sustainable urban environment. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. 78 FR 66422 - Appointment of Members of the Legal Division to the Performance Review Board, Internal Revenue...

    Science.gov (United States)

    2013-11-05

    ... DEPARTMENT OF THE TREASURY Appointment of Members of the Legal Division to the Performance Review... Performance Review Board, Internal Revenue Service Panel: 1. Chairperson, Christopher Sterner, Deputy Chief... & Accounting) This publication is required by 5 U.S.C. 4314(c)(4). [[Page 66423

  8. 77 FR 9665 - Submission for OMB Emergency Review; Comment Request: A Multi-Center International Hospital-Based...

    Science.gov (United States)

    2012-02-17

    ... Review; Comment Request: A Multi- Center International Hospital-Based Case-Control Study of Lymphoma in... the Office of Management and Budget (OMB) a request for emergency review and processing this... Hospital- Based Case-Control Study of Lymphoma in Asia (AsiaLymph) (NCI). Type of Information Collection...

  9. Review of the International Council of Nurses (ICN) Framework of Disaster Nursing Competencies.

    Science.gov (United States)

    Hutton, Alison; Veenema, Tener Goodwin; Gebbie, Kristine

    2016-12-01

    The International Council of Nurses (ICN; Geneva, Switzerland) and the World Association for Disaster and Emergency Medicine (WADEM; Madison, Wisconsin USA) joined together in 2014 to review the use of the ICN Framework of Disaster Nursing Competencies. The existing ICN Framework (version 1.10; dated 2009) formed the starting point for this review. The key target audiences for this process were members of the disaster nursing community concerned with pre-service education for professional nursing and the continuing education of practicing professional nurses. To minimize risk in the disaster nursing practice, competencies have been identified as the foundation of evidence-based practice and standard development. A Steering Committee was established by the WADEM Nursing Section to discuss how to initiate a review of the ICN Framework of Disaster Nursing Competencies. The Steering Committee then worked via email to develop a survey to send out to disaster/emergency groups that may have nurse members who work/respond in disasters. Thirty-five invitations were sent out with 20 responses (57%) received. Ninety-five percent of respondents knew of the ICN Framework of Disaster Nursing Competencies, with the majority accessing these competencies via the Internet. The majority of those who responded said that they make use of the ICN Framework of Disaster Nursing Competencies with the most common use being for educational purposes. Education was done at a local, national, and international level. The competencies were held in high esteem and valued by these organizations as the cornerstone of their disaster education, and also were used for the continued professional development of disaster nursing. However, respondents stated that five years on from their development, the competencies also should include the psychosocial elements of nurses caring for themselves and their colleagues. Additionally, further studies should explore if there are other areas related to the

  10. Prevention and treatment of complications of selective internal radiation therapy: Expert guidance and systematic review.

    Science.gov (United States)

    Sangro, Bruno; Martínez-Urbistondo, Diego; Bester, Lourens; Bilbao, Jose I; Coldwell, Douglas M; Flamen, Patrick; Kennedy, Andrew; Ricke, Jens; Sharma, Ricky A

    2017-09-01

    Selective internal radiation therapy (or radioembolization) by intra-arterial injection of radioactive yttrium-90-loaded microspheres is increasingly used for the treatment of patients with liver metastases or primary liver cancer. The high-dose beta-radiation penetrates an average of only 2.5 mm from the source, thus limiting its effects to the site of delivery. However, the off-target diversion of yttrium-90 microspheres to tissues other than the tumor may lead to complications. The most prominent of these complications include radiation gastritis and gastrointestinal ulcers, cholecystitis, radiation pneumonitis, and radioembolization-induced liver disease, which may occur despite careful pretreatment planning. Thus, selective internal radiation therapy demands an expert multidisciplinary team approach in order to provide comprehensive care for patients. This review provides recommendations to multidisciplinary teams on the optimal medical processes in order to ensure the safe delivery of selective internal radiation therapy. Based on the best available published evidence and expert opinion, we recommend the most appropriate strategies for the prevention, early diagnosis, and management of potential radiation injury to the liver and to other organs. (Hepatology 2017;66:969-982). © 2017 by the American Association for the Study of Liver Diseases.

  11. The Role of International Trade in Lesotho’s Economic Growth: A Review

    Directory of Open Access Journals (Sweden)

    Malefa Malefane

    2016-10-01

    Full Text Available This paper investigates the role of international trade in Lesotho's economy. Over the years, the increasing role of international trade in the economy of Lesotho has become evident, particularly with the impetus from the country‘s export sector. An exploratory review approach has been used in this paper, in which the discussion mainly focuses on Lesotho‘s economic growth policy, trade policy, trends in economic growth, and trade performance. The findings point to the connection between Lesotho‘s economic growth and exports from the manufacturing sector, which driven by trade privileges. There is a further indication from this review that Lesotho‘s growth policy has been largely shaped by the country‘s need to pursue export-led growth and private-sector led growth. In recent years, developments in the country‘s trade policy have moved towards the implementation of a more liberal trade approach, as opposed to the initial import substitution industrialisation that Lesotho adopted in the 1960s. This change in trade policy has resulted in an enforcement of measures that have helped to enhance policy-driven trade. The graphical analysis shows that, generally, trends in Lesotho‘s economic growth correspond to the performance of the country‘s trade sector. Nevertheless, while international trade has made some significant contributions to Lesotho‘s economic growth, a heavy reliance on manufactured exports, which are known to be volatile to global economic downturns, poses some challenges to the country. Therefore, it is recommended that Lesotho relies on a wider range of exports, rather than manufactured exports, in order to strengthen trade-related growth in the country.

  12. International nuclear safety experts conclude IAEA peer review of Canada's regulatory system

    International Nuclear Information System (INIS)

    2009-01-01

    Full text: An international team of nuclear safety experts today completed a two-week IAEA review of the regulatory framework and effectiveness of the Canadian Nuclear Safety Commission (CNSC). The team identified good practices within the system and gave advice on some areas for improvement. The IAEA has conveyed initial findings to Canadian authorities; the final report will be submitted by autumn. The International Atomic Energy Agency (IAEA) assembled a team of nuclear, radiation, and waste safety experts at the request of the Government of Canada, to conduct an Integrated Regulatory Review Service (IRRS) mission. The mission from 31 May to 12 June was a peer review based on IAEA Standards, not an inspection, nor an audit. The scope of the mission included sources, facilities and activities regulated by the CNSC: the operation of nuclear power plants (NPPs), research reactors and fuel cycle facilities; the refurbishment or licensing of new NPPs; uranium mining; radiation protection and environmental protection programmes; and the implementation of IAEA Code of Conduct on Safety and Security of Radioactive Sources. The 21-member team from 13 IAEA States and from the IAEA itself reviewed CNSC's work in all relevant areas: legislative and governmental responsibilities; responsibilities and functions; organization; activities of the regulatory body, including the authorization process, review and assessment, inspection and enforcement, the development of regulations, as well as guides and its the management system of CNSC. The basis for the review was a well-prepared self-assessment by the CNSC, including an evolution of its strengths and proposed actions to improve its regulatory effectiveness. Mr. Shojiro Matsuura, IRRS Team Leader and President of the Japanese Nuclear Safety Research Association, said the team 'was impressed by the extensive preparation at all CNSC staff levels.' 'We identified a number of good practices and made recommendations and suggestions

  13. International comparison of cost of falls in older adults living in the community: a systematic review.

    Science.gov (United States)

    Davis, J C; Robertson, M C; Ashe, M C; Liu-Ambrose, T; Khan, K M; Marra, C A

    2010-08-01

    Our objective was to determine international estimates of the economic burden of falls in older people living in the community. Our systematic review emphasized the need for a consensus on methodology for cost of falls studies to enable more accurate comparisons and subgroup-specific estimates among different countries. The purpose of this study was to determine international estimates of the economic burden of falls in older people living in the community. This is a systematic review of peer-reviewed journal articles reporting estimates for the cost of falls in people aged > or =60 years living in the community. We searched for papers published between 1945 and December 2008 in MEDLINE, PUBMED, EMBASE, CINAHL, Cochrane Collaboration, and NHS EED databases that identified cost of falls in older adults. We extracted the cost of falls in the reported currency and converted them to US dollars at 2008 prices, cost items measured, perspective, time horizon, and sensitivity analysis. We assessed the quality of the studies using a selection of questions from Drummond's checklist. Seventeen studies met our inclusion criteria. Studies varied with respect to viewpoint of the analysis, definition of falls, identification of important and relevant cost items, and time horizon. Only two studies reported a sensitivity analysis and only four studies identified the viewpoint of their economic analysis. In the USA, non-fatal and fatal falls cost US $23.3 billion (2008 prices) annually and US $1.6 billion in the UK. The economic cost of falls is likely greater than policy makers appreciate. The mean cost of falls was dependent on the denominator used and ranged from US $3,476 per faller to US $10,749 per injurious fall and US $26,483 per fall requiring hospitalization. A consensus on methodology for cost of falls studies would enable more accurate comparisons and subgroup-specific estimates among different countries.

  14. International Nuclear Safety Experts Conclude IAEA Peer Review of Swiss Regulatory Framework

    International Nuclear Information System (INIS)

    2011-01-01

    Full text: A team of international nuclear safety experts today completed a two-week International Atomic Energy Agency (IAEA) review of the regulatory framework for nuclear safety in Switzerland. The Integrated Regulatory Review Service (IRRS) mission noted good practices in the Swiss system and also made recommendations for the nation's nuclear regulatory authority, the Swiss Federal Nuclear Safety Inspectorate (ENSI). ''Our team developed a good impression of the independent Swiss regulator - ENSI - and the team considered that ENSI deserves particular credit for its actions to improve Swiss safety capability following this year's nuclear accident in Japan,'' said IRRS Team Leader Jean-Christophe Niel of France. The mission's scope covered the Swiss nuclear regulatory framework for all types of nuclear-related activities regulated by ENSI. The mission was conducted from 20 November to 2 December, mainly at ENSI headquarters in Brugg. The team held extensive discussions with ENSI staff and visited many Swiss nuclear facilities. IRRS missions are peer reviews, not inspections or audits, and are conducted at the request of host nations. For the Swiss review, the IAEA assembled a team of 19 international experts from 14 countries. The experts came from Belgium, Brazil, the Czech Republic, Finland, France, Germany, Italy, the Republic of Korea, Norway, Russia, Slovakia, Sweden, the United Kingdom, and the United States. ''The findings of the IRRS mission will help us to further improve our work. That is part of our safety culture,'' said ENSI Director General Hans Wanner. ''As Switzerland argued at international nuclear safety meetings this year for a strengthening of the international monitoring of nuclear power, we will take action to fulfil the recommendations.'' The IRRS team highlighted several good practices of the Swiss regulatory system, including the following: ENSI requires Swiss nuclear operators to back-fit their facilities by continuously upgrading

  15. International

    International Nuclear Information System (INIS)

    Anon.

    1997-01-01

    This rubric reports on 10 short notes about international economical facts about nuclear power: Electricite de France (EdF) and its assistance and management contracts with Eastern Europe countries (Poland, Hungary, Bulgaria); Transnuclear Inc. company (a 100% Cogema daughter company) acquired the US Vectra Technologies company; the construction of the Khumo nuclear power plant in Northern Korea plays in favour of the reconciliation between Northern and Southern Korea; the delivery of two VVER 1000 Russian reactors to China; the enforcement of the cooperation agreement between Euratom and Argentina; Japan requested for the financing of a Russian fast breeder reactor; Russia has planned to sell a floating barge-type nuclear power plant to Indonesia; the control of the Swedish reactor vessels of Sydkraft AB company committed to Tractebel (Belgium); the renewal of the nuclear cooperation agreement between Swiss and USA; the call for bids from the Turkish TEAS electric power company for the building of the Akkuyu nuclear power plant answered by three candidates: Atomic Energy of Canada Limited (AECL), Westinghouse (US) and the French-German NPI company. (J.S.)

  16. International nuclear safety experts complete IAEA peer review of German regulatory system

    International Nuclear Information System (INIS)

    2008-01-01

    Full text: An international expert team has today completed a two-week IAEA review of Germany's nuclear regulatory system. The team identified good practices within the system and gave advice on some areas for further improvement. The IAEA has conveyed the initial findings to German authorities but the final report will be submitted within two months. At the request of the Government of the Federal Republic of Germany, the International Atomic Energy Agency (IAEA) assembled a team of 14 experts to conduct an Integrated Regulatory Review Service (IRRS) mission. This is a peer review based on IAEA Standards. It is not an inspection, nor an audit. The scope of the mission was limited to the safety regulation of nuclear power plants. Experts from Canada, the Czech Republic, Finland, France, Japan, the Netherlands, Republic of Korea, Spain, Switzerland, the UK, the US and from the IAEA took part in the mission, which was conducted from 7 to 19 September in Bonn, Stuttgart and Berlin. The main basis for the review was a well-prepared self-assessment made by the Federal Ministry of Environment, Nature Conservation and Nuclear Safety (BMU) and the Ministry of Environment of the federal state of Baden-Wuerttemberg (UM BW). 'The team members were impressed by the extensive preparation and dedication of the staff both at BMU and UM BW to excellence in nuclear safety,' said Mike Weightman, IRRS Team Leader and Chief Inspector of the UK nuclear regulatory body, the Nuclear Directorate of the Health and Safety Executive. 'We hope the IRRS mission will facilitate further improvements in the safety regulation of nuclear power in Germany and throughout the world.' 'Germany's invitation to undergo such a detailed review is a clear demonstration of its openness and commitment to continuously improve nuclear safety regulation,' said Philippe Jamet, Director of the IAEA's Nuclear Installation Safety Division. Among the particular strengths of BMU and UM BW associated with their

  17. The International Classification of Functioning, Disability and Health: a systematic review of observational studies

    Directory of Open Access Journals (Sweden)

    Luciana Castaneda

    2014-06-01

    Full Text Available Objective: To systematically review the use of the International Classification of Functioning, Disability and Health (ICF in observational studies. Methods: This study is a systematic review of articles that use the ICF in observational studies. We took into account the observational design papers available in databases such as PubMed, Lilacs and SciELO, published in English and Portuguese from January 2001 to June 2011. We excluded those in which the samples did not comprise individuals, those about children and adolescents, and qualitative methodology articles. After reading the abstracts of 265 identified articles, 65 met the inclusion criteria. Of these, 18 were excluded. The STROBE (Strengthening the Reporting of Observational Studies in Epidemiology adapted Checklist, with 15 items needed for observational studies, was applied to the 47 remaining articles. Any paper that met 12 of these criteria was included in this systematic review. Results: 29 articles were reviewed. Regarding the ICF application methodology, the checklist was used in 31% of the articles, the core set in 31% and the ICF categories in 31%. In the remaining 7%, it was not possible to define the applied methodology. In most papers (41%, qualifiers were used in their original format. As far as the area of knowledge is concerned, most of the studies were related to Rheumatology (24% and Orthopedics (21%. Regarding the study design, 83% of the articles used cross-sectional studies. Conclusion: Results indicate a wide scientific production related to ICF over the past 10 years. Different areas of knowledge are involved in the debate on the improvement of information on morbidity. However, there are only a few quantitative epidemiological studies involving the use of ICF. Future studies are needed to improve data related to functioning and disability.

  18. The International Classification of Functioning, Disability and Health: a systematic review of observational studies.

    Science.gov (United States)

    Castaneda, Luciana; Bergmann, Anke; Bahia, Ligia

    2014-01-01

    To systematically review the use of the International Classification of Functioning, Disability and Health (ICF) in observational studies. This study is a systematic review of articles that use the ICF in observational studies. We took into account the observational design papers available in databases such as PubMed, Lilacs and SciELO, published in English and Portuguese from January 2001 to June 2011. We excluded those in which the samples did not comprise individuals, those about children and adolescents, and qualitative methodology articles. After reading the abstracts of 265 identified articles, 65 met the inclusion criteria. Of these, 18 were excluded. The STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) adapted Checklist, with 15 items needed for observational studies, was applied to the 47 remaining articles. Any paper that met 12 of these criteria was included in this systematic review. 29 articles were reviewed. Regarding the ICF application methodology, the checklist was used in 31% of the articles, the core set in 31% and the ICF categories in 31%. In the remaining 7%, it was not possible to define the applied methodology. In most papers (41%), qualifiers were used in their original format. As far as the area of knowledge is concerned, most of the studies were related to Rheumatology (24%) and Orthopedics (21%). Regarding the study design, 83% of the articles used cross-sectional studies. Results indicate a wide scientific production related to ICF over the past 10 years. Different areas of knowledge are involved in the debate on the improvement of information on morbidity. However, there are only a few quantitative epidemiological studies involving the use of ICF. Future studies are needed to improve data related to functioning and disability.

  19. Challenges in the research ethics review of cluster randomized trials: international survey of investigators.

    Science.gov (United States)

    Chaudhry, Shazia H; Brehaut, Jamie C; Grimshaw, Jeremy M; Weijer, Charles; Boruch, Robert; Donner, Allan; Eccles, Martin P; McRae, Andrew D; Saginur, Raphael; Skea, Zoë C; Zwarenstein, Merrick; Taljaard, Monica

    2013-04-01

    Cluster randomized trials (CRTs) complicate the interpretation of standard research ethics guidelines for several reasons. For one, the units of allocation, intervention, and observation often may differ within a single trial. In the absence of tailored and internationally accepted ethics guidelines for CRTs, researchers and research ethics committees have no common standard by which to judge ethically appropriate practices in CRTs. Moreover, lack of familiarity with and consideration of the unique features of the CRT design by research ethics committees may cause difficulties in the research ethics review process, and amplify problems such as variability in the requirements and decisions reached by different research ethics committees. We aimed to characterize research ethics review of CRTs, examine investigator experiences with the ethics review process, and assess the need for ethics guidelines for CRTs. An electronic search strategy implemented in MEDLINE was used to identify and randomly sample 300 CRTs published in English language journals from 2000 to 2008. A web-based survey with closed- and open-ended questions was administered to corresponding authors in a series of six contacts. The survey response rate was 64%. Among 182 of 285 eligible respondents, 91% indicated that they had sought research ethics approval for the identified CRT, although only 70% respondents reported research ethics approval in the published article. Nearly one-third (31%) indicated that they have had to meet with ethics committees to explain aspects of their trials, nearly half (46%) experienced variability in the ethics review process in multijurisdictional trials, and 38% experienced negative impacts of the ethics review process on their trials, including delays in trial initiation (28%), increased costs (10%), compromised ability to recruit participants (16%), and compromised methodological quality (9%). Most respondents (74%; 95% confidence interval (CI): 67%-80%) agreed or

  20. Avicenna's doctrine and institutional review board in international bio-medical research.

    Science.gov (United States)

    Radfar, Amir; Kazerouninia, Chekameh; Filip, Irina; Patriche, Diana; Ahmadi, Seyed Ahmad Asgharzadeh

    2012-12-01

    Avicenna, an outstanding Persian physician and philosopher (980 AD-1037 AD), established a clinical treaty, or doctrine, without which medical experimentation would not have progressed. This doctrine emphasizes the ultimate divine power of God or a higher being over healing and mandates the patients' well-being as the crucial aspect in all medical care and experiments. The Institutional Review Board, as the ethical body that oversees clinical research, is in line with this doctrine. However, the lack of a homogenous and internationally recognized code of ethics, the decentralized work of ethics oversight committees, the improper implementation of established ethical standards and a shortage of scientific auditing capacities have raised concerns over the possible exploitation of vulnerable populations.

  1. A review of literature from the First International Conference on Friction Stir Welding

    International Nuclear Information System (INIS)

    Bowyer, W.H.

    2000-06-01

    The papers from the first international conference on Friction Stir Welding (FSW) have been reviewed. Taken together the papers provide a very optimistic picture for the development and application of friction stir welding in general and to the case of the copper canister in particular. Whilst a considerable development effort is in progress the process has been industrialised for joining of aluminium sheet and it is accepted by Lloyds register for this purpose. Development of procedures and equipment to weld thicker materials and a wider range of materials is progressing ahead of the research activity to aid the understanding of the process at this stage. Nevertheless, well-established weld assessment procedures are being applied to experimental welds with very encouraging results. Summaries of the key papers are presented in an appendix

  2. Ebola Hemorrhagic Fever as a Public Health Emergency of International Concern; a Review Article.

    Science.gov (United States)

    Safari, Saeed; Baratloo, Alireza; Rouhipour, Alaleh; Ghelichkhani, Parisa; Yousefifard, Mahmood

    2015-01-01

    Ebola hemorrhagic fever (EHF) was first reported in 1976 with two concurrent outbreaks of acute viral hemorrhagic fever centered in Yambuku (near the Ebola river), Democratic Republic of Congo, and in Nzara, Sudan. The current outbreak of the Ebola virus was started by reporting the first case in March 2014 in the forest regions of southeastern Guinea. Due to infection rates raising over 13,000% within a 6-month period, Ebola is now considered as a global public health emergency and on August 8(th), 2014 the World Health Organization (WHO) declared the epidemic to be a Public Health Emergency of International Concern. With more than 5000 involved cases and nearly 3000 deaths, this event has turned into the largest and most dangerous Ebola virus outbreak in the world. Based on the above-mentioned, the present article aimed to review the virologic characteristics, transmission, clinical manifestation, diagnosis, treatment, and prevention of Ebola virus disease.

  3. Health problems associated with international business travel. A critical review of the literature.

    Science.gov (United States)

    Rogers, H L; Reilly, S M

    2000-08-01

    1. Few studies examine the travel related health problems of international business travelers (IBTs). Research exists for other travelers, such as tourists, which begins to help clinicians understand the potential health problems faced by IBTs. 2. A review of the literature reveals 36% to 54% of travelers experience physical health problems such as traveler's diarrhea, insomnia, respiratory problems, and skin problems; 6% to 18% report accidents and injuries while abroad. 3. Psychosocial data are equally limited, but support the idea that IBTs may experience stress, anxiety, culture shock, and adjustment problems while overseas. 4. Multiple factors likely contribute to the physical and psychosocial health experiences of IBTs. The historical lack of data for this population of workers combined with the trend towards globalization confirm the need for further study from an occupational health perspective.

  4. Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Ammar Al Hassani

    2012-01-01

    Full Text Available Background. Penetrating injuries to the chest and in particular to the heart that results in pericardial tamponade and cardiac arrest requires immediate resuscitative thoracotomy as the only lifesaving technique and should be performed without delay. Objective. To describe an external cardiac tamponade caused by massive tension hemothorax from penetrating injury of the left internal mammary artery (LIMA. Method. A case presentation treated at the Level I trauma center at Hamad General Hospital, in Doha, Qatar and review of the literature on LIMA injuries reported cases. Results. LIMA injury as a cause of hemothorax is not uncommon, but to our knowledge our case is the first massive tension hemothorax with witnessed cardiac arrest reported in the literature requiring emergency thoracotomy, performed in trauma room, with full recovery. Conclusion. Injury to the LIMA with massive tension hemothorax requires immediate resuscitative thoracotomy.

  5. World Health Organization disability assessment schedule 2.0: An international systematic review.

    Science.gov (United States)

    Federici, Stefano; Bracalenti, Marco; Meloni, Fabio; Luciano, Juan V

    2017-11-01

    This systematic review examines research and practical applications of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) as a basis for establishing specific criteria for evaluating relevant international scientific literature. The aims were to establish the extent of international dissemination and use of WHODAS 2.0 and analyze psychometric research on its various translations and adaptations. In particular, we wanted to highlight which psychometric features have been investigated, focusing on the factor structure, reliability, and validity of this instrument. Following Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) methodology, we conducted a search for publications focused on "whodas" using the ProQuest, PubMed, and Google Scholar electronic databases. We identified 810 studies from 94 countries published between 1999 and 2015. WHODAS 2.0 has been translated into 47 languages and dialects and used in 27 areas of research (40% in psychiatry). The growing number of studies indicates increasing interest in the WHODAS 2.0 for assessing individual functioning and disability in different settings and individual health conditions. The WHODAS 2.0 shows strong correlations with several other measures of activity limitations; probably due to the fact that it shares the same disability latent variable with them. Implications for Rehabilitation WHODAS 2.0 seems to be a valid, reliable self-report instrument for the assessment of disability. The increasing interest in use of the WHODAS 2.0 extends to rehabilitation and life sciences rather than being limited to psychiatry. WHODAS 2.0 is suitable for assessing health status and disability in a variety of settings and populations. A critical issue for rehabilitation is that a single "minimal clinically important .difference" score for the WHODAS 2.0 has not yet been established.

  6. EDITORIAL: Invited review and topical lectures from the 13th International Congress on Plasma Physics

    Science.gov (United States)

    Zagorodny, A.; Kocherga, O.

    2007-05-01

    The 13th International Congress on Plasma Physics (ICPP 2006) was organized, on behalf of the International Advisory Committee of the ICPP series, by the National Academy of Sciences of Ukraine and the Bogolyubov Institute for Theoretical Physics (BITP) and held in Kiev, Ukraine, 22 26 May 2006. The Congress Program included the topics: fundamental problems of plasma physics; fusion plasmas; plasmas in astrophysics and space physics; plasmas in applications and technologies; complex plasmas. A total of 305 delegates from 30 countries took part in the Congress. The program included 9 invited review lectures, 32 invited topical and 313 contributed papers (60 of which were selected for oral presentation). The Congress Program was the responsibility of the International Program Committee: Anatoly Zagorodny (Chairman) Bogolyubov Institute for Theoretical Physics, Ukraine Olha Kocherga (Scientific Secretary) Bogolyubov Institute for Theoretical Physics, Ukraine Boris Breizman The University of Texas at Austin, USA Iver Cairns School of Physics, University of Sydney, Australia Tatiana Davydova Institute for Nuclear Research, Ukraine Tony Donne FOM-Institute for Plasma Physics, Rijnhuizen, The Netherlands Nikolai S Erokhin Space Research Institute of RAS, Russia Xavier Garbet CEA, France Valery Godyak OSRAM SYLVANIA, USA Katsumi Ida National Institute for Fusion Science, Japan Alexander Kingsep Russian Research Centre `Kurchatov Institute', Russia E P Kruglyakov Budker Institute of Nuclear Physics, Russia Gregor Morfill Max-Planck-Institut für extraterrestrische Physik, Germany Osamu Motojima National Institute for Fusion Science, Japan Jef Ongena ERM-KMS, Brussels and EFDA-JET, UK Konstantyn Shamrai Institute for Nuclear Research, Ukraine Raghvendra Singh Institute for Plasma Research, India Konstantyn Stepanov Kharkiv Institute of Physics and Technology, Ukraine Masayoshi Tanaka National Institute for Fusion Science, Japan Nodar Tsintsadze Physics Institute, Georgia The

  7. Image data compression in diagnostic imaging. International literature review and workflow recommendation

    International Nuclear Information System (INIS)

    Braunschweig, R.; Kaden, Ingmar; Schwarzer, J.; Sprengel, C.; Klose, K.

    2009-01-01

    Purpose: Today healthcare policy is based on effectiveness. Diagnostic imaging became a ''pace-setter'' due to amazing technical developments (e.g. multislice CT), extensive data volumes, and especially the well defined workflow-orientated scenarios on a local and (inter)national level. To make centralized networks sufficient, image data compression has been regarded as the key to a simple and secure solution. In February 2008 specialized working groups of the DRG held a consensus conference. They designed recommended data compression techniques and ratios. Material und methoden: The purpose of our paper is an international review of the literature of compression technologies, different imaging procedures (e.g. DR, CT etc.), and targets (abdomen, etc.) and to combine recommendations for compression ratios and techniques with different workflows. The studies were assigned to 4 different levels (0-3) according to the evidence. 51 studies were assigned to the highest level 3. Results: We recommend a compression factor of 1: 8 (excluding cranial scans 1:5). For workflow reasons data compression should be based on the modalities (CT, etc.). PACS-based compression is currently possible but fails to maximize workflow benefits. Only the modality-based scenarios achieve all benefits. (orig.)

  8. Treatment of Internet gaming disorder: An international systematic review and CONSORT evaluation.

    Science.gov (United States)

    King, Daniel L; Delfabbro, Paul H; Wu, Anise M S; Doh, Young Yim; Kuss, Daria J; Pallesen, Ståle; Mentzoni, Rune; Carragher, Natacha; Sakuma, Hiroshi

    2017-06-01

    Treatment services for Internet gaming disorder are becoming increasingly prevalent worldwide, particularly in East Asia. This international systematic review was designed to appraise the quality standards of the gaming disorder treatment literature, a task previously undertaken by King et al. (2011) prior to the inclusion of Internet gaming disorder in Section III of the DSM-5 and 'Gaming disorder' in the draft ICD-11. The reporting quality of 30 treatment studies conducted from 2007 to 2016 was assessed. Reporting quality was defined according to the 2010 Consolidating Standards of Reporting Trials (CONSORT) statement. The results reaffirmed previous criticisms of these trials, namely: (a) inconsistencies in the definition, diagnosis, and measurement of disordered use; (b) lack of randomization and blinding; (c) lack of controls; and (d) insufficient information on recruitment dates, sample characteristics, and effect sizes. Although cognitive-behavioral therapy has a larger evidence base than other therapies, it remains difficult to make definitive statements on its benefits. Study design quality has not improved over the last decade, indicating a need for greater consistency and standardization in this area. Continuing international efforts to understand the core psychopathology of gaming disorder are vital to developing a model of best practice in treatment. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Postoperative complications after closed calcaneus fracture treated by open reduction and internal fixation: a review.

    Science.gov (United States)

    Yu, Xiao; Pang, Qing-Jiang; Chen, Liang; Yang, Chang-Chun; Chen, Xian-Jun

    2014-02-01

    To review postoperative complications reported after closed calcaneus fracture treated by open reduction and internal fixation (ORIF). Postoperative complications reported in the literature between 1995 and 2012 were identified. Papers were retrieved from publicly available databases and included in this study if they met the following criteria: clinical research of cases of closed calcaneus fracture treated by ORIF; ≥10 cases; detailed information about complications, treatment and follow up. Twenty-one clinical reports were analysed (2046 cases). Reported complications (and incidence rates) were: infection and skin flap necrosis (13.6%); neurovascular injury (2.8%); post-traumatic arthritis (1.2%); malreduction/implant problems (0.8%); nonunion (0.1%). Postoperative complications after closed calcaneus fracture are common clinical problems that cannot always be avoided. They can even be life altering, due to the requirement for long-term treatment or amputation and their economic impact on the patient. Complications should be diagnosed and treated promptly, to achieve satisfactory outcomes. Nonsurgical treatment (e.g. local wound care, drugs or physical therapy) can be attempted. If such measures fail, surgical treatment (e.g. debridement, skin flap transplantation, implant removal, re-opening of the reduction and internal fixation or subtalar joint arthrodesis) should be considered.

  10. Lessons learnt from implementation of the International Health Regulations: a systematic review

    Science.gov (United States)

    Allen, Lisa G; Cifuentes, Sara; Dye, Christopher; Nagata, Jason M

    2018-01-01

    Abstract Objective To respond to the World Health Assembly call for dissemination of lessons learnt from countries that have begun implementing the International Health Regulations, 2005 revision; IHR (2005). Methods In November 2015, we conducted a systematic search of the following online databases and sources: PubMed®, Embase®, Global Health, Scopus, World Health Organization (WHO) Global Index Medicus, WHO Bulletin on IHR Implementation and the International Society for Disease Surveillance. We included identified studies and reports summarizing national experience in implementing any of the IHR (2005) core capacities or their components. We excluded studies that were theoretical or referred to IHR (1969). Qualitative systematic review methodology, including meta-ethnography, was used for qualitative synthesis. Findings We analysed 51 articles from 77 countries representing all WHO Regions. The meta-syntheses identified a total of 44 lessons learnt across the eight core capacities of IHR (2005). Major themes included the need to mobilize and sustain political commitment; to adapt global requirements based on local sociocultural, epidemiological, health system and economic contexts; and to conduct baseline and follow-up assessments to monitor the status of IHR (2005) implementation. Conclusion Although experiences of IHR (2005) implementation covered a wide global range, more documentation from Africa and Eastern Europe is needed. We did not find specific areas of weakness in monitoring IHR (2005); sustained monitoring of all core capacities is required to ensure effective systems. These lessons learnt could be adapted by countries in the process of meeting IHR (2005) requirements. PMID:29403114

  11. What's Wrong? Publishing in International Peer-Reviewed Journals on Russian Law

    Directory of Open Access Journals (Sweden)

    Thomas Kruessmann

    2016-01-01

    Full Text Available Then pursuing publications in international peer-reviewed journals, many legal scholars from Russia and the wider post-Soviet space face severe difficulties. This paper looks atthe reasons for these difficulties in two analytical steps. Firstly, it offers aquantitative analysis of the output of the two leading international law journals that accept submissions on doctrinal law to see how often in the two preceding years (2014 and 2015 postSoviet legal scholars with their main place of work at a university have made it into these journals. Secondly, it asks what the qualitative standards for publication in such journals are and why they are at odds specifically with the scholarly tradition in the wider post-Soviet space. The main finding of the paper is that there is a mismatch between the high goals posed by university administrators in elevating universities to some standard of excellence and the limitations presented in the field of legal scholarship. The conclusion is that a substantive re-thinking of the approach to legal scholarship is required. The introduction of ‘early legal writing’ at least at the level of master studies is one recommendation to adequately prepare a future generation of legal scholars.

  12. International medical migration: a critical conceptual review of the global movements of doctors and nurses.

    Science.gov (United States)

    Bradby, Hannah

    2014-11-01

    This paper critically appraises the discourse around international medical migration at the turn of the 21st century. A critical narrative review of a range of English-language sources, including grey literature, books and research reports, traces the development and spread of specific causative models. The attribution of causative relations between the movement of skilled medical workers, the provision of health care and population health outcomes illustrates how the global reach of biomedicine has to be understood in the context of local conditions. The need to understand migration as an aspect of uneven global development, rather than a delimited issue of manpower services management, is illustrated with reference to debates about 'brain drain' of Africa's health-care professionals, task-shifting and the crisis in health-care human resources. The widespread presumed cause of shortages of skilled health-care staff in sub-Saharan Africa was overdetermined by a compelling narrative of rich countries stealing poor countries' trained health-care professionals. This narrative promotes medical professional interests and ignores historical patterns of underinvestment in health-care systems and structures. Sociological theories of medicalization suggest that the international marketization of medical recruitment is a key site where the uneven global development of capital is at work. A radical reconfiguration of medical staffing along the lines of 'task-shifting' in rich and poor countries' health-care systems alike offers one means of thinking about global equity in access to quality care. © The Author(s) 2014.

  13. Internal Carotid Artery Aneurysms Presenting with Epistaxis - Our Experience and Review of Literature.

    Science.gov (United States)

    Garg, Kanwaljeet; Gurjar, Hitesh Kumar; Singh, Pankaj Kumar; Singh, Manmohan; Chandra, P Sarat; Sharma, Bhawani Shankar

    Intracranial internal carotid artery aneurysms are an extremely rare cause of spontaneous epistaxis, with a few documented cases. The management of such cases is challenging due to the relative anatomical inaccessibility of the bleeding point. The aim of the present study was to acquaint the readers with this rare type of aneurysm presenting with epistaxis and to report our experience of treating cases of severe epistaxis due to internal carotid artery (ICA) aneurysms. Data of 4 patients with İCA aneurysms presenting with epistaxis from June 2011 to July 2013 was retrospectively reviewed. The age of patients ranged from 16 to 62 years. Duration of epistaxis ranged from 3 months to 3 years. Two patients had severe epistaxis following transnasal biopsy. Two patients had a history of trauma. Two patients developed hemodynamically instability. All the patients were managed with trapping of the aneurysm. Complete exclusion of aneurysm from circulation was achieved in all the patients. ICA aneurysms can rarely present as life-endangering epistaxis. In patients presenting with a history of craniocerebral trauma, traumatic pseudoaneurysm must be considered as a differential diagnosis. Trapping of the aneurysm is a good option if there is good cross circulation.

  14. External versus internal fixation for bicondylar tibial plateau fractures: systematic review and meta-analysis.

    Science.gov (United States)

    Metcalfe, David; Hickson, Craig J; McKee, Lesley; Griffin, Xavier L

    2015-12-01

    It is uncertain whether external fixation or open reduction internal fixation (ORIF) is optimal for patients with bicondylar tibial plateau fractures. A systematic review using Ovid MEDLINE, Embase Classic, Embase, AMED, the Cochrane Library, Open Grey, Orthopaedic Proceedings, WHO International Clinical Trials Registry Platform, Current Controlled Trials, US National Institute for Health Trials Registry, and the Cochrane Central Register of Controlled Trials. The search was conducted on 3rd October 2014 and no language limits were applied. Inclusion criteria were all clinical study designs comparing external fixation with open reduction internal fixation of bicondylar tibial plateau fractures. Studies of only one treatment modality were excluded, as were those that included unicondylar tibial plateau fractures. Treatment effects from studies reporting dichotomous outcomes were summarised using odds ratios. Continuous outcomes were converted to standardized mean differences to assess the treatment effect, and inverse variance methods used to combine data. A fixed effect model was used for meta-analyses. Patients undergoing external fixation were more likely to have returned to preinjury activities by six and twelve months (P = 0.030) but not at 24 months follow-up. However, external fixation was complicated by a greater number of infections (OR 2.59, 95 % CI 1.25-5.36, P = 0.01). There were no statistically significant differences in the rates of deep infection, venous thromboembolism, compartment syndrome, or need for re-operation between the two groups. Although external fixation and ORIF are associated with different complication profiles, both are acceptable strategies for managing bicondylar tibial plateau fractures.

  15. Review of international radioactive waste management based on a report of the International Nuclear Societies Council (INSC)

    International Nuclear Information System (INIS)

    Hardy, C.

    2003-01-01

    The INSC is an international group of 42 nuclear societies with the aim of promoting the peaceful uses of nuclear science and technology. It has a number of working groups addressing important issues and publishes the reports of these groups. The latest report of the working group on radioactive waste management was published in August 2002. The main aim of the report is to provide the latest information on radioactive waste management among the member societies and particularly to provide access to internet resources on this topic including access to the radioactive waste management organisations in the several countries.The major topics addressed in the report are: what is radioactive waste management?; where does radioactive waste come from?; principles and objectives; management strategies - options and ethics; current worldwide status; international cooperation; and international instruments, including treaties and legislation

  16. A mapping review of international guidance on the management and care of amyotrophic lateral sclerosis (ALS).

    Science.gov (United States)

    Janssens, Astrid I W A; Ruytings, Marijke; Al-Chalabi, Ammar; Chio, Adriano; Hardiman, Orla; Mcdermott, Christopher J; Meyer, Thomas; Mora, Gabriele; Van Damme, Philip; Van Den Berg, Leonard H; Vanhaecht, Kris; Winkler, Andrea S; Sermeus, Walter

    2016-01-01

    Management of ALS is suboptimal. Consequently, quality improvement interventions are needed to improve ALS care. An evidence-based insight into how patients should be managed is essential when developing quality improvement interventions. Therefore, this study aimed to map, categorize and summarize international guidance on the management and care of ALS and to identify gaps in this guidance by means of a mapping review. Literature was searched for clinical practice guidelines, quality indicators and evidence-based clinical summaries. A content analysis and meta-synthesis of the included literature was performed. Interventions and outcomes used in the management and care of ALS were identified and categorized. Furthermore, the amount of guidance underpinning these interventions and outcomes was analysed. Six clinical practice guidelines, one set of quality indicators and three evidence-based clinical summaries were identified. The results demonstrated that certain domains in ALS care, mainly disease-specific domains such as breathing and swallowing, are extensively addressed in the literature whereas other subjects, such as care coordination, receive little attention. In conclusion, this mapping review provides a scientific basis for targeting and developing the clinical content of a quality improvement intervention for the management of ALS.

  17. Patient-level costs of major cardiovascular conditions: a review of the international literature.

    Science.gov (United States)

    Nicholson, Gina; Gandra, Shravanthi R; Halbert, Ronald J; Richhariya, Akshara; Nordyke, Robert J

    2016-01-01

    Robust cost estimates of cardiovascular (CV) events are required for assessing health care interventions aimed at reducing the economic burden of major adverse CV events. This review synthesizes international cost estimates of CV events. MEDLINE database was searched electronically for English language studies published during 2007-2012, with cost estimates for CV events of interest - unstable angina, myocardial infarction, heart failure, stroke, and CV revascularization. Included studies provided at least one estimate of patient-level direct costs in adults for any identified country. Information on study characteristics and cost estimates were collected. All costs were adjusted for inflation to 2013 values. Across the 114 studies included, the average cost was US $6,466 for unstable angina, $11,664 for acute myocardial infarction, $11,686 for acute heart failure, $11,635 for acute ischemic stroke, $37,611 for coronary artery bypass graft, and $13,501 for percutaneous coronary intervention. The ranges for cost estimates varied widely across countries with US cost estimate being at least twice as high as European Union costs for some conditions. Few studies were found on populations outside the US and European Union. This review showed wide variation in the cost of CV events within and across countries, while showcasing the continuing economic burden of CV disease. The variability in costs was primarily attributable to differences in study population, costing methodologies, and reporting differences. Reliable cost estimates for assessing economic value of interventions in CV disease are needed.

  18. Dealing with foreign cultural paradigms: A systematic review on intercultural challenges of international medical graduates.

    Directory of Open Access Journals (Sweden)

    Kerstin Michalski

    Full Text Available An increasing number of International Medical Graduates (IMG, who are defined to be physicians working in a country other than their country of origin and training, immigrate to Western countries. In order to ensure safe and high-quality patient care, they have to take medical and language tests. This systematic review aims to (1 collect all empiric research on intercultural communication of IMGs in medical settings, (2 identify and categorize all text passages mentioning intercultural issues in the included studies, and (3 describe the most commonly reported intercultural areas of communication of IMGs.This review was based on the PRISMA-Guidelines for systematic reviews. We conducted a broad and systematic electronic literature search for empiric research in the following databases: MEDLINE, BIOSIS Citation Index, BIOSIS Previews, KCI-Korean Journal Database and SciELO Citation Index. The search results were synthesized and analyzed with the aid of coding systems. These coding systems were based on textual analysis and derived from the themes and topics of the results and discussion sections from the included studies. A quality assessment was performed, comparing the studies with their corresponding checklist (COREQ or STROBE. Textual results of the studies were extracted and categorized.Among 10,630 search results, 47 studies were identified for analysis. 31 studies were qualitative, 12 quantitative and 4 studies used mixed methods. The quality assessment revealed a low level of quality of the studies in general. The following intercultural problems were identified: IMGs were not familiar with shared decision-making and lower hierarchies in the health care system in general. They had difficulties with patient-centered care, the subtleties of the foreign language and with the organizational structures of the new health care system. In addition, they described the medical education in their home countries as science-oriented, without focusing

  19. A review of the health problems of the internally displaced persons in Africa.

    Science.gov (United States)

    Owoaje, Eme T; Uchendu, Obioma C; Ajayi, Tumininu O; Cadmus, Eniola O

    2016-01-01

    Globally, over 40 million people were displaced as a result of wars and violence due to religious and ethnic conflicts in 2015 while 19.2 million were displaced by natural disasters such as famine and floods. In Africa, 12 million people were displaced by armed conflict and violence and there were hundreds of thousands of people displaced by natural disasters. Despite these large numbers of internally displaced persons (IDPs) in Sub-Saharan African countries and the potentially negative impact of displacement on the health of these populations, there is limited information on the health problems of IDPs in the region. The previous studies have mainly focused on the health problems of refugees and single disease entities among IDPs. However, a more comprehensive picture is required to inform the provision of adequate healthcare services for this vulnerable population. The objective of this review was to fill this knowledge gap. Bibliographic databases were searched and screened, and nine studies were selected and reviewed. The major physical health problems and symptoms were fever/malaria (85% in children and 48% in adults), malnutrition in children (stunting 52% and wasting 6%), malnutrition in adult males (24%), diarrhoea (62% in children and 22% in adults) and acute respiratory infections (45%). The prevalent mental health problems were post-traumatic stress disorder (range: 42%-54%) and depression (31%-67%). Most of the studies reviewed focused on mental health problems. Limited evidence suggests that IDPs experience various health problems but more research is required to inform the provision of adequate and comprehensive healthcare services for this group of individuals.

  20. Prevalence and incidence of epilepsy: A systematic review and meta-analysis of international studies.

    Science.gov (United States)

    Fiest, Kirsten M; Sauro, Khara M; Wiebe, Samuel; Patten, Scott B; Kwon, Churl-Su; Dykeman, Jonathan; Pringsheim, Tamara; Lorenzetti, Diane L; Jetté, Nathalie

    2017-01-17

    To review population-based studies of the prevalence and incidence of epilepsy worldwide and use meta-analytic techniques to explore factors that may explain heterogeneity between estimates. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards were followed. We searched MEDLINE and EMBASE for articles published on the prevalence or incidence of epilepsy since 1985. Abstract, full-text review, and data abstraction were conducted in duplicate. Meta-analyses and meta-regressions were used to explore the association between prevalence or incidence, age group, sex, country level income, and study quality. A total of 222 studies were included (197 on prevalence, 48 on incidence). The point prevalence of active epilepsy was 6.38 per 1,000 persons (95% confidence interval [95% CI] 5.57-7.30), while the lifetime prevalence was 7.60 per 1,000 persons (95% CI 6.17-9.38). The annual cumulative incidence of epilepsy was 67.77 per 100,000 persons (95% CI 56.69-81.03) while the incidence rate was 61.44 per 100,000 person-years (95% CI 50.75-74.38). The prevalence of epilepsy did not differ by age group, sex, or study quality. The active annual period prevalence, lifetime prevalence, and incidence rate of epilepsy were higher in low to middle income countries. Epilepsies of unknown etiology and those with generalized seizures had the highest prevalence. This study provides a comprehensive synthesis of the prevalence and incidence of epilepsy from published international studies and offers insight into factors that contribute to heterogeneity between estimates. Significant gaps (e.g., lack of incidence studies, stratification by age groups) were identified. Standardized reporting of future epidemiologic studies of epilepsy is needed. © 2016 American Academy of Neurology.

  1. Ethnic density effects for adult mental health: systematic review and meta-analysis of international studies.

    Science.gov (United States)

    Bécares, Laia; Dewey, Michael E; Das-Munshi, Jayati

    2017-12-14

    Despite increased ethnic diversity in more economically developed countries it is unclear whether residential concentration of ethnic minority people (ethnic density) is detrimental or protective for mental health. This is the first systematic review and meta-analysis covering the international literature, assessing ethnic density associations with mental health outcomes. We systematically searched Medline, PsychINFO, Sociological Abstracts, Web of Science from inception to 31 March 2016. We obtained additional data from study authors. We conducted random-effects meta-analysis taking into account clustering of estimates within datasets. Meta-regression assessed heterogeneity in studies due to ethnicity, country, generation, and area-level deprivation. Our main exposure was ethnic density, defined as the residential concentration of own racial/ethnic minority group. Outcomes included depression, anxiety and the common mental disorders (CMD), suicide, suicidality, psychotic experiences, and psychosis. We included 41 studies in the review, with meta-analysis of 12 studies. In the meta-analyses, we found a large reduction in relative odds of psychotic experiences [odds ratio (OR) 0.82 (95% confidence interval (CI) 0.76-0.89)] and suicidal ideation [OR 0.88 (95% CI 0.79-0.98)] for each 10 percentage-point increase in own ethnic density. For CMD, depression, and anxiety, associations were indicative of protective effects of own ethnic density; however, results were not statistically significant. Findings from narrative review were consistent with those of the meta-analysis. The findings support consistent protective ethnic density associations across countries and racial/ethnic minority populations as well as mental health outcomes. This may suggest the importance of the social environment in patterning detrimental mental health outcomes in marginalized and excluded population groups.

  2. International Literature Review on WHODAS II (World Health Organization Disability Assessment Schedule II

    Directory of Open Access Journals (Sweden)

    Federici, Stefano

    2009-06-01

    Full Text Available This review is a critical analysis regarding the study and utilization of the World Health Organization Disability Assessment Schedule II (WHODAS II as a basis for establishing specific criteria for evaluating relevant international scientific literature.The WHODAS II is an instrument developed by the World Health Organisation in order to assess behavioural limitations and restrictions related to an individual’s participation, independent from a medical diagnosis. This instrument was developed by the WHO’s Assessment, Classification and Epidemiology Group within the framework of the WHO/NIH Joint Project on Assessment and Classification of Disablements. To ascertain the international dissemination level of for WHODAS II’s utilization and, at the same time, analyse the studies regarding the psychometric validation of the WHODAS II translation and adaptation in other languages and geographical contests. Particularly, our goal is to highlight which psychometric features have been investigated, focusing on the factorial structure, the reliability, and the validity of this instrument. International literature was researched through the main data bases of indexed scientific production: the Cambridge Scientific Abstracts – CSA, PubMed, and Google Scholar, from 1990 through to December 2008.The following search terms were used:“whodas”, in the field query, plus “title” and “abstract”.The WHODAS II has been used in 54 studies, of which 51 articles are published in international journals, 2 conference abstracts, and one dissertation abstract. Nevertheless, only 7 articles are published in journals and conference proceedings regarding disability and rehabilitation. Others have been published in medical and psychiatric journals, with the aim of indentifying comorbidity correlations in clinical diagnosis concerning patients with mental illness. Just 8 out of 51 articles have studied the psychometric properties of the WHODAS II. The

  3. Relevance of the international spinal cord injury basic data sets to youth: an Inter-Professional review with recommendations.

    Science.gov (United States)

    Carroll, A; Vogel, L C; Zebracki, K; Noonan, V K; Biering-Sørensen, F; Mulcahey, M J

    2017-09-01

    Mixed methods, using the Modified Delphi Technique and Expert Panel Review. To evaluate the utility and relevance of the International Spinal Cord Injury (SCI) Core and Basic Data Sets for children and youth with SCI. International. Via 20 electronic surveys, an interprofessional sample of healthcare professionals with pediatric SCI experience participated in an iterative critical review of the International SCI Data Sets, and submitted suggestions for modifications for use with four pediatric age groups. A panel of 5 experts scrutinized the utility of all data sets, correlated any modifications with the developing National Institute of Neurological Disorders and Stroke (NINDS) pediatric SCI Common Data Elements (CDE) and distributed final recommendations for modifications required to the adult data sets to the International SCI Data Set Committee and the associated Working Groups. Two International SCI Data Sets were considered relevant and appropriate for use with children without any changes. Three were considered not appropriate or applicable for use with children, regardless of age. Recommendations were made for five data sets to enhance their relevance and applicability to children across the age groups, and recommendations for seven data sets were specific to infants and younger children. The results of this critical review are significant in that substantive recommendations to align the International SCI Core and Basic Data Sets to pediatric practice were made. This project was funded by the Rick Hansen Institute Grant# 2015-27.

  4. The rise and fall of Australian physical activity policy 1996 – 2006: a national review framed in an international context

    OpenAIRE

    Bellew, Bill; Schöeppe, Stephanie; Bull, Fiona C; Bauman, Adrian

    2008-01-01

    Background This paper provides an historical review of physical activity policy development in Australia for a period spanning a decade since the release of the US Surgeon General's Report on Physical Activity and Health in 1996 and including the 2004 WHO Global Strategy on Diet, Physical Activity and Health. Using our definition of 'HARDWIRED' policy criteria, this Australian review is compared with an international perspective of countries with established national physical activity policie...

  5. Acculturation and HIV-related sexual behaviors among international migrants: A systematic review and meta-analysis

    OpenAIRE

    Du, Hongfei; Li, Xiaoming

    2013-01-01

    This review examines the global literature regarding the relationship between acculturation and HIV-related sexual behaviors among international migrants. Seventy-nine articles published in English-language journals prior to July 2012 met the criteria for inclusion. We conducted a systematic review and subset meta-analysis of correlations between acculturation and five types of sexual behaviors including condom use, multiple partnerships, early sexual initiation, sexually transmitted diseases...

  6. International Peer Review of Swedish Nuclear Fuel and Waste Management Company's SR-Can interim report

    International Nuclear Information System (INIS)

    Sagar, Budhi; Bailey, Lucy; Bennett, David G.; Egan, Mike; Roehlig, Klaus

    2004-12-01

    SKB has produced an interim safety assessment report as part of its work to develop a licence application for the construction of a spent nuclear fuel encapsulation plant. The purpose of the interim report is to set out and demonstrate SKB's proposed methodology for long-term safety assessment. The aim of producing an interim report is to allow the Swedish regulatory authorities (SKI and SSI) to review and comment on SKB's proposed methodology before it is used in support of a formal licence application. To help inform their review of SKB's proposed methodology, the authorities appointed an international review team (IRT) to carry out a review of SKB's interim safety assessment report. Comments from the IRT are presented in this document and will be considered by the regulatory authorities in developing their own view of SKB's proposed methodology. The IRT's review included examination of SKB's documentation (the 'Interim Main Report of the Safety Assessment SR-Can' and four supporting documents) and hearings with SKB staff and contractors. The hearings provided an opportunity for the IRT to discuss the SR-Can safety assessment with the authors and contributors to SKB's work. As directed by SKI and SSI, the IRT's review focused on methodological aspects and sought to determine whether SKB's proposed safety assessment methodology: (i) is fit for the purpose of supporting a licence application; (ii) has a reasonable prospect of leading to a safety assessment that is sufficiently comprehensive, reproducible, traceable and transparent; (iii) is compatible with the authorities' regulations and guidance. No evaluation of long term safety or site acceptability was attempted by the IRT. At the request of SKI and SSI, the IRT's review considered and made recommendations on the following issues: Description of the initial state of the repository and its components; Description of features, events and processes (FEPs) relevant to repository evolution; Strategy for safety

  7. A missing piece of the workforce puzzle. The experiences of internationally qualified nurses in New Zealand: a literature review.

    Science.gov (United States)

    Jenkins, Brittany Lauren; Huntington, Annette

    2015-01-01

    To analyse the literature regarding the context and experiences of internationally qualified registered nurses, particularly Filipino and Indian nurses, who have transitioned to New Zealand. Internationally qualified nurses are a significant proportion of the nursing workforce in many developed countries including New Zealand. This is increasingly important as populations age, escalating demand for nurses. Understanding the internationally qualified nurse experience is required as this could influence migration in a competitive labour market. Examination of peer-reviewed research, policy and discussion documents, and technical reports. A systematic literature search sought articles published between 2001 and 2014 using Google Scholar, CINAHL, and Medline. Articles were critically appraised for relevance, transferability, and methodological rigour. Fifty-one articles met inclusion criteria and demonstrate internationally qualified nurses face significant challenges transitioning into New Zealand. The internationally qualified nurse experience of transitioning into a new country is little researched and requires further investigation.

  8. Characteristics of the innovation activities of firms in Europe: a critical review of international differences

    Directory of Open Access Journals (Sweden)

    Vokoun Marek

    2017-09-01

    Full Text Available A sample of 18 papers and 32 data sets revealed 210,404 firm level observations about European firms making decisions about innovation. A total of 66,965 observations describe activities of innovators between 1986 and 2008. This paper used a basic literature review to assess properties of innovation among quite rare full CDM (Crépon, Duguet, and Mairesse papers. This study compared results from two systems of estimation and showed that both international and regional comparisons are rather problematic because of different definitions of innovation variables and data set representativeness. On average, a typical firm that engaged in innovation was a large firm competing in international markets in the sample of firms with 20+ employees. Smaller firms, however, invested more in research and development (R&D and no linear relationship was found for output characteristics. Cooperation on R&D projects increased overall innovation intensity. There is strong evidence that public funding had an ambiguous effect on R&D spending and no additional effect on innovation output on average. This output measured by sales from innovated goods and services was on average in a positive relationship with labour productivity; however, a detailed view suggested this effect was present only in product innovation. In this paper, it is shown that results of innovation studies cannot be compared or used in research without deeper analysis of the data sample (micro companies, industries, active firms, entrants etc., dependent variable (innovator, R&D expenditures, sales, productivity, new product, new service etc. and the baseline company that is defined by independent variables.

  9. Report of the IPERS (International Peer Review Service) pre-review mission for the Cernavoda nuclear power plant probabilistic safety evaluation (CPSE - PHASE B) in Romania 31 October to 3 November 1994

    International Nuclear Information System (INIS)

    1994-01-01

    This report presents the results of the IAEA international peer review services pre-review mission which reviewed the status of the present version of the Cernavoda probabilistic safety evaluation, a Level 1 internal events Probabilistic Safety Assessment for the Cernavoda, Unit 1, nuclear power plant. 2 refs

  10. Report of the IPERS (International Peer Review Service) review mission for the Cernavoda nuclear power plant probabilistic safety evaluation (CPSE -PHASE B) in Romania 3 to 14 July 1995

    International Nuclear Information System (INIS)

    1995-01-01

    This report presents the results of the IAEA International Peer Review Services review of the internal events Level 1 probabilistic safety assessment (PSA) for the Cernavoda, Unit 1 NPP. The review was based on the PSA documentation available and on intensive communications with the analysis team and representatives from the utility and the plant operator. 7 refs, figs, tabs

  11. 78 FR 70598 - Submission for Review: Request for External Review (3206-NEW); Model Notice of Final Internal...

    Science.gov (United States)

    2013-11-26

    ...] [FR Doc No: 2013-28383] OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Request for External... of Management and Budget (OMB) Control No. 3206-NEW, Request for External Review. The information...) Program on March 11, 2013, 78 FR 15560, which outlined an external review process that would be available...

  12. Stakeholder views of rural community-based medical education: a narrative review of the international literature.

    Science.gov (United States)

    Somporn, Praphun; Ash, Julie; Walters, Lucie

    2018-03-30

    Rural community-based medical education (RCBME), in which medical student learning activities take place within a rural community, requires students, clinical teachers, patients, community members and representatives of health and government sectors to actively contribute to the educational process. Therefore, academics seeking to develop RCBME need to understand the rural context, and the views and needs of local stakeholders. The aim of this review is to examine stakeholder experiences of RCBME programmes internationally. This narrative literature review of original research articles published after 1970 utilises Worley's symbiosis model of medical education as an analysis framework. This model proposes that students experience RCBME through their intersection with multiple clinical, social and institutional relationships. This model seeks to provide a framework for considering the intersecting relationships in which RCBME programmes are situated. Thirty RCBME programmes are described in 52 articles, representing a wide range of rural clinical placements. One-year longitudinal integrated clerkships for penultimate-year students in Anglosphere countries were most common. Such RCBME enables students to engage in work-integrated learning in a feasible manner that is acceptable to many rural clinicians and patients. Academic results are not compromised, and a few papers demonstrate quality improvement for rural health services engaged in RCBME. These programmes have delivered some rural medical workforce outcomes to communities and governments. Medical students also provide social capital to rural communities. However, these programmes have significant financial cost and risk student social and educational isolation. Rural community-based medical education programmes are seen as academically acceptable and can facilitate symbiotic relationships among students, rural clinicians, patients and community stakeholders. These relationships can influence students' clinical

  13. Patient-level costs of major cardiovascular conditions: a review of the international literature

    Directory of Open Access Journals (Sweden)

    Nicholson G

    2016-09-01

    Full Text Available Gina Nicholson,1 Shravanthi R Gandra,2 Ronald J Halbert,1 Akshara Richhariya,2 Robert J Nordyke1 1ICON, El Segundo, 2Amgen Inc., Thousand Oaks, CA, USA Objective: Robust cost estimates of cardiovascular (CV events are required for assessing health care interventions aimed at reducing the economic burden of major adverse CV events. This review synthesizes international cost estimates of CV events.Methods: MEDLINE database was searched electronically for English language studies published during 2007-2012, with cost estimates for CV events of interest – unstable angina, myocardial infarction, heart failure, stroke, and CV revascularization. Included studies provided at least one estimate of patient-level direct costs in adults for any identified country. Information on study characteristics and cost estimates were collected. All costs were adjusted for inflation to 2013 values.Results: Across the 114 studies included, the average cost was US $6,466 for unstable angina, $11,664 for acute myocardial infarction, $11,686 for acute heart failure, $11,635 for acute ischemic stroke, $37,611 for coronary artery bypass graft, and $13,501 for percutaneous coronary intervention. The ranges for cost estimates varied widely across countries with US cost estimate being at least twice as high as European Union costs for some conditions. Few studies were found on populations outside the US and European Union.Conclusion: This review showed wide variation in the cost of CV events within and across countries, while showcasing the continuing economic burden of CV disease. The variability in costs was primarily attributable to differences in study population, costing methodologies, and reporting differences. Reliable cost estimates for assessing economic value of interventions in CV disease are needed. Keywords: cardiovascular diseases, health care costs, hospitalization economics, follow-up studies

  14. Animal-assisted interventions in internal and rehabilitation medicine: a review of the recent literature.

    Science.gov (United States)

    Muñoz Lasa, S; Ferriero, G; Brigatti, E; Valero, R; Franchignoni, F

    2011-06-01

    While conventional wisdom has always affirmed the value of animals in promoting human well-being, only recently has their therapeutic role in medicine become the focus of dedicated research. Therapeutic modalities that use animals as a tool for improving the physical, emotional, cognitive and/or social functioning of humans are called animal-assisted interventions (AAI), and are classified into: animal-assisted activities (AAA); animal-assisted therapy (AAT); and service animal programs (SAP). The aim of this review is to analyze the papers published between 2001 and 2010 in the most influential medical journals dealing with AAI, and discuss their findings in the light of what may be of interest for internal medicine and rehabilitation. A total of 35 articles met the strict inclusion criteria for this review: 18 papers dealing with AAA, 8 with AAT, and 9 with SAP. The therapeutic outcomes associated with AAA are: enhancement of socialization; reduction of stress, anxiety and loneliness; improvement in mood and general well-being; and development of leisure/recreation skills. Regarding AAT, horses are often used as a complementary strategy to facilitate the normalization of muscle tone and improve motor skills in children with cerebral palsy and persons with lower limb spasticity. Finally, most SAP utilize dogs, that assist people with various disabilities in performing everyday activities, thus reducing their dependence on other persons. Further studies are needed to better define the fields and programs for the therapeutic use of animals and to increase their utilization in medicine, as a promising, complementary and natural means to improve both functional autonomy and quality of life.

  15. Vibro-acoustic condition monitoring of Internal Combustion Engines: A critical review of existing techniques

    Science.gov (United States)

    Delvecchio, S.; Bonfiglio, P.; Pompoli, F.

    2018-01-01

    This paper deals with the state-of-the-art strategies and techniques based on vibro-acoustic signals that can monitor and diagnose malfunctions in Internal Combustion Engines (ICEs) under both test bench and vehicle operating conditions. Over recent years, several authors have summarized what is known in critical reviews mainly focused on reciprocating machines in general or on specific signal processing techniques: no attempts to deal with IC engine condition monitoring have been made. This paper first gives a brief summary of the generation of sound and vibration in ICEs in order to place further discussion on fault vibro-acoustic diagnosis in context. An overview of the monitoring and diagnostic techniques described in literature using both vibration and acoustic signals is also provided. Different faulty conditions are described which affect combustion, mechanics and the aerodynamics of ICEs. The importance of measuring acoustic signals, as opposed to vibration signals, is due since the former seem to be more suitable for implementation on on-board monitoring systems in view of their non-intrusive behaviour, capability in simultaneously capturing signatures from several mechanical components and because of the possibility of detecting faults affecting airborne transmission paths. In view of the recent needs of the industry to (-) optimize component structural durability adopting long-life cycles, (-) verify the engine final status at the end of the assembly line and (-) reduce the maintenance costs monitoring the ICE life during vehicle operations, monitoring and diagnosing system requests are continuously growing up. The present review can be considered a useful guideline for test engineers in understanding which types of fault can be diagnosed by using vibro-acoustic signals in sufficient time in both test bench and operating conditions and which transducer and signal processing technique (of which the essential background theory is here reported) could be

  16. Descriptive review and evaluation of the functioning of the International Health Regulations (IHR Annex 2

    Directory of Open Access Journals (Sweden)

    Anema Aranka

    2012-01-01

    Full Text Available Abstract Background The International Health Regulations (IHRs (2005 was developed with the aim of governing international responses to public health risks and emergencies. The document requires all 194 World Health Organization (WHO Member States to detect, assess, notify and report any potential public health emergency of international concern (PHEIC under specific timelines. Annex 2 of the IHR outlines decision-making criteria for State-appointed National Focal Points (NFP to report potential PHEICs to the WHO, and is a critical component to the effective functioning of the IHRs. Methods The aim of the study was to review and evaluate the functioning of Annex 2 across WHO-reporting States Parties. Specific objectives were to ascertain NFP awareness and knowledge of Annex 2, practical use of the tool, activities taken to implement it, its perceived usefulness and user-friendliness. Qualitative telephone interviews, followed by a quantitative online survey, were administered to NFPs between October, 2009 and February, 2010. Results A total of 29 and 133 NFPs participated in the qualitative and quantitative studies, respectively. Qualitative interviews found most NFPs had a strong working knowledge of Annex 2; perceived the tool to be relevant and useful for guiding decisions; and had institutionalized management, legislation and communication systems to support it. NFPs also perceived Annex 2 as human and disease-centric, and emphasized its reduced applicability to potential PHEICs involving bioterrorist attacks, infectious diseases among animals, radio-nuclear and chemical spills, and water- or food-borne contamination. Among quantitative survey respondents, 88% reported having excellent/good knowledge of Annex 2; 77% reported always/usually using Annex 2 for assessing potential PHEICs; 76% indicated their country had some legal, regulatory or administrative provisions for using Annex 2; 95% indicated Annex 2 was always/usually useful for

  17. The International Science and Technology Center (ISTC) and ISTC projects related to research reactors. Information review

    International Nuclear Information System (INIS)

    Tocheniy, L.; Rudneva, V.Ya.

    1998-01-01

    1. ISTC - history, activities, outlook: The ISTC is an intergovernmental organization established by agreement between the Russian Federation, the European Union, Japan, and the United States. Since 1994, Finland, Sweden, Norway, Georgia, Armenia, Belarus, Kazakhstan and the Kyrgyz Republic have acceded to the Agreement and Statute. At present, the Republic of Korea is finishing the process of accession to the ISTC. All work of the ISTC is aimed at the goals defined in the ISTC Agreement: - To give CIS weapons scientists, particularly those who possess knowledge and skills related to weapons of mass destruction and their delivery systems, the opportunities to redirect their talents to peaceful activities; - To contribute to solving national and international technical problems; - To support the transition to market-based economies; - To support basic and applied research; - To help integrate CIS weapons scientists into the international scientific community. The projects may be funded both through governmental funds of the Funding Parties specified for the ISTC, and by organizations, nominated as Funding Partners of the ISTC. According to the ISTC Statute, approved by the appropriate national organizations, funds used within ISTC projects are exempt from CIS taxes. As of March 1998, more than 1500 proposals had been submitted to the Center, of which 541 were approved for funding, for a total value of approximately US dollars 165 million. The number of scientists and engineers participating in the projects is more than 17,000. 2. Projects Related to Research Reactors: There are about 20 funded and as yet non-funded projects related to various problems of research reactors. Many of them address safety issues. Information review of the results and plans of both ongoing projects and as yet non-funded proposals related to research reactors will be presented with the aim assisting international researchers to establish partnerships or collaboration with ISTC projects

  18. International nuclear safety experts conclude IAEA peer review of China's regulatory system

    International Nuclear Information System (INIS)

    2010-01-01

    Full text: An international team of senior experts on nuclear safety regulation today completed a two-week International Atomic Energy Agency (IAEA) review of the governmental and regulatory framework for nuclear safety in the People's Republic of China. The team identified good practices within the system and gave advice on areas for future improvements. The IAEA has conveyed the team's main conclusions to the Government of the People's Republic of China. The final report will be submitted to China by Autumn 2010. At the request of Chinese authorities, the IAEA assembled a team of 22 experts to conduct an Integrated Regulatory Review Service (IRRS) mission. This mission is a peer review based on the IAEA Safety Standards . It is not an inspection, nor an audit. The experts came from 15 different countries: Australia, Canada, the Czech Republic, Finland, France, Hungary, Japan, Pakistan, the Republic of Korea, Slovenia, South Africa, Sweden, the United Kingdom, Ukraine and the United States. Mike Weightman, the United Kingdom's Head of Nuclear Directorate, HSE and HM Chief Inspector of Nuclear Installations said: ''I was honoured and pleased to lead such a team of senior regulatory experts from around the world, and I was impressed by their commitment, experience and hard work to provide their best advice possible. We had very constructive interactions with the Chinese authority to maximize the beneficial impact of the mission.'' The scope of the mission included the regulation of nuclear and radiation safety of the facilities and activities regulated by the Ministry of Environmental Protection (MEP) National Nuclear Safety Administration (NNSA). The mission was conducted from 18 to 30 July, mainly in Beijing. To observe Chinese regulatory activities, the IRRS team visited several nuclear facilities, including a nuclear power plant, a manufacturer of safety components for nuclear power plants, a research reactor, a fuel cycle facility, a waste management facility

  19. Review for the Korean Health Professionals and International Cooperation Doctors Dispatched to Peru by the Korea International Cooperation Agency (KOICA).

    Science.gov (United States)

    Kim, Bongyoung

    2015-04-01

    South Korea dispatches Korean nationals to partner developing countries as an Official Development Assistance (ODA) project through the Korea International Cooperation Agency (KOICA). In the health sector, KOICA dispatches international cooperation doctors (ICDs), nurses, physical therapists, radiologic technologists, nutritionists, medical laboratory technologists, occupational therapists, and dental hygienists. A total of 216 ICDs were dispatched over 19 times from 1995 until 2013. There were 19 areas of specialties among the ICDs. The most common specialty was internal medicine (61/216, 28.2%), the second most common specialty was general surgery (43/216, 19.9%), followed by oriental medicine (27/216, 12.5%), pediatrics (17/216, 7.9%), orthopedics (16/216, 7.4%), family medicine (16/216, 7.4%), and odontology (14/216, 6.5%). The ICDs have worked in 21 countries. KOICA dispatched the highest number of ICDs to Asia (97/216, 44.9%), followed by Africa (50/216, 23.1%), Latin America (34/216, 15.7%), the commonwealth of independent states (31/216, 14.4%), and Oceania (4/216, 1.9%). Nobody was dispatched to the Middle East. A total of 134 KOICA health professionals were dispatched to Peru from 1996 until October 1, 2014. Of these, 19.4% (26/134) were ICDs, 44.8% (60/216) were nurses, 20.1% (27/134) were physical therapists, 6.7% (9/134) were radiologic technologists, 2.2% (3/134) were nutritionists, and 6.7% (9/134) were medical laboratory. ICDs' specialties comprised internal medicine (13/26, 50%), family medicine (8/26, 30.8%), pediatrics (2/26, 7.7%), otorhinolaryngology (1/26, 3.8%), orthopedics (1/26, 3.8%), and oriental medicine (1/26, 3.8%). Most of the dispatched health professionals worked at institutions that were supported by KOICA. For this reason, the proportion of health professionals who worked at public health centers (PHCs) was the highest (58.2%, 78/134) when classified by workplace type. Other KOICA health professionals worked at hospitals

  20. A Review of Agile and Lean Manufacturing as Issues in Selected International and National Research and Development Programs and Roadmaps

    Science.gov (United States)

    Castro, Helio; Putnik, Goran D.; Shah, Vaibhav

    2012-01-01

    Purpose: The aim of this paper is to analyze international and national research and development (R&D) programs and roadmaps for the manufacturing sector, presenting how agile and lean manufacturing models are addressed in these programs. Design/methodology/approach: In this review, several manufacturing research and development programs and…

  1. Speculative resources of uranium. A review of International Uranium Resources Evaluation Project (IUREP) estimates 1982-1983

    International Nuclear Information System (INIS)

    1983-01-01

    On a country by country basis the International Uranium Resources Evaluation Project (IUREP) estimates 1982-1983 are reviewed. Information provided includes exploration work, airborne survey, radiometric survey, gamma-ray spectrometric survey, estimate of speculative resources, uranium occurrences, uranium deposits, uranium mineralization, agreements for uranium exploration, feasibilities studies, geological classification of resources, proposed revised resource range, production estimate of uranium

  2. Assessment of available evidence in the management of gallbladder and bile duct stones: a systematic review of international guidelines

    NARCIS (Netherlands)

    Reuver, P.R.; Besselink, M.G.; Laarhoven, K.J. van; Harrison, E.M.; Wigmore, S.J.; Hugh, T.J.; Boermeester, M.A.

    2017-01-01

    BACKGROUND: Gallstone disease is a frequent disorder in the Western world with a prevalence of 10-20%. Recommendations for the assessment and management of gallstones vary internationally. The aim of this systematic review was to assess quality of guideline recommendations for treatment of

  3. Cyberbullying among Youth: A Comprehensive Review of Current International Research and Its Implications and Application to Policy and Practice

    Science.gov (United States)

    Cassidy, Wanda; Faucher, Chantal; Jackson, Margaret

    2013-01-01

    Cyberbullying research is rapidly expanding with many studies being published from around the world in the past five or six years. In this article we review the current international literature published in English, with particular attention to the following themes: The relationship of cyberbullying to the more traditional face-to-face bullying,…

  4. International Expert Review of Sr-Can: Safety Assessment Methodology - External review contribution in support of SSI's and SKI's review of SR-Can

    International Nuclear Information System (INIS)

    Sagar, Budhi; Egan, Michael; Roehlig, Klaus-Juergen; Chapman, Neil; Wilmot, Roger

    2008-03-01

    In 2006, SKB published a safety assessment (SR-Can) as part of its work to support a licence application for the construction of a final repository for spent nuclear fuel. The purposes of the SR-Can project were stated in the main project report to be: 1. To make a first assessment of the safety of potential KBS-3 repositories at Forsmark and Laxemar to dispose of canisters as specified in the application for the encapsulation plant. 2. To provide feedback to design development, to SKB's research and development (R and D) programme, to further site investigations and to future safety assessments. 3. To foster a dialogue with the authorities that oversee SKB's activities, i.e. the Swedish Nuclear Power Inspectorate, SKI, and the Swedish Radiation Protection Authority, SSI, regarding interpretation of applicable regulations, as a preparation for the SR-Site project. To help inform their review of SKB's proposed approach to development of the longterm safety case, the authorities appointed three international expert review teams to carry out a review of SKB's SR-Can safety assessment report. Comments from one of these teams - the Safety Assessment Methodology (SAM) review team - are presented in this document. The SAM review team's scope of work included an examination of SKB's documentation of the assessment ('Long-term safety for KBS-3 Repositories at Forsmark and Laxemar - a first evaluation' and several supporting reports) and hearings with SKB staff and contractors, held in March 2007. As directed by SKI and SSI, the SAM review team focused on methodological aspects and sought to determine whether SKB's proposed safety assessment methodology is likely to be suitable for use in the future SR-Site and to assess its consistency with the Swedish regulatory framework. No specific evaluation of long-term safety or site acceptability was undertaken by any of the review teams. SKI and SSI's Terms of Reference for the SAM review team requested that consideration be given

  5. Imaging in Pleural Mesothelioma: A Review of the 13th International Conference of the International Mesothelioma Interest Group

    Science.gov (United States)

    Armato, Samuel G.; Blyth, Kevin G.; Keating, Jane J.; Katz, Sharyn; Tsim, Selina; Coolen, Johan; Gudmundsson, Eyjolfur; Opitz, Isabelle; Nowak, Anna K.

    2016-01-01

    Imaging plays an important role in the detection, diagnosis, staging, response assessment, and surveillance of malignant pleural mesothelioma. The etiology, biology, and growth pattern of mesothelioma present unique challenges for each modality used to capture various aspects of this disease. Clinical implementation of imaging techniques and information derived from images continue to evolve based on active research in this field worldwide. This paper summarizes the imaging-based research presented orally at the 2016 International Conference of the International Mesothelioma Interest Group (iMig) in Birmingham, United Kingdom, held May 1–4, 2016. Presented topics included intraoperative near-infrared imaging of mesothelioma to aid the assessment of resection completeness, an evaluation of tumor enhancement improvement with increased time delay between contrast injection and image acquisition in standard clinical magnetic resonance imaging (MRI) scans, the potential of early contrast enhancement analysis to provide MRI with a role in mesothelioma detection, the differentiation of short- and long-term survivors based on MRI tumor volume and histogram analysis, the response-assessment potential of hemodynamic parameters derived from dynamic contrast-enhanced computed tomography (DCE-CT) scans, the correlation of CT-based tumor volume with the post-surgical tumor specimen weight, and consideration of the need to update the mesothelioma tumor response assessment paradigm. PMID:27794408

  6. Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta: Literature review and analysis

    Energy Technology Data Exchange (ETDEWEB)

    Dilauro, M.D.; Dason, S. [McMaster University, Michael G. DeGroote School of Medicine (Canada); Athreya, S., E-mail: sathreya@stjoes.ca [Diagnostic Imaging, St Joseph' s Healthcare Hamilton, Ontario (Canada)

    2012-06-15

    Aim: To review the literature on the use of prophylactic balloon occlusion alone and in conjunction with arterial embolization of the internal iliac arteries in women with placenta accreta. Materials and methods: The PubMed, MEDLINE, CINAHL, EMBASE, and Cochrane Library databases were searched for keywords related to this technique and its use in the avoidance of caesarean hysterectomy. The relevant published articles were selected and then searched for further references. Results: The literature search found 15 case reports and five studies for a total of 20 articles. The use of balloon catheters to prevent post-partum haemorrhage in women with placenta accreta is controversial with some investigators reporting reduced blood loss and transfusion requirements while others reporting no benefit. This procedure does not appear to reduce operative time or hospital stay. Some groups have described catheter-related complications, such as maternal thromboembolic events and the need for stent placement and/or arterial bypass. Thus far, there is no reported maternal or foetal mortality related to this procedure. Conclusion: Current evidence is based upon case reports and small retrospective studies. Larger studies or randomized controlled trials are essential in order to demonstrate the safety and efficacy of bilateral iliac balloon occlusion. The creation of a data registry would also facilitate the reporting of this technique.

  7. Market--what market? A review of Health Authority purchasing in the NHS internal market.

    Science.gov (United States)

    West, P A

    1998-05-01

    This paper argues that the British NHS Reforms (the 'Reforms') set out in Working for Patients [1] largely failed to create a market, to achieve the changes that market forces might have been expected to achieve or to meet the objectives set for the NHS in Working for Patients. It draws on the available literature and the author's experience of work with the NHS during the 6 years after Working for Patients. It is hampered, as are all such reviews of the UK Reforms, by the lack of a detailed and systematic research appraisal of the internal market. Many small changes, resulting from market mechanisms, may have occurred throughout the NHS without being publicized or well documented. But overall, there is little convincing evidence that the Reforms have achieved their goals or met the objectives of the politicians who initiated them. The argument here is necessarily limited by the space available (but see [2] for a detailed analysis of the NHS Reforms). The initial sections of the paper examine the characteristics of markets and market power and the extent to which the NHS Reforms created a market, with health authorities and fund-holders as its buyers. The paper concentrates in particular on health authorities. Later sections then examine the extent to which the Reforms met the objectives set out in Working for Patients.

  8. Buprenorphine and Buprenorphine/Naloxone Diversion, Misuse, and Illicit Use: An International Review

    Science.gov (United States)

    Yokell, Michael A.; Zaller, Nickolas D.; Green, Traci C.; Rich, Josiah D.

    2011-01-01

    The diversion, misuse, and non-medically supervised use of buprenorphine and buprenorphine/naloxone by opioid users are reviewed. Buprenorphine and buprenorphine/naloxone are used globally as opioid analgesics and in the treatment of opioid dependency. Diversion of buprenorphine and buprenorphine/naloxone represents a complex medical and social issue, and has been widely documented in various geographical regions throughout the world. We first discuss the clinical properties of buprenorphine and its abuse potential. Second, we discuss its diversion and illicit use on an international level, as well as motivations for those activities. Third, we examine the medical risks and benefits of buprenorphine’s non-medically supervised use and misuse. These risks and benefits include the effect of buprenorphine’s use on HIV risk and the risk of its concomitant use with other medications and drugs of abuse. Finally, we discuss the implications of diversion, misuse, and non-medically supervised use (including potential measures to address issues of diversion); and potential areas for further research. PMID:21466501

  9. Review of chemical and radiotoxicological properties of polonium for internal contamination purposes

    Energy Technology Data Exchange (ETDEWEB)

    Ansoborlo, Eric [Atomic Energy Commission (France); Berard, Philippe [Atomic Energy Commission (France); Den Auwer, Christophe [Atomic Energy Commission (France); Leggett, Richard Wayne [ORNL; Menetrier, Florence [Atomic Energy Commission (France); Younes, Ali [SUBATECH Laboratory (France); Montavon, Gilles [SUBATECH Laboratory (France); Moisy, Phillipe [Atomic Energy Commission (France)

    2012-01-01

    The discovery of polonium (Po) was first published in July 1898 by P. and M. Curie. It was the first element to be discovered by the radiochemical method. Polonium can be considered as a famous but neglected element: only a few studies of polonium chemistry have been published, mostly between 1950 and 1990. The recent (2006) event in which 2106 Po evidently was used as a poison to kill A. Litvinenko has raised new interest in polonium. 2011 being the 100th 8 anniversary of Marie Curie Nobel Prize in Chemistry, the aim of this paper is to review several aspect of polonium linked to its chemical properties and its radiotoxicity, including : i) its radiochemistry and interaction with matter; ii) its main sources and uses; iii) its physico-chemical properties; iv) its main analytical methods; v) its background exposure risk in water, food, and other environmental media; vi) its biokinetics and distribution following inhalation, ingestion and wound contamination; vii) its dosimetry and viii) treatments available (decorporation) in case of internal contamination.

  10. A review of international coverage and pricing strategies for personalized medicine and orphan drugs.

    Science.gov (United States)

    Degtiar, Irina

    2017-12-01

    Personalized medicine and orphan drugs share many characteristics-both target small patient populations, have uncertainties regarding efficacy and safety at payer submission, and frequently have high prices. Given personalized medicine's rising importance, this review summarizes international coverage and pricing strategies for personalized medicine and orphan drugs as well as their impact on therapy development incentives, payer budgets, and therapy access and utilization. PubMed, Health Policy Reference Center, EconLit, Google Scholar, and references were searched through February 2017 for articles presenting primary data. Sixty-nine articles summarizing 42 countries' strategies were included. Therapy evaluation criteria varied between countries, as did patient cost-share. Payers primarily valued clinical effectiveness; cost was only considered by some. These differences result in inequities in orphan drug access, particularly in smaller and lower-income countries. The uncertain reimbursement process hinders diagnostic testing. Payer surveys identified lack of comparative effectiveness evidence as a chief complaint, while manufacturers sought more clarity on payer evidence requirements. Despite lack of strong evidence, orphan drugs largely receive positive coverage decisions, while personalized medicine diagnostics do not. As more personalized medicine and orphan drugs enter the market, registries can provide better quality evidence on their efficacy and safety. Payers need systematic assessment strategies that are communicated with more transparency. Further studies are necessary to compare the implications of different payer approaches. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. International Review of the Development and Implementation of Energy Efficiency Standards and Labeling Programs

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Nan; Zheng, Nina; Fridley, David

    2012-02-28

    Appliance energy efficiency standards and labeling (S&L) programs have been important policy tools for regulating the efficiency of energy-using products for over 40 years and continue to expand in terms of geographic and product coverage. The most common S&L programs include mandatory minimum energy performance standards (MEPS) that seek to push the market for efficient products, and energy information and endorsement labels that seek to pull the market. This study seeks to review and compare some of the earliest and most well-developed S&L programs in three countries and one region: the U.S. MEPS and ENERGY STAR, Australia MEPS and Energy Label, European Union MEPS and Ecodesign requirements and Energy Label and Japanese Top Runner programs. For each program, key elements of S&L programs are evaluated and comparative analyses across the programs undertaken to identify best practice examples of individual elements as well as cross-cutting factors for success and lessons learned in international S&L program development and implementation. The international review and comparative analysis identified several overarching themes and highlighted some common factors behind successful program elements. First, standard-setting and programmatic implementation can benefit significantly from a legal framework that stipulates a specific timeline or schedule for standard-setting and revision, product coverage and legal sanctions for non-compliance. Second, the different MEPS programs revealed similarities in targeting efficiency gains that are technically feasible and economically justified as the principle for choosing a standard level, in many cases at a level that no product on the current market could reach. Third, detailed survey data such as the U.S. Residential Energy Consumption Survey (RECS) and rigorous analyses provide a strong foundation for standard-setting while incorporating the participation of different groups of stakeholders further strengthen the process

  12. Evolution of International Space Station Program Safety Review Processes and Tools

    Science.gov (United States)

    Ratterman, Christian D.; Green, Collin; Guibert, Matt R.; McCracken, Kristle I.; Sang, Anthony C.; Sharpe, Matthew D.; Tollinger, Irene V.

    2013-01-01

    The International Space Station Program at NASA is constantly seeking to improve the processes and systems that support safe space operations. To that end, the ISS Program decided to upgrade their Safety and Hazard data systems with 3 goals: make safety and hazard data more accessible; better support the interconnection of different types of safety data; and increase the efficiency (and compliance) of safety-related processes. These goals are accomplished by moving data into a web-based structured data system that includes strong process support and supports integration with other information systems. Along with the data systems, ISS is evolving its submission requirements and safety process requirements to support the improved model. In contrast to existing operations (where paper processes and electronic file repositories are used for safety data management) the web-based solution provides the program with dramatically faster access to records, the ability to search for and reference specific data within records, reduced workload for hazard updates and approval, and process support including digital signatures and controlled record workflow. In addition, integration with other key data systems provides assistance with assessments of flight readiness, more efficient review and approval of operational controls and better tracking of international safety certifications. This approach will also provide new opportunities to streamline the sharing of data with ISS international partners while maintaining compliance with applicable laws and respecting restrictions on proprietary data. One goal of this paper is to outline the approach taken by the ISS Progrm to determine requirements for the new system and to devise a practical and efficient implementation strategy. From conception through implementation, ISS and NASA partners utilized a user-centered software development approach focused on user research and iterative design methods. The user-centered approach used on

  13. A review and integration of empirical evidence on internal economy in marketing channel relationships

    DEFF Research Database (Denmark)

    Jensen, Nils Bøgelund; Skytte, Hans

    Papiret gennemgår empirisk forskning omkring intern økonomi i distributionskanaler. Ved intern økonomi forstås graden af vertikal integration og beslutningsprocesser i distributionskanaler. På basis af gennemgangen diskuteres konklusioner og resultaterne integreres....

  14. International experience in controlling pharmaceutical expenditure: influencing patients and providers and regulating industry - a systematic review.

    Science.gov (United States)

    Lee, Iyn-Hyang; Bloor, Karen; Hewitt, Catherine; Maynard, Alan

    2015-01-01

    To review international policies to control expenditure on pharmaceuticals by influencing the behaviour of patients and providers and regulating the pharmaceutical industry. Systematic review of experimental and quasi-experimental studies. Published studies were identified with an electronic search strategy using MEDLINE and EMBASE from 1980 to May 2012. Studies were eligible if they assessed the effect of policies aimed at influencing the behaviour of patients and providers, and regulating the pharmaceutical industry. Outcome measures included pharmaceutical expenditure, prices or utilization; other resource use relating to pharmaceuticals; and health outcomes and patients' or providers' behaviour relating to pharmaceutical use. Quality assessment criteria for each study design were developed based on the standard criteria recommended by the Cochrane Effective Practice and Organisation of Care (EPOC) group. The review includes studies based on randomized controlled trials and rigorous quasi-experimental designs (interrupted time-series and controlled before-and-after studies). Studies were excluded if they were conducted within a single hospital or practice; related to pharmaceutical care services or disease management; had less than 6 months of follow-up period (or less than 12 months overall for interrupted time series); if data in controlled before-and-after studies were not collected contemporaneously or if no rationale was stated for the choice of control group; or if relevant and interpretable data were not presented. A total of 255 studies met the inclusion criteria for this review. The majority of the studies relating to patients evaluated cost sharing interventions such as user charges (52 studies). User charges do reduce utilization of pharmaceuticals, and reduce public expenditure by shifting costs to patients. But they reduce the use of essential as well as non-essential drugs, and without adequate exemptions they affect vulnerable groups

  15. Disinvestment and Value-Based Purchasing Strategies for Pharmaceuticals: An International Review.

    Science.gov (United States)

    Parkinson, Bonny; Sermet, Catherine; Clement, Fiona; Crausaz, Steffan; Godman, Brian; Garner, Sarah; Choudhury, Moni; Pearson, Sallie-Anne; Viney, Rosalie; Lopert, Ruth; Elshaug, Adam G

    2015-09-01

    mainly taken the form of price reductions, especially when market failures are perceived to exist, and restricting treatment to subpopulations, particularly when a drug is no longer considered value for money. There is considerable experimentation internationally in mechanisms for disinvestment and the opportunity for countries to learn from each other. Ongoing evaluation of disinvestment strategies is essential, and ought to be reported in the peer-reviewed literature.

  16. Hypertensive disorders of pregnancy: a systematic review of international clinical practice guidelines.

    Directory of Open Access Journals (Sweden)

    Tessa E R Gillon

    Full Text Available Clinical practice guidelines (CPGs are developed to assist health care providers in decision-making. We systematically reviewed existing CPGs on the HDPs (hypertensive disorders of pregnancy to inform clinical practice.MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register, Health Technology Assessments, and Database of Abstracts of Reviews of Effects (Ovid interface, Grey Matters, Google Scholar, and personal records were searched for CPGs on the HDPs (Jan/03 to Nov/13 in English, French, Dutch, or German. Of 13 CPGs identified, three were multinational and three developed for community/midwifery use. Length varied from 3-1188 pages and three guidelines did not formulate recommendations. Eight different grading systems were identified for assessing evidence quality and recommendation strength. No guideline scored ≧80% on every domain of the AGREE II, a tool for assessing guideline methodological quality; two CPGs did so for 5/6 domains. Consistency was seen for (i definitions of hypertension, proteinuria, chronic and gestational hypertension; (ii pre-eclampsia prevention for women at increased risk: calcium when intake is low and low-dose aspirin, but not vitamins C and E or diuretics; (iii antihypertensive treatment of severe hypertension; (iv MgSO4 for eclampsia and severe pre-eclampsia; (v antenatal corticosteroids at <34 wks when delivery is probable within 7 days; (vi delivery for women with severe pre-eclampsia pre-viability or pre-eclampsia at term; and (vii active management of the third stage of labour with oxytocin. Notable inconsistencies were in: (i definitions of pre-eclampsia and severe pre-eclampsia; (ii target BP for non-severe hypertension; (iii timing of delivery for women with pre-eclampsia and severe pre-eclampsia; (iv MgSO4 for non-severe pre-eclampsia, and (v postpartum maternal monitoring.Existing international HDP CPGs have areas of consistency with which clinicians and

  17. A Systematic Review of the Effect of Therapists' Internalized Models of Relationships on the Quality of the Therapeutic Relationship.

    Science.gov (United States)

    Steel, Catherine; Macdonald, James; Schroder, Thomas

    2018-01-01

    Previous reviews have found equivocal evidence of an association between therapists' internalized relational models and the therapeutic relationship and have neglected empirical literature based on Sullivan's notion of introject. This review expanded upon previous reviews to examine the effect of therapist internalized relational models on a broader conceptualization of the therapeutic relationship. Systematic search processes identified 22 papers measuring therapist attachment and/or introject and therapeutic relationship: 19 on therapist attachment, 5 on introject with 2 overlapping. Overall, despite heterogeneity in design and variable methodological quality, evidence suggests that therapist attachment affects therapeutic relationship quality, observed in client-rated evaluation, therapist negative countertransference, empathy, and problems in therapy. Interaction effects between client and therapist attachment style were also found. Evidence suggesting that therapist introject also affects therapeutic relationship quality, including therapists' manner and feelings toward their clients, was stronger. Evidence clearly shows that therapists' internalized relational models affect the therapeutic relationship. More research is necessary to clarify exactly how therapist and client internalized relational models interact and translate these findings into clinical practice. © 2017 Wiley Periodicals, Inc.

  18. Five-year review of an international clinical research-training program

    Directory of Open Access Journals (Sweden)

    Suemoto CK

    2015-04-01

    Full Text Available Claudia Kimie Suemoto,1,2 Sherine Ismail,1,3 Paulo César Rodrigues Pinto Corrêa,1,4,5 Faiza Khawaja,1,6 Teodoro Jerves,1 Laura Pesantez,1 Ana Claudia Camargo Gonçalves Germani,1,7 Fabio Zaina,1,8 Augusto Cesar Soares dos Santos Junior,1,9,10 Ricardo Jorge de Oliveira Ferreira,1,11 Priyamvada Singh,1,12 Judy Vicente Paulo,1,13 Suely Reiko Matsubayashi,1,14 Liliane Pinto Vidor,1,15 Guilherme Andretta,1,16 Rita Tomás,1,17 Ben MW Illigens,1,18 Felipe Fregni1,18,19 1Collaborative Learning in Clinical Research Program, Principles and Practice of Clinical Research (PPCR, Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital and Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; 2Discipline of Geriatrics, Department of Internal Medicine, University of São Paulo Medical School, São Paulo, Brazil; 3King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Pharmaceutical Care Department, King Khalid Hospital, NGHA, Jeddah, Saudi Arabia; 4Discipline of Internal Medicine and Medical Semiology, Department of Internal Medicine, Federal University of Ouro Preto (UFOP Medical School, Ouro Preto, Brazil; 5Discipline of Pneumology, Department of Internal Medicine, Centro Universitário de Belo Horizonte (Uni-BH, Belo Horizonte, Brazil; 6Canadian Centre for Advanced Eye Therapeutics, Mississauga, ON, Canada; 7Department of Preventive Medicine, University of São Paulo Medical School, São Paulo, Brazil; 8Italian Scientific Spine Institute (ISICO, Milan, Italy; 9Hospital Osvaldo Rezende Franco, Betim, Brazil; 10Nucleo de Avaliação de Tecnologia em Saude, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; 11Department of Rheumatology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; 12Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA, USA; 13Portuguese Institute of Oncology, Coimbra, Portugal; 14Acupuncture

  19. The use of foresight methods in strategic raw materials intelligence - an international review

    Science.gov (United States)

    Konrat Martins, Marco Antonio; Bodo, Balazs; Falck, Eberhard

    2017-04-01

    Foresight methods are systematic attempts to look into the longer term future of science, society, economy and technology. There is a range of tools and techniques that can be used individually or combined, most commonly classified into qualitative, quantitative or semi-quantitative methods, that follow an exploratory or normative approach. These tools can help to identify the longer term visions, orienting policy formulation and decisions, triggering actions, among other objectives. There is an identified lack of European strategic foresight knowledge in the raw materials domain. Since the European Raw Materials Initiative was launched in 2008, the EU has been attempting to overcome challenges related to the future access of non-energy and non-agricultural raw materials. In this context, the ongoing H2020 project, MICA (Mineral Intelligence Capacity Analysis, Grant Agreement No. 689648), has been launched to answer to stakeholders needs by consolidating relevant data, determining relevant methods and tools, and investigating Raw Materials Intelligence options for European mineral policy development, all tailored to fit under the umbrella of a European Raw Materials Intelligence Capacity Platform (EU-RMICP). As part of the MICA activities, an assessment of best practices and benchmarks of international raw materials foresight case studies has been carried out in order to review how EU and non-EU countries have employed foresight. A pool of 30 case studies has been collected and reviewed internationally, one third of which were selected for detailed assessment. These were classified according to their background and goals, in function of methods employed, and to the purpose of each method in the study: a total of 12 different methods were identified in these studies. For longer time frames, qualitative predictive methods such as Scenario Development have been repeatedly observed for mineral raw materials foresight studies. Substantial variations were observed in

  20. Japan's Siting Process for the Geological Disposal of High-level Radioactive Waste - An International Peer Review

    International Nuclear Information System (INIS)

    Brassinnes, Stephane; Fabbri, Olivier; Rubenstone, James; Seppaelae, Timo; Siemann, Michael; ); Kwong, Gloria; )

    2016-01-01

    The Nuclear Energy Agency carried out an independent peer review of Japan's siting process and criteria for the geological disposal of high-level radioactive waste in May 2016. The review concluded that Japan's site screening process is generally in accordance with international practices. As the goal of the siting process is to locate a site - that is both appropriate and accepted by the community - to host a geological disposal facility for high-level radioactive waste, the international review team emphasises in this report the importance of maintaining an open dialogue and interaction between the regulator, the implementer and the public. Dialogue should begin in the early phases and continue throughout the siting process. The international review team also underlines the importance of taking into account feasibility aspects when selecting a site for preliminary investigations, but suggests that it would be inappropriate to set detailed scientific criteria for nationwide screening at this stage. The team has provided extensive advisory remarks in the report as opportunities for improvement, including the recommendation to use clear and consistent terminology in defining the site screening criteria as it is a critical factor in a successful siting process. (authors)

  1. An international perspective and review of cocaine-induced psychosis: a call to action.

    Science.gov (United States)

    Roncero, Carlos; Daigre, Costanza; Grau-López, Lara; Barral, Carmen; Pérez-Pazos, Jesus; Martínez-Luna, Nieves; Casas, Miquel

    2014-01-01

    Cocaine use can induce transient psychotic symptoms that include suspiciousness, paranoia, hallucinations, and other cocaine-related behaviors. In this commentary, the authors provide an international perspective while reviewing the recent advances in epidemiology, clinical features, and risk factors related to cocaine-induced psychosis exhibited by patients with cocaine use disorders. In some settings, the occurrence of cocaine-induced psychosis has been shown to be as high as 86.5%. Many risk factors have been linked with cocaine-induced psychosis, including the quantity of cocaine consumed, lifetime amount of cocaine use, onset of cocaine dependence, years of use, routes of administration, other substance use disorder comorbidity, weight, gender, comorbidity with other medical and mental health disorders, genetics, and pharmacological interactions. Research has shown that the evaluation of cocaine-induced psychosis in patients with cocaine use is clinically relevant, especially in those patients who consume high amounts of cocaine, have a cannabis dependence history, have antisocial personality disorder, use administration routes other than intranasal, or exhibit attention-deficit/hyperactivity disorder (ADHD) comorbidity. Currently, the literature lacks information regarding the evolution of cocaine dependence or cocaine-dependent patients' risk for developing schizophrenia or other psychotic disorders. Furthermore, clinicians still do not have an evidence-based pharmacological approach to management of cocaine dependence available to them. Additional research is also needed regarding risk factors such as neurobiological markers and personality traits. Finally, we recommend the development of an integrative model including all of the risk factors and protective factors for cocaine-induced psychosis.

  2. Systematic review and comparison of national and international guidelines on diverticular disease.

    Science.gov (United States)

    Galetin, T; Galetin, A; Vestweber, K-H; Rink, A D

    2018-03-01

    Diverticular disease is common and of increasing medical and economical importance. Various practice guidelines on diagnostic and treatment on this disease exist. We compared current guidelines on the disease in order to identify concordant and discordant recommendations. Eleven national and international guidelines on diverticular disease published over the last 10 years have been identified by a systematic literature review on PubMed and compared in detail for 20 main and 51 subtopics. The available evidence for the most aspects was rated as moderate or low. There was concordance for the following items: Diagnosis of diverticulitis should be confirmed by imaging methods (10 of 10 guidelines). Mild forms may be treated out-patient (10/10). Abscesses are treated non-surgically (9/9). Elective surgery should be indicated by individual patient-related factors, only, and be performed laparoscopically (10/10, 9/9 respectively). Main differences were found in the questions of appropriate classification, imaging diagnostic (computed-tomography versus ultra-sound), need for antibiotics in out-patient treatment and mode of surgery for diverticular perforation. Despite growing evidence that antibiotics are not needed for treating mild diverticulitis, only 3/10 guidelines have corresponding recommendations. Hartmann's procedure has been abandoned several years ago and is now recommended for feculent peritonitis by the three most recent guidelines. In contrast, laparoscopic lavage without resection is not recommended anymore. There are dissents in the recommendations for central aspects regarding the diagnostic and treatment of diverticular disease in recently published guidelines.

  3. A review on wax printed microfluidic paper-based devices for international health.

    Science.gov (United States)

    Altundemir, S; Uguz, A K; Ulgen, K

    2017-07-01

    Paper-based microfluidics has attracted attention for the last ten years due to its advantages such as low sample volume requirement, ease of use, portability, high sensitivity, and no necessity to well-equipped laboratory equipment and well-trained manpower. These characteristics have made paper platforms a promising alternative for a variety of applications such as clinical diagnosis and quantitative analysis of chemical and biological substances. Among the wide range of fabrication methods for microfluidic paper-based analytical devices ( μ PADs), the wax printing method is suitable for high throughput production and requires only a commercial printer and a heating source to fabricate complex two or three-dimensional structures for multipurpose systems. μ PADs can be used by anyone for in situ diagnosis and analysis; therefore, wax printed μ PADs are promising especially in resource limited environments where people cannot get sensitive and fast diagnosis of their serious health problems and where food, water, and related products are not able to be screened for toxic elements. This review paper is focused on the applications of paper-based microfluidic devices fabricated by the wax printing technique and used for international health. Besides presenting the current limitations and advantages, the future directions of this technology including the commercial aspects are discussed. As a conclusion, the wax printing technology continues to overcome the current limitations and to be one of the promising fabrication techniques. In the near future, with the increase of the current interest of the industrial companies on the paper-based technology, the wax-printed paper-based platforms are expected to take place especially in the healthcare industry.

  4. An International Peer Review of the Safety Options Dossier of the Project for Disposal of Radioactive Waste in Deep Geological Formations (Cigéo). Final Report of the IAEA International Review Team November 2016

    International Nuclear Information System (INIS)

    2017-07-01

    The French Nuclear Safety Authority (Autorité de sûreté nucléaire, ASN) is preparing the evaluation of a licence application for the creation of a deep geological disposal facility in 2018, called Cigéo, for intermediate level, high level and long lived radioactive waste. This licence is preceded by the submission of a Safety Options Dossier to ASN, which provides the French National Radioactive Waste Management Agency (Agence nationale pour la gestion des déchets radioactifs, Andra) the possibility to receive advice from ASN on the preparation of the licence application on the safety principles and approach. The Safety Options Dossier sets out the chosen objectives, concepts and principles for ensuring the safety of the facility. ASN requested the IAEA to organize an international peer review of the Safety Options Dossier. This publication presents the consensus view of the international group of experts convened by the IAEA to conduct the review against the relevant IAEA safety standards and proven international practice and experience. The experts acted in a personal capacity and the views expressed do not necessarily reflect those of the IAEA, the governments of the nominating Member States or the nominating organizations. The basis of this peer review is the set of documents provided by Andra, as the agency responsible for the development of the Cigéo project and for its safety. Consequently, the findings of the reviews are addressed directly to Andra. This publication, however, is primarily submitted to ASN to review the outcomes of the Andra project.

  5. Trade-offs between Energy Efficiency improvements and additional Renewable Energy supply: A review of international experiences

    DEFF Research Database (Denmark)

    Baldini, Mattia; Klinge Jacobsen, Henrik

    Energy is a commodity used worldwide, representing a vital input for social and economic development. Due to continuous growth, energy demand has increased. Solutions have been proposed in order to satisfy the increase in demand, often implying the increase of capacity of the power mix. Meanwhile......-savings opportunities are missed. The aim of this paper is to review and evaluate international experiences on finding the optimal trade-off between efficiency improvements and additional renewable energy supply. A critical review of each technique, focusing on purposes, methodology and outcomes, is provided along...

  6. Optimal trade-offs between energy efficiency improvements and additional renewable energy supply: A review of international experiences

    DEFF Research Database (Denmark)

    Baldini, Mattia; Klinge Jacobsen, Henrik

    2016-01-01

    Energy is a commodity used worldwide, representing a vital input for social and economic development. Due to continuous growth, energy demand has increased. Solutions have been proposed in order to satisfy the increase in demand, often implying the increase of capacity of the power mix. Meanwhile...... international experiences on finding the optimal trade-off between efficiency improvements and additional renewable energy supply. A critical review of each technique, focusing on purposes, methodology and outcomes, is provided along with a review of tools adopted for the analyses. The models are categorized...

  7. An International Literature Review of 1:1 Computing in Schools

    Science.gov (United States)

    Islam, M. Sirajul; Grönlund, Åke

    2016-01-01

    This paper is based on a systematic literature review relevant to classroom integration of computer technologies in schools. The purpose of this review is to gain an accumulated view of uses, impacts and implementations of 1:1 computing initiatives for school children. Unlike previous reviews this study is not limited to certain countries or…

  8. Reviews of the Norwegian climate policy - a synthesis of four international reports

    Energy Technology Data Exchange (ETDEWEB)

    Alfsen, Knut H.; Bjoernaes, Christian; Reed, Eilif Ursin

    2011-07-01

    The report is a synthesis of four reviews on the Norwegian climate policy: 1. Environmental performance review of Norway, OECD 2011 2. Energy Policies of IEA Countries, Norway, IEA 2011 3. Economic Survey of Norway, OECD 2010 4. Report on the in-depth review of the fifth national communication of Norway.(auth)

  9. A review of Kuala Lumpur International Airport (KLIA) as a competitive South-East Asia hub

    Science.gov (United States)

    Bardai, A. M.; Er, A. Z.; Johari, M. K.; Noor, A. A. Mohd

    2017-12-01

    This paper is aimed to determine the strengths and weaknesses of Kuala Lumpur International Airport (KUL) against its competitors in Southeast Asia countries. Due to the geographical and market relevance issues, several airport hubs around KUL are chosen for comparison: Changi International Airport (SIN), Suvarnabhumi International Airport (BKK) and Soekarno-Hatta International Airport (CGK). Strengths, weaknesses, opportunities and threats (SWOT) analysis is used to evaluate the comparative situation between the airports in relation to changing industry and market environment. The study discovers some competitive edges for KUL. Nonetheless, the airport still has to be improved to face future challenges and it is under imminent threat of new aircraft technology.

  10. The relationship between international trade and non-nutritional health outcomes: A systematic review of quantitative studies.

    Science.gov (United States)

    Burns, Darren K; Jones, Andrew P; Suhrcke, Marc

    2016-03-01

    Markets throughout the world have been reducing barriers to international trade and investment in recent years. The resulting increases in levels of international trade and investment have subsequently generated research interest into the potential population health impact. We present a systematic review of quantitative studies investigating the relationship between international trade, foreign direct investment and non-nutritional health outcomes. Articles were systematically collected from the SCOPUS, PubMed, EconLit and Web of Science databases. Due to the heterogeneous nature of the evidence considered, the 16 included articles were subdivided into individual level data analyses, selected country analyses and international panel analyses. Articles were then quality assessed using a tool developed as part of the project. Nine of the studies were assessed to be high quality, six as medium quality, and one as low quality. The evidence from the quantitative literature suggests that overall, there appears to be a beneficial association between international trade and population health. There was also evidence of the importance of foreign direct investment, yet a lack of research considering the direction of causality. Taken together, quantitative research into the relationship between trade and non-nutritional health indicates trade to be beneficial, yet this body of research is still in its infancy. Future quantitative studies based on this foundation will provide a stronger basis on which to inform relevant national and international institutions about the health consequences of trade policies. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Lessons Learned From the Development, Operation, and Review of Mechanical Systems on the Space Shuttle, International Space Station, and Payloads

    Science.gov (United States)

    Dinsel, Alison; Jermstad, Wayne; Robertson, Brandan

    2006-01-01

    The Mechanical Design and Analysis Branch at the Johnson Space Center (JSC) is responsible for the technical oversight of over 30 mechanical systems flying on the Space Shuttle Orbiter and the International Space Station (ISS). The branch also has the responsibility for reviewing all mechanical systems on all Space Shuttle and International Space Station payloads, as part of the payload safety review process, through the Mechanical Systems Working Group (MSWG). These responsibilities give the branch unique insight into a large number of mechanical systems, and problems encountered during their design, testing, and operation. This paper contains narrative descriptions of lessons learned from some of the major problems worked on by the branch during the last two years. The problems are grouped into common categories and lessons learned are stated.

  12. Student Mobility Reviewed: Attraction and Satisfaction of International Students in Turkey

    Science.gov (United States)

    Kondakci, Yasar

    2011-01-01

    Building on international migration theories and the literature on the dynamics of student mobility, this study sketches a two-dimensional framework and examines its utility to understand the rationales of in-bounding student mobility in Turkey. The empirical part of the study was conducted with 331 international students studying in public…

  13. International Test Score Comparisons and Educational Policy: A Review of the Critiques

    Science.gov (United States)

    Carnoy, Martin

    2015-01-01

    Stanford education professor Martin Carnoy examines four main critiques of how international test results are used in policymaking. Of particular interest are critiques of the policy analyses published by the Program for International Student Assessment (PISA). Using average PISA scores as a comparative measure of student achievement is misleading…

  14. A review on process intensification in internally heat-integrated distillation columns

    NARCIS (Netherlands)

    Kiss, Anton Alexandru; Olujic, Zarko

    2014-01-01

    Internally heat-integrated distillation column (HIDiC) is the most radical approach of a heat pump design, making efficient use of internal heat-integration: the rectifying section of a distillation column operating at a higher pressure becomes the heat source, while the stripping part of the column

  15. Internal carotid artery agenesis: A case report and review of literature

    Science.gov (United States)

    Hooda, Kusum; Gupta, Nishant; Kumar, Yogesh

    2017-01-01

    Congenital agenesis of the internal carotid artery is a very rare anomaly. Intracranial circulation in the involved internal carotid artery territory is maintained by collateral circulation from the contralateral internal carotid artery through the anterior communicating artery and from the vertebrobasilar system through the posterior communicating artery. Usually, patients with internal carotid artery agenesis are asymptomatic due to collateral circulation, but they may present with headache, seizures, or transient ischemic attack. Aneurysms have also been reported to be associated with this entity. Computed tomography angiography, magnetic resonance angiography, and digital subtraction angiography are commonly used modalities to make the diagnosis. Unenhanced skull base computed tomography will show the absence of carotid canal, thus differentiating from carotid hypoplasia. We report on a case of right internal carotid artery agenesis with discussion of embryogenesis, clinical presentation, and imaging findings. PMID:28424012

  16. Report of the IPERS (International Peer Review Service) phase 1 review mission for the Temelin nuclear power plant Level 1 probabilistic safety assessment in the Czech Republic 24 April to 5 May 1995

    International Nuclear Information System (INIS)

    1995-01-01

    This report presents the results of the IAEA International Peer Review Services Phase 1 review of the internal events, Level 1 probabilistic safety assessment (PSA) for the Temelin Unit 1 and 2 NPP. The review was based on the PSA documentation available and on intensive communications with the analysis team and representatives from the utility and future plant operator. The results presented herein reflect the views of the international experts carrying out the review. They are provided for consideration by the responsible authorities of the Czech Republic. 2 refs, 1 fig., 5 tabs

  17. Experience of Education in the International Classroom-A Systematic Literature Review

    OpenAIRE

    Safipour, Jalal; Wenneberg, Stig; Hadziabdic, Emina

    2017-01-01

    In this essay, we investigate the learning and teaching experiences in the international classroom from both the teachers and the students’ perspectives. The findings of this study showed that language barriers are one of the difficulties, but academic cultural differences seem to play a more important role that can impact on the learning outcomes in the international classroom. This can also lead to negative experiences and the forming of stereotypical views of internationa...

  18. Review and Evaluation of Internal Control in the Department of the Navy.

    Science.gov (United States)

    1984-03-01

    68 1. Study of the Current System ------------------ 68 2. Preliminary Evaluation of the System - Compliance Testing...books slush funds. As a result, Congress passed, and President Carter signed, the Foreign Corrupt Practices Act ( FCPA ) of 1977. Bribes or payments to...literature, namely CAP’s 1972 clarification of the types of internal control. In its interpretation of the internal accounting control provisions of the FCPA

  19. Report of the IPERS (International Peer Review Service) pre-review workshop for the Zaporozhye, Unit 5 nuclear power plant probabilistic safety assessment in Vienna, Austria 12 to 16 June 1995

    International Nuclear Information System (INIS)

    1995-01-01

    This report presents the results of the IAEA international peer review services pre-review workshop held in Vienna, 12 to 16 June 1995, which reviewed the status of the present version of the Probabilistic Safety Assessment (PSA) for the Zaporozhye, Unit 5, nuclear power plant. 3 refs, 1 fig., 1 tab

  20. BOOK REVIEW: Key Science Physics: New Edition and Key Science Physics for International Schools: Extension File

    Science.gov (United States)

    Maybank, Maureen

    1999-09-01

    When handling , I recalled how one set of sixth-form students that I taught affectionately referred to Jim Breithaupt's large format book Understanding Physics for Advanced Level as `Big Jim'. This package, for GCSE students and teachers, is its younger brother. Key Science Physics was reviewed in this journal over four years ago. Now it is in a new edition with an expanded ring file of teacher resources (a Teacher's Guide and Extension File). It has been expanded for a wider range of students to meet the requirements of all GCSE syllabuses with additional topics for IGCSE and IB. The international bit seems to be among materials in the file of resources and does not appear in the title of the students' textbook. This is not one of those purchases that will only get occasional use and be left in a department library but it is one that contains sufficient excellent material to become central to any GCSE Physics course. For the students there is a single-volume 396-page textbook in full colour (not a heavyweight book). Marginal comments point out places where an Activity or Assignment from the Extension File fits in. All the materials in the teacher's Extension File are cross referenced to the numbering of this textbook, i.e. its Themes, Topics, Checkpoints, Tests etc, not to page numbers. The margin is used in other attractive ways to highlight a summary, propose a first thought or provide a topic summary. The text is fruitful mix of pure physics, applications and personalities. To support the students' practical work the Extension File contains photocopiable sheets. For the activities and assignments a few contain a harder version to give access to the higher levels of attainment. Four alternatives to practical questions are given; there are also exam questions and multiple choice questions for each topic. These all have helpful mark schemes on the teacher's answers pages. What else do you get? A Glossary collection of sheets to photocopy with space to enter a

  1. [Indication and Evidence of Internationally Developed Online Coaches as Intervention for Mental Illness - a Meta-Review].

    Science.gov (United States)

    Stein, Janine; Röhr, Susanne; Luck, Tobias; Löbner, Margrit; Riedel-Heller, Steffi G

    2018-01-01

    The aim of the study was to investigate the current state of research concerning internationally developed Online Coaches for treatment support and prevention of mental disorders. Evidence and effectiveness of the Online Coaches ought to be explored. A systematic literature search was performed in international databases in order to provide a meta-review of existing Online Coaches for mental disorders. The assessment of the methodological quality and evidence of the studies was based on the established guidelines of the Scottish Intercollegiate Guideline Network. 52 studies (24 meta-analyses, 16 systematic reviews, 2 health-technology assessment reports, and 10 RCT studies) were identified. The efficacy was demonstrated for a variety of Online Coaches for mental disorders, especially for anxiety and depressive disorders, insomnia, and post-traumatic stress disorders, with predominantly acceptable and high quality. The present work provides an overview of internationally developed Online Coaches in the field of mental health care. Online Coaches can serve as a useful supplement to the treatment and prevention of mental disorders. © Georg Thieme Verlag KG Stuttgart · New York.

  2. A systematic review of contralateral liver lobe hypertrophy after unilobar selective internal radiation therapy with Y90.

    Science.gov (United States)

    Teo, Jin-Yao; Allen, John C; Ng, David C; Choo, Su-Pin; Tai, David W M; Chang, Jason P E; Cheah, Foong-Khoon; Chow, Pierce K H; Goh, Brian K P

    2016-01-01

    Curative liver resection is the treatment of choice for both primary and secondary liver malignancies. However, an inadequate future liver remnant (FLR) frequently precludes successful surgery. Portal vein embolization is the gold-standard modality for inducing hypertrophy of the FLR. In recent times, unilobar Yttrium-90 selective internal radiation therapy (SIRT) has been reported to induce hypertrophy of the contralateral, untreated liver lobe. The aim of this study is to review the current literature reporting on contralateral liver hypertrophy induced by unilobar SIRT. A systematic review of the English-language literature between 2000 and 2014 was performed using the search terms "Yttrium 90" OR "selective internal radiation therapy" OR "radioembolization" AND "hypertrophy". Seven studies, reporting on 312 patients, were included. Two hundred and eighty four patients (91.0%) received treatment to the right lobe. Two hundred and fifteen patients had hepatocellular carcinoma (HCC), 12 had intrahepatic cholangiocarcinoma, and 85 had liver metastases from mixed primaries. Y90 SIRT resulted in contralateral liver hypertrophy which ranged from 26 to 47% at 44 days-9 months. All studies were retrospective in nature, and heterogeneous, with substantial variations relative to pathology treated, underlying liver disease, dosage and delivery of Y90, number of treatment sessions and time to measurement of hypertrophy. Unilobar Y90 SIRT results in significant hypertrophy of the contralateral liver lobe. The rate of hypertrophy seems to be slower than that achieved by other methods. Copyright © 2015 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.

  3. Amendments to the Audit Report for the Review of International Standards on Auditing

    Directory of Open Access Journals (Sweden)

    Mortură Laura-Alexandra

    2017-01-01

    Full Text Available As a result of the last economic and financial crisis, the auditors' impact on its triggering wasquestioned, as the opinion expressed by the auditors directly influenced, the decisions taken by theusers of the financial and accounting information, namely the investors. The sign of question on theauditors 'work was also due to a lack of knowledge of the auditors' responsibility by the users. Theopinion issued by the auditor provides reasonable, but not absolute, assurance on the informationprovided by the financial statements, in which case the auditor's responsibility is limited. Tomitigate these discrepancies, the International Auditing and Assurance Standards Board (IAASBhas developed projects that have generated solutions to improve International Standards onAuditing. Thus, in 2015, the IAASB issued a new edition of the International Auditing Standards,which made changes in the drafting of the audit report.

  4. Theory building trends in international management research: an archival review of preferred methods

    Directory of Open Access Journals (Sweden)

    Drikus Kriek

    2011-08-01

    Full Text Available A number of distinguished scholars believe that for theory development to occur within a field, qualitative research must precede quantitative research in order for the field to progress toward maturity. The purpose of this study was to investigate the international management literature from 1991-2007 to ascertain current levels of use of qualitative, quantitative, conceptual and joint (quantitative and qualitative research methods in the field.  Results indicate scholars employ quantitative methods more than qualitative methods.  The implications of these findings for future theory development and the generation of context relevant international management knowledge are discussed.

  5. External Fixation versus two-stage Open Reduction Internal Fixation of distal intra-articular Tibia fractures; a Systematic Review

    DEFF Research Database (Denmark)

    Ladeby Erichsen, Julie; Jensen, Carsten; Damborg, Frank Lindhøj

    (>18 years) were included for review. 3071 studies were identified and screened by two independent authors according to the PRISMA guidelines. Cochrane Risk of bias Tool for RCT and non-randomised studies (ROBIN-1) were used to assess risk of bias. Results: One RCT study and four cohort studies......Background: Distal Intra-Articular Tibia Fractures (DIATF) is challenging to treat and severe loss of physical function affecting working abilities has been reported. Aim: To investigate differences in physical function and complications following DIATF surgery with two-stage Open Reduction...... Internal Fixation (ORIF) or External Fixation (EF). Method : A search was conducted using PUBMED, Embase, Cochrane Central, Open Grey, Orthopaedic Proceedings and WHO International Clinical Trials Registry Platform. Studies with level of evidence I-IV comparing EF with two-stage ORIF of DIATF in patients...

  6. Exploring Provision for Children Identified with Special Educational Needs: An International Review of Policy and Practice

    Science.gov (United States)

    Rix, Jonathan; Sheehy, Kieron; Fletcher-Campbell, Felicity; Crisp, Martin; Harper, Amanda

    2013-01-01

    This project aimed to create a descriptive map of international research which explores the notion of the continuum of educational provision for children with special educational needs. It also aimed to determine and examine the nature of how the continuum of provision is conceptualised, operationalised and enacted in a sample of selected…

  7. Literacy Achievement and Economic Health: A Correlative Review of National and International Data

    Science.gov (United States)

    Stephens, Monica Fadel

    2012-01-01

    In the face of global economic recession, the competition and collaboration for innovation and future growth among nations has led to discussions of how young people are being prepared to become the next generation of workers and leaders. Although the U.S. has enjoyed a strong presence among the international community since the turn of the…

  8. Experience of Education in the International Classroom--A Systematic Literature Review

    Science.gov (United States)

    Safipour, Jalal; Wenneberg, Stig; Hadziabdic, Emina

    2017-01-01

    In this essay, we investigate the learning and teaching experiences in the international classroom from both the teachers and the students' perspectives. The findings of this study showed that language barriers are one of the difficulties, but academic cultural differences seem to play a more important role that can impact on the learning outcomes…

  9. On Applications of Rasch Models in International Comparative Large-Scale Assessments: A Historical Review

    Science.gov (United States)

    Wendt, Heike; Bos, Wilfried; Goy, Martin

    2011-01-01

    Several current international comparative large-scale assessments of educational achievement (ICLSA) make use of "Rasch models", to address functions essential for valid cross-cultural comparisons. From a historical perspective, ICLSA and Georg Rasch's "models for measurement" emerged at about the same time, half a century ago. However, the…

  10. International bioenergy trade - a review of past developments in the liquid biofuels market

    NARCIS (Netherlands)

    Lamers, P.; Hamelinck, C.N.; Junginger, H.M.|info:eu-repo/dai/nl/202130703; Faaij, A.P.C.|info:eu-repo/dai/nl/10685903X

    2011-01-01

    Policies aimed to promote biofuels locally had tremendous effects on global market developments across the past decade. This article develops insights into the interaction of these policies and market forces via a comprehensive collection and analysis of international production and trade data. It

  11. The Politics of English, Language and Uptake: The Case of International Academic Journal Article Reviews

    Science.gov (United States)

    Lillis, Theresa; Curry, Mary Jane

    2015-01-01

    Drawing on 95 text histories from a longitudinal project on writing for publication in 4 national contexts, this article analyses the language ideologies enacted in referees' and editors' comments on articles submitted for publication in English-medium "international" journals. It considers how orientations to "English,"…

  12. Acardia : Epidemiologic Findings and Literature Review From the International Clearinghouse for Birth Defects Surveillance and Research

    NARCIS (Netherlands)

    Botto, Lorenzo D.; Feldkamp, Marcia L.; Amar, Emmanuelle; Carey, John C.; Castilla, Eduardo E.; Clementi, Maurizio; Cocchi, Guido; de Walle, Hermien E. K.; Halliday, Jane; Leoncini, Emanuele; Li, Zhu; Lowry, R. Brian; Marengo, Lisa K.; Martinez-Frias, Maria-Luisa; Merlob, Paul; Morgan, Margery; Luna Munoz, Leonora; Rissmann, Anke; Ritvanen, Annukka; Scarano, Gioacchino; Mastroiacovo, Pierpaolo

    2011-01-01

    Acardia is a severe, complex malformation of monozygotic twinning, but beyond clinical case series, very few epidemiologic data are available. The goals of this study were to assess the epidemiologic characteristics of acardia from birth defect registries in the International Clearinghouse for Birth

  13. Systematic review of evidence and consensus on diverticulitis: an analysis of national and international guidelines

    NARCIS (Netherlands)

    Vennix, S.; Morton, D. G.; Hahnloser, D.; Lange, J. F.; Bemelman, W. A.

    2014-01-01

    The study aimed to analyse the currently available national and international guidelines for areas of consensus and contrasting recommendations in the treatment of diverticulitis and thereby to design questions for future research. MEDLINE, EMBASE and PubMed were systematically searched for

  14. Review of International Research on Factors Underlying Teacher Absenteeism. REL 2015-087

    Science.gov (United States)

    Lee, Mary; Goodman, Crystal; Dandapani, Nitara; Kekahio, Wendy

    2015-01-01

    Throughout the U.S.-affiliated Pacific Region, teacher absenteeism has posed a long-standing challenge. This report draws on research literature from international contexts and case studies to identify the underlying factors that may relate to teacher absenteeism. Resources included in this report were selected with a focus on non-U.S. Pacific…

  15. 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

  16. The relationship between internal and external cooperation: literature review and propositions

    NARCIS (Netherlands)

    Hillebrand, B.; Biemans, W.G.

    2003-01-01

    Over time, the management literature has paid much attention to the topic of cooperation. The literature on cooperation can be divided into two broad parts, with one part focusing on cooperation within organizations (internal cooperation) and another addressing cooperation between organizations

  17. Closing the Learning Loop: A Review of Assignments in International Business Education

    Science.gov (United States)

    Seno-Alday, Sandra; Budde-Sung, Amanda

    2016-01-01

    The continuing rapid globalization has significantly changed the nature of business and management, leading to increased pressure from a wide range of stakeholders to globalize business schools and to internationalize business curricula. This comes with a corresponding imperative to rigorously evaluate the impact of an international business…

  18. What proportion of international travellers acquire a travel-related illness? A review of the literature.

    Science.gov (United States)

    Angelo, Kristina M; Kozarsky, Phyllis E; Ryan, Edward T; Chen, Lin H; Sotir, Mark J

    2017-09-01

    As international travel increases, travellers may be at increased risk of acquiring infectious diseases not endemic in their home countries. Many journal articles and reference books related to travel medicine cite that between 22-64% of international travellers become ill during or after travel; however, this information is minimal, outdated and limited by poor generalizability. We aim to provide a current and more accurate estimate of the proportion of international travellers who acquire a travel-related illness. We identified studies via PubMed or travel medicine experts, published between January 1, 1976-December 31, 2016 that included the number of international travellers acquiring a travel-related illness. We excluded studies that focused on a single disease or did not determine a rate based on the total number of travellers. We abstracted information on traveller demographics, trip specifics, study enrollment and follow-up and number of ill travellers and their illnesses. Of 743 studies, nine met the inclusion criteria. The data sources were from North America (four studies) and Europe (five studies). Most travellers were tourists, the most frequent destination regions were Asia and Africa, and the median trip duration ranged from 8-21 days. Six studies enrolled participants at the travellers' pre-travel consultation. All studies collected data through either extraction from the medical record, weekly diaries, or pre- and post-travel questionnaires. Data collection timeframes varied by study. Between 6-87% of travellers became ill across all studies. Four studies provided the best estimate: between 43-79% of travellers who frequently visited developing nations (e.g. India, Tanzania, and Kenya) became ill; travellers most frequently reported diarrhoea. This is the most comprehensive assessment available on the proportion of international travellers that develop a travel-related illness. Additional cohort studies would provide needed data to more precisely

  19. International travelers and unintentional fatal drowning in Australia--a 10 year review 2002-12.

    Science.gov (United States)

    Peden, Amy E; Franklin, Richard C; Leggat, Peter A

    2016-02-01

    . Drowning deaths of travelers are commonly reported in the media, creating a perception that they are at a higher risk of drowning than residents. This may be true, due in part to unfamiliarity with the risks posed by the hazard, however there is limited information about drowning deaths of travelers in Australia. This study aims to identify the incidence of drowning among international travelers in Australia and examine the risk factors to inform prevention strategies. . Data on unintentional fatal drowning in Australian waterways of victims with a residential postcode from outside Australia were extracted from the Royal Life Saving Society-Australia National Fatal Drowning Database. . Between 1 July 2002 and 30 June 2012 drowning deaths among people known to be international travelers accounted for 4.3% (N = 123) of the 2870 drowning deaths reported in Australian waterways. Key locations for drowning deaths included beaches (39.0%), ocean/harbour (22.0%) and swimming pools (12.2%). Leading activities prior to drowning included swimming (52.0%), diving (17.9%) and watercraft incidents (13.0%). . International travelers pose a unique challenge from a drowning prevention perspective. The ability to exchange information on water safety is complicated due to potential language barriers, possible differences in swimming ability, different attitudes to safety in the traveler's home country and culture, a lack of opportunities to discuss safety, a relaxed attitude to safety which may result in an increase in risk taking behaviour and alcohol consumption. . Prevention is vital both to reduce loss of life in the aquatic environment and promote Australia as a safe and enjoyable holiday destination for international travelers. © International Society of Travel Medicine, 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  20. Defining traumatic brain injury in children and youth using international classification of diseases version 10 codes: a systematic review protocol.

    Science.gov (United States)

    Chan, Vincy; Thurairajah, Pravheen; Colantonio, Angela

    2013-11-13

    Although healthcare administrative data are commonly used for traumatic brain injury research, there is currently no consensus or consistency on using the International Classification of Diseases version 10 codes to define traumatic brain injury among children and youth. This protocol is for a systematic review of the literature to explore the range of International Classification of Diseases version 10 codes that are used to define traumatic brain injury in this population. The databases MEDLINE, MEDLINE In-Process, Embase, PsychINFO, CINAHL, SPORTDiscus, and Cochrane Database of Systematic Reviews will be systematically searched. Grey literature will be searched using Grey Matters and Google. Reference lists of included articles will also be searched. Articles will be screened using predefined inclusion and exclusion criteria and all full-text articles that meet the predefined inclusion criteria will be included for analysis. The study selection process and reasons for exclusion at the full-text level will be presented using a PRISMA study flow diagram. Information on the data source of included studies, year and location of study, age of study population, range of incidence, and study purpose will be abstracted into a separate table and synthesized for analysis. All International Classification of Diseases version 10 codes will be listed in tables and the codes that are used to define concussion, acquired traumatic brain injury, head injury, or head trauma will be identified. The identification of the optimal International Classification of Diseases version 10 codes to define this population in administrative data is crucial, as it has implications for policy, resource allocation, planning of healthcare services, and prevention strategies. It also allows for comparisons across countries and studies. This protocol is for a review that identifies the range and most common diagnoses used to conduct surveillance for traumatic brain injury in children and youth. This

  1. Dissection of the internal carotid artery after SCUBA-diving: a case report and review of the literature.

    Science.gov (United States)

    Hafner, Franz; Gary, Thomas; Harald, Froehlich; Pilger, Ernst; Groell, Reinhard; Brodmann, Marianne

    2011-03-01

    Dissections of the internal carotid arteries are a well known complication of cervical trauma. Neurologic symptoms in patients after SCUBA-diving are often associated with gas embolism or decompression illness. This report presents a rare case of carotid artery dissection immediately after SCUBA-diving in a 37-year-old woman, with left-side facial paresthesias and left-cervical pain as the first symptoms after SCUBA-diving without rapid ascent to the water-surface. A review of the literature focuses on symptoms, morphologic aspects, and therapeutic options in reported cases of cervical artery dissection after SCUBA-diving.

  2. The rise and fall of Australian physical activity policy 1996 - 2006: a national review framed in an international context.

    Science.gov (United States)

    Bellew, Bill; Schöeppe, Stephanie; Bull, Fiona C; Bauman, Adrian

    2008-07-31

    This paper provides an historical review of physical activity policy development in Australia for a period spanning a decade since the release of the US Surgeon General's Report on Physical Activity and Health in 1996 and including the 2004 WHO Global Strategy on Diet, Physical Activity and Health. Using our definition of 'HARDWIRED' policy criteria, this Australian review is compared with an international perspective of countries with established national physical activity policies and strategies (New Zealand, Canada, Brazil, Scotland, Switzerland, the Netherlands and Finland). Methods comprised a literature and policy review, audit of relevant web sites, document searches and surveys of international stakeholders. All these selected countries embraced multi-strategic policies and undertook monitoring of physical activity through national surveys. Few committed to policy of more than three years duration and none undertook systematic evaluation of national policy implementation. This Australian review highlights phases of innovation and leadership in physical activity-related policy, as well as periods of stagnation and decline; early efforts were amongst the best in the world but by the mid-point of this review (the year 2000), promising attempts towards development of a national intersectoral policy framework were thwarted by reforms in the Federal Sport and Recreation sector. Several well received reviews of evidence on good practices in physical activity and public health were produced in the period but leadership and resources were lacking to implement the policies and programs indicated. Latterly, widespread publicity and greatly increased public and political interest in chronic disease prevention, (especially in obesity and type 2 diabetes) have dominated the framework within which Australian policy deliberations have occurred. Finally, a national physical activity policy framework for the Health sector emerged, but not as a policy vision that was

  3. Cost-of-illness studies for bipolar disorder: systematic review of international studies.

    Science.gov (United States)

    Jin, Huajie; McCrone, Paul

    2015-04-01

    Bipolar disorder (BD) may result in a greater burden than all forms of cancer, Alzheimer's disease and epilepsy. Cost-of-illness (COI) studies provide useful information on the economic burden that BD imposes on a society. Furthermore, COI studies are pivotal sources of evidence used in economic evaluations. This study aims to give a general overview of COI studies for BD and to discuss methodological issues that might potentially influence results. This study also aims to provide recommendations to improve practice in this area, based on the review. A search was performed to identify COI studies of BD. The following electronic databases were searched: MEDLINE, EMBASE, PsycInfo, Cochrane Database of Systematic Reviews, HMIC and openSIGLE. The primary outcome of this review was the annual cost per BD patient. A narrative assessment of key methodological issues was also included. Based on these findings, recommendations for good practice were drafted. Fifty-four studies were included in this review. Because of the widespread methodological heterogeneity among included studies, no attempt has been made to pool results of different studies. Potential areas for methodological improvement were identified. These were: description of the disease and population, the approach to deal with comorbidities, reporting the rationale and impact for choosing different cost perspectives, and ways in which uncertainty is addressed. This review showed that numerous COI studies have been conducted for BD since 1995. However, these studies employed varying methods, which limit the comparability of findings. The recommendations provided by this review can be used by those conducting COI studies and those critiquing them, to increase the credibility and reporting of study results.

  4. Effects of new bus and rail rapid transit systems – an international review

    DEFF Research Database (Denmark)

    Ingvardson, Jesper Bláfoss; Nielsen, Otto Anker

    2018-01-01

    this gap in the literature by reviewing and comparing the effects obtained by 86 transit systems around the world, including Bus Rapid Transit (BRT), Light Rail Transit (LRT), metro and heavy rail transit systems. The analysis is twofold by analysing (i) the direct operational effects related to travel...... time, ridership and modal shifts, and (ii) the indirect strategic effects in terms of effects on property values and urban development. The review confirms the existing literature suggesting that BRT can attract many passengers if travel time reductions are significantly high. This leads to attractive...

  5. The Internal, External, and Diagnostic Validity of Sluggish Cognitive Tempo: A Meta-Analysis and Critical Review

    Science.gov (United States)

    Becker, Stephen P.; Leopold, Daniel R.; Burns, G. Leonard; Jarrett, Matthew A.; Langberg, Joshua M.; Marshall, Stephen A.; McBurnett, Keith; Waschbusch, Daniel A.; Willcutt, Erik G.

    2015-01-01

    Objective To conduct the first meta-analysis evaluating the internal and external validity of the sluggish cognitive tempo (SCT) construct as related to or distinct from attention-deficit/hyperactivity disorder (ADHD) and as associated with functional impairment and neuropsychological functioning. Method Electronic databases were searched through September 2015 for studies examining the factor structure and/or correlates of SCT in children or adults. The search procedures identified 73 papers. The core SCT behaviors included across studies, as well as factor loadings and reliability estimates, were reviewed to evaluate internal validity. Pooled correlation effect sizes using random effects models were used to evaluate SCT in relation to external validity domains (i.e., demographics, other psychopathologies, functional impairment, and neuropsychological functioning). Results Strong support was found for the internal validity of the SCT construct. Specifically, across factor analytic studies including over 19,000 individuals, 13 SCT items loaded consistently on an SCT factor as opposed to an ADHD factor. Findings also support the reliability (i.e., internal consistency, test-retest reliability, inter-rater reliability) of SCT. In terms of external validity, there is some indication that SCT may increase with age (r = 0.11) and be associated with lower socioeconomic status (r = 0.10). Modest (potentially negligible) support was found for SCT symptoms being higher in males than females in children (r = 0.05) but not adults. SCT is more strongly associated with ADHD inattention (r = 0.63 in children, r = 0.72 in adults) than with ADHD hyperactivity-impulsivity (r = 0.32 in children, r = 0.46 in adults), and it likewise appears that SCT is more strongly associated with internalizing symptoms than with externalizing symptoms. SCT is associated with significant global, social, and academic impairment (rs = 0.38–0.44). Effects for neuropsychological functioning are mixed

  6. Preparing students for the ethical challenges on international health electives: A systematic review of the literature on educational interventions.

    Science.gov (United States)

    Rahim, Anika; Knights Née Jones, Felicity; Fyfe, Molly; Alagarajah, Janagan; Baraitser, Paula

    2016-09-01

    International health electives pose specific ethical challenges for students travelling from to low and middle income countries. We undertook a systematic review of the literature on interventions to prepare students to identify ethical issues addressed, educational approaches and to collate evidence on the effectiveness of different strategies. We searched nine electronic databases of peer-reviewed literature and identified grey literature through key word searches; supplemented through citation mapping and expert consultation. Articles that described ethical training conducted by universities or professional bodies were included for review. We reviewed forty-four full text articles. Ten sources of published literature and seven sources of grey literature met our inclusion criteria. We identified thirteen ethical situations that students should be prepared to manage and eight generic skills to support this process. Most interventions were delivered before the elective, used case studies or guidelines. Some suggested ethical principles or a framework for analysis of ethical issues. Only two papers evaluated the intervention described. Our paper collates a small but growing body of work on education to prepare students to manage ethical issues. Ethical training should have elements that are delivered before, during and after the elective. Interventions should include case studies covering thirteen ethical issues identified here, linked to ethical principles and a process for responding to ethical issues. We suggest that evaluations of interventions are an important area for future research.

  7. A systematic review of functioning in vocational rehabilitation using the International Classification of Functioning, Disability and Health.

    Science.gov (United States)

    Escorpizo, Reuben; Finger, Monika E; Glässel, Andrea; Gradinger, Felix; Lückenkemper, Miriam; Cieza, Alarcos

    2011-06-01

    Vocational rehabilitation (VR) is aimed at engaging or re-engaging individuals with work participation and employment. The International Classification of Functioning, Disability and Health (ICF) by the World Health Organization can be operationalized in the context of VR. The objective of this study is to review the literature to identify outcomes or measures being used in VR using a systematic review methodology and link those measures to the ICF. We applied a structured search strategy using multiple databases. Items or constructs of the measures or outcomes identified were linked to the ICF by two trained individuals. We have identified 648 measures which contained 10,582 concepts that were linked to the ICF which resulted in 87 second-level ICF categories. Out of the 87 categories, 31 (35.6%) were related to body functions, 43 (49.4%) were related to activities and participation, and 13 (14.9%) were related to environmental factors. No category was related to body structures. Our review found great diversity in the ICF contents of the measures used in different VR settings and study populations, which indicates the complexity of VR. This systematic review has provided a list of ICF categories which could be considered towards a successful VR.

  8. Psychological Treatments for Mental Disorders in Children and Adolescents: A Review of the Evidence of Leading International Organizations.

    Science.gov (United States)

    Gálvez-Lara, Mario; Corpas, Jorge; Moreno, Eliana; Venceslá, José F; Sánchez-Raya, Araceli; Moriana, Juan A

    2018-04-02

    In recent decades, the evidence on psychological treatments for children and adolescents has increased considerably. Several organizations have proposed different criteria to evaluate the evidence of psychological treatment in this age group. The aim of this study was to analyze evidence-based treatments drawn from RCTs, reviews, meta-analyses, guides and lists provided by four leading international organizations. The institutions reviewed were the National Institute for Health and Care Excellence, the Society of Clinical Child and Adolescent Psychology (Division 53) of the American Psychological Association, Cochrane Collaboration and the Australian Psychological Society in relation to mental disorders in children and adolescents. A total of 137 treatments were analyzed for 17 mental disorders and compared to determine the level of agreement among the organizations. The results indicate that, in most cases, there is little agreement among organizations and that there are several discrepancies within certain disorders. These results require reflection on the meaning attributed to evidence-based treatments with regard to psychological treatments in children and adolescents. The possible reasons for these differences could be explained by a combination of different issues: the procedures or committees may be biased, different studies were reviewed, different criteria are used by the organizations or the reviews of existing evidence were conducted in different time periods.

  9. Internal derangements of the temporomandibular joint: A review of the anatomy, diagnosis, and management

    Directory of Open Access Journals (Sweden)

    Andrew L Young

    2015-01-01

    Full Text Available Internal derangements of the temporomandibular joint are conditions in which the articular disc has become displaced from its original position the condylar head. Relevant anatomic structures and their functional relationships are briefly discussed. The displacement of the disc can result in numerous presentations, with the most common being disc displacement with reduction (with or without intermittent locking, and disc displacement without reduction (with or without limited opening. These are described in this article according to the standardized Diagnostic Criteria for Temporomandibular Disorders, as well as the less common posterior disc displacement. Appropriate management usually ranges from patient education and monitoring to splints, physical therapy, and medications. In rare and select cases, surgery may be necessary. However, in for the majority of internal derangements, the prognosis is good, particularly with conservative care.

  10. 45 CFR 147.136 - Internal claims and appeals and external review processes.

    Science.gov (United States)

    2010-10-01

    ... the external review; any officer, director, or management employee of the issuer; the plan... also provide additional consumer protections to ensure that adequate clinical and scientific experience... language; and (C) To the extent the plan or issuer maintains a customer assistance process (such as a...

  11. Innovations in the nursing care of the chronically ill: a literature review from an international perspective.

    NARCIS (Netherlands)

    Temmink, D.; Francke, A.; Hutten, J.B.F.; Zee, J. van der; Huijer Abu-Saad, H.

    2000-01-01

    This literature review focuses on substitution-related innovations in the nursing care of chronic patients in six western industrialized countries. Differences between primary and secondary care-orientated countries in the kind of innovations implemented are discussed. Health care systems are

  12. Fostering Psychiatry in Ghana: The Impact of a Short Review Course through an International Collaboration

    Science.gov (United States)

    Laugharne, Jonathan; Appiah-Poku, John; Laugharne, Richard; Stanley, Susanne

    2011-01-01

    Objective: The aim of the current study was to evaluate a short review course in psychiatry conducted at the Kwame Nkrumah University of Science and Technology medical school and any change in student interest in a career in psychiatry. Method: Students were asked to complete a general psychiatric knowledge questionnaire before and immediately…

  13. Buprenorphine and Buprenorphine/Naloxone Diversion, Misuse, and Illicit Use: An International Review

    OpenAIRE

    Yokell, Michael A.; Zaller, Nickolas D.; Green, Traci C.; Rich, Josiah D.

    2011-01-01

    The diversion, misuse, and non-medically supervised use of buprenorphine and buprenorphine/naloxone by opioid users are reviewed. Buprenorphine and buprenorphine/naloxone are used globally as opioid analgesics and in the treatment of opioid dependency. Diversion of buprenorphine and buprenorphine/naloxone represents a complex medical and social issue, and has been widely documented in various geographical regions throughout the world.

  14. Clinical leadership in pre-registration nursing programmes--an international literature review.

    Science.gov (United States)

    Brown, Angela; Crookes, Patrick; Dewing, Jan

    2015-01-01

    Clinical leadership and the safety, quality and efficiency of patient/client care are inextricably linked in government reports, major inquiries and the professional literature. This review explores the literature on clinical leadership development within pre-registration nursing programmes. The literature retrieved from a scoping review was evaluated to identify what is already published on the development of clinical leadership within pre-registration nursing programmes. Twenty-seven publications matched the inclusion criteria and were included in this review, 14 journal articles, one thesis and 11 chapters within one book were analysed and three themes were identified: clinical leadership; curriculum content and pedagogy. RESULTS AND MAIN OUTCOMES: This review identified a paucity of literature specifically relating to clinical leadership and pre-registration nursing programmes and what is available is inconclusive and unconvincing. Academics, curriculum development leaders and accreditation bodies have a responsibility to influence how nurses are prepared for the profession as such clinical leadership and the new graduate should be considered an area of greater importance.

  15. Young Children's Learning in Art Museums: A Review of New Zealand and International Literature

    Science.gov (United States)

    Terreni, Lisa

    2015-01-01

    In order to examine the existing literature in relation to the benefits of art museum education for the young, as well as to emphasise the literature gap in early childhood education research pertaining to access to and use of art museums by young children, a review of literature that discussed museum education for young children was undertaken. A…

  16. Perspectives on Asthenia in Astronauts and Cosmonauts: Review of the International Research Literature

    Science.gov (United States)

    Sandoval, Luis; Keeton, Kathryn; Shea, Camille; Otto, Christian; Patterson, Holly; Leveton, Lauren

    2012-01-01

    The Behavioral Health and Performance Element (BHP) is one of the 6 elements in the NASA Human Research Program (HRP) and is responsible for managing 4 of the identified and named risks to human health and performance from human space exploration: a) Risk of Behavioral Conditions (BMed), b) Risk of Psychiatric Disorders (BMed), c) Risk of Performance Decrements due to inadequate Cooperation, Coordination, Communication and Psychological Adaptation within a Team (Team), and d) Risk of Performance Errors due to Sleep Loss, Circadian De-synchronization, Fatigue and Work Overload (Sleep). Each risk is reviewed by a NASA HRP Standing Review Panel (SRP), and recently the Behavioral Medicine Risk of Psychiatric Disorders was reviewed. The aim of this report is to address one of the recommendations made by that panel, specifically the recommendation that the "literature on asthenia should be evaluated (possibly as a psychological or psychosomatic / psycho-physiological analogue of chronic fatigue syndrome)" (SRP p. 4), in addition to General Recommendation 4, which states that "all reviews must include non-English language materials as well as materials appearing in conferences reports, books, and other non-refereed journal outlets" (SRP p. 2).

  17. River Protection Project (RPP) Readiness-to-Proceed 2 Internal Independent Review Team Final Report

    International Nuclear Information System (INIS)

    SCHAUS, P.S.

    2000-01-01

    This report describes the results of an independent review team brought in to assess CH2M HILL Hanford's readiness and ability to support the RPP's move into its next major phase - retrieval and delivery of tank waste to the Privatization Contractor

  18. Tourism and water use: Supply, demand, and security. An international review

    NARCIS (Netherlands)

    Gössling, S.; Peeters, P.M.; Hall, C.M.; Ceron, J.P.; Dubois, G.; Lehmann, L.V.; Scott, D.

    2012-01-01

    This article reviews direct freshwater consumption in tourism from both quantitative and qualitative viewpoints to assess the current water demand of the tourism sector and to identify current and future management challenges. The article concludes that even though tourism increases global water

  19. A Review of International Telecommunications Industry Issues, Structure, and Regulatory Problems.

    Science.gov (United States)

    Cole, Jack E.; And Others

    Industry structure studies prior to 1968 are briefly reviewed, and an overview of industrial and technological developments up to the present is provided through synopses of more recent studies. Areas covered include overseas telephone and record carriers; the creation of the Communications Satellite Corporation; the current regulatory and…

  20. River Protection Project (RPP) Readiness-to-Proceed 2 Internal Independent Review Team Final Report

    International Nuclear Information System (INIS)

    SCHAUS, P.S.

    2000-01-01

    This report describes the results of an independent review team brought in to assess CH2M Hill Hanford Group's readiness and ability to support the RPP's move into its next major phase - retrieval and delivery of tank waste to the Privatization Contractor

  1. 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

  2. The Debate on Globalization and International Revitalization of Labor. A Critical Review

    Directory of Open Access Journals (Sweden)

    Daniel Fleming

    2014-03-01

    Full Text Available This article discusses some alternative or critical theoretical contributions regarding globalization and labor. The main question in this discussion is if there are changes in direction of a possible revitalization of labor movements and if international solidarity can increase due to globalization. This question also relates to discussions of changes in division of work, the concept of work, working class, commodification, decommodification, and new centers of global production—all related to different paradigms or new concepts. The reason or need for reconceptualizing comes from the great transformation of capitalism in forms of neoliberal globalization, in a different direction than predicted by Polanyi. That is, instead of increased public sector decommodification (not profit- or market-oriented production and national regulation, embedding capitalist markets, as seen after 1945, the last three decades have witnessed a countertransformation and large-scale recommodification by privatizing, disembedding, and deregulating global markets. As a consequence, inequality in income and working life conditions has increased in most countries and been used to press trade unions. Western industrial unions have been declining as many industries and labor-intensive, low-paid jobs moved to developing countries. Most blue-collar jobs are now in Asia, especially China, with about one-third of its employment blue collars. Is the center of global capital-labor contradictions and dynamics moving to the South, with a possibility of a new revitalization of labor and international solidarity? We discuss different optimistic and pessimistic views on a possible international revitalization of labor.

  3. International Approaches for Nuclear Waste Disposal in Geological Formations: Report on Fifth Worldwide Review

    Energy Technology Data Exchange (ETDEWEB)

    Faybishenko, Boris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Birkholzer, Jens [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Persoff, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sassani, David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Swift, Peter [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-09-01

    The goal of the Fifth Worldwide Review is to document evolution in the state-of-the-art of approaches for nuclear waste disposal in geological formations since the Fourth Worldwide Review that was released in 2006. The last ten years since the previous Worldwide Review has seen major developments in a number of nations throughout the world pursuing geological disposal programs, both in preparing and reviewing safety cases for the operational and long-term safety of proposed and operating repositories. The countries that are approaching implementation of geological disposal will increasingly focus on the feasibility of safely constructing and operating their repositories in short- and long terms on the basis existing regulations. The WWR-5 will also address a number of specific technical issues in safety case development along with the interplay among stakeholder concerns, technical feasibility, engineering design issues, and operational and post-closure safety. Preparation and publication of the Fifth Worldwide Review on nuclear waste disposal facilitates assessing the lessons learned and developing future cooperation between the countries. The Report provides scientific and technical experiences on preparing for and developing scientific and technical bases for nuclear waste disposal in deep geologic repositories in terms of requirements, societal expectations and the adequacy of cases for long-term repository safety. The Chapters include potential issues that may arise as repository programs mature, and identify techniques that demonstrate the safety cases and aid in promoting and gaining societal confidence. The report will also be used to exchange experience with other fields of industry and technology, in which concepts similar to the design and safety cases are applied, as well to facilitate the public perception and understanding of the safety of the disposal approaches relative to risks that may increase over long times frames in the absence of a successful

  4. The SKI SITE-94 Project: An International Peer Review Carried out by an OECD/NEA Team of Experts

    International Nuclear Information System (INIS)

    Sagar, Budhi; Devillers, C.; Smith, Paul; Laliuex, P.; Pescatore, C.

    1997-10-01

    The recently completed SITE-94 project is an SKI effort directed at building competence and capacity in the assessment of safety of a spent-fuel geologic repository. Emphasis is given to the assimilation of site-specific data, with its associated uncertainties, into the performance assessment. Specific attention is also given to improving the understanding of mechanisms that might compromise canister integrity. This report represents the common views of an International Review Team (IRT) established by the NEA Secretariat, at the request of SKI, to perform a peer review of SITE-94. The basis for the report is the understanding of SITE-94 and its background obtained by IRT in the course of several months of study of SITE-94 documentation, internal discussions and a meeting with SKI in Stockholm. The report is limited to the main findings of IRT. The intended audience of the report is the staff of SKI and, accordingly, the style of the report is suited to a technical audience familiar with the contents of the SITE-94 project

  5. Evaluation of marginal bone loss of dental implants with internal or external connections and its association with other variables: A systematic review.

    Science.gov (United States)

    de Medeiros, Rodrigo Antonio; Pellizzer, Eduardo Piza; Vechiato Filho, Aljomar José; Dos Santos, Daniela Micheline; da Silva, Emily Vivianne Freitas; Goiato, Marcelo Coelho

    2016-10-01

    Different factors can influence marginal bone loss around dental implants, including the type of internal and external connection between the implant and the abutment. The evidence needed to evaluate these factors is unclear. The purpose of this systematic review was to evaluate marginal bone loss by radiographic analysis around dental implants with internal or external connections. A systematic review was conducted following the criteria defined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Initially, a population, intervention, comparison, and outcome(s) (PICO) question was defined: does the connection type (internal or external) influence marginal bone loss in patients undergoing implantation? An electronic search of PubMed/MEDLINE and Scopus databases was performed for studies in English language published between January 2000 and December 2014 by 2 independent reviewers, who analyzed the marginal bone loss of dental implants with an internal and/or external connection. From an initial screening yield of 595 references and after considering inclusion and exclusion criteria, 17 articles were selected for this review. Among them, 10 studies compared groups of implants with internal and external connections; 1 study evaluated external connections; and 6 studies analyzed internal connections. A total of 2708 implants were placed in 864 patients. Regarding the connection type, 2347 implants had internal connections, and 361 implants had external connections. Most studies showed lower marginal bone loss values for internal connection implants than for external connection implants. Osseointegrated dental implants with internal connections exhibited lower marginal bone loss than implants with external connections. This finding is mainly the result of the platform switching concept, which is more frequently found in implants with internal connections. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry

  6. HIV Prevalence In Internal From Brazilian Prisons And Its Associated Factors: Integrative Literature Review

    Directory of Open Access Journals (Sweden)

    Karinna Alves Amorim de Sousa

    2017-03-01

    Full Text Available The prison populations is considered vulnerable due heterogeneity of confinement, whose predisposing factors are the lifestyle of individuals and prison conditions. This study aimed to investigate the prevalence of HIV and associated factors reported in studies conducted in prisons in Brazil. An integrative review was carried out, with a search in the databases LILACS, MEDLINE and SCIELO, including articles published from 2000. The final sample that met the inclusion and exclusion criteria totaled 11 articles. prevalences were found ranging from 3.2% to 16%. This review made it possible to find average of 10.6% prevalence. Predominated as risk factors: drug use, piercing material sharing, inappropriate sexual behavior and STDs. There was a need for more comprehensive surveys, which provides a situational diagnosis of HIV in this population, so as to reveal specific aspects of individual, social and programmatic vulnerabilities in each region of Brazil.

  7. Gender equality and human rights approaches to female genital mutilation: a review of international human rights norms and standards.

    Science.gov (United States)

    Khosla, Rajat; Banerjee, Joya; Chou, Doris; Say, Lale; Fried, Susana T

    2017-05-12

    Two hundred million girls and women in the world are estimated to have undergone female genital mutilation (FGM), and another 15 million girls are at risk of experiencing it by 2020 in high prevalence countries (UNICEF, 2016. Female genital mutilation/cutting: a global concern. 2016). Despite decades of concerted efforts to eradicate or abandon the practice, and the increased need for clear guidance on the treatment and care of women who have undergone FGM, present efforts have not yet been able to effectively curb the number of women and girls subjected to this practice (UNICEF. Female genital mutilation/cutting: a statistical overview and exploration of the dynamics of change. 2013), nor are they sufficient to respond to health needs of millions of women and girls living with FGM. International efforts to address FGM have thus far focused primarily on preventing the practice, with less attention to treating associated health complications, caring for survivors, and engaging health care providers as key stakeholders. Recognizing this imperative, WHO developed guidelines on management of health complications of FGM. In this paper, based on foundational research for the development of WHO's guidelines, we situate the practice of FGM as a rights violation in the context of international and national policy and efforts, and explore the role of health providers in upholding health-related human rights of women at girls who are survivors, or who are at risk. Findings are based on a literature review of relevant international human rights treaties and UN Treaty Monitoring Bodies.

  8. Is There a Role for Internal Bracing and Repair of the Anterior Cruciate Ligament? A Systematic Literature Review.

    Science.gov (United States)

    van Eck, Carola F; Limpisvasti, Orr; ElAttrache, Neal S

    2017-08-01

    Renewed interest has arisen in arthroscopic anterior cruciate ligament (ACL) repair techniques. ACL repair with or without some form of internal bracing could lead to good outcomes in a carefully selected subset of patients. Systematic review. An electronic database search was performed to identify 89 papers describing preclinical and clinical studies on the outcome of ACL repair. Proximal ACL tear patterns showed a better healing potential with primary repair than distal or midsubstance tears. Some form of internal bracing increased the success rate of ACL repair. Improvement in the biological characteristics of the repair was obtained by bone marrow access by drilling tunnels or microfracture. Augmentation with platelet-rich plasma was beneficial only in combination with a structural scaffold. Skeletally immature patients had the best outcomes. Acute repair offered improved outcomes with regard to load, stiffness, laxity, and rerupture. ACL repair may be a viable option in young patients with acute, proximal ACL tears. The use of internal bracing, biological augmentation, and scaffold tissue may increase the success rate of repair.

  9. The international spread of Academic Health Science Centres: a scoping review and the case of policy transfer to England.

    Science.gov (United States)

    French, Catherine E; Ferlie, Ewan; Fulop, Naomi J

    2014-09-01

    Academic Health Science Centres (AHSCs) have been a key feature of the North American healthcare landscape for many years, and the term is becoming more widely used internationally. The defining feature of these complex organisations is a tripartite mission of delivering high quality research, medical education and clinical care. The biomedical innovations developed in AHSCs are often well documented, but less is known about the policy and organisational processes which enable the translation of research into patient care. This paper has two linked purposes. Firstly, we present a scoping review of the literature which explores the managerial, political and cultural perspectives of AHSCs. The literature is largely normative with little social science theory underpinning commentary and descriptive case studies. Secondly, we contribute to addressing this gap by applying a policy transfer framework to the English case to examine how AHSC policy has spread internationally. We conclude by suggesting a research agenda on AHSCs using the relevant literatures of policy transfer, professional/managerial relations and boundary theory, and highlighting three key messages for policy makers: (1) competing policy incentives for AHSCs should be minimised; (2) no single AHSC model will fit all settings; (3) AHSC networks operate internationally and this should be encouraged. Copyright © 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  10. Evacuation and Sheltering of Hospitals in Emergencies: A Review of International Experience

    OpenAIRE

    Bagaria, Jayshree; Heggie, Caroline; Abrahams, Jonathan; Murray, Virginia

    2017-01-01

    Abstract Objective: A scoping exercise to establish how common hospital evacuations are, identify hospital evacuation policies and review case studies to identify trig-gers, processes and challenges involved in the evacuation of hospitals globally. Design: A systematic search of PubMed and disaster agency online resources, search of grey literature and media reports. Results: This study showed that hospitals are vulnerable to both natural and man made disasters and that hospital evacuations d...

  11. Radiation embrittlement of nuclear reactor pressure vessel steels: An international review (second volume)

    International Nuclear Information System (INIS)

    Steele, L.E.

    1986-01-01

    This book has sixteen (16) peer-reviewed papers divided into four (4) sections that reflect changes in the nuclear power industry occurring since 1981, including escalating capital requirements and a growing worldwide dependence on nuclear power for electricity production. The four (4) sections of this book are: Overview of National Programs; Surveillance and Other Radiation Embrittlement Studies; Pressure Vessel Integrity and Regulatory Considerations; and Mechanisms of Irradiation Embrittlement

  12. Challenges in integrating international evidence relating to stroke rehabilitation: experiences from a Cochrane systematic review.

    Science.gov (United States)

    Pollock, Alex; Campbell, Pauline; Baer, Gillian; Choo, Pei Ling; Forster, Anne; Morris, Jacqui; Pomeroy, Valerie M; Langhorne, Peter

    2014-12-01

    There are many randomized controlled trials relating to stroke rehabilitation being carried out in China, which are often published in Chinese-language journals. A recent update to our Cochrane systematic review of physical rehabilitation to improve function and mobility after stroke included 96 trials; over half (51) were conducted in China; 37 of these included studies were published in Chinese. Analyses within this Cochrane review support the conclusion that physical rehabilitation, using a mix of components from different approaches, is effective for the recovery of function and mobility after stroke. The inclusion of the Chinese studies had a substantial impact on the volume of evidence and, consequently, the conclusions. In this paper, we explore whether it is appropriate to draw implications for clinical practice throughout the world from evidence relating to a complex rehabilitation intervention delivered within one particular geographical healthcare setting. We explore the unique challenges associated with incorporating the body of evidence from China, particularly the Chinese-language publications, and identify the ongoing debate about the quality of Chinese research publications. We conclude that the growing body of evidence from China has important implications for future systematic reviews and evidence-based stroke care, but analysis and interpretation raise challenges, and improved reporting is critical. © 2014 World Stroke Organization.

  13. Expert searching in health librarianship: a literature review to identify international issues and Australian concerns.

    Science.gov (United States)

    Lasserre, Kaye

    2012-03-01

    The traditional role of health librarians as expert searchers is under challenge. The purpose of this review is to establish health librarians' views, practices and educational processes on expert searching. The search strategy was developed in LISTA and then customised for ten other databases: ALISA, PubMed, Embase, Scopus, Web of Science, CINAHL, ERIC, PsycINFO, Cochrane Library and Google Scholar. The search terms were (expert search* OR expert retriev* OR mediated search* OR information retriev*) AND librar*. The searches, completed in December 2010 and repeated in May 2011, were limited to English language publications from 2000 to 2011 (unless seminal works). Expert searching remains a key role for health librarians, especially for those supporting systematic reviews or employed as clinical librarians answering clinical questions. Although clients tend to be satisfied with searches carried out for them, improvements are required to effectively position the profession. Evidence-based guidelines, adherence to transparent standards, review of entry-level education requirements and a commitment to accredited, rigorous, ongoing professional development will ensure best practice. © 2012 The authors. Health Information and Libraries Journal © 2012 Health Libraries Group.

  14. Concepts of social inclusion, exclusion and mental health: a review of the international literature.

    Science.gov (United States)

    Wright, N; Stickley, T

    2013-02-01

    Social inclusion and exclusion are concepts which have been widely associated with politics and policy in the first decade of the 2000s. People with mental health problems have become the focus of a range of social inclusion initiatives. A literature review was conducted to explore the peer-reviewed evidence relating social inclusion/exclusion and mental health. In total 36 papers were included in the review from the UK, Canada, Australia and Scandinavia. The papers had used a range of different approaches to research and evaluation. The included papers associated being socially included to: social roles and responsibilities such as employment, participation in social activities, environmental work and voting. Although some papers engaged in a critical discussion of the concept, many offered only simplistic accounts or definitions. Social inclusion is such a widely used term within political and policy discourses that it is surprising so little research is available within the mental health realm. There was a lack of clarity related to the concept of social exclusion and the qualitative studies focused entirely on the experiences of being excluded within an institutional or semi-institutional setting. The relationship between exclusion, inequality and injustice is identified and the relevance of the concept to current and future mental health policy is questioned. © 2012 Blackwell Publishing.

  15. A Review of International Space Station Habitable Element Equipment Offgassing Characteristics

    Science.gov (United States)

    Perry, Jay L.

    2010-01-01

    Crewed spacecraft trace contaminant control employs both passive and active methods to achieve acceptable cabin atmospheric quality. Passive methods include carefully selecting materials of construction, employing clean manufacturing practices, and minimizing systems and payload operational impacts to the cabin environment. Materials selection and manufacturing processes constitute the first level of equipment offgassing control. An element-level equipment offgassing test provides preflight verification that passive controls have been successful. Offgassing test results from multiple International Space Station (ISS) habitable elements and cargo vehicles are summarized and implications for active contamination control equipment design are discussed

  16. Clinical implications of internal carotid artery tortuosity, kinking and coiling: a systematic review

    Directory of Open Access Journals (Sweden)

    Zenteno M.

    2014-03-01

    Full Text Available Anatomical variations of the internal carotid artery are diverse. Abnormalities in their geometry and paths are commonly identified by ultrasonography and angiography. The surgical correction of symptomatic CAs is better in preventing stroke compared with best medical therapy, as well as it completely eliminates the symptoms in patients with nonhemispheric symptoms. The ICA anomalies may be dangerous and represent a risk factor for massive bleeding. Suture ligatures can penetrate and occlude torn vessels, scalpels or biting instruments can lacerate vessels, and indirectly conducted electric cauterization can burn the soft of bony tissues

  17. Bariatric surgery complications. Internal hernia: A potentially fatal condition. A case report and literature review

    International Nuclear Information System (INIS)

    Canadas, Raul; Lombana, Luis Jorge; Hernandez, Javier; Solano, Claudia; Suarez, Yanette; Torres, Diana; Alvarado, Jaime; Valencia, William; Garcia, Jairo; Hani, Albis

    2007-01-01

    In recent years, Obesity (defined as Body Mass Index > 30 kg/m2) has increased its prevalence reaching epidemic levels in countries such as The United States where it has became a national health issue. In Colombia the Obesity prevalence is figured around 14%. Treatment options for Obesity include life style modifications, pharmacologist management and surgical approach (Bariatric Surgery). This article describes a patient with previous bariatric surgery, who presents abdominal pain and melena owed to isquemic process of the alimentary limb caused by an internal hernia which is a potentially lethal condition if it is not highly suspected allowing its early diagnosis and treatment

  18. A review of internal combustion engine combustion chamber process studies at NASA Lewis Research Center

    Science.gov (United States)

    Schock, H. J.

    1984-01-01

    The performance of internal combustion stratified-charge engines is highly dependent on the in-cylinder fuel-air mixing processes occurring in these engines. Current research concerning the in-cylinder airflow characteristics of rotary and piston engines is presented. Results showing the output of multidimensional models, laser velocimetry measurements and the application of a holographic optical element are described. Models which simulate the four-stroke cycle and seal dynamics of rotary engines are also discussed. Previously announced in STAR as N84-24999

  19. The International Science and Technology Center (ISTC) and ISTC projects related to nuclear safety. Information review

    International Nuclear Information System (INIS)

    Tocheny, Lev V.

    2003-01-01

    The ISTC is an intergovernmental organization created ten years ago by Russia, USA, EU and Japan in Moscow. The Center supports numerous science and technology projects in different areas, from biotechnologies and environmental problems to all aspects of nuclear studies, including those focused on the development of effective innovative concepts and technologies in the nuclear field, in general, and for improvement of nuclear safety, in particular. The presentation addresses some technical results of the ISTC projects as well as methods and approaches employed by the ISTC to foster close international collaboration and manage projects towards fruitful results. (author)

  20. International Approaches for Nuclear Waste Disposal in Geological Formations: Report on Fifth Worldwide Review

    Energy Technology Data Exchange (ETDEWEB)

    Faybishenko, Boris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Birkholzer, Jens [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Persoff, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sassani, David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Swift, Peter N. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-08-01

    An important issue for present and future generations is the final disposal of spent nuclear fuel. Over the past over forty years, the development of technologies to isolate both spent nuclear fuel (SNF) and other high-level nuclear waste (HLW) generated at nuclear power plants and from production of defense materials, and low- and intermediate-level nuclear waste (LILW) in underground rock and sediments has been found to be a challenging undertaking. Finding an appropriate solution for the disposal of nuclear waste is an important issue for protection of the environment and public health, and it is a prerequisite for the future of nuclear power. The purpose of a deep geological repository for nuclear waste is to provide to future generations, protection against any harmful release of radioactive material, even after the memory of the repository may have been lost, and regardless of the technical knowledge of future generations. The results of a wide variety of investigations on the development of technology for radioactive waste isolation from 19 countries were published in the First Worldwide Review in 1991 (Witherspoon, 1991). The results of investigations from 26 countries were published in the Second Worldwide Review in 1996 (Witherspoon, 1996). The results from 32 countries were summarized in the Third Worldwide Review in 2001 (Witherspoon and Bodvarsson, 2001). The last compilation had results from 24 countries assembled in the Fourth Worldwide Review (WWR) on radioactive waste isolation (Witherspoon and Bodvarsson, 2006). Since publication of the last report in 2006, radioactive waste disposal approaches have continued to evolve, and there have been major developments in a number of national geological disposal programs. Significant experience has been obtained both in preparing and reviewing cases for the operational and long-term safety of proposed and operating repositories. Disposal of radioactive waste is a complex issue, not only because of the nature

  1. The post-closure radiological safety case for a spent fuel repository in Sweden - An international peer review of the SKB license-application study of March 2011

    International Nuclear Information System (INIS)

    2012-01-01

    Sweden is at the forefront among countries developing plans for a deep geological repository of highly radioactive waste. There is no such repository in operation yet worldwide, but Sweden, Finland and France are approaching the licensing stage. At the request of the Swedish government, the NEA organised an international peer review of the post-closure radiological safety case produced by the Swedish Nuclear Fuel and Waste Management Company (SKB) in support of the application for a general licence to construct and operate a spent nuclear fuel geological repository in the municipality of Oesthammar. The purpose of the review was to help the Swedish government, the public and relevant organisations by providing an international reference regarding the maturity of SKB's spent fuel disposal programme vis-a-vis best practices in long-term disposal safety and radiological protection. The International Review Team (IRT) consisted of ten international specialists, who were free of conflict of interest with the SKB and brought complementary expertise to the review. This report provides the background and findings of the international peer review. The review's findings are presented at several levels of detail in order to be accessible to both specialist and non-specialist readers

  2. Identification of internal carotid dissection in patients with migraine--case report and literature review

    International Nuclear Information System (INIS)

    Sharif, M.; Trinick, T.; Khan, H.Y.

    2010-01-01

    Although patho-physiology of spontaneous internal carotid artery dissection (sICAD) is largely unknown, an association with migraine has been suggested but not proven. Migraine is a condition which is worth considering while one is hunting a possible cause for internal carotid artery dissection (ICAD) and it may be found more often than expected.2 To date it remains a diagnosis of exclusion in patients with migraine. As opposed to migraine with aura, migraine without aura is significantly more frequent among patients with SICAD. It has been suggested that ICAD produces stroke in 36-68% of patients as a result of occlusion of the artery at or near the site of the dissection, or embolization occurring distally from a dislodged fragment of thrombus. We report a 31-year old woman with headache and ptosis as initial symptoms. Magnetic resonance imaging (MRI) confirmed the diagnosis. Prompt treatment was instituted with anti-platelet agents and the patient had complete resolution of symptoms. Our case report highlights the importance of identifying the patients with ICD with history of migraine, in the absence of other risk factors and adds to the sparse literature currently available on the subject. (author)

  3. Review of the international conference on nuclear criticality-issues, discussions, and challenges

    International Nuclear Information System (INIS)

    Parks, C.V.; Whitesides, G.E.

    1995-01-01

    The Fifth International Conference on Nuclear Criticality Safety (ICNC'95) was held September 17-22, 1995, in Albuquerque, New Mexico, USA. Organization and support for the conference was provided by the Sandia National Laboratories (SNL), Los Alamos National Laboratory (LANL), the University of New Mexico, and the Organization for Economic Cooperation and Development (OECD). This conference traces its history back to 1981 when a group of select criticality safety specialists (mostly experimentalists) from France, Germany, Japan, the United Kingdom, and the United States participated in a small conference at LANL in the United States. The motivation for the conference had been provided by Dr. J. C. Manaranche of France who had asked D. Smith and G. E. Whitesides of the United States if it would be possible for the French experimentalists to be able to visit the experimental facilities at LANL. This first conference was followed by a similar conference held in Dijon, France, in 1993. Then in 1987 the conference was hosted by the Japanese and opened to much wider participation by criticality safety specialists involved in experiments, methods development and analysis, and operations. With the 1987 conference in Japan and the fourth conference (ICNC'91) held in the United Kingdom, the interest and international participation by the criticality safety community has grown rapidly. With this background, the occasion of ICNC'95 was one of much expectation

  4. A Political Review of International Literacy Meetings in Industrialized Countries, 1981-1994

    Science.gov (United States)

    Hautecoeur, Jean-Paul

    1997-03-01

    The author presents a historical survey of the official discourse on functional literacy in the industrialized countries on the basis of the reports of 20 seminars and international conferences linked to UNESCO. The article has two objectives: (1) to document and interpret globally the political evolution of the literacy movement in the north - in fact limited to western Europe and north America; (2) within the context of the Fifth International Conference on Adult Education, to pose the question: to what extent are the same issues involved throughout the world under the rubric of literacy? The author goes on to underline the broad geopolitical tendencies of the literacy movement, sketching its symbolic features and the tensions and areas of consensus within it. He traces the evolution of its dominant symbology and the ideological positions of its key figures. He concludes with a typology of the principal political tendencies of this movement, while making it clear that the real objectives of fighting poverty and exclusion are pursued outside the literacy movement and within the "minor literacies" of everyday life.

  5. An International Peer Review of the Programme for the Deep Geological Disposal of High Level Radioactive Waste from Pyro-Processing in the Republic of Korea. Report of an IAEA International Review Team

    International Nuclear Information System (INIS)

    2013-09-01

    The development of a radioactive waste disposal system is indispensable in maintaining the sustainability of nuclear energy. The Korea Atomic Energy Research Institute (KAERI) has studied the direct geological disposal of spent nuclear fuel since 1997. KAERI has also focused on the development of processes suitable for reducing the volume of spent nuclear fuel and the recycling of valuable fissile material. One of the most promising technologies investigated by KAERI is the pyro-processing of spent nuclear fuel followed by the geological disposal of the generated high level waste (HLW). Since 2007, KAERI has been running a research programme focusing on the recycling of spent nuclear fuel, as well as studies aimed at the development of a relevant geological disposal system able to accept the resulting HLW. The core aims of the KAERI study were to characterize the geological media, design a repository system and assess the overall safety of the disposal system. The development of pyro-processing technology is ongoing and has not yet been demonstrated at the commercial level. Thus, the government of the Republic of Korea requested an assessment of the technical feasibility of this technology. The assessment also included the appraisal of a disposal solution for waste generated by pyro-processing. With regard to the latter, KAERI requested that the IAEA review the status of the disposal project within the Waste Management Assessment and Technical Review Programme (WATRP). Peer reviews are increasingly being acknowledged as an important element in building broader stakeholder confidence in the safety and viability of related facilities. This report presents the consensus view of the international group of experts convened by the IAEA to perform the review

  6. Effects of international health electives on medical student learning and career choice: results of a systematic literature review.

    Science.gov (United States)

    Jeffrey, Jessica; Dumont, Rebecca A; Kim, Gloria Y; Kuo, Tony

    2011-01-01

    The present study reviewed the published literature to examine the effects of international health electives (IHEs) on medical student learning and career choice. A systematic literature review was conducted to identify key English-language articles on IHEs, using PubMed journal databases for the period 1990--2009. Article inclusion for this review was vetted by a rigorous evaluation of each article's study methods, content, and data quality. Pooled or aggregate information from 11 key articles, including information on type and duration of IHE, study and comparison group characteristics, and measured outcomes such as self-reported changes in cultural competency, clinical skills, and specialty choice, were extracted and summarized. Findings suggest that having IHE experiences contributed to a more well-rounded training for medical students; students reported being more culturally competent and were more likely to choose a primary care specialty and/or a public service career. Although IHE experiences appear to have educational benefits, the quality and availability of these electives vary by institution. Barriers to ensuring that students attain a safe and rich experience include the lack of consistent categorical funding, safety concerns when traveling, and limited faculty experience and resources to support and guide students during their rotations abroad.

  7. International Approaches for Nuclear Waste Disposal in Geological Formations: Geological Challenges in Radioactive Waste Isolation—Fifth Worldwide Review

    Energy Technology Data Exchange (ETDEWEB)

    Faybishenko, Boris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Birkholzer, Jens [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sassani, David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Swift, Peter [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-04-26

    The overall objective of the Fifth Worldwide Review (WWR-5) is to document the current state-of-the-art of major developments in a number of nations throughout the World pursuing geological disposal programs, and to summarize challenging problems and experience that have been obtained in siting, preparing and reviewing cases for the operational and long-term safety of proposed and operating nuclear waste repositories. The scope of the Review is to address current specific technical issues and challenges in safety case development along with the interplay of technical feasibility, siting, engineering design issues, and operational and post-closure safety. In particular, the chapters included in the report present the following types of information: the current status of the deep geological repository programs for high level nuclear waste and low- and intermediate level nuclear waste in each country, concepts of siting and radioactive waste and spent nuclear fuel management in different countries (with the emphasis of nuclear waste disposal under different climatic conditions and different geological formations), progress in repository site selection and site characterization, technology development, buffer/backfill materials studies and testing, support activities, programs, and projects, international cooperation, and future plans, as well as regulatory issues and transboundary problems.

  8. Comparison of external and internal implant-abutment connections for implant supported prostheses. A systematic review and meta-analysis.

    Science.gov (United States)

    Lemos, Cleidiel Aparecido Araujo; Verri, Fellippo Ramos; Bonfante, Estevam Augusto; Santiago Júnior, Joel Ferreira; Pellizzer, Eduardo Piza

    2018-03-01

    The systematic review and meta-analysis aimed to answer the PICO question: "Do patients that received external connection implants show similar marginal bone loss, implant survival and complication rates as internal connection implants?". Meta-analyses of marginal bone loss, survival rates of implants and complications rates were performed for the included studies. Study eligibility criteria included (1) randomized controlled trials (RCTs) and/or prospective, (2) studies with at least 10 patients, (3) direct comparison between connection types and (4) publications in English language. The Cochrane risk of bias tool was used to assess the quality and risk of bias in RCTs, while Newcastle-Ottawa scale was used for non-RCTs. A comprehensive search strategy was designed to identify published studies on PubMed/MEDLINE, Scopus, and The Cochrane Library databases up to October 2017. The search identified 661 references. Eleven studies (seven RCTs and four prospective studies) were included, with a total of 530 patients (mean age, 53.93 years), who had received a total of 1089 implants (461 external-connection and 628 internal-connection implants). The internal-connection implants exhibited lower marginal bone loss than external-connection implants (Pexternal connections. However, the implant-abutment connection had no influence on the implant's survival and complication rates. Based on the GRADE approach the evidence was classified as very low to moderate due to the study design, inconsistency, and publication bias. Thus, future research is highly encouraged. Internal connection implants should be preferred over external connection implants, especially when different risk factors that may contribute to increased marginal bone loss are present. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. International law's effects on health and its social determinants: protocol for a systematic review, meta-analysis, and meta-regression analysis.

    Science.gov (United States)

    Hoffman, Steven J; Hughsam, Matthew; Randhawa, Harkanwal; Sritharan, Lathika; Guyatt, Gordon; Lavis, John N; Røttingen, John-Arne

    2016-04-16

    In recent years, there have been numerous calls for global institutions to develop and enforce new international laws. International laws are, however, often blunt instruments with many uncertain benefits, costs, risks of harm, and trade-offs. Thus, they are probably not always appropriate solutions to global health challenges. Given these uncertainties and international law's potential importance for improving global health, the paucity of synthesized evidence addressing whether international laws achieve their intended effects or whether they are superior in comparison to other approaches is problematic. Ten electronic bibliographic databases were searched using predefined search strategies, including MEDLINE, Global Health, CINAHL, Applied Social Sciences Index and Abstracts, Dissertations and Theses, International Bibliography of Social Sciences, International Political Science Abstracts, Social Sciences Abstracts, Social Sciences Citation Index, PAIS International, and Worldwide Political Science Abstracts. Two reviewers will independently screen titles and abstracts using predefined inclusion criteria. Pairs of reviewers will then independently screen the full-text of articles for inclusion using predefined inclusion criteria and then independently extract data and assess risk of bias for included studies. Where feasible, results will be pooled through subgroup analyses, meta-analyses, and meta-regression techniques. The findings of this review will contribute to a better understanding of the expected benefits and possible harms of using international law to address different kinds of problems, thereby providing important evidence-informed guidance on when and how it can be effectively introduced and implemented by countries and global institutions. PROSPERO CRD42015019830.

  10. An audit of best evidence topic reviews in the International Journal of Surgery.

    Science.gov (United States)

    Mabvuure, Nigel Tapiwa; Klimach, Stefan; Eisner, Mark; Rodrigues, Jeremy Neil

    2015-05-01

    IJS launched best evidence topic reviews (BETs) in 2011, when the guidelines for conducting and reporting these reviews were published in the journal. (1) Audit the adherence of all published BETs in IJS to these guidelines. (2) Assess the reach and impact of BETs published in IJS. BETs published between 2011 and February 2014 were identified from http://www.journal-surgery.net/. Standards audited included: completeness of description of study attrition, and independent verification of searches. Other extracted data included: relevant subspecialty, duration between searches and publication, and between acceptance and publication. Each BET's number of citations (http://scholar.google.co.uk/), number of tweets (http://www.altmetric.com/) and number of Researchgate views (https://www.researchgate.net/) were recorded. Thirty-four BETs were identified: the majority, 19 (56%), relating to upper gastrointestinal surgery and none to cardiothoracic, orthopaedic or paediatric surgery. Twenty-nine BETs (82%) fully described study attrition. Twenty-one (62%) had independently verified search results. The mean times from literature searching to publication and acceptance to publication were 38.5 weeks and 13 days respectively. There were a mean 40 (range 0-89) Researchgate views/article, mean 2 (range 0-7) citations/article and mean 0.36 (range 0-2) tweets/article. Adherence to BET guidelines has been variable. Authors are encouraged to adhere to journal guidelines and reviewers and editors to enforce them. BETs have received similar citation levels to other IJS articles. Means of increasing the visibility of published BETs such as social media sharing, conference presentation and deposition of abstracts in public repositories should be explored. More work is required to encourage more submissions from other surgical subspecialties other than gastrointestinal specialties. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

  11. International review on the use of information for the regulation of health and social care

    LENUS (Irish Health Repository)

    Nicholson, Emma

    2016-10-21

    Research networks that facilitate collaborative research are increasing both regionally and globally and such collaborations contribute greatly to knowledge transfer particularly in health research. The Palliative Care Research Network is an Irish-based network that seeks to create opportunities and engender a collaborative environment to encourage innovative research that is relevant for policy and practice. The current review outlines a methodology to identify cross-cutting messages to identify how dissemination outputs can be optimized to ensure that key messages from this research reaches all knowledge users.

  12. A document review to characterize Atomic International SNAP fuels shipped to INEL 1966--1973

    International Nuclear Information System (INIS)

    Wahnschaffe, S.D.; Lords, R.E.; Kneff, D.W.; Nagel, W.E.; Pearlman, H.; Schaubert, V.J.

    1995-09-01

    This report provides the results of a document search and review study to obtain information on the spent fuels for the following six Nuclear Auxiliary Power (SNAP) reactor cores now stored at the Idaho National Engineering Laboratory (INEL): SNAP-2 Experimental Reactor, SNAP-2 Development Reactor, SNAP-10A Ground Test Reactor, SNAP-8 Experimental Reactor, SNAP-8 Development Reactor, and Shield Test Reactor. The report also covers documentation on SNAP fuel materials from four in-pile materials tests: NAA-82-1, NAA-115-2, NAA-117-1, and NAA-121. Pieces of these fuel materials are also stored at INEL as part of the SNAP fuel shipments

  13. Leprosy and international adoption: a case report and review of diagnostic and treatment dilemmas.

    Science.gov (United States)

    King, Katherine; Browning, John C; Metry, Denise W; Prestigiacomo, John; Scollard, David; Schutze, Gordon E; Stryjewska, Barbara; Schwarzwald, Heidi

    2009-04-01

    Hansen disease, commonly known as leprosy, is uncommon in the United States and poses difficult diagnostic and treatment challenges. A 10-year-old girl was adopted from Ethiopia with a history of "multibacillary leprosy" and "multidrug treatment" for 12 months. Three months after her arrival in the United States and 4 months after treatment was completed, she presented with new papules and plaques on her left nose and ear. Herein, we present her case and review current treatment options in leprosy in children and the management of immunologic reactions.

  14. Systematic search and review procedures: results of the International Collaboration on Mild Traumatic Brain Injury Prognosis

    DEFF Research Database (Denmark)

    Cancelliere, C.; Cassidy, J. D.; Li, A.

    2014-01-01

    of interventions for mild traumatic brain injury (MTBI), identify knowledge gaps in the literature, and make recommendations for future research. DATA SOURCES: MEDLINE, Embase, PsycINFO, Cumulative Index to Nursing and Allied Health, and SPORTDiscus were searched between 2001 and 2012. Inclusion criteria included...... to population (eg, adults, children, and athletes) and outcomes (eg, risk of dementia after MTBI). CONCLUSIONS: After 77,914 records were screened, 299 articles were eligible and reviewed. Of these, 101 (34%) were accepted as scientifically admissible and form the basis of our findings, which are organized...

  15. Eco-efficience et analyse des couts du cycle de vie: Developpement d'un outil d'aide a la conception dans l'industrie aeronautique

    Science.gov (United States)

    Mami, Fares

    The aeronautical sector, responsible for about 3 % of the world emissions of greenhouse gases, predict a 70 % growth in 2025 and 300 % to 500 % in 2050 of its emissions compared to the level of 2005. The decision-makers must thus be supported in their choice of conception to integrate the environmental aspect into the decision-making. Our industrial partner in the aeronautical sector developed an expertise in Life Cycle Assessment (LCA) and seeks to integrate the costs and the environmental impacts in a systematic way into the ecodesign of products. Based on the literature review and the objectives of this research we propose a model of eco-efficiency, which integrates LCA with Life Cycle Costing (LCC). This model is consistent with defined cost cutting and environmental impacts reduction targets and allows a simple interpretation of the results while minimizing the efforts during data collection. The model is applied for 3D printing as an alternative production process in the manufacturing of an aircraft blocker door. 3D printing is a new technology of production working by addition of material and present interesting opportunities of cost cutting and environmental impacts, particularly in the aeronautical domain. The results showed that 3D printing, when associated with improvement in the topology of the part, allows an improvement both on costs and environmental impacts of the part life cycle. Nevertheless, the results are sensitive to the productivity of the 3D printing machine, in particular with costs when the productivity of the 3D printing is reduced. This eco-efficiency model presents several opportunities of improvement. A more elaborate definition of the objectives in reduction of environmental impacts would allow to direct the choices in design to considerations of eco-efficiency at a macro level. Moreover, the integration of the social dimension in the model constitutes an important stage to operationalize the stakes of environmental and social

  16. Renewable energy sources for the world's poor: a review of current international development assistance programs

    Energy Technology Data Exchange (ETDEWEB)

    Ashworth, J. H.

    1979-10-01

    Foreign assistance funding of the creation, testing, and use of renewable energy sources concerning worldwide efforts to provide energy for Third World development is examined. Donor agencies and developing nations give serious attention to technologies that have been considered exotic and marginal: small-scale hydroelectric generation, solar water heating and distillation, biomass conversion to methane gas and alcohol, wind power, photovoltaic-powered small-scale irrigation, and village-level solar-powered absorption refrigeration. An initial effort to assist in the international coordination of donor activity and in the sharing of information generated by foreign-assistance projects that use renewable energy sources is reported. The report mainly provides information about specific development projects. It contains only a few of the projects that have been approved and funded by 1 June 1979. (MCW)

  17. Literature review: Afghanistan women's health crisis, health service delivery, and ethical issues for international aid.

    Science.gov (United States)

    Turner, Helen

    2006-09-01

    The literature indicates that the health of women in Afghanistan is poor. In 1997 maternal mortality in Afghanistan was one of the worst in the world. Difficulties in establishing health services revolve around fundamentalist Islamic ideas and ongoing violence within Afghanistan. The literature holds advice on key behaviours for health professionals who may chose to work in Afghanistan. The literature also identifies the local level action that is occurring as the issue of women's health is recognised. Humanitarian assistance has been provided, with international aid agencies having to weigh the ethical responsibilities they hold and one agency tragically facing the violent loss of its own staff. Easy answers are not in the literature, merely an opportunity to understand, consider, and take action about what is facing women in Afghanistan and those who try to help.

  18. Narrow duplicated internal auditory canal: radiological findings and review of the literature

    International Nuclear Information System (INIS)

    Demir, Oezguen Ilhan; Cakmakci, Handan; Men, Sueleyman; Erdag, Taner Kemal

    2005-01-01

    Narrow duplicated internal auditory canal (IAC) is a rare malformation of the temporal bone that is associated with ipsilateral congenital sensorineural hearing loss. This may be an isolated finding or a part of a syndrome. Radiological examination should demonstrate aplasia or hypoplasia of the neural components of the narrow IAC, to guide the surgical approach. We report a 7-year-old boy with Klippel-Feil syndrome with a narrow double IAC with no sensorineural hearing loss but with conductive hearing loss. In this patient, the IAC consisted of two separate narrow bony canals clearly seen on 3D temporal bone CT and one nerve that was delineated on MRI. The contralateral external auditory canal was stenotic and the ossicles were dysplastic. (orig.)

  19. Radiosurgery for epilepsy: Systematic review and International Stereotactic Radiosurgery Society (ISRS) practice guideline.

    Science.gov (United States)

    McGonigal, Aileen; Sahgal, Arjun; De Salles, Antonio; Hayashi, Motohiro; Levivier, Marc; Ma, Lijun; Martinez, Roberto; Paddick, Ian; Ryu, Samuel; Slotman, Ben J; Régis, Jean

    2017-11-01

    While there are many reports of radiosurgery for treatment of drug-resistant epilepsy, a literature review is lacking. The aim of this systematic review is to summarize current literature on the use of stereotactic radiosurgery (RS) for treatment of epilepsy. Literature search was performed using various combinations of the search terms "radiosurgery", "stereotactic radiosurgery", "Gamma Knife", "epilepsy" and "seizure", from 1990 until October 2015. Level of evidence was assessed according to the PRISMA guidelines. Fifty-five articles fulfilled inclusion criteria. Level 2 evidence (prospective studies) was available for the clinical indications of mesial temporal lobe epilepsy (MTLE) and hypothalamic hamartoma (HH) treated by Gamma Knife (GK) RS. For remaining indications including corpus callosotomy as palliative treatment, epilepsy related to cavernous malformation and extra-temporal epilepsy, only Level 4 data was available (case report, prospective observational study, or retrospective case series). No Level 1 evidence was available. Based on level 2 evidence, RS is an efficacious treatment to control seizures in MTLE, possibly resulting in superior neuropsychological outcomes and quality of life metrics in selected subjects compared to microsurgery. RS has a better risk-benefit ratio for small hypothalamic hamartomas compared to surgical methods Delayed therapeutic effect resulting in ongoing seizures is associated with morbidity and mortality risk. Lack of level 1 evidence precludes the formation of guidelines at present. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Review of Cardiovascular Disease Prevention and Control Programs: International Experience and Challenges in China

    Directory of Open Access Journals (Sweden)

    Seng Chuen Tan

    2016-01-01

    Full Text Available Major cardiovascular risk factors in China, such as hyperlipidemia, hypertension, dietary factors, exposure to tobacco, diabetes, obesity and physical inactivity, have contributed to deteriorating trends in cardiovascular disease (CVD deaths. In past years, a number of CVD prevention programs have been initiated in European and American countries and successfully brought down CVD related death rate by involving various parties such as physicians, patients, government agencies and payers. However, there is rare published literature that systemically reviewed such experience, which would be highly valuable for China and other countries with high CVD burden. In this article, we review the published literature on CVD prevention and control programs and report on interviews of local and foreign experts to provide recommendations for China-specific CVD prevention and control programs. In order to provide practical suggestions, we describe the type of programs as patient, physician, pharmacist, nurse, or payer-focused. Based on this evidence and identified challenges in China, programs focusing on disease management, treatment adherence, physician/health care provider education, financial incentives, and integrated healthcare are recommended for the prevention and control of CVD in China.

  1. An international systematic mapping review of fieldwork education in occupational therapy.

    Science.gov (United States)

    Roberts, Michael E; Hooper, Barbara R; Wood, Wendy H; King, Robin M

    2015-04-01

    Owing to its importance in preparing occupational therapists, fieldwork education has generated numerous studies. These have not been collected and reviewed, leaving researchers without a map for growing a science of fieldwork education. This study aimed to systematically categorize the topics, research designs, methods, levels of impact, and themes that have and have not been addressed in fieldwork education scholarship. Guided by a systematic mapping review design, 124 articles, identified through database searches and inclusion coding, were studied. Data were collected using a data extraction instrument and analyzed using Microsoft Access queries. Papers primarily addressed curriculum (n = 51) and students (n = 32). Conceptual/descriptive inquiry methods (n = 57) were predominant. Qualitative (n = 48) and quantitative methods (n = 49) were used equally. Research outcomes mainly targeted perceived participation in fieldwork. Recurring themes included student perceptions, external influences, and transition to practice. Three recommendations were identified: strengthen procedures for studying singular fieldwork experiences, broaden rationales for studying fieldwork, and translate educational concepts for occupational therapy.

  2. Contemporary public perceptions of nursing: a systematic review and narrative synthesis of the international research evidence.

    Science.gov (United States)

    Girvin, June; Jackson, Debra; Hutchinson, Marie

    2016-11-01

    To investigate the current public understanding and perceptions of nursing. In recent years, attention to large scale health-care failures has focused considerable concern upon nursing standards. To avoid short-term solutions, and the temptation to see individual failures as representative of the wider profession, it is important to understand contemporary public perceptions of nursing. A systematic review and narrative synthesis of peer reviewed papers from January 2010 to September 2015. Four main themes were identified: (1) media portrayal of nursing as a troubled profession; (2) entertainment value in demeaning nursing; (3) role incongruity - nursing trusted but not respected; and (4) nursing roles remain poorly understood. Although there is evidence of strong public trust, this does not generally appear to be born out of an understanding of nursing work and impact; rather it appears to stem from the respect held for the traditional, more sentimental stereotypes of selfless, hardworking young females. A long-term, strategic solution is required that focuses on public engagement and interaction with the profession in a context wider than personal health/ill-health, and that goes beyond the marketing campaigns seen in the past to address recruitment crises. © 2016 John Wiley & Sons Ltd.

  3. A review of competencies needed for health librarians--a comparison of Irish and international practice.

    Science.gov (United States)

    Lawton, Aoife; Burns, Jane

    2015-06-01

    The purpose of this review was to uncover areas of competence which may lead to a baseline of skills for health librarians. A baseline could inform personal development plans for health librarians, criteria for job descriptions and curriculum for library and information science (LIS) courses. This research outlines existing competencies for librarians working in health care as defined by library associations, recent job descriptions and a mapping review of the library and information science literature. This is performed in the context of librarians working in the Irish health system with examples of practice drawn from the Irish experience. Ten areas of competence were found to be common to three of five library associations, which were also common to recent job descriptions. The literature reveals an ever changing working environment for librarians working in health with opportunities for new and evolving roles. The challenge for librarians moving into these roles will be to stay relevant and to keep skills updated in a rapidly moving health and information environment. © 2014 Health Libraries Group.

  4. Methods of removal of tritium from aqueous effluent: a review of international research and development

    International Nuclear Information System (INIS)

    Segal, M.G.

    1988-01-01

    Tritium is formed in thermal nuclear reactors both by neutron activation of elements such as deuterium and lithium and by ternary fission in the fuel. It is a weak beta-emitter with a short half-life, 12.3 years, and its radiological significance in reactor discharges is very low. In heavy-water-cooled and -moderated reactors, such as the CANDU stations, the tritium concentration in the moderator is sufficiently high to cause a potential hazard to operators, and so a major research and development programme has been carried out on processes to remove the tritium. Detritiation of light water has also been the subject of major R and D effort world-wide, because reprocessing operations can generate significant quantities of tritium in liquid waste, and high concentrations of tritium may arise in some aqueous streams in fusion reactors. This Report presents a review of the methods that have been proposed, studied and developed for removal of tritium from light and heavy water: the principles of individual methods are discussed, and the current status of their development is reviewed. (author)

  5. The International Classification of Functioning, Disability and Health (ICF) in Electronic Health Records. A Systematic Literature Review.

    Science.gov (United States)

    Maritz, Roxanne; Aronsky, Dominik; Prodinger, Birgit

    2017-09-20

    The International Classification of Functioning, Disability and Health (ICF) is the World Health Organization's standard for describing health and health-related states. Examples of how the ICF has been used in Electronic Health Records (EHRs) have not been systematically summarized and described yet. To provide a systematic review of peer-reviewed literature about the ICF's use in EHRs, including related challenges and benefits. Peer-reviewed literature, published between January 2001 and July 2015 was retrieved from Medline ® , CINAHL ® , Scopus ® , and ProQuest ® Social Sciences using search terms related to ICF and EHR concepts. Publications were categorized according to three groups: Requirement specification, development and implementation. Information extraction was conducted according to a qualitative content analysis method, deductively informed by the evaluation framework for Health Information Systems: Human, Organization and Technology-fit (HOT-fit). Of 325 retrieved articles, 17 publications were included; 4 were categorized as requirement specification, 7 as development, and 6 as implementation publications. Information regarding the HOT-fit evaluation framework was summarized. Main benefits of using the ICF in EHRs were its unique comprehensive perspective on health and its interdisciplinary focus. Main challenges included the fact that the ICF is not structured as a formal terminology as well as the need for a reduced number of ICF codes for more feasible and practical use. Different approaches and technical solutions exist for integrating the ICF in EHRs, such as combining the ICF with other existing standards for EHR or selecting ICF codes with natural language processing. Though the use of the ICF in EHRs is beneficial as this review revealed, the ICF could profit from further improvements such as formalizing the knowledge representation in the ICF to support and enhance interoperability.

  6. U.S. and International In-Hospital Costs of Extracorporeal Membrane Oxygenation: a Systematic Review.

    Science.gov (United States)

    Harvey, Michael J; Gaies, Michael G; Prosser, Lisa A

    2015-08-01

    The in-hospital costs of extracorporeal membrane oxygenation (ECMO) have not been well established. To evaluate the in-hospital costs of ECMO technology in both US and non-US settings for all patient types. Systematic review of English-language articles, using the PubMed, Embase, Web of Science and EconLit databases. Searches consisted of the terms 'ECMO' AND 'health expenditures' or 'resource use' or 'costs' or 'cost analysis' or 'cost(-)effectiveness' or 'cost(-)benefit' or 'cost(-)utility' or 'economic(-)evaluation' or 'economic' or 'QALY' or 'cost per quality-adjusted life year'. Only full scientific research articles were included. The exclusion criteria included papers that focused on pumpless ECMO, simulation training or decision support systems; papers that did not include human subjects or were not written in English; papers that did not mention ECMO, costs, economics or resource utilization; and papers that included only outside-hospital, infrastructure capital or device capital costs. Data extraction was completed by one author, using predefined criteria. From the database searches, 1371 results were returned, 226 records underwent a full review and 18 studies were included in the final review. Three papers studied adult populations, two studied adult and paediatric populations, five studied only paediatric populations, one studied a paediatric and neonatal population, and the remaining seven exclusively examined ECMO in neonatal populations. The sample sizes ranged from 8 to 8753 patients. ECMO for respiratory conditions was the most common diagnosis category, followed by congenital diaphragmatic hernia (CDH) and then cardiac conditions. Most papers (n = 14) used retrospective cost collection. Only eight papers stated the perspective of the cost analysis. The results show a large variation in the cost of ECMO over multiple cost categories (e.g., range of total in-hospital costs of treatment: USD 42,554-537,554 [in 2013 values]). In the U.S.A., the

  7. Psychological and psychosomatic disorders during pregnancy and childbirth: a review of contemporary international researches

    Directory of Open Access Journals (Sweden)

    Lantsburg M.E.,

    2016-06-01

    Full Text Available In recent decades, the increasing worldwide problems in the reproductive sphere of people, the problem of preserving reproductive health of the population has become very topical, it requires joint medical and psychological efforts. This article presents a review of more than 70 modern English-language scientific publications devoted to the study of psychological and psychosomatic peculiarities of men, women and couples with reproductive disorders and psychological predictors and consequences of these problems. The best known and the least explored psychological aspects of reproductive disorders are highlighted, the results of research are described, also R. Linder’s psychotherapeutic method of preventing premature births is outlined. The article has two parts: the first part presents the research of psychosomatic aspects of male and female reproductive diseases, including infertility; the second one is devoted to psychological and psychosomatic disorders of women during pregnancy and childbirth.

  8. Lujan Center Mark-IV Target Neutronics Design Internal Review Report

    Energy Technology Data Exchange (ETDEWEB)

    Lisowski, Paul W. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Gallmeier, Franz [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Guber, Klaus [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2018-02-26

    The 1L Target Moderator Reflector System (TMRS) at the Lujan Center will need to be replaced before the CY 2020 operating cycle. A Physics Division design team investigated options for improving the overall target performance for nuclear science research with minimal reduction in performance for materials science. This review concluded that devoting an optimized arrangement of the Lujan TMRS upper tier to nuclear science and using the lower tier for materials science can achieve those goals. This would open the opportunity for enhanced nuclear science research in an important neutron energy range for NNSA. There will be no other facility in the US that will compete in the keV energy range provided flight paths and instrumentation are developed to take advantage of the neutron flux and resolution.

  9. An international benchmark on safety review practices at nuclear power plants

    International Nuclear Information System (INIS)

    Wahlstroem, B.; Kettunen, J.

    2000-02-01

    A benchmarking exercise on safety review practices at nuclear power plants in Finland, Sweden and the United Kingdom has been carried out. In the exercise a comparison was made between documented practices at the Forsmark, Hinkley Point A and Olkiluoto nuclear power plants. In addition a total of 28 persons at FKA, Magnox and TVO were interviewed on their views on the efficiency of the plant modification processes in the later half of 1997. One specific example of a plant modification was selected from each of the nuclear power plant sites to provide a basis for the comparison. The report gives an account of the methodology used, a description of the plant modification projects, impressions from the interviews, potential problem areas and suggestions for possible improvements. (orig.)

  10. Education Needs of Families of Transgender Young People: A Narrative Review of International Literature.

    Science.gov (United States)

    Sharek, Danika; Huntley-Moore, Sylvia; McCann, Edward

    2018-01-01

    Education plays a crucial role in the lives of families of transgender young people and mental healthcare practitioners are well-placed to support families in this regard. This paper reports findings from a narrative review of 31 papers that explored the education needs of families of transgender young people. The emergent themes were synthesised to develop a five-stage model that depicts the role of education in the lives of these families. Key themes included: (i) learning that a family member is trans; (ii) family responses; (iii) accessing education and information; (iv) impact on the individual; and (iv) moving beyond the individual. The key implications for mental health practitioners, families, and future research are discussed.

  11. An international review of the patterns and determinants of health service utilisation by adult cancer survivors

    Directory of Open Access Journals (Sweden)

    Treanor Charlene

    2012-09-01

    Full Text Available Abstract Background There is a need to review factors related to health service utilisation by the increasing number of cancer survivors in order to inform care planning and the organisation and delivery of services. Methods Studies were identified via systematic searches of Medline, PsycINFO, CINAHL, Social Science Citation Index and the SEER-MEDICARE library. Methodological quality was assessed using STROBE; and the Andersen Behavioural Model was used as a framework to structure, organise and analyse the results of the review. Results Younger, white cancer survivors were most likely to receive follow-up screening, preventive care, visit their physician, utilise professional mental health services and least likely to be hospitalised. Utilisation rates of other health professionals such as physiotherapists were low. Only studies of health service use conducted in the USA investigated the role of type of health insurance and ethnicity. There appeared to be disparate service use among US samples in terms of ethnicity and socio-demographic status, regardless of type of health insurance provision s- this may be explained by underlying differences in health-seeking behaviours. Overall, use of follow-up care appeared to be lower than expected and barriers existed for particular groups of cancer survivors. Conclusions Studies focussed on the use of a specific type of service rather than adopting a whole-system approach and future health services research should address this shortcoming. Overall, there is a need to improve access to care for all cancer survivors. Studies were predominantly US-based focussing mainly on breast or colorectal cancer. Thus, the generalisability of findings to other health-care systems and cancer sites is unclear. The Andersen Behavioural Model provided an appropriate framework for studying and understanding health service use among cancer survivors. The active involvement of physicians and use of personalised care plans are

  12. Glenohumeral Internal Rotation Deficit and Risk of Upper Extremity Injury in Overhead Athletes: A Meta-Analysis and Systematic Review.

    Science.gov (United States)

    Keller, Robert A; De Giacomo, Anthony F; Neumann, Julie A; Limpisvasti, Orr; Tibone, James E

    Current perception dictates that glenohumeral internal rotation deficit (GIRD) is a chronic adaptation that leads to an increased risk of pathologic conditions in the dominant shoulder or elbow of overhead athletes. To determine whether adaptations in glenohumeral range of motion in overhead athletes lead to injuries of the upper extremity, specifically in the shoulder or elbow. An electronic database search was performed using Medline, Embase, and SportDiscus from 1950 to 2016. The following keywords were used: GIRD, glenohumeral internal rotation deficit, glenohumeral deficit, shoulder, sport, injury, shoulder joint, baseball, football, racquet sports, volleyball, javelin, cricket, athletic injuries, handball, lacrosse, water polo, hammer throw, and throwing injury. Seventeen studies met the inclusion criteria for this systematic review. Of those 17 studies, 10 included specific range of motion measurements required for inclusion in the meta-analysis. Systematic review and meta-analysis. Level 4. Data on demographics and methodology as well as shoulder range of motion in various planes were collected when possible. The primary outcome of interest was upper extremity injury, specifically shoulder or elbow injury. The systematic review included 2195 athletes (1889 males, 306 females) with a mean age of 20.8 years. Shoulders with GIRD favored an upper extremity injury, with a mean difference of 3.11° (95% CI, -0.13° to 6.36°; P = 0.06). Shoulder total range of motion suggested increased motion (mean difference, 2.97°) correlated with no injury ( P = 0.11), and less total motion (mean difference, 1.95°) favored injury ( P = 0.14). External rotational gain also favored injury, with a mean difference of 1.93° ( P = 0.07). The pooled results of this systematic review and meta-analysis did not reach statistical significance for any shoulder motion measurement and its correlation to shoulder or elbow injury. Results, though not reaching significance, favored injury

  13. Practice and effectiveness of internal corporate governance mechanisms in Saudi Arabia Stock Market: A review of empirical evidence

    Directory of Open Access Journals (Sweden)

    Marai Awidat

    2017-01-01

    Full Text Available The aim of this paper is to shed light on the Saudi corporate governance code, its practices and effectiveness. To do so, the paper conducted a detailed review of the articles of the code related to internal corporate governance mechanisms and the previous studies regarding its effectiveness in Saudi stock market context. The main finding is that the provisions of Saudi corporate governance code are adequate. Annual reports (2009-2014 show an increase in the level of the compliance by listed companies, indicating that the code is achieving its aims. However, the empirical evidence seems to suggest that the code has an insignificant impact on company's performance and mitigating earnings management. The main reasons behind that are the following: the code is still in its early stages, there is weak legal enforcement, and there are also some social, cultural, and economic factors. Therefore, the code needs more time for good practice and improvement to achieve its purposes.

  14. 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.

  15. A review of uranium extraction from seawater: Recent international research and development

    International Nuclear Information System (INIS)

    Nor Azillah Fatimah Othman; Jamaliah Sharif; Siti Fatahiyah Mohamad

    2012-01-01

    Radiation-induced grafting co-polymerization is widely used technique to produce high performance chemically active polymer materials for adsorption and separation processes on the basis of various commercial polymers available in different forms (films, fibers, resins, textiles, powders). The design and synthesis of polymer supported reagents that can selectively complex metal ions from multi-component solutions have been an important area of research during the last decades. Uranyl ions have been one of the target ions to be removed from aqueous systems. Despite the very low uranium concentration (3.3 ppb) in seawater, its total amount reaches 4 x 10 12 kg, that is equivalent to 1000 times of the mine uranium. To recover an economically significant quantity of uranium from seawater, an adsorption method using a suitable solid adsorbent seems to be feasible with regard to economical and environmental impacts. Extensive investigations of adsorbents capable of recovering uranium from seawater and aqueous systems have been carried out during the last two decades especially in Japan Atomic Energy Agency, Japan but until now, this method is not feasible for mass production. In this paper, recent international activities are summarized, on both the laboratory scale experiments and large scale marine experiments. Research and Development opportunities are discussed for improving the system performance and making the collection of uranium from seawater more economically competitive. (author)

  16. Review of the international symposium, sister chromatid exchanges: twenty-five years of experimental research

    International Nuclear Information System (INIS)

    Tice, R.R.; Lambert, B.; Morimoto, Kanehisa; Hollaender, A.

    1983-01-01

    The purpose of this symposium was to honor initial research at Brookhaven by bringing internationally recognized leaders in the fields of genetics, cytogenetics, carcinogenesis, mutagenesis, radiation biology, toxicology, and environmental health together into an open forum to present and discuss: (1) current knowledge of the induction and formation of SCEs and their relationship to other biological endpoints, including carcinogenesis, mutagenesis, transformation, clastogenesis, DNA damage and repair, and cellular toxicity; (2) the optimal strategies for the utilization of SCEs in genetic toxicology testing schemes involving in vitro and in vivo exposure situations; (3) the most valid statistical methods for analyzing SCE data obtained from cells in culture, from cells in intact organisms, and from cells in humans; (4) the relevance of SCEs as an indicator of human disease states, both inherited and acquired, and of progress in disease treatment; and (5) the use of SCEs as an indicator of human exposure to genotoxic agents and their relevance as a prognosticator of future adverse health outcomes. This report summarizes the presentations. 7 references

  17. Review of the international symposium, sister chromatid exchanges: twenty-five years of experimental research

    Energy Technology Data Exchange (ETDEWEB)

    Tice, R.R.; Lambert, B.; Morimoto, Kanehisa; Hollaender, A.

    1983-01-01

    The purpose of this symposium was to honor initial research at Brookhaven by bringing internationally recognized leaders in the fields of genetics, cytogenetics, carcinogenesis, mutagenesis, radiation biology, toxicology, and environmental health together into an open forum to present and discuss: (1) current knowledge of the induction and formation of SCEs and their relationship to other biological endpoints, including carcinogenesis, mutagenesis, transformation, clastogenesis, DNA damage and repair, and cellular toxicity; (2) the optimal strategies for the utilization of SCEs in genetic toxicology testing schemes involving in vitro and in vivo exposure situations; (3) the most valid statistical methods for analyzing SCE data obtained from cells in culture, from cells in intact organisms, and from cells in humans; (4) the relevance of SCEs as an indicator of human disease states, both inherited and acquired, and of progress in disease treatment; and (5) the use of SCEs as an indicator of human exposure to genotoxic agents and their relevance as a prognosticator of future adverse health outcomes. This report summarizes the presentations. 7 references. (ACR)

  18. International Expert Review of SRCan: Engineered Barrier Issues. External review contribution in support of SKI's and SSI's review of SR-Can

    Energy Technology Data Exchange (ETDEWEB)

    Savage, David (Quintessa Limited, Henley-on-Thames (GB)); Bennett, David (TerraSalus Limited, Oakham (GB)); Apted, Mick (Monitor Scientific LLC, Denver, CO (US)); Saellfors, Goeran (Chalmers Univ. of Technology, Goeteborg (SE)); Saario, Timo (VTT Materials and Building (FI)); Segle, Peter (Inspecta, Stockholm (SE))

    2008-03-15

    The Swedish Nuclear Fuel and Waste Management Company (SKB) has recently submitted a license application for the construction of a spent fuel encapsulation plant. SKB plans to submit a further license application in 2009 for the construction of a repository for the disposal spent nuclear fuel. In connection with the first of these applications, SKB published a safety report, known as SR-Can, which assessed the safety of a spent-fuel repository. The Swedish Nuclear Power Inspectorate (SKI) and the Swedish Radiation Protection Authority (SSI) (the Authorities) will make formal reviews of the licence applications, and have, therefore, jointly commissioned a team of independent experts to assess and provide comments on SKB's safety reports. The Authorities will consider the views of the independent review team in completing their own reviews. This document presents the comments and findings of the Engineered Barrier System (EBS) review group on SR-Can. The SR-Can safety report includes an examination of EBS design and performance for a range of scenarios, including expected repository evolution and possible variant scenarios, that together address processes and events that might result in the loss of certain repository safety functions. Furthermore, a series of sensitivity analyses is also presented that provides helpful insights into the relative importance of many key parameters and processes related to the EBS. In general, the explanatory text of the SR-Can safety report is clear, and the cited references provide adequate technical justifications for the assumptions, models, and data that are abstracted into the SR-Can safety report. The review group considers, therefore, that SKB's development of SR-Can has been a very valuable exercise, and that SKB should be congratulated on the breadth, depth and general clarity of its research and development and safety assessment programmes. Notwithstanding these successes, the EBS review group has identified a range

  19. International Review Team (IRT) Safety Case Recommendations for the Yucca Mountain Total System Performance Assessment (TSPA) Supporting the Site Recommendation

    International Nuclear Information System (INIS)

    Van Luik, Abraham E.

    2004-01-01

    The session started with Abe Van Luik (IGSC Chair, US-DOE-YM, USA) who presented the feedback of the international peer review of the US-DOE Yucca Mountain TSPA (Total System Performance Assessment) supporting the successful designation of the site by the Congress and the President of the U.S. In particular, he listed key implications of the IRT (International Review team) recommendations on the forthcoming US-DOE documentation of its case for safety to be submitted to the regulator, the U.S. Nuclear Regulatory Commission, mainly: - The documentation submitted to the licensing authority should address technical aspects and compliance with regulatory criteria. - That documentation should reflect sound science and good engineering practice; it should present detailed and rigorous modelling. - In addition, it should present both quantitative and qualitative arguments, make a statement on why there can be confidence in the face of uncertainty, acknowledge remaining issues and provide the strategy to resolve them. - Demonstrating understanding is as important as demonstrating compliance. - There is a need to provide a clear explanation of the case made to the regulator for more general audiences to complement the large amount of technical documents that will be produced. The US-DOE response to these recommendations for the License Application, which is under preparation, is that the recommendations will be implemented to the maximum extent possible. In subsequent discussion, with respect to the License Application, it was acknowledged that detailed guidance from the U.S. regulator was very useful, and guidance of this type would be generally useful. At the current time, the words 'safety case' are not mentioned in U.S. regulations, but if one reads both the regulation and guidance documents it becomes evident that all aspects of a safety case need to be provided in the License Application and its accompanying documents

  20. Teachers‘ Leadership in the Didactic Room: A Systematic Literature Review of International Research

    Directory of Open Access Journals (Sweden)

    Gunnar Augustsson

    2016-08-01

    Full Text Available This study deepens our knowledge about research on leadership in the didactic room, i.e., the framing of the current teaching situation, regardless of its location. The objective was to (a identify and classify patterns and trends concerning teachers’ leadership in the didactic room from 1980 to 2013, (b compare and discuss the findings, and (c point to a future research agenda. The method is a systematic literature review (SLR with a quantitative and qualitative content analysis. The results revealed that half of the research on this topic was performed from 2006 to 2013. The results also show that teachers’ leadership appears to be a Western phenomenon that is becoming increasingly relevant in our time. Two issues could be linked to this leadership: the unclear boundaries between different types of leadership and confusion about teachers’ personalities and leadership styles. This underlines the importance of contextual and situated didactic strategies and flexible leadership styles in the didactic room. Even if this study shows that an awareness of different didactic aspects exists concerning teachers’ leadership, a comprehensive approach to designing studies that incorporate the didactic complexities is lacking.Keywords: didactic, didactic leadership, literature review, teachers’ leadershipSammanfattningDenna studie fördjupar kunskapen i tidigare forskning om ledarskap i det didaktiska rummet, dvs. inramningen av aktuell undervisningssituation oavsett plats. Syftet var att (a identifiera och klassificera mönster och trender om lärares ledarskap i det didaktiska rummet 1980-2013, (b jämföra och diskutera resultaten, och (c peka ut en framtida forskningsinriktning. Metoden är en systematisk litteraturöversikt (SLR med en kvantitativ och kvalitativ innehållsanalys. Resultaten visar att hälften av forskningen utfördes under 2006-2013. Resultaten visar också att lärarnas ledarskap är ett västerländskt fenomen som blivit

  1. Survival and Complications Following Surgery and Radiation for Localized Prostate Cancer: An International Collaborative Review.

    Science.gov (United States)

    Wallis, Christopher J D; Glaser, Adam; Hu, Jim C; Huland, Hartwig; Lawrentschuk, Nathan; Moon, Daniel; Murphy, Declan G; Nguyen, Paul L; Resnick, Matthew J; Nam, Robert K

    2018-01-01

    Evaluation of treatment options for localized prostate cancer (PCa) remains among the highest priorities for comparative effectiveness research. Surgery and radiotherapy (RT) are the two interventions most commonly used. To provide a critical narrative review of evidence of the comparative effectiveness and harms of surgery and RT in the treatment of localized PCa. A collaborative critical narrative review of the literature was conducted. Evidence to clearly guide treatment choice in PCa remains insufficient. Randomized trials are underpowered for clinically meaningful endpoints and have demonstrated no difference in overall or PCa-specific survival. Observational studies have consistently demonstrated an absolute survival benefit for men treated with radical prostatectomy, but are limited by selection bias and residual confounding errors. Surgery and RT are associated with comparable health-related quality of life following treatment in three randomized trials. Randomized data regarding urinary, erectile, and bowel function show few long-term (>5 yr) differences, although short-term continence and erectile function were worse following surgery and short-term urinary bother and bowel function were worse following RT. There has been recent recognition of other complications that may significantly affect the life trajectory of those undergoing PCa treatment. Of these, hospitalization, the need for urologic, rectoanal, and other major surgical procedures, and secondary cancers are more common among men treated with RT. Androgen deprivation therapy, frequently co-administered with RT, may additionally contribute to treatment-related morbidity. Technological innovations in surgery and RT have shown inconsistent oncologic and functional benefits. Owing to underpowered randomized control studies and the selection biases inherent in observational studies, the question of which treatment provides better PCa control cannot be definitively answered now or in the near future

  2. A qualitative review of existing national and international occupational safety and health policies relating to occupational sedentary behaviour.

    Science.gov (United States)

    Coenen, Pieter; Gilson, Nicholas; Healy, Genevieve N; Dunstan, David W; Straker, Leon M

    2017-04-01

    Prolonged sedentary time is now recognised as an emergent ergonomics issue. We aimed to review current occupational safety and health policies relevant to occupational sedentary behaviour. An electronic search for documents was conducted on websites of ergonomics and occupational safety and health organisations from 10 countries and six international/pan-European agencies. Additionally, 43 informants (nine countries) were contacted and an international conference workshop held. 119 documents (e.g. legislation, guidelines, codes of practice) were identified. Using a qualitative synthesis, it was observed that many jurisdictions had legal frameworks establishing a duty of care for employers, designers/manufacturers/suppliers and employees. While no occupational authority policies focusing specifically on sedentary behaviour were found, relevant aspects of existing policies were identified. We highlight implications for ergonomics research and practice and recommend the development of policy to specifically address occupational sedentary behaviour and support workplace initiatives to assess and control the risks of this emergent hazard. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Review of the results from the International C. elegans first experiment (ICE-FIRST)

    Science.gov (United States)

    Adenle, A. A.; Johnsen, B.; Szewczyk, N. J.

    2009-07-01

    In an effort to speed the rate of discovery in space biology and medicine NASA introduced the now defunct model specimen program. Four nations applied this approach with Caenorhabditis elegans in the ICE-FIRST experiment. Here we review the standardized culturing as well as the investigation of muscle adaptation, space biology radiation, and gene expression in response to spaceflight. Muscle studies demonstrated that decreased expression of myogenic transcription factors underlie the decreased expression of myosin seen in flight, a response that would appear to be evolutionarily conserved. Radiation studies demonstrated that radiation damaged cells should be able to be removed via apoptosis in flight, and that C. elegans can be employed as a biological accumulating dosimeter. Lastly, ICE-FIRST gave us our first glimpse at the genomic response to spaceflight, suggesting that altered Insulin and/or TGF-beta signaling in flight may underlie many of the biological changes seen in response to spaceflight. The fact that the results obtained with C. elegans appear to have strong similarities in human beings suggests that not only will C. elegans prove an invaluable model for understanding the fundamental biological changes seen during spaceflight but that it may also be invaluable for understanding those changes associated with human health concerns in space.

  4. Five-year review of an international clinical research-training program.

    Science.gov (United States)

    Suemoto, Claudia Kimie; Ismail, Sherine; Corrêa, Paulo César Rodrigues Pinto; Khawaja, Faiza; Jerves, Teodoro; Pesantez, Laura; Germani, Ana Claudia Camargo Gonçalves; Zaina, Fabio; Dos Santos, Augusto Cesar Soares; de Oliveira Ferreira, Ricardo Jorge; Singh, Priyamvada; Paulo, Judy Vicente; Matsubayashi, Suely Reiko; Vidor, Liliane Pinto; Andretta, Guilherme; Tomás, Rita; Illigens, Ben Mw; Fregni, Felipe

    2015-01-01

    The exponential increase in clinical research has profoundly changed medical sciences. Evidence that has accumulated in the past three decades from clinical trials has led to the proposal that clinical care should not be based solely on clinical expertise and patient values, and should integrate robust data from systematic research. As a consequence, clinical research has become more complex and methods have become more rigorous, and evidence is usually not easily translated into clinical practice. Therefore, the instruction of clinical research methods for scientists and clinicians must adapt to this new reality. To address this challenge, a global distance-learning clinical research-training program was developed, based on collaborative learning, the pedagogical goal of which was to develop critical thinking skills in clinical research. We describe and analyze the challenges and possible solutions of this course after 5 years of experience (2008-2012) with this program. Through evaluation by students and faculty, we identified and reviewed the following challenges of our program: 1) student engagement and motivation, 2) impact of heterogeneous audience on learning, 3) learning in large groups, 4) enhancing group learning, 5) enhancing social presence, 6) dropouts, 7) quality control, and 8) course management. We discuss these issues and potential alternatives with regard to our research and background.

  5. International Workshop on First Decadal Review Of The Edgeworth-kuiper-belt : Towards New Frontiers

    CERN Document Server

    Barrera, Luis; Towards New Frontiers

    2004-01-01

    A decade after the confirmation of the Kuiper Belt's existence, 80 of the world's experts gathered in Chile to review what has been learned since 1992. This record of the meeting is enhanced by several specially solicited papers covering additional material not presented at the conference. The volume includes papers on the dynamics of the trans-Neptunian region, the results of deep surveys for the new objects and the evidence for an outer Edge to the Edgeworth-Kuiper belt. Physical observations of many objects are described and attempts are made to bring these data into some coherent picture of the distant solar system. The interior physics of these distant, icy objects, and the link between the Kuiper Belt and dust disks around other stars are also considered. Of particular interest is a set of papers on how the surfaces of distant asteroids are affected by various types of radiation, an area crucial to the interpretation of data being collected by large ground based telescopes. Suitable for professi...

  6. A Review of the Contemporary International Literature on Student Retention in Higher Education

    Directory of Open Access Journals (Sweden)

    Othman Aljohani

    2016-01-01

    Full Text Available One of the major issues that concerns tertiary institutions around the world is the student retention rate. In general, higher rates of completion give more positive image about the academic, administrative and financial statues of these institutions. However, improving the student completion and retention rates can be a challenging task. One way toward this goal is utilising strategies and techniques that are informed by the findings of theoretical models and empirical studies. Therefore, this paper reviews some of the contemporary studies in the student retention literature from different higher educational contexts around the world followed by a list of the variables that are commonly linked to the student retention phenomenon in higher education and a discussion of the factors that are most frequently associated with student attrition as reported by these studies. A summary of the factors associated with the student attrition phenomenon suggested that, the central factors were the quality of students’ institutional experiences and their level of integration into the academic and social systems of their academic institutions. These factors relate to students’ experiences with the administrative system of their academic institution, including the admission, registration and disciplinary rules and policies and the availability and quality of student services and facilities. Keywords: Higher education, student retention, attrition, persistence

  7. "Official View" on Glucocorticoids in Rheumatoid Arthritis: A Systematic Review of International Guidelines and Consensus Statements.

    Science.gov (United States)

    Palmowski, Yannick; Buttgereit, Thomas; Dejaco, Christian; Bijlsma, Johannes W; Matteson, Eric L; Voshaar, Marieke; Boers, Maarten; Buttgereit, Frank

    2017-08-01

    To describe the perception of the current role of systemic glucocorticoids in the management of rheumatoid arthritis (RA) by examining their importance and the current level of evidence in recent guidelines, and to identify open questions to be addressed in future guidelines and research projects. We conducted a systematic literature review using the databases Ovid Embase, PubMed Medline, and Cochrane Library for guidelines on the pharmacologic treatment of RA. Retrieved articles were evaluated regarding their quality using the Appraisal of Guidelines for Research and Evaluation II tool and scrutinized for all relevant information concerning the use of glucocorticoids. All guidelines agree that glucocorticoids, especially if given at low doses and for a short duration, are an appropriate option in the treatment of RA. However, many recommendations remain vague, as reliable and detailed evidence is scarce. Important aspects of glucocorticoid therapy are partially or completely neglected, and the existing nomenclature is not used uniformly. Quality evaluation revealed flaws in many articles, concerning not only glucocorticoid-specific recommendations but also guideline quality in general. Current recommendations for use of glucocorticoids in the management of RA are suboptimal. More rigorous evaluation of doses, timing, and duration of their use is needed. Existing nomenclature on glucocorticoid therapy should be used uniformly. © 2016, American College of Rheumatology.

  8. Nursing review section of Surgical Neurology International: Part 1 lumbar disc disease.

    Science.gov (United States)

    Epstein, Nancy E; Hollingsworth, Renee D

    2017-01-01

    Patients with lumbar disc disease may present with low back pain, pain that radiates down to the lower extremity (radiculopathy), and leg pain that increases with ambulation (neurogenic claudication). Patients may first undergo diagnostic studies (magnetic resonance imaging, computed tomographic examinations) to determine whether there is any significant nerve root or thecal sac compression. Increasingly, patients with low back pain with/without radiculopathy are being screened by nurses rather than by neurologists or neurosurgeons/orthopedists. Recognition of the basic neurological symptoms and signs of lumbar disc disease is critical to manage and triage these patients. The neurological examination includes evaluation of the straight leg raising test (SLR/Lasegue Maneuver) and assessment of: motor function [grade 0 (no motion) to grade 5 (normal motion)], reflexes [Patellar and Achilles levels graded 0 (absent) to grade 4+ (clonus)], sensory loss (pin prick, light touch, position, and vibration), and cerebellar function (tandem gait, heel-shin, and finger-nose-finger testing). Learning to read MR and CT studies for disc herniations is critical. Nonsurgical discs include those that are minimally protruding or bulging. Alternatively, surgical disc herniations when correlated with significant neurological findings are extruded (ruptured through the annulus) or sequestrated (migrated beyond the disc space following rupture). Familiarity with symptoms, neurological signs, and radiographic presentations for patients with lumbar disc disease is critical for nurses. Here, we review the important factors nurses should know to better recognize, triage, and treat patients with lumbar disc disease.

  9. Solar energy for wastewater treatment: review of international technologies and their applicability in Brazil.

    Science.gov (United States)

    Marcelino, R B P; Queiroz, M T A; Amorim, C C; Leão, M M D; Brites-Nóbrega, F F

    2015-01-01

    Several studies have reported the adverse effects of recalcitrant compounds and emerging contaminants present in industrial effluents, which are not degradable by ordinary biological treatment. Many of these compounds are likely to accumulate in living organisms through the lipid layer. At concentrations above the limits of biological tolerance, these compounds can be harmful to the ecosystem and may even reach humans through food chain biomagnification. In this regard, advanced oxidation processes (AOPs) represent an effective alternative for the removal of the pollutants. This study focused on the AOP involving the use of ultraviolet radiation in homogeneous and heterogeneous systems. Based on the literature review, comparisons between natural and artificial light were established, approaching photoreactors constructive and operational characteristics. We concluded that the high availability of solar power in Brazil would make the implementation of the AOP using natural solar radiation for the decontamination of effluents feasible, thereby contributing to clean production and biodiversity conservation. This will serve as an important tool for the enforcement of environmental responsibility among public and private institutions.

  10. Initiatives promoting seamless care in medication management: an international review of the grey literature.

    Science.gov (United States)

    Claeys, Coraline; Foulon, Veerle; de Winter, Sabrina; Spinewine, Anne

    2013-12-01

    Patients' transition between hospital and community is a high-risk period for the occurrence of medication-related problems. The objective was to review initiatives, implemented at national and regional levels in seven selected countries, aiming at improving continuity in medication management upon admission and hospital discharge. We performed a structured search of grey literature, mainly through relevant websites (scientific, professional and governmental organizations). Regional or national initiatives were selected. For each initiative data on the characteristics, impact, success factors and barriers were extracted. National experts were asked to validate the initiatives identified and the data extracted. Most initiatives have been implemented since the early 2000 and are still ongoing. The principal actions include: development and implementation of guidelines for healthcare professionals, national information campaigns, education of healthcare professionals and development of information technologies to share data across settings of care. Positive results have been partially reported in terms of intake into practice or process measures. Critical success factors identified included: leadership and commitment to convey national and local forces, tailoring to local settings, development of a regulatory framework and information technology support. Barriers identified included: lack of human and financial resources, questions relative to responsibility and accountability, lack of training and lack of agreement on privacy issues. Although not all initiatives are applicable as such to a particular healthcare setting, most of them convey very interesting data that should be used when drawing recommendations and implementing approaches to optimize continuity of care.

  11. Psychological treatments for mental disorders in adults: A review of the evidence of leading international organizations.

    Science.gov (United States)

    Moriana, Juan Antonio; Gálvez-Lara, Mario; Corpas, Jorge

    2017-06-01

    Most mental health services throughout the world currently regard evidence-based psychological treatments as best practice for the treatment of mental disorders. The aim of this study was to analyze evidence-based treatments drawn from RCTs, reviews, meta-analyses, guides, and lists provided by the National Institute for Health and Care Excellence (NICE), Division 12 (Clinical Psychology) of the American Psychological Association (APA), Cochrane and the Australian Psychological Society (APS) in relation to mental disorders in adults. A total of 135 treatments were analyzed for 23 mental disorders and compared to determine the level of agreement among the organizations. The results indicate that, in most cases, there is little agreement among organizations and that there are several discrepancies within certain disorders. These results require reflection on the meaning attributed to evidence-based practice with regard to psychological treatments. The possible reasons for these differences are discussed. Based on these findings, proposals to unify the criteria that reconcile the realities of clinical practice with a scientific perspective were analyzed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Limitation of liability for maritime claims: Chronological critical review (international instruments and Croatian solutions

    Directory of Open Access Journals (Sweden)

    Vasilj Aleksandra V.

    2016-01-01

    Full Text Available Limitation of liability of shipowner can based on property or can be personal - shipowner responds to certain part of the property (for example ship or his entire assets to a certain amount. In the first case it is a real, and in the other the personal limitation of liability. On these principles all international instruments in this legal field have been developed. One of the well-known 'universal' principle of civil law says that the injurer must pay for a damage in full, in full extent and amount. However, when we are applying provisions of maritime law (as well as transport law in general on the liability for damages and its compensation, the situation is quite opposite. Though, that the amount of suffered damages is coming closer to said universal principle of civil law has been confirmed by Amendments to the Protocol to the Convention on Limitation of Liability for Maritime Claims 1996 (LLMC 1996. These Amendments increased amount of general (global limitation of liability for maritime claims by 51% compared to the amounts in LLMC. Increased amounts are applicable from 8th June 2015. Regarding these amendments, a number of issues can be placed: justification for introducing the institute of limitation of liability in general; reasons why the injurer is privileged in maritime (and broader in transport, in the context of the amount of the obligation of compensation for damage; and whether the application of the institute undermine the principle that is enshrined in the legal system of every modern country, according to which the injured party has the right to just compensation. On the other hand, justice can be taken as well as an argument just to implement the limitation of liability system.

  13. Acculturation and HIV-related sexual behaviours among international migrants: a systematic review and meta-analysis.

    Science.gov (United States)

    Du, Hongfei; Li, Xiaoming

    2015-01-01

    This review examines the global literature regarding the relationship between acculturation and HIV-related sexual behaviours among international migrants. Seventy-nine articles published in English-language journals prior to July 2012 met the criteria for inclusion. We conducted a systematic review and subset meta-analysis of correlations between acculturation and five types of sexual behaviours including condom use, multiple partnerships, early sexual initiation, sexually transmitted diseases (STDs) and other unsafe sexual practices. Immigrants high in mainstream acculturation were more likely to have multiple partnerships, early sexual initiation, STDs and unsafe sex (rs ranged from 0.10 to 0.16), but acculturation was not associated with condom use (r = 0.02). Gender moderated the relationships between acculturation and multiple partnerships, STDs and unsafe sex. The relationship between acculturation and unsafe sex also varied across ethnicity. These findings suggest that acculturation may serve as a risk factor towards immigrants' HIV-related sexual health. We offered a theoretical framework and suggested applying cross-cultural and longitudinal designs in future research on acculturation and health behaviours.

  14. Acculturation and HIV-related sexual behaviors among international migrants: A systematic review and meta-analysis

    Science.gov (United States)

    Li, Xiaoming

    2014-01-01

    This review examines the global literature regarding the relationship between acculturation and HIV-related sexual behaviors among international migrants. Seventy-nine articles published in English-language journals prior to July 2012 met the criteria for inclusion. We conducted a systematic review and subset meta-analysis of correlations between acculturation and five types of sexual behaviors including condom use, multiple partnerships, early sexual initiation, sexually transmitted diseases (STDs), and other unsafe sexual practices. Immigrants high in mainstream acculturation were more likely to have multiple partnerships, early sexual initiation, STDs, and unsafe sex (rs ranged from .10 to .16), but acculturation was not associated with condom use (r = .02). Gender moderated the relationships between acculturation and multiple partnerships, STDs, and unsafe sex. The relationship between acculturation and unsafe sex also varied across ethnicity. These findings suggest that acculturation may serve as a risk factor towards immigrants’ HIV-related sexual health. We offered a theoretical framework and suggested applying cross-cultural and longitudinal designs in future research on acculturation and health behaviors. PMID:25793493

  15. Cognitive Behaviour Therapy for Psychosis in High Secure Services: An Exploratory Hermeneutic Review of the International Literature.

    Science.gov (United States)

    Slater, Jonathon; Townend, Michael

    2016-11-01

    Mainstream psychological interventions may need adaptation in High Secure (HS) healthcare contexts to enable better recovery, safeguard the public and offer economic value. One specific psychological intervention, cognitive behavioural therapy for psychosis (CBTp), has an already proven efficacy in aiding recovery in non-forensic populations, yet its impact in HS settings has received considerably less research attention. This exploratory review catalogues CBTp approaches used in HS hospitals and appraises impact through the inclusion of both fugitive literature and peer reviewed research. A pragmatic approach was utilized through an iterative literature search strategy and hermeneutic source analysis of the identified studies. Fourteen studies were identified from HS contexts from within the UK and internationally. These included group, individual therapy and CBTp linked milieus. CBTp is an active component of treatment in HS contexts. Some modes of delivery seem to have greater levels of efficacy with more typical HS patients. The literature indicates key differences between HS and non-HS applied CBTp. Continued application and evaluation of CBTp in HS conditions is warranted.

  16. Re-creating the Rural, Reconstructing Nature: An International Literature Review of the Environmental Implications of Amenity Migration

    Directory of Open Access Journals (Sweden)

    Jesse B Abrams

    2012-01-01

    Full Text Available The term ′amenity migration′ describes a broad diversity of patterns of human movement to rural places in search of particular lifestyle attributes. This review of international literature, drawn from the authors′ own prior research and searches on relevant databases, synthesises findings on the implications of amenity migration for the creation and distribution of environmental harms and benefits. Further, we critique common framings of amenity migration-related environmental transformations and offer suggestions for future research. Analysis is positioned within a review of five common themes reflected in the cases we consider: land subdivision and residential development; changes in private land use; cross-boundary effects; effects on local governance institutions; and displacement of impacts. Within each of these themes, we discuss the uneven geographies of environmental transformation formed by diverse conceptions of ′nature′, patterns of local management of amenity-driven transformations, and ecological contexts. We conclude that, through both intended and unintended environmental consequences of dominant activities and land uses, amenity migration results in a redistribution of environmental harms and benefits at multiple scales, as rural landscapes are (partially and incompletely re-created in line with the ideals and expectations of amenity migrant populations.

  17. The gravity model specification for modeling international trade flows and free trade agreement effects: a 10-year review of empirical studies

    OpenAIRE

    Kepaptsoglou, Konstantinos; Karlaftis, Matthew G.; Tsamboulas, Dimitrios

    2010-01-01

    The gravity model has been extensively used in international trade research for the last 40 years because of its considerable empirical robustness and explanatory power. Since their introduction in the 1960's, gravity models have been used for assessing trade policy implications and, particularly recently, for analyzing the effects of Free Trade Agreements on international trade. The objective of this paper is to review the recent empirical literature on gravity models, highlight best practic...

  18. ()OSSII3 LITIES I~ COU~T : ~.

    African Journals Online (AJOL)

    rorist attacks into major sabotage opera- tions. This stage will almost certainly be initiated in and largely remain limited to, the rural areas as these are best suited to .... ceed to an overview of counter-insurgency followed by a more detailed look at its course and possibilities. Counter-insurgency - overview. Upon detecting.

  19. Time-motion studies of internal medicine residents' duty hours: a systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Leafloor CW

    2015-11-01

    Full Text Available Cameron W Leafloor,1 Heather A Lochnan,2,3,6 Catherine Code,2,4 Erin J Keely,2,3,6 Deanna M Rothwell,5,6 Alan J Forster,2,4–6 Allen R Huang2,6,7 1Faculty of Medicine, 2Department of Medicine, 3Division of Endocrinology and Metabolism, 4Division of General Internal Medicine, 5Performance Measurement and Innovation, 6Ottawa Hospital Research Institute, 7Division of Geriatric Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada Background: Since the mid-1980s, medical residents' long duty hours have been under scrutiny as a factor affecting patient safety and the work environment for the residents. After several mandated changes in duty hours, it is important to understand how residents spend their time before proposing and implementing future changes. Time-motion methodology may provide reliable information on what residents do while on duty.Purpose: The purpose of this study is to review all available literature pertaining to time-motion studies of internal medicine residents while on a medicine service and to understand how much of their time is apportioned to various categories of tasks, and also to determine the effects of the Accreditation Council for Graduate Medical Education (ACGME-mandated duty hour changes on resident workflow in North America.Methods: Electronic bibliographic databases were searched for articles in English between 1941 and April 2013 reporting time-motion studies of internal medicine residents rotating through a general medicine service.Results: Eight articles were included. Residents spent 41.8% of time in patient care activities, 18.1% communicating, 13.8% in educational activities, 19.7% in personal/other, and 6.6% in transit. North American data showed the following changes after the implementation of the ACGME 2003 duty hours standard: patient care activities from 41.8% to 40.8%, communication activities from 19.0% to 22.3%, educational activities from 17.7% to 11.6%, and personal

  20. Review of techniques for monitoring the healing fracture of bones for implementation in an internally fixated pelvis.

    Science.gov (United States)

    Wong, Lydia Chwang Yuh; Chiu, Wing Kong; Russ, Matthias; Liew, Susan

    2012-03-01

    Sacral fractures from high-impact trauma often cause instability in the pelvic ring structure. Treatment is by internal fixation which clamps the fractured edges together to promote healing. Healing could take up to 12 weeks whereby patients are bedridden to avoid hindrances to the fracture from movement or weight bearing activities. Immobility can lead to muscle degradation and longer periods of rehabilitation. The ability to determine the time at which the fracture is stable enough to allow partial weight-bearing is important to reduce hospitalisation time. This review looks into different techniques used for monitoring the fracture healing of bones which could lead to possible methods for in situ and non-invasive assessment of healing fracture in a fixated pelvis. Traditional techniques being used include radiology and CT scans but were found to be unreliable at times and very subjective in addition to being non in situ. Strain gauges have proven to be very effective for accurate assessment of fracture healing as well as stability for long bones with external fixators but may not be suitable for an internally fixated pelvis. Ultrasound provides in situ monitoring of stiffness recovery but only assesses local fracture sites close to the skin surface and has only been tested on long bones. Vibration analysis can detect non-uniform healing due to its assessment of the overall structure but may suffer from low signal-to-noise ratio due to damping. Impedance techniques have been used to assess properties of non-long bones but recent studies have only been conducted on non-biological materials and more research needs to be done before it can be applicable for monitoring healing in the fixated pelvis. Copyright © 2011 IPEM. Published by Elsevier Ltd. All rights reserved.

  1. Use of the International Pharmaceutical Federation's Basel Statements to Assess and Advance Hospital Pharmacy Practice: A Scoping Review.

    Science.gov (United States)

    Penm, Jonathan; Chaar, Betty; Moles, Rebekah J

    2016-01-01

    The Basel statements of the International Pharmaceutical Federation, which provide the first global, unified vision for the hospital pharmacy profession, have recently been revised. Originally released in 2008, the Basel statements have since been made available in 21 languages, and thus have the potential for great impact around the world. To conduct a scoping review to examine the extent and nature of research activity related to the Basel statements. Google Scholar, PubMed, and International Pharmaceutical Abstracts were searched using the key term "Basel statements" for relevant research articles. From each included study, data were extracted on geographic location, study design, study outcomes, and use of the Basel statements. The search strategy generated 113 results. Further refinement resulted in 14 English-language articles that met the inclusion criteria. Four of these articles focused on adapting the Basel statements to European practice, an initiative of the European Association of Hospital Pharmacists that led to development of the European statements of Hospital Pharmacy. Six studies focused on monitoring hospital pharmacy practice in Uganda, the Pacific island countries, and the Western Pacific Region. These studies provide valuable baseline data to measure and track the development of hospital pharmacy practices in their respective countries and regions. The remaining 4 studies used qualitative methods to explore the barriers to and facilitators of implementation of the Basel statements in South Africa, China, and Australia. The Basel statements have led to multiple initiatives around the world, involving more than 70 countries. The European and Western Pacific regions have been the most active. Current initiatives should be continued to ensure identification and resolution of issues related to sustaining their use over time.

  2. Time-motion studies of internal medicine residents' duty hours: a systematic review and meta-analysis.

    Science.gov (United States)

    Leafloor, Cameron W; Lochnan, Heather A; Code, Catherine; Keely, Erin J; Rothwell, Deanna M; Forster, Alan J; Huang, Allen R

    2015-01-01

    Since the mid-1980s, medical residents' long duty hours have been under scrutiny as a factor affecting patient safety and the work environment for the residents. After several mandated changes in duty hours, it is important to understand how residents spend their time before proposing and implementing future changes. Time-motion methodology may provide reliable information on what residents do while on duty. The purpose of this study is to review all available literature pertaining to time-motion studies of internal medicine residents while on a medicine service and to understand how much of their time is apportioned to various categories of tasks, and also to determine the effects of the Accreditation Council for Graduate Medical Education (ACGME)-mandated duty hour changes on resident workflow in North America. Electronic bibliographic databases were searched for articles in English between 1941 and April 2013 reporting time-motion studies of internal medicine residents rotating through a general medicine service. Eight articles were included. Residents spent 41.8% of time in patient care activities, 18.1% communicating, 13.8% in educational activities, 19.7% in personal/other, and 6.6% in transit. North American data showed the following changes after the implementation of the ACGME 2003 duty hours standard: patient care activities from 41.8% to 40.8%, communication activities from 19.0% to 22.3%, educational activities from 17.7% to 11.6%, and personal/other activities from 21.5% to 17.1%. There was a paucity of time-motion data. There was great variability in the operational definitions of task categories reported in the studies. Implementation of the ACGME duty hour standards did not have a significant effect on the percentage of time spent in particular tasks. There are conflicting reports on how duty hour changes have affected patient safety. A low proportion of time spent in educational activities deserves further study and may point to a review of the

  3. The use of the international classification of functioning, disability and health (ICF) in indigenous healthcare: a systematic literature review

    Science.gov (United States)

    2013-01-01

    Introduction The International Classification of Functioning, Disability and Health (ICF) was endorsed by the World Health Organisation (WHO) in 2001 to obtain a comprehensive perspective of health and functioning of individuals and groups. Health disparities exist between Indigenous and non-Indigenous Australians and there is a need to understand the health experiences of Indigenous communities from Indigenous Australian’s perspectives in order to develop and implement culturally appropriate and effective intervention strategies to improve Indigenous health. This systematic review examines the literature to identify the extent and context of use of the ICF in Indigenous healthcare, to provide the foundation on which to consider its potential use for understanding the health experiences of Indigenous communities from their perspective. Methods The search was conducted between May and June 2012 of five scientific and medical electronic databases: MEDLINE, Web of Science, CINAHL, Academic Search Complete and PsychInfo and six Indigenous-specific databases: AIATSIS, APAIS-health, ATSI-health, health and society, MAIS-ATSIS and RURAL. Reference lists of included papers were also searched. Articles which applied the ICF within an Indigenous context were selected. Quantitative and qualitative data were extracted and analysed by two independent reviewers. Agreement was reached by consensus. Results Five articles met the inclusion criteria however two of the articles were not exclusively in an Indigenous context. One article applied the ICF in the context of understanding the health experience and priorities of Indigenous people and a second study had a similar focus but used the revised version of the International Classification of Impairments, Disability and Handicap (ICIDH-2), the predecessor to the ICF. Four of the five papers involved Indigenous Australians, and one of the paper’s participants were Indigenous (First Nation) Canadians. Conclusion Literature

  4. Effects of virtual reality for stroke individuals based on the International Classification of Functioning and Health: a systematic review.

    Science.gov (United States)

    Palma, Gisele Carla Dos Santos; Freitas, Tatiana Beline; Bonuzzi, Giordano Márcio Gatinho; Soares, Marcos Antonio Arlindo; Leite, Paulo Henrique Wong; Mazzini, Natália Araújo; Almeida, Murilo Ruas Groschitz; Pompeu, José Eduardo; Torriani-Pasin, Camila

    2017-05-01

    This review determines the effects of virtual reality interventions for stroke subjects based on the International Classification of Functioning, Disability,and Health (ICF) framework. Virtual reality is a promising tool for therapy for stroke rehabilitation, but the effects of virtual reality interventions on post-stroke patients based on the specific ICF domains (Body Structures, Body Functions, Activity, and Participation) have not been investigated. A systematic review was conducted, including trials with adults with a clinical diagnosis of a chronic, subacute, or acute stroke. Eligible trials had to include studies with an intervention protocol and follow-up, with a focus on upper limbs and/or lower limbs and/or balance. The Physiotherapy Evidence Database (PEDro) was used to assess the methodological quality of randomized controlled trials. Each trial was separated according to methodological quality into a high-quality trial (PEDro ≥ 6) and a low-quality trial (PEDro ≤ 6). Only high-quality trials were analyzed specifically based on the outcome of these trials. In total, 54 trials involving 1811 participants were included. Of the papers included and considered high quality, 14 trials evaluated areas of the Body Structures component, 20 trials of the Body Functions domain, 17 trials of the Activity component, and 8 trials of the Participation domain. In relation to ICF Part 2, four trials evaluated areas of the Personal Factors component and one trial evaluated domains of the Environmental Factors component. The effects of virtual reality on stroke rehabilitation based on the ICF framework are positive in Body Function and Body Structure. However, the results in the domains Activity and Participation are inconclusive. More high-quality clinical trials are needed to confirm the effectiveness of virtual reality in the domains of Activity and Participation.

  5. Role of Internal Mammary Node Radiation as a Part of Modern Breast Cancer Radiation Therapy: A Systematic Review

    International Nuclear Information System (INIS)

    Verma, Vivek; Vicini, Frank; Tendulkar, Rahul D.; Khan, Atif J.; Wobb, Jessica; Edwards-Bennett, Sophia; Desai, Anand; Shah, Chirag

    2016-01-01

    Purpose: Despite data from multiple randomized trials, the role of internal mammary lymph node irradiation as a part of regional nodal irradiation (IMLN RT–RNI) remains unanswered. Recent noteworthy data and modern RT techniques might identify a subset of patients who will benefit from IMLN RT–RNI, lending insight into the balance between improved outcomes and acceptable toxicity. We evaluated the current role of IMLN RT–RNI by analyzing randomized, prospective, and retrospective data. Methods and Materials: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a review of the published data was performed using PubMed to evaluate published studies from 1994 to 2015. The information evaluated included the number of patients, follow-up period, technical aspects of RT, and outcomes (clinical outcomes, complications/toxicity). Results: We included 16 studies (4 randomized, 4 nonrandomized, 7 retrospective, and 1 meta-analysis). Although older randomized trials failed to show differences in clinical outcomes or toxicity with IMLN RT–RNI, recent randomized data suggest the potential for improved outcomes, including overall survival, with IMLN RT–RNI. Furthermore, nonrandomized data have suggested a potential benefit for central tumors with IMLN RT–RNI. Although recent data have suggested a potential increase in pulmonary complications with IMLN RT–RNI with the use of advanced radiation techniques, toxicity rates remain low with limited cardiac toxicity data available. Conclusions: Increasing data from recent randomized trials support the use of IMLN RT–RNI. IMLN RT can be considered based on the inclusion of IMLN RT as a part of RNI in recent trials and the inclusion criteria from IMLN RT–RNI trials and for patients with central or medial tumors and axillary disease.

  6. Developing an internationally-applicable service specification for continence care: systematic review, evidence synthesis and expert consensus.

    Science.gov (United States)

    Wagg, Adrian S; Newman, Diane K; Leichsenring, Kai; van Houten, Paul

    2014-01-01

    Global demographic trends suggest that the incidence of both urinary and faecal incontinence will rise in the coming years, bringing significant health and economic implications for both patients and payers. There is limited organisational evidence to guide payers and providers about service configuration which will deliver efficient guideline-compliant, high-quality patient care. To create, using evidence from a systematic review, qualitative data and expert consensus an internationally applicable service specification for continence care. Evidence was obtained from a systematic and grey literature review of published randomised controlled trials and quasi-experimental studies reporting efficacy of continence service design at the level of the community dwelling patient with either bladder or bowel incontinence, governmental reports and policy frameworks supplemented by data from 47 semi-structured interviews with clinicians, patients, patient-representatives and policy experts from four geographies broadly representative of different healthcare systems. A number of themes related to current and potential future organisation of continence care were identified from the data. A modular service specification with eight core components was created including case detection, initial assessment and treatment, case co-ordination, caregiver support, community-based support, specialist assessment and treatment, use of containment products, and use of technology. Within this framework important key recommendations are: ensure robust referral pathways, shift assessment for case coordination to nurses specializing in continence care, promote self-management and technology, use comprehensive assessment tools and service performance targets based on outcome and operational measures. This study has defined practice gaps in the provision of continence services and described eight core components of a service specification for incontinence that commissioners and payers of health

  7. Role of Internal Mammary Node Radiation as a Part of Modern Breast Cancer Radiation Therapy: A Systematic Review.

    Science.gov (United States)

    Verma, Vivek; Vicini, Frank; Tendulkar, Rahul D; Khan, Atif J; Wobb, Jessica; Edwards-Bennett, Sophia; Desai, Anand; Shah, Chirag

    2016-06-01

    Despite data from multiple randomized trials, the role of internal mammary lymph node irradiation as a part of regional nodal irradiation (IMLN RT-RNI) remains unanswered. Recent noteworthy data and modern RT techniques might identify a subset of patients who will benefit from IMLN RT-RNI, lending insight into the balance between improved outcomes and acceptable toxicity. We evaluated the current role of IMLN RT-RNI by analyzing randomized, prospective, and retrospective data. In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a review of the published data was performed using PubMed to evaluate published studies from 1994 to 2015. The information evaluated included the number of patients, follow-up period, technical aspects of RT, and outcomes (clinical outcomes, complications/toxicity). We included 16 studies (4 randomized, 4 nonrandomized, 7 retrospective, and 1 meta-analysis). Although older randomized trials failed to show differences in clinical outcomes or toxicity with IMLN RT-RNI, recent randomized data suggest the potential for improved outcomes, including overall survival, with IMLN RT-RNI. Furthermore, nonrandomized data have suggested a potential benefit for central tumors with IMLN RT-RNI. Although recent data have suggested a potential increase in pulmonary complications with IMLN RT-RNI with the use of advanced radiation techniques, toxicity rates remain low with limited cardiac toxicity data available. Increasing data from recent randomized trials support the use of IMLN RT-RNI. IMLN RT can be considered based on the inclusion of IMLN RT as a part of RNI in recent trials and the inclusion criteria from IMLN RT-RNI trials and for patients with central or medial tumors and axillary disease. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Role of Internal Mammary Node Radiation as a Part of Modern Breast Cancer Radiation Therapy: A Systematic Review

    Energy Technology Data Exchange (ETDEWEB)

    Verma, Vivek [Department of Radiation Oncology, University of Nebraska Medical Center, Omaha, Nebraska (United States); Vicini, Frank [Michigan Healthcare Professionals/21st Century Oncology, Farmington Hills, Michigan (United States); Tendulkar, Rahul D. [Department of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio (United States); Khan, Atif J. [Department of Radiation Oncology, Rutgers Robert Wood Johnson Medical School and the Cancer Institute of New Jersey, New Brunswick, New Jersey (United States); Wobb, Jessica [Department of Radiation Oncology, Ohio State University, Columbus, Ohio (United States); Edwards-Bennett, Sophia [21st Century Oncology, Myrtle Beach, South Carolina (United States); Desai, Anand [Department of Radiation Oncology, Summa Health System, Akron, Ohio (United States); Shah, Chirag, E-mail: csshah27@hotmail.com [Department of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio (United States)

    2016-06-01

    Purpose: Despite data from multiple randomized trials, the role of internal mammary lymph node irradiation as a part of regional nodal irradiation (IMLN RT–RNI) remains unanswered. Recent noteworthy data and modern RT techniques might identify a subset of patients who will benefit from IMLN RT–RNI, lending insight into the balance between improved outcomes and acceptable toxicity. We evaluated the current role of IMLN RT–RNI by analyzing randomized, prospective, and retrospective data. Methods and Materials: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a review of the published data was performed using PubMed to evaluate published studies from 1994 to 2015. The information evaluated included the number of patients, follow-up period, technical aspects of RT, and outcomes (clinical outcomes, complications/toxicity). Results: We included 16 studies (4 randomized, 4 nonrandomized, 7 retrospective, and 1 meta-analysis). Although older randomized trials failed to show differences in clinical outcomes or toxicity with IMLN RT–RNI, recent randomized data suggest the potential for improved outcomes, including overall survival, with IMLN RT–RNI. Furthermore, nonrandomized data have suggested a potential benefit for central tumors with IMLN RT–RNI. Although recent data have suggested a potential increase in pulmonary complications with IMLN RT–RNI with the use of advanced radiation techniques, toxicity rates remain low with limited cardiac toxicity data available. Conclusions: Increasing data from recent randomized trials support the use of IMLN RT–RNI. IMLN RT can be considered based on the inclusion of IMLN RT as a part of RNI in recent trials and the inclusion criteria from IMLN RT–RNI trials and for patients with central or medial tumors and axillary disease.

  9. Developing an internationally-applicable service specification for continence care: systematic review, evidence synthesis and expert consensus.

    Directory of Open Access Journals (Sweden)

    Adrian S Wagg

    Full Text Available Global demographic trends suggest that the incidence of both urinary and faecal incontinence will rise in the coming years, bringing significant health and economic implications for both patients and payers. There is limited organisational evidence to guide payers and providers about service configuration which will deliver efficient guideline-compliant, high-quality patient care.To create, using evidence from a systematic review, qualitative data and expert consensus an internationally applicable service specification for continence care.Evidence was obtained from a systematic and grey literature review of published randomised controlled trials and quasi-experimental studies reporting efficacy of continence service design at the level of the community dwelling patient with either bladder or bowel incontinence, governmental reports and policy frameworks supplemented by data from 47 semi-structured interviews with clinicians, patients, patient-representatives and policy experts from four geographies broadly representative of different healthcare systems.A number of themes related to current and potential future organisation of continence care were identified from the data. A modular service specification with eight core components was created including case detection, initial assessment and treatment, case co-ordination, caregiver support, community-based support, specialist assessment and treatment, use of containment products, and use of technology. Within this framework important key recommendations are: ensure robust referral pathways, shift assessment for case coordination to nurses specializing in continence care, promote self-management and technology, use comprehensive assessment tools and service performance targets based on outcome and operational measures.This study has defined practice gaps in the provision of continence services and described eight core components of a service specification for incontinence that commissioners and

  10. Disagreements between central clinical events committee and site investigator assessments of myocardial infarction end-points in an international clinical trial: review of the PURSUIT study

    NARCIS (Netherlands)

    K.W. Mahaffey (Kenneth); R.A. Harrington (Robert Alex); N.S. Kleiman (Neal); L.G. Berdan (Lisa); B.S. Crenshaw (Brian); B.E. Tardiff (Barbara); C.B. Granger (Christopher); I. DeJong (Ingrid); M. Bhapkar (Manju); P. Widimsky (Petr); R. Corbalon (Ramón); K.L. Lee (Kerry); J.W. Deckers (Jaap); M.L. Simoons (Maarten); E.J. Topol (Eric); R.M. Califf (Robert); K.M. Akkerhuis (Martijn)

    2001-01-01

    textabstractAbstract: Background Limited information has been published regarding how specific processes for event adjudication can affect event rates in trials. We reviewed nonfatal myocardial infarctions (MIs) reported by site investigators in the international Platelet Glycoprotein IIb/IIIa in

  11. Disagreements between central clinical events committee and site investigator assessments of myocardial infarction end- points in an international clinical trial: Review of the PURSUIT study

    NARCIS (Netherlands)

    K.W. Mahaffey (Kenneth); R.A. Harrington (Robert Alex); K.M. Akkerhuis (Martijn); N.S. Kleiman (Neal); L.G. Berdan (Lisa); B.S. Crenshaw (Brian); B.E. Tardiff (Barbara); C.B. Granger (Christopher); I. DeJong (Ingrid); M. Bhapkar (Manju); P. Widimsky (Petr); R. Corbalon (Ramón); K.L. Lee (Kerry); J.W. Deckers (Jaap); M.L. Simoons (Maarten); E.J. Topol (Eric); R.M. Califf (Robert)

    2001-01-01

    textabstractBackground. Limited information has been published regarding how specific processes for event adjudication can affect event rates in trials. We reviewed nonfatal myocardial infarctions (MIs) reported by site investigators in the international Platelet Glycoprotein IIb/IIIa in Unstable

  12. Enrolment, Content and Assessment: A Review of Examinable Senior Secondary (16-19 Year Olds) Physical Education Courses: An International Perspective

    Science.gov (United States)

    Whittle, Rachael Jayne; Benson, Amanda Clare; Telford, Amanda

    2017-01-01

    Senior secondary physical education courses for certification continue to attract increasing student enrolments amidst international concerns for the state and status of physical education in schools. Curricula analysis of senior secondary physical education has typically focussed on courses in local contexts. This review aims to contribute to the…

  13. MO-A-BRB-01: Review of TG-262 Internal Survey of Practices in EMR for External Beam Therapy

    International Nuclear Information System (INIS)

    Mechalakos, J.

    2015-01-01

    The process of converting to an electronic chart for radiation therapy can be daunting. It requires a dedicated committee to first research and choose appropriate software, to review the entire documentation policy and flow of the clinic, to convert this system to electronic form or if necessary, redesign the system to more easily conform to the electronic process. Those making the conversion and those who already use electronic charting would benefit from the shared experience of those who have been through the process in the past. Therefore TG262 was convened to provide guidance on electronic charting for external beam radiation therapy and brachytherapy. This course will present the results of an internal survey of task group members on EMR practices in External Beam Radiation Therapy as well as discuss important issues in EMR development and structure for both EBRT and brachytherapy. Learning Objectives: Be familiarized with common practices and pitfalls in development and maintenance of an electronic chart in Radiation Oncology Be familiarized with important issues related to electronic charting in External Beam Radiation Therapy Be familiarized with important issues related to electronic charting in Brachytherapy

  14. Mobile eye services: Literature review with special reference to the experience of Al-Basar International Foundation.

    Science.gov (United States)

    Rushood, Adel A

    2010-01-01

    To evaluate the concept of quality assured mobile eye services (MES) in implementing the vision 2020 initiative. Literature review as well as the medical records of Al-Basar International Foundation (BIF) on MES. Emphasis was focused on the causes of blindness, objectives, operation, management and the benefits of MES, a critical appraisal of MES, training for MES and the relationship with other organizations and concerned government agencies. More than 38 countries have been included in this exercise during which more than 620 eye camps have been conducted. More than two million people have benefited from the services provided including medicines and glasses in these eye camps and about 180,000 sight restoring surgeries performed for cataract, glaucoma etc. Quality assured MES are a very important means of tackling the problems of blindness and implementing the vision 2020 initiative. The adoption of this concept by major stake-holders in the prevention of blindness (e.g. WHO, IAPB) will bring an additional momentum to the achievement of this noble goal.

  15. Using mid-level cadres as substitutes for internationally mobile health professionals in Africa. A desk review

    Directory of Open Access Journals (Sweden)

    Dovlo Delanyo

    2004-06-01

    Full Text Available Abstract Background Substitute health workers are cadres who take on some of the functions and roles normally reserved for internationally recognized health professionals such as doctors, pharmacists and nurses but who usually receive shorter pre-service training and possess lower qualifications. Methods A desk review is conducted on the education, regulation, scopes of practice, specialization, nomenclature, retention and cost-effectiveness of substitute health workers in terms of their utilization in countries such as Tanzania, Malawi, Mozambique, Zambia, Ghana etc., using curricula, evaluations and key-informant questionnaires. Results The cost-effectiveness of using substitutes and their relative retention within countries and in rural communities underlies their advantages to African health systems. Some studies comparing clinical officers and doctors show minimal differences in outcomes to patients. Specialized substitutes provide services in disciplines such as surgery, ophthalmology, orthopedics, radiology, dermatology, anesthesiology and dentistry, demonstrating a general bias of use for clinical services. Conclusions The findings raise interest in expanding the use of substitute cadres, as the demands of expanding access to services such as antiretroviral treatment requires substantial human resources capacity. Understanding the roles and conditions under which such cadres best function, and managing the skepticism and professional turf protection that restricts their potential, will assist in effective utilization of substitutes.

  16. Sudden unilateral hearing loss and vascular loop in the internal auditory canal: case report and review of literature

    Science.gov (United States)

    Moosa, Shayan; Fezeu, Francis; Kesser, Bradley W.; Ramesh, Arjun

    2015-01-01

    Objective We present a patient with unilateral sudden sensorineural hearing loss (SSNHL) who was found to have a vascular loop in the ipsilateral internal auditory canal (IAC), and we review the literature regarding this association. Underlying pathophysiologic factors surrounding microvascular compression of the vestibulocochlear nerve are poorly understood and make treatment recommendations, especially the option of microvascular decompression, difficult if not controversial. The current report represents an attempt to understand this clinical entity as discussed in the current literature. Case summary: A 77-year-old female with a long history of progressive right-sided hearing loss and episodic vertigo developed unilateral right SSNHL, tinnitus, vertigo, and disequilibrium. She was originally diagnosed with a vestibular schwannoma on magnetic resonance imaging (MRI) and was referred to our institution for Gamma Knife radiosurgery. Repeat MRI demonstrated a loop of the anterior inferior cerebellar artery (AICA) compressing the vestibulocochlear nerve within the right IAC. There was no evidence of a schwannoma on the repeat MRI. She was not offered radiosurgery, and she elected conservative management. Conclusion Vascular compression of cranial nerves can lead to neuronal dysfunction, and this has been rarely described in patients involving the vestibulocochlear nerve complex. There is evidence that microvascular decompression (MVD) of the vestibulocochlear nerve can be effective in selected patients who exhibit pulsatile tinnitus or disabling positional vertigo in the setting of a vascular loop within the ipsilateral IAC, but available evidence at this time does not support MVD for SSNHL. PMID:29296407

  17. Mobile eye services: Literature review with special reference to the experience of Al-Basar International Foundation

    Directory of Open Access Journals (Sweden)

    Adel A Rushood

    2010-01-01

    Full Text Available Purpose: To evaluate the concept of quality assured mobile eye services (MES in implementing the vision 2020 initiative. Materials and Methods: Literature review as well as the medical records of Al-Basar International Foundation (BIF on MES. Emphasis was focused on the causes of blindness, objectives, operation, management and the benefits of MES, a critical appraisal of MES, training for MES and the relationship with other organizations and concerned government agencies. Findings: More than 38 countries have been included in this exercise during which more than 620 eye camps have been conducted. More than two million people have benefited from the services provided including medicines and glasses in these eye camps and about 180,000 sight restoring surgeries performed for cataract, glaucoma etc. Conclusion: Quality assured MES are a very important means of tackling the problems of blindness and implementing the vision 2020 initiative. The adoption of this concept by major stake-holders in the prevention of blindness (e.g. WHO, IAPB will bring an additional momentum to the achievement of this noble goal.

  18. The Nazi Seizure of the "International Education Review": A Dark Episode in the Early Professional Development of Comparative Education

    Science.gov (United States)

    Epstein, Erwin H.

    2018-01-01

    It was not until the 1930s that comparative education, with the initiation of dedicated courses and programmes at universities in various countries, that the field became internationally recognised in its own right. And, it was not until the 1930s that the first internationally recognised journal in the field, the "International Education…

  19. Training and deployment of lay refugee/internally displaced persons to provide basic health services in camps: a systematic review

    Directory of Open Access Journals (Sweden)

    John E. Ehiri

    2014-10-01

    Full Text Available Background: Training of lay refugees/internally displaced persons (IDPs and deploying them to provide basic health services to other women, children, and families in camps is perceived to be associated with public health benefits. However, there is limited evidence to support this hypothesis. Objectives: To assess the effects of interventions to train and deploy lay refugees and/or IDPs for the provision of basic health service to other women, children, and families in camps. Methods: PubMed, Science and Social Science Citation Indices, PsycINFO, EMBASE, POPLINE, CINAHL, and reference lists of relevant articles were searched (from inception to June 30, 2014 with the aim of identifying studies that reported the effects of interventions that trained and deployed lay refugees and/or IDPs for the provision of basic health service to other women, children, and families in camps. Two investigators independently reviewed all titles and abstracts to identify potentially relevant articles. Discrepancies were resolved by repeated review, discussion, and consensus. Study quality assessment was undertaken using standard protocols. Results: Ten studies (five cross-sectional, four pre-post, and one post-test only conducted in Africa (Guinea and Tanzania, Central America (Belize, and Asia (Myanmar were included. The studies demonstrated some positive impact on population health associated with training and deployment of trained lay refugees/IDPs as health workers in camps. Reported effects included increased service coverage, increased knowledge about disease symptoms and prevention, increased adoption of improved treatment seeking and protective behaviors, increased uptake of services, and improved access to reproductive health information. One study, which assessed the effect of peer refugee health education on sexual and reproductive health, did not demonstrate a marked reduction in unintended pregnancies among refugee/IDP women. Conclusion: Although

  20. Training and deployment of lay refugee/internally displaced persons to provide basic health services in camps: a systematic review

    Science.gov (United States)

    Ehiri, John E.; Gunn, Jayleen K.L.; Center, Katherine E.; Li, Ying; Rouhani, Mae; Ezeanolue, Echezona E.

    2014-01-01

    Background Training of lay refugees/internally displaced persons (IDPs) and deploying them to provide basic health services to other women, children, and families in camps is perceived to be associated with public health benefits. However, there is limited evidence to support this hypothesis. Objectives To assess the effects of interventions to train and deploy lay refugees and/or IDPs for the provision of basic health service to other women, children, and families in camps. Methods PubMed, Science and Social Science Citation Indices, PsycINFO, EMBASE, POPLINE, CINAHL, and reference lists of relevant articles were searched (from inception to June 30, 2014) with the aim of identifying studies that reported the effects of interventions that trained and deployed lay refugees and/or IDPs for the provision of basic health service to other women, children, and families in camps. Two investigators independently reviewed all titles and abstracts to identify potentially relevant articles. Discrepancies were resolved by repeated review, discussion, and consensus. Study quality assessment was undertaken using standard protocols. Results Ten studies (five cross-sectional, four pre-post, and one post-test only) conducted in Africa (Guinea and Tanzania), Central America (Belize), and Asia (Myanmar) were included. The studies demonstrated some positive impact on population health associated with training and deployment of trained lay refugees/IDPs as health workers in camps. Reported effects included increased service coverage, increased knowledge about disease symptoms and prevention, increased adoption of improved treatment seeking and protective behaviors, increased uptake of services, and improved access to reproductive health information. One study, which assessed the effect of peer refugee health education on sexual and reproductive health, did not demonstrate a marked reduction in unintended pregnancies among refugee/IDP women. Conclusion Although available evidence

  1. Correlation between patients' reasons for encounters/health problems and population density in Japan: a systematic review of observational studies coded by the International Classification of Health Problems in Primary Care (ICHPPC) and the International Classification of Primary care (ICPC).

    Science.gov (United States)

    Kaneko, Makoto; Ohta, Ryuichi; Nago, Naoki; Fukushi, Motoharu; Matsushima, Masato

    2017-09-13

    The Japanese health care system has yet to establish structured training for primary care physicians; therefore, physicians who received an internal medicine based training program continue to play a principal role in the primary care setting. To promote the development of a more efficient primary health care system, the assessment of its current status in regard to the spectrum of patients' reasons for encounters (RFEs) and health problems is an important step. Recognizing the proportions of patients' RFEs and health problems, which are not generally covered by an internist, can provide valuable information to promote the development of a primary care physician-centered system. We conducted a systematic review in which we searched six databases (PubMed, the Cochrane Library, Google Scholar, Ichushi-Web, JDreamIII and CiNii) for observational studies in Japan coded by International Classification of Health Problems in Primary Care (ICHPPC) and International Classification of Primary Care (ICPC) up to March 2015. We employed population density as index of accessibility. We calculated Spearman's rank correlation coefficient to examine the correlation between the proportion of "non-internal medicine-related" RFEs and health problems in each study area in consideration of the population density. We found 17 studies with diverse designs and settings. Among these studies, "non-internal medicine-related" RFEs, which was not thought to be covered by internists, ranged from about 4% to 40%. In addition, "non-internal medicine-related" health problems ranged from about 10% to 40%. However, no significant correlation was found between population density and the proportion of "non-internal medicine-related" RFEs and health problems. This is the first systematic review on RFEs and health problems coded by ICHPPC and ICPC undertaken to reveal the diversity of health problems in Japanese primary care. These results suggest that primary care physicians in some rural areas of Japan

  2. Comparing contents of outcome measures in cerebral palsy using the International Classification of Functioning (ICF-CY): a systematic review.

    Science.gov (United States)

    Schiariti, Veronica; Klassen, Anne F; Cieza, Alarcos; Sauve, Karen; O'Donnell, Maureen; Armstrong, Robert; Mâsse, Louise C

    2014-01-01

    The International Classification of Functioning children and youth version (ICF-CY) provides a universal framework for defining and classifying functioning and disability in children worldwide. To facilitate the application of the ICF in practice, ICF based-tools like the "ICF Core Sets" are being developed. In the context of the development of the ICF-CY Core Sets for children with Cerebral Palsy (CP), the aims of this study were as follows: to identify and compare the content of outcome measures used in studies of children with CP using the ICF-CY coding system; and to describe the most frequently addressed areas of functioning in those studies. We searched multiple databases likely to capture studies involving children with CP from January 1998 to March 2012. We included all English language articles that studied children aged 2-18 years and described an interventional or observational study. Constructs of the outcome measures identified in studies were linked to the ICF-CY by two trained professionals. We found 231 articles that described 238 outcome measures. The outcome measures contained 2193 concepts that were linked to the ICF-CY and covered 161 independent ICF-CY categories. Out of the 161 categories, 53 (33.5%) were related to body functions, 75 (46%) were related to activities/participation, 26 (16.1%) were related to environmental factors, and 7 (4.3%) were related to body structures. This systematic review provides information about content of measures that may guide researchers and clinicians in their selection of an outcome measure for use in a study and/or clinical practice with children with CP. Copyright © 2013 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

  3. Prevention of suicide with regulations aimed at restricting access to highly hazardous pesticides: a systematic review of the international evidence.

    Science.gov (United States)

    Gunnell, David; Knipe, Duleeka; Chang, Shu-Sen; Pearson, Melissa; Konradsen, Flemming; Lee, Won Jin; Eddleston, Michael

    2017-10-01

    Pesticide self-poisoning accounts for 14-20% of suicides worldwide. Regulation aimed at restricting access to pesticides or banning highly hazardous pesticides is one approach to reducing these deaths. We systematically reviewed the evidence of the effectiveness of pesticide regulation in reducing the incidence of pesticide suicides and overall suicides. We did a systematic review of the international evidence. We searched MEDLINE, PsycINFO, and Embase for studies published between Jan 1, 1960, and Dec 31, 2016, which investigated the effect of national or regional bans, and sales or import restrictions, on the availability of one or more pesticides and the incidence of suicide in different countries. We excluded other interventions aimed at limiting community access to pesticides. We extracted data from studies presenting pesticide suicide data and overall suicide data from before and after national sales restrictions. Two reviewers independently assessed papers for inclusion, extracted data, and assessed risk of bias. We undertook a narrative synthesis of the data in each report, and where data were available for the years before and after a ban, we pooled data for the 3 years before and the 3 years after to obtain a crude estimate of the effect of the ban. This study is registered through PROSPERO, number CRD42017053329. We identified 27 studies undertaken in 16 countries-five low-income or middle-income countries (Bangladesh, Colombia, India, Jordan and Sri Lanka), and 11 high-income countries (Denmark, Finland, Germany, Greece, Hungary, Ireland, Japan, South Korea, Taiwan, UK, and USA). Assessments largely focused on national bans of specific pesticides (12 studies of bans in six countries-Jordan, Sri Lanka, Bangladesh, Greece [Crete], South Korea, and Taiwan) or sales restrictions (eight studies of restrictions in five countries- India, Denmark, Ireland, the UK and the USA). Only five studies used optimum analytical methods. National bans on commonly ingested

  4. The long-term radiological safety of a surface disposal facility for low-level waste in Belgium - An international Peer review of key aspects of ONDRAF/NIRAS' safety report of November 2011 in preparation for the license

    International Nuclear Information System (INIS)

    2012-01-01

    An important activity of the OECD Nuclear Energy Agency (NEA) in the field of radioactive waste management is the organisation of independent, international peer reviews of national studies and projects. This report provides an international peer review of the long-term safety strategy and assessment being developed by the Belgian Agency for Radioactive Waste and Enriched Fissile Materials, ONDRAF/NIRAS, as part of the licence application for the construction and operation of a surface disposal facility for short-lived, low- and intermediate-level radioactive waste in the municipality of Dessel, Belgium. The review was carried out by an International Review Team comprised of seven international specialists, all of whom were free of conflict of interest and chosen to bring complementary expertise to the review. To be accessible to both specialist and non-specialist readers, the review findings are provided at several levels of detail

  5. Review of R and D status on beryllium technology for fusion in Japan reported at the fifth IEA international workshop on beryllium technology for fusion

    International Nuclear Information System (INIS)

    Kawamura, Hiroshi

    2002-06-01

    In this paper, the R and D status on beryllium technology for fusion reactor in Japan were reviewed with the reports at the Fifth IEA International Workshop on Beryllium Technology for Fusion. This international workshop was held on October 10-12, 2001, at the Congress Center of the Financial Academy with about 60 participants who attended from ten countries (Germany, the Russian Federation, Kazakhstan, the United States, Japan, etc.). There were 39 presentations in this workshop including 13 presentations from Japan. From the review of the latest results of R and D status on beryllium technology for fusion reactor in Japan, the recent trend in beryllium technology was made clear. As neutron multiplier technology development, the studies are being concentrated into the beryllide (Be 12 Ti, etc.) by most Japanese researchers. As ITER first wall material technology, the Hot Isostatic Pressing (HIP) bonding technology with copper alloys attracts attentions. (author)

  6. Internalizing environmental costs: A survey of progress in estimating the external environmental costs of electricity production and a review of market-based policies to incorporate them

    International Nuclear Information System (INIS)

    Eto, J.H.; Helcke, G.

    1991-01-01

    The production of electricity creates environmental insults whose costs are not fully reflected in the prices paid by consumers for electricity services. Failure to incorporate these external costs leads to economically inefficient production and consumption decisions. The present work reviews two related efforts to address this market distortion. The first concerns progress in estimating the uninternalized environmental costs of electricity production. The second concerns market-based approaches to internalizing these costs in electricity production and consumption decisions. 10 tabs.; 41 refs

  7. Systematic review of international evidence on the effectiveness and costs of paediatric home care for children and young people who are ill.

    Science.gov (United States)

    Parker, G; Spiers, G; Gridley, K; Atkin, K; Birks, Y; Lowson, K; Light, K

    2013-01-01

    Promoting 'care closer to home' for ill children is a policy and practice objective internationally. Progress towards this goal is hampered by a perceived lack of evidence on effectiveness and costs. The aim of the work reported here was to establish the strength of current international evidence on the effectiveness and costs of paediatric home care by updating and extending an earlier systematic review. A systematic review following Centre for Reviews and Dissemination guidelines involved updating electronic searches, and extending them to cover paediatric home care for short-term acute conditions. Twenty-one databases were searched from 1990 to April 2007. Hand searching was also carried out. Pairs of team members, guided by an algorithm, selected randomized controlled trials (RCTs), other comparative studies and studies including health economics data. A third reviewer resolved any disagreements. The quality of RCTs was assessed, but a 'best-evidence' approach was taken overall. Data were extracted into specifically designed spreadsheets and a second team member checked all data. Narrative synthesis was used throughout. This paper reports findings from RCTs and studies with health economics data. In total, 16 570 publications were identified after de-duplication. Eleven new RCTs (reported in 17 papers) and 20 papers with health economics data were included and reviewed. Evidence on costs and effectiveness of paediatric home care has not grown substantially since the previous review, but this updated review adds weight to the conclusion that it can deliver equivalent clinical outcomes for children and not impose a greater burden on families. Indeed, in some cases, there is evidence of reduced burden and costs for families compared with hospital care. There is also growing evidence, albeit based on weaker evidence, that paediatric home care may reduce costs for health services, particularly for children with complex and long-term needs. © 2012 Blackwell

  8. 75 FR 62366 - Notice of Public Information Collections Being Reviewed by the U.S. Agency for International...

    Science.gov (United States)

    2010-10-08

    ... on the respondents, including the use of automated collection techniques or other forms of... Division, U.S. Agency for International Development, Room 2.07-106, RRB, Washington, DC 20523, (202) 712..., Participant Training Team, United States Agency for International Development, Ronald Reagan Building, 1300...

  9. Full Blood Count - Internal QC Protocol: a review by the Royal College of Pathologists of Australasia Quality Assurance Programs (RCPAQAP) Pty Ltd - Haematology.

    Science.gov (United States)

    Sioufi, J; Badrick, T; Sinclair, L; Marsden, K

    2017-02-01

    The RCPAQAP (Royal College of Pathologists of Australasia Quality Assurance Program) Haematology has undertaken an exercise to review the internal quality control protocol for full blood count (FBC) instrumentation as well as review the action taken by laboratories when nonconforming results are evident in the RCPAQAP proficiency testing reports. A questionnaire was sent to laboratories enrolled in the RCPAQAP FBC module. Laboratories were asked to provide information with regard to the type of control measures used within their testing environment that would trigger alerts for nonconforming events. The questionnaire also reviewed the action taken by laboratories in response to nonconforming test results in their external QA reports. A total of 253 of the 850 laboratories enrolled in the FBC module returned a response to the questionnaire, which identified variation in the QC protocol used to identify nonconforming events on the FBC analyser, including the type of controls, control levels processed and the frequency of use. This questionnaire identified variation in the internal QC protocol used by laboratories, including the types of control measures used and the rules applied to identify nonconforming events. However, the majority of laboratories appear to follow the most favourable choice of actions supplied when reviewing results of external QA data. © 2016 John Wiley & Sons Ltd.

  10. International Expert Review of Sr-Can: Safety Assessment Methodology - External review contribution in support of SSI's and SKI's review of SR-Can

    Energy Technology Data Exchange (ETDEWEB)

    Sagar, Budhi (Center for Nuclear Waste Regulatory Analyses, Southwest Research Inst., San Antonio, TX (US)); Egan, Michael (Quintessa Limited, Henley-on-Thames (GB)); Roehlig, Klaus-Juergen (Gesellschaft fuer Anlagen- und Reaktorsicherheit mbH (DE)); Chapman, Neil (Independent Consultant (XX)); Wilmot, Roger (Galson Sciences Limited, Oakham (GB))

    2008-03-15

    In 2006, SKB published a safety assessment (SR-Can) as part of its work to support a licence application for the construction of a final repository for spent nuclear fuel. The purposes of the SR-Can project were stated in the main project report to be: 1. To make a first assessment of the safety of potential KBS-3 repositories at Forsmark and Laxemar to dispose of canisters as specified in the application for the encapsulation plant. 2. To provide feedback to design development, to SKB's research and development (R and D) programme, to further site investigations and to future safety assessments. 3. To foster a dialogue with the authorities that oversee SKB's activities, i.e. the Swedish Nuclear Power Inspectorate, SKI, and the Swedish Radiation Protection Authority, SSI, regarding interpretation of applicable regulations, as a preparation for the SR-Site project. To help inform their review of SKB's proposed approach to development of the longterm safety case, the authorities appointed three international expert review teams to carry out a review of SKB's SR-Can safety assessment report. Comments from one of these teams - the Safety Assessment Methodology (SAM) review team - are presented in this document. The SAM review team's scope of work included an examination of SKB's documentation of the assessment ('Long-term safety for KBS-3 Repositories at Forsmark and Laxemar - a first evaluation' and several supporting reports) and hearings with SKB staff and contractors, held in March 2007. As directed by SKI and SSI, the SAM review team focused on methodological aspects and sought to determine whether SKB's proposed safety assessment methodology is likely to be suitable for use in the future SR-Site and to assess its consistency with the Swedish regulatory framework. No specific evaluation of long-term safety or site acceptability was undertaken by any of the review teams. SKI and SSI's Terms of Reference for the SAM

  11. A Review of the Organisation for Economic Cooperation and Development's International Education Surveys: Governance, Human Capital Discourses, and Policy Debates

    Science.gov (United States)

    Morgan, Clara; Volante, Louis

    2016-01-01

    Given the influential role that the Organisation for Economic Cooperation and Development (OECD) plays in educational governance, we believe it is timely to provide an in-depth review of its education surveys and their associated human capital discourses. By reviewing and summarizing the OECD's suite of education surveys, this paper identifies the…

  12. A practical educational tool for teaching child-care hospital professionals attending evidence-based practice courses for continuing medical education to appraise internal validity in systematic reviews.

    Science.gov (United States)

    Rosati, Paola; Porzsolt, Franz

    2013-08-01

    Having a quick, practical, educational tool designed for busy child-care professionals to check whether systematic reviews (SRs) contain valid information would help them regularly update their evidence-based knowledge and apply it to their patients. Continuing our annual workshop courses encouraging paediatric hospital professionals to use evidence-based information, in a preliminary study, we compared the commonly used Critical Appraisal Skill Programme (CASP) questionnaire for appraising overall internal validity in SRs with a new, practical tool designed to check internal validity quickly. During a course in 2010, two 'teacher-brokers' taught experienced paediatric hospital professionals to use and compare the CASP and the new practical tool to appraise a Cochrane SR on beclomethasone for asthma in children by assessing internal validity only from the two most weighted randomized controlled trials in the forest plot. At 15 days and 6 months, participants then answered questionnaires designed to assess qualitative data including feelings about working together, memorization and possibly provide feedback for Cochrane reviewers. Using the CASP, participants agreed that the Cochrane SR analysed contained overall valid results. Conversely, using the new quick tool, they found poor internal validity. Participants worked well together in a group, took less time to apply the new tool than the CASP (1 vs. 2.5 hours) and provided Cochrane feedback. Our quick practical tool for teaching critical appraisal encourages busy child-care hospital professionals to work together, carefully check validity in SRs, apply the findings in clinical practice and provide useful feedback for Cochrane reviewers. © 2012 John Wiley & Sons Ltd.

  13. Evolving International Practices for Protection of Human Rights- the UN Human Rights Advisory Panel and EU Human Rights Review Panel

    Directory of Open Access Journals (Sweden)

    Remzije ISTREFI

    2017-03-01

    Full Text Available This article analyses the unique development of the international human rights non judicial protection mechanism in Kosovo. Since 1999 Kosovo has been placed under international supervision carried out by international organizations, namely the United Nations and the European Union. The UN’s Mission in Kosovo (UNMK was unprecedented both in scope and structural complexity. After the Declaration of Independence by Kosovo authorities on 17 February 2008, the European Union Rule of Law Mission in Kosovo EULEX took over to assist and support the Kosovo authorities in the rule of law area, specifically in the areas of the police, the judiciary and customs. The UNMIK’s extensive mandate and EULEXs limited executive powers in practice have affected human rights of Kosovars as a consequence of the UNMIK and EULEX actions and inactions in the course of exercise of their mandates. This study will try to reveal the processes that lead to establishment of these two unique international human rights Panels and their impact on human rights protection of individuals under international administration. The main question to be addressed is if these two human rights panels are providing the adequate remedy for addressing human rights violations by international actors in a post conflict Kosovo.

  14. Trading certainty for speed - how much uncertainty are decisionmakers and guideline developers willing to accept when using rapid reviews: an international survey.

    Science.gov (United States)

    Wagner, Gernot; Nussbaumer-Streit, Barbara; Greimel, Judith; Ciapponi, Agustín; Gartlehner, Gerald

    2017-08-14

    Decisionmakers and guideline developers demand rapid syntheses of the evidence when time sensitive evidence-informed decisions are required. A potential trade-off of such rapid reviews is that their results can have less reliability than results of systematic reviews that can lead to an increased risk of making incorrect decisions or recommendations. We sought to determine how much incremental uncertainty about the correctness of an answer guideline developers and health policy decisionmakers are willing to accept in exchange for a rapid evidence-synthesis. Employing a purposive sample, we conducted an international web-based, anonymous survey of decisionmakers and guideline developers. Based on a clinical treatment, a public health, and a clinical prevention scenario, participants indicated the maximum risk of getting an incorrect answer from a rapid review that they would be willing to accept. We carefully reviewed data and performed descriptive statistical analyses. In total, 325 (58.5%) of 556 participants completed our survey and were eligible for analysis. The median acceptable incremental risk for getting an incorrect answer from a rapid review across all three scenarios was 10.0% (interquartile range [IQR] 5.0-15.0). Acceptable risks were similar for the clinical treatment (n = 313, median 10.0% [IQR 5.0-15.0]) and the public health scenarios (n = 320, median 10.0% [IQR 5.0-15.0]) and lower for the clinical prevention scenario (n = 312, median 6.5% [IQR 5.0-10.5]). Findings suggest that decisionmakers are willing to accept some trade-off in validity in exchange for a rapid review. Nevertheless, they expect the validity of rapid reviews to come close to that of systematic reviews.

  15. International aspects of fusion

    International Nuclear Information System (INIS)

    Stacey, W.M. Jr.

    1979-12-01

    International collaborative efforts in magnetic confinement fusion in which the USA is involved are reviewed. These efforts are carried under the auspices of international agencies and through bilateral agreements

  16. Review

    Indian Academy of Sciences (India)

    Review. J. Astrophys. Astr., Vol. 36, No. 4, December 2015, pp. 433–445. Line Shape Variability in a Sample of AGN with Broad Lines. D. Ilic1,∗, L. ˇC. Popovic1,2 ... ing from. We give here a comparative review of the line shape variability ..... using the mean continuum flux at 5100 Å and the online calculator for luminosity.

  17. Reviews

    Science.gov (United States)

    2004-01-01

    BOOK REVIEWS (99) Complete A-Z Physics Handbook Science Magic in the Kitchen The Science of Cooking Science Experiments You Can Eat WEB WATCH (101) These journal themes are pasta joke Microwave oven Web links CD REVIEW (104) Electricity and Magnetism, KS3 Big Science Comics

  18. The Elaborated Environmental Stress Hypothesis as a Framework for Understanding the Association between Motor Skills and Internalizing Problems: A mini-review

    Directory of Open Access Journals (Sweden)

    Vincent Oreste Mancini

    2016-02-01

    Full Text Available Poor motor skills have been shown to be associated with a range of psychosocial issues, including internalizing problems (anxiety and depression. While well-documented empirically, our understanding of why this relationship occurs remains theoretically underdeveloped. The Elaborated Environmental Stress Hypothesis by Cairney, Rigoli, and Piek (2013 provides a promising framework that seeks to explain the association between motor skills and internalizing problems, specifically in children with Developmental Coordination Disorder (DCD. The framework posits that poor motor skills predispose the development of internalizing problems via interactions with intermediary environmental stressors. At the time the model was proposed, limited direct evidence was available to support or refute the framework. Several studies and developments related to the framework have since been published. This mini-review seeks to provide an up-to-date overview of recent developments related to the Elaborated Environmental Stress Hypothesis. We briefly discuss the past research that led to its development, before moving to studies that have investigated the framework since it was proposed. While originally developed within the context of DCD in childhood, recent developments have found support for the model in community samples. Through the reviewed literature, this article provides support for the Elaborated Environmental Stress Hypothesis as a promising theoretical framework that explains the psychosocial correlates across the broader spectrum of motor ability. This evidence promotes the external validity of the framework for use across the broader spectrum of motor ability. However, given its recent conceptualisation, ongoing evaluation of the Elaborated Environmental Stress Hypothesis is recommended.

  19. The Elaborated Environmental Stress Hypothesis as a Framework for Understanding the Association Between Motor Skills and Internalizing Problems: A Mini-Review.

    Science.gov (United States)

    Mancini, Vincent O; Rigoli, Daniela; Cairney, John; Roberts, Lynne D; Piek, Jan P

    2016-01-01

    Poor motor skills have been shown to be associated with a range of psychosocial issues, including internalizing problems (anxiety and depression). While well-documented empirically, our understanding of why this relationship occurs remains theoretically underdeveloped. The Elaborated Environmental Stress Hypothesis by Cairney et al. (2013) provides a promising framework that seeks to explain the association between motor skills and internalizing problems, specifically in children with developmental coordination disorder (DCD). The framework posits that poor motor skills predispose the development of internalizing problems via interactions with intermediary environmental stressors. At the time the model was proposed, limited direct evidence was available to support or refute the framework. Several studies and developments related to the framework have since been published. This mini-review seeks to provide an up-to-date overview of recent developments related to the Elaborated Environmental Stress Hypothesis. We briefly discuss the past research that led to its development, before moving to studies that have investigated the framework since it was proposed. While originally developed within the context of DCD in childhood, recent developments have found support for the model in community samples. Through the reviewed literature, this article provides support for the Elaborated Environmental Stress Hypothesis as a promising theoretical framework that explains the psychosocial correlates across the broader spectrum of motor ability. However, given its recent conceptualization, ongoing evaluation of the Elaborated Environmental Stress Hypothesis is recommended.

  20. Recruitment, advising, and retention programs - Challenges and solutions to the international problem of poor nursing student retention: A narrative literature review.

    Science.gov (United States)

    Mooring, Quanza E

    2016-05-01

    The aim of this literature review was to identify emerging themes in current research to identify challenges to nursing student retention internationally, as well as strategies to improve persistence. A narrative literature review was conducted. Using CINAHL and HealthSource databases, journal articles were reviewed and evaluated for emerging themes related to the causes of high nursing student attrition rates and strategies to overcome this issue. A five-step approach was used to complete the narrative review, beginning with problem identification, followed by the literature search, data analysis, theme emergence and synthesis of the information. The literature review supports the idea that poor retention is related not only to student ability, but also to a lack of necessary intervention by faculty beginning with the admission process and continuing throughout the curriculum. Alterations should be made in the recruitment and student selection process. Aggressive academic advising strategies should be implemented, and retention programs should be interwoven in to the nursing curriculum. Student retention is a multifaceted issue that requires a multi-modal approach. Changes in recruitment, implementation of academic advising, and curriculum integration have the potential to help correct the problem. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Is Early Experience Destiny? Review of Research on Long-Term Outcomes following International Adoption with Special Reference to the British Chinese Adoption Study.

    Science.gov (United States)

    Grant, Margaret; Rushton, Alan; Simmonds, John

    2016-01-01

    The pathway from adverse early experience to adulthood for internationally adopted children is complex in identifying key influences, impacts, and outcomes. This review arose from the authors' involvement in the British Chinese Adoption Study, a recent outcomes study that explored the links between early orphanage care, adoptive experiences, and midadulthood. It differs from previous reviews in focusing on a greater length of time since adoption. Both quantitative and qualitative studies were included to allow for examination of a fuller range of adult-related outcomes rather than mental health scores alone. The sampling, methods, and results of reviewed articles are summarised and a critical commentary is provided. Despite methodological differences and identified strengths and weaknesses, conclusions are drawn on the basis of the evidence available. Special attention is paid to the interpretation of negative outcomes. Findings identify areas that should be explored further in order to gain a fuller understanding of midlife outcomes of people who experienced a poor start in life followed by international adoption. Such studies help in refining lifespan developmental theories.

  2. Reviews

    OpenAIRE

    Revista alicantina de estudios ingleses

    1996-01-01

    Contiene: Jan Pilditch, ed. The Critical Response to Katherine Mansfield. Critical Responses in Arts and Letters. 21. Westport, CT: Greenwood Press, 1996 / reviewed by Ana Belén López Pérez; Edith Wharton. Cartas a Morton Fullerton (1907-1931), (Barcelona, Grijalbo Mondadori, 1995). Ed. Marina Premoli. Translation: Esther Gómez / reviewed by Teresa Gómez Reus; Elizabeth Deeds Ermarth. The English Novel in History: 1840-1895. London and New York: Routledge, 1997 / reviewed by Ángel Pé...

  3. Hot charcoal vomitus in aluminum phosphide poisoning - A case report of internal thermal reaction in aluminum phosphide poisoning and review of literature

    Directory of Open Access Journals (Sweden)

    Seyed Mostafa Mirakbari

    2015-01-01

    Full Text Available Aluminium phosphide (ALP poisoning is a commonly encountered poisoning in emergency departments in most developing countries. Many papers have revealed metabolic derangements in this poisoning and also examined contributing factors leading to death, but only few have reported physical damage. Some case reports have described a complication that has been frequently termed ′ignition′. The exact mechanism of this phenomenon has not been fully elucidated. An exothermic reaction during therapeutic administration of chemicals may contribute to this problem, but the incidence has occurred in the absence of treatment or drug administration. Here, we report a 34-year-old woman with ALP poisoning who presented with hot charcoal vomitus, a sign of internal thermal event, leading to the thermal burning of the patient′s face and internal damage resulting in death. We reviewed all reported cases with similar complication to demonstrate varied characteristics of patients and to propose the possible mechanisms leading to this event.

  4. Hot charcoal vomitus in aluminum phosphide poisoning - A case report of internal thermal reaction in aluminum phosphide poisoning and review of literature.

    Science.gov (United States)

    Mirakbari, Seyed Mostafa

    2015-07-01

    Aluminium phosphide (ALP) poisoning is a commonly encountered poisoning in emergency departments in most developing countries. Many papers have revealed metabolic derangements in this poisoning and also examined contributing factors leading to death, but only few have reported physical damage. Some case reports have described a complication that has been frequently termed 'ignition'. The exact mechanism of this phenomenon has not been fully elucidated. An exothermic reaction during therapeutic administration of chemicals may contribute to this problem, but the incidence has occurred in the absence of treatment or drug administration. Here, we report a 34-year-old woman with ALP poisoning who presented with hot charcoal vomitus, a sign of internal thermal event, leading to the thermal burning of the patient's face and internal damage resulting in death. We reviewed all reported cases with similar complication to demonstrate varied characteristics of patients and to propose the possible mechanisms leading to this event.

  5. Delayed Presentation of an Extracranial Internal Carotid Artery Pseudoaneurysm and Massive Epistaxis Secondary to a Nasal Foreign Body: Case Report and Review of the Literature.

    Science.gov (United States)

    Katsevman, Gennadiy A; Braca, John A; Welch, Kevin C; Ashley, William W

    2016-08-01

    Epistaxis is a very common medical condition and can often be controlled with conservative measures. Rarely, uncontrolled and life-threatening epistaxis can occur. We present the case of a 58-year-old man who developed delayed, massive epistaxis caused by an extracranial left internal carotid artery pseudoaneurysm caused by an intranasal foreign object without apparent recent trauma. The patient was successfully treated with endovascular stenting of the affected vessel segment. Massive epistaxis is a potentially lethal condition. Although the source uncommonly originates from the internal carotid artery, pseudoaneurysm rupture needs to be considered on the differential diagnosis in selected patients. This case illustrates the need for vigilance for the presence of foreign objects and/or vessel injuries in the setting of acute, massive epistaxis. Additionally, we describe treatment options and review the literature. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Report on Quality Control Review of Defense Contract Audit Agency and KPMG LLP Office of Management and Budget Circular A-133 Audit Report of SRI International, Fiscal Year Ended December 25, 1999

    National Research Council Canada - National Science Library

    2002-01-01

    ...), DoD, performed a quality control review to determine whether the FY 1999 report that SRI International submitted to the Single Audit Clearinghouse met the applicable reporting standards and OMB Circular A-133...

  7. Review

    Indian Academy of Sciences (India)

    2017-04-18

    jbiosci. J. Biosci. 42(2), June 2017, 345–353 * Indian Academy of Sciences. 345. DOI: 10.1007/s12038-017-9681-x. Keywords. Angiogenesis; FRG1; FSHD; neuromuscular disorder; RNA biogenesis. Review. Published online: ...

  8. Reviews.

    Science.gov (United States)

    Radcliffe, George; And Others

    1988-01-01

    Reviews three software packages: 1) a package containing 68 programs covering general topics in chemistry; 2) a package dealing with acid-base titration curves and allows for variables to be changed; 3) a chemistry tutorial and drill package. (MVL)

  9. Reviews.

    Science.gov (United States)

    Greenleaf, Floyd; And Others

    1986-01-01

    Reviews eight textbooks, readers, and books. Topics include Latin America, colonial America, the Carolinians, women in French textbooks, the Vikings, the Soviet Union, nineteenth-century Black America, and Ernest Rutherford. (TRS)

  10. Review

    African Journals Online (AJOL)

    , complications are relatively common and this needs to be considered in patient counseling and clinical decision making. Review: Fertility generally returns after renal transplantation. Approximately 74% of pregnancies in kidney transplant ...

  11. Mycotic aneurysm of the extracranial internal carotid artery - report of a case and review of the literature

    International Nuclear Information System (INIS)

    Nascimento, Edilene Cristina do; Silva, Ivone Martins da

    1998-01-01

    The authors report a case of mycotic aneurysm of the extracranial internal carotid artery in a 4-year-old- male child, resulting from tonsillar infection. The authors relate the difficulties to initially suggest the diagnosis, stress the importance of the differential diagnosis particularly in children and describe the findings on conventional films, US colour-Doppler, CT and carotid digital subtraction angiography. (author)

  12. Simultaneous bilateral internal carotid and vertebral artery dissection following chiropractic manipulation: case report and review of the literature

    International Nuclear Information System (INIS)

    Nadgir, R.N.; Ahmed, T.; Loevner, L.A.; Moonis, G.; Slawek, K.; Imbesi, S.; Chalela, J.

    2003-01-01

    Single-vessel cervical arterial dissections typically occur in young adults and are a common cause of cerebral ischemia and stroke. Although the pathogenesis of multivessel dissection is unclear, it is thought to be a consequence of underlying collagen vascular disease. We present a 34-year-old previously healthy man who developed bilateral internal carotid and vertebral artery dissection following chiropractic manipulation. (orig.)

  13. Evaluation of Contrast MR Angiography in the Study of Internal Carotid Artery Stenosis. Systematic Review of the Literature

    International Nuclear Information System (INIS)

    Rodriguez Perez, P.; Martinez Cantarero, J.; Ruiz Diaz, M.; Blazquez Morera, J. A.; Llano Senaris, J. E. de

    2004-01-01

    To evaluate the diagnostic benefit of using contrast MR Angiography (MRA) in the study of extracranial internal carotid artery stenosis as opposed to intraarterial digital subtraction arteriography (LADSA). A search for relevant articles from 1990 to 2000 using MDLINE and EMBASE databases. Initial selection criteria: 1. articles which compare MRA and IADSA in the study of extracranial internal carotid artery stenosis; and 2, sample size of 10 or more subjects. Studies employing contrast MRA were subsequently selected. Contrast MRA diagnostic results were studied, as were those of non-contrast MRA (TOF) if included. Roc curves and 95% confidence intervals were calculated. In the studies, 324 patients and 648 extracranial internal carotid arteries were evaluated (12 articles). The diagnostic results in carotid artery stenosis discrimination using contrast MRA as opposed to IADSA were sensitivity and specificity=97.28% and 96.08%. With regard to contrast MRA vs. non-contrast MRA (TOF), significant differences favoring contrast MRA in both sensitivity and specificity were observed. (p=0.08 and p<0.001, respectively). MRA techniques demonstrate very high diagnostic capabilities in the detection of carotid stenosis, with contrast MRA being more effective than non-contrast. MRA. In spite of not being superior to IADSA, given the morbimortality risk which the latter is associated (0.7-1.2%). many authors defend contrast MRA (in association with Doppler echography) having become the method of choice for presurgical study of extracranial internal carotid artery stenosis. (Author) 53 refs

  14. 75 FR 968 - Notice of Public Information Collections Being Reviewed by the U.S. Agency for International...

    Science.gov (United States)

    2010-01-07

    ... at [email protected] or mail comments to: Tracy Hembry, Small Disadvantage Business Specialist...., Washington, DC 20523 (202-712- 4983). FOR FURTHER INFORMATION CONTACT: Beverly Johnson, Bureau for Management, Office of Administrative Services, Information and Records Division, U.S. Agency for International...

  15. Internal Quality Assurance Reviews: Challenges and Processes--Walter Sisulu University's Business, Management Sciences and Law Faculty

    Science.gov (United States)

    Moodly, A.; Saunderson, I.

    2008-01-01

    The Council for Higher Educations' (CHE) Higher Education Quality Committee (HEQC) requires internal quality evaluations to be performed on the various programmes offered by the Faculty before visitation by the HEQC. This article examines some of the challenges and processes followed by six of the departments of Walter Sisulu University's Faculty…

  16. The Experiences of Advanced Placement and International Baccalaureate Diploma Program Participants: A Systematic Review of Qualitative Research

    Science.gov (United States)

    Park, Kelly; Caine, Vera; Wimmer, Randolph

    2014-01-01

    Enriched high school curricula like the Advanced Placement and International Baccalaureate Diploma programs are endorsed as "pathway programs" for postsecondary-bound students. Program participation is perceived to have benefits that appeal to a broad stakeholder group of universities, administrators, teachers, students, and parents. In…

  17. Reviews

    OpenAIRE

    Revista alicantina de estudios ingleses

    2000-01-01

    Contiene: Villalba, Estefanía. Claves para interpretar la literatura inglesa. Madrid: Alianza Editorial, 1999,211 p. / reviewed by Eva M. Pérez Rodríguez; Dieter Stein & Rosanna Sornicola (ed.) The Virtues of Language. History in Language, Linguistics and Texts. Number 87. Amsterdam: John Benjamin Pub. Co., 1998 / reviewed by José Manuel Belda Medina; Antonia Sánchez-Macarro and R. Carter (eds.) (1998): Linguistic Choice across Genres: Variation in Spoken and Written English. Amsterd...

  18. An Overview of Systematic Reviews on Prognostic Factors in Neck Pain: Results from the International Collaboration on Neck Pain (ICON) Project

    DEFF Research Database (Denmark)

    Walton, David M; Carroll, Linda J; Kasch, Helge

    2013-01-01

    of transition to chronic or persistent problems. As a field of research, prognosis in neck pain has stimulated several empirical primary research papers, and a number of systematic reviews. As part of the International Consensus on Neck (ICON) project, we sought to establish the general state of knowledge...... currency of the SR, risk of bias assessment of the SRs using AMSTAR scoring and consistency of findings across SRs, determined the level of confidence in the risk profile of 133 different variables. The results provide high confidence that baseline neck pain intensity and baseline disability have a strong...

  19. Reliability and Validity of the Sensory Component of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI): A Systematic Review.

    Science.gov (United States)

    Hales, M; Biros, E; Reznik, J E

    2015-01-01

    Since 1982, the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) has been used to classify sensation of spinal cord injury (SCI) through pinprick and light touch scores. The absence of proprioception, pain, and temperature within this scale creates questions about its validity and accuracy. To assess whether the sensory component of the ISNCSCI represents a reliable and valid measure of classification of SCI. A systematic review of studies examining the reliability and validity of the sensory component of the ISNCSCI published between 1982 and February 2013 was conducted. The electronic databases MEDLINE via Ovid, CINAHL, PEDro, and Scopus were searched for relevant articles. A secondary search of reference lists was also completed. Chosen articles were assessed according to the Oxford Centre for Evidence-Based Medicine hierarchy of evidence and critically appraised using the McMasters Critical Review Form. A statistical analysis was conducted to investigate the variability of the results given by reliability studies. Twelve studies were identified: 9 reviewed reliability and 3 reviewed validity. All studies demonstrated low levels of evidence and moderate critical appraisal scores. The majority of the articles (~67%; 6/9) assessing the reliability suggested that training was positively associated with better posttest results. The results of the 3 studies that assessed the validity of the ISNCSCI scale were confounding. Due to the low to moderate quality of the current literature, the sensory component of the ISNCSCI requires further revision and investigation if it is to be a useful tool in clinical trials.

  20. Review

    African Journals Online (AJOL)

    ebutamanya

    2015-07-30

    Jul 30, 2015 ... cervical cancer prevention services is very crucial in designing effective cervical cancer control programs in low- and middle-income countries. Pan African Medical ... A good approach to a comprehensive cervical cancer prevention and control is to act ..... International Journal of Gynecology and. Obstetrics.

  1. Review

    African Journals Online (AJOL)

    abp

    2014-01-15

    Jan 15, 2014 ... A stroke or Cerebro-Vascular Accident (CVA) involves the rapid loss of brain function caused by a disruption ..... increasing public awareness, training health care providers and collaboration are essential and urgent ... trends and determinants in cardiovascular disease): a major international collaboration.

  2. Review

    NARCIS (Netherlands)

    Ham, van der R.W.J.M.

    1994-01-01

    This book contains the proceedings of the special tapetum symposium, held during the VIII International Palynological Congress in 1992 (Aix-en-Provence, France). Twelve contributions demonstrate the importance of the tapetum in the reproduction of land plants. As the editors state: any tapetum

  3. Review

    NARCIS (Netherlands)

    Adema, Frits

    2000-01-01

    This book contains a wealth of information on Monocotyledons. The papers are based on presentations at the Second International Conference on Comparative Biology of the Monocotyledons, Monocots II, held in Sydney, Australia in 1998, but many have been updated or extended to take into account new

  4. Floor area concession incentives as planning instruments to promote green building : A critical review of international practices

    NARCIS (Netherlands)

    Fan, K.; Qian, Q.K.; Chan, E.H.W.

    2015-01-01

    Gross Floor Area (GFA) concession scheme, as a planning incentive, is developed from the notion of “make developers pay” in UK in 1990. It rewards developers additional GFA in exchange for public amenities so that government could save that amount of money. This paper carries out a review of GFA

  5. Combating Trafficking in Women and Children: A Review of International and National Legislation, Coordination Failures and Perverse Economic Incentives

    NARCIS (Netherlands)

    A.S. Bedi (Arjun Singh); R.K.Q. Akee (Randall); A.K. Basu (Arnab); N.H. Chau (Nancy)

    2009-01-01

    textabstractAbstract In this review, we argue that the pattern of trafficking needs to be understood through the impact of legislative forces and human rights policies in place in the host countries of trafficking. Analyzing trafficking patterns solely through the lens of economic, labor market and

  6. Risk-based supervision of pension funds : a review of international experience and preliminary assessment of the first outcomes

    OpenAIRE

    Brunner, Gregory; Hinz, Richard; Rocha, Roberto

    2008-01-01

    This paper provides a review of the design and experience of risk-based pension fund supervision in several countries that have been leaders in the development of these methods. The utilization of risk-based methods originates primarily in the supervision of banks. In recent years it has increasingly been extended to other types of financial intermediaries including pension funds and insur...

  7. Increasing Asian International College Students' Physical Activity Behavior: A Review of the Youth Physical Activity Promotion Model

    Science.gov (United States)

    Yan, Zi; Cardinal, Bradley J.

    2013-01-01

    Asian students attending American colleges and universities report relatively low levels of physical activity participation, which may hinder their ability to realize their full human potential (i.e., cognitively, physically, socially). This paper reviewed the possible reasons underlying their generally inactive lifestyle, addressed the importance…

  8. Book Review: BOSE-EINSTEIN CONDENSATION IN ATOMIC GASES (PROCEEDINGS OF THE INTERNATIONAL SCHOOL OF PHYSICS "ENRICO FERMI"

    Directory of Open Access Journals (Sweden)

    M.V.Tokarchuk

    2002-01-01

    Full Text Available The book edited by M.Inguscio, S.Stringari and C.E.Wieman contains the proceedings of the International School of Physics "Enrico Fermi" (Course CXL which took place at Varenna on Lake Como, 7-17 July 1998. The problem of discussion - phenomenon of Bose-Einstein Condensation (BEC in atomic gases - incorporated both the experiments related to BEC and theoretical considerations.

  9. Admission factors associated with international medical graduate certification success: a collaborative retrospective review of postgraduate medical education programs in Ontario.

    Science.gov (United States)

    Grierson, Lawrence E M; Mercuri, Mathew; Brailovsky, Carlos; Cole, Gary; Abrahams, Caroline; Archibald, Douglas; Bandiera, Glen; Phillips, Susan P; Stirrett, Glenna; Walton, J Mark; Wong, Eric; Schabort, Inge

    2017-11-24

    The failure rate on certification examinations of The College of Family Physicians of Canada (CFPC) and the Royal College of Physicians and Surgeons of Canada (RCPSC) is significantly higher for international medical graduates than for Canadian medical school graduates. The purpose of the current study was to generate evidence that supports or refutes the validity of hypotheses proposed to explain the lower success rates. We conducted retrospective analyses of admissions and certification data to determine the factors associated with success of international medical graduate residents on the certification examinations. International medical graduates who entered an Ontario residency program between 2005 and 2012 and had written a certification examination by the time of the analysis (2015) were included in the study. Data available at the time of admission for each resident, including demographic characteristics, previous experiences and previous professional experiences, were collected from each of the 6 Ontario medical schools and matched with certification examination results provided by The CFPC and the RCPSC. We developed logistic regression models to determine the association of each factor with success on the examinations. Data for 900 residents were analyzed. The models revealed resident age to be strongly associated with performance across all examinations. Fluency in English, female sex and the Human Development Index value associated with the country of medical school training had differential associations across the examinations. The findings should contribute to an improved understanding of certification success by international medical graduates, help residency programs identify at-risk residents and underpin the development of specific educational and remedial interventions. In considering the results, it should be kept in mind that some variables are not amenable to changes in selection criteria. Copyright 2017, Joule Inc. or its licensors.

  10. Review: Current Approaches to Business and Institutional Translation. Proceedings of the International Conference on Economic, Business, Financial and Institutional Translation

    Directory of Open Access Journals (Sweden)

    Miguel Tolosa Igualada

    2016-08-01

    Full Text Available Daniel Gallego-Hernández (ed.. Current Approaches to Business and Institutional Translation. Proceedings of the International Conference on Economic, Business, Financial and Institutional Translation / Enfoques actuales en traducción económica e institucional. Actas del Congreso Internacional de Traducción Económica, Comercial, Financiera e Institucional. Suíça: Peter Lang, 2015, 254 páginas. ISBN 978-3-0343-1656-9.

  11. Thirty cases of distal humerus intra-articular fractures treated by open reduction and internal fixation: A 3-year review

    Directory of Open Access Journals (Sweden)

    Ajit Swamy

    2012-01-01

    Full Text Available Introduction: Fractures of the distal humerus involving articular surface remains one of the challenging situations for any orthopedic surgeon. Congruent articular reconstruction is mandatory for an acceptable functional recovery. Materials and Methods: This was a case series of 30 patients of distal humeral intraarticular fractures treated by open reduction and internal fixation and followed up at the end of 3 years.Fractures were classified according to AO [Arbeitsgemeinschaft für Osteosynthesefragen] and the results were evaluated using Cassebaums rating system, and other parameters. Results: Majority of the patients had a favourable outcome.There was no neurovascular complications and majority had a sound union. One case developed postoperative infection. Two cases resulted in nonunion. Conclusion: Open reduction and internal fixation with congruent articular reconstruction in young patients resulted in acceptable and good functional recovery. This was achieved with the use of recent AO ASIF plates. [AO/ASIF - Arbeitsgemeinschaft fuer Osteosynthesefragen - Association for the Study of Internal Fixation].

  12. Sacrifice and extracranial reconstruction of the common or internal carotid artery in advanced head and neck carcinoma: Review and meta-analysis.

    Science.gov (United States)

    Bäck, Leif J J; Aro, Katri; Tapiovaara, Laura; Vikatmaa, Pirkka; de Bree, Remco; Fernández-Álvarez, Verónica; Kowalski, Luiz P; Nixon, Iain J; Rinaldo, Alessandra; Rodrigo, Juan P; Robbins, K Thomas; Silver, Carl E; Snyderman, Carl H; Suárez, Carlos; Takes, Robert P; Ferlito, Alfio

    2018-02-05

    Sacrifice and reconstruction of the carotid artery in cases of head and neck carcinoma with invasion of the common or internal carotid artery is debated. We conducted a systematic search of electronic databases and provide a review and meta-analysis. Of the 72 articles identified, 24 met the inclusion criteria resulting in the inclusion of 357 patients. The overall perioperative 30-day mortality was 3.6% (13/357). Permanent cerebrovascular complications occurred in 3.6% (13/357). Carotid blowout episodes were encountered in 1.4% (5/357). The meta-regression analysis showed a significant difference in 1-year overall survival between reports published from 1981-1999 (37.0%) and 2001-2016 (65.4%; P = .02). This review provides evidence that sacrifice with extracranial reconstruction of common or internal carotid artery in selected patients with head and neck carcinoma may improve survival with acceptable complication rates. However, all of the published literature is retrospective involving selected series and, therefore, precludes determining the absolute effectiveness of the surgery. © 2018 Wiley Periodicals, Inc.

  13. Review

    NARCIS (Netherlands)

    Prud’homme van Reine, W.F.

    1998-01-01

    The two published parts of the Desmid Flora of Austria are well-illustrated review volumes on a group of precious freshwater microalgae. Volume 1 contains a pretty, visual key to the genera, completed by figures of one or more characteristic species. In all keys of the separate genera many visual

  14. Review

    NARCIS (Netherlands)

    Kalkman, C.

    1996-01-01

    The first volume of this series was published in 1991, and reviewed in Blumea 38, p. 216. The treatments of volumes 2 and 3 are each based on a doctor’s thesis by the first author, elaborated under supervision of Dr. Panigrahi. Volume 2 contains regional revisions of six genera: Prunus, Prinsepia,

  15. Review

    DEFF Research Database (Denmark)

    Van Den Hazel, H B; Kielland-Brandt, Morten; Winther, Jakob R.

    1996-01-01

    The yeast vacuole, which is equivalent to the lysosome of higher eukaryotes, is one of the best characterized degradative organelles. This review describes the biosynthesis and function of yeast vacuolar proteases. Most of these enzymes are delivered to the vacuole via the early compartments...

  16. Reviews

    NARCIS (Netherlands)

    Adema, Frits

    1995-01-01

    This is the second volume of a revision of Tabernaemontana (Apocynaceae). The volume covers the New World species (44) and the genus Stemmadenia (10 species). This part of the revision of Tabernaemontana comes up to the high standards set in the first volume [see the review by Leenhouts, Blumea 38

  17. Review

    African Journals Online (AJOL)

    2016-03-19

    Dave Richards and Brian Finch. March 19, 2016, Penguin Random House South Africa, ISBN 978-1775842514, pp. 64, full colour. Price US$10.00/GB£6.70. In this review, I shall attempt to convince readers that ... head and slams her book down as the memory arrives. “Oh no. That bird still sends shivers through me!

  18. Review

    NARCIS (Netherlands)

    Kalkman, C.; Adema, F.

    1998-01-01

    This book intends (according to the preface) to afford at once a review, a general outline of what has been accomplished, and a set of signposts for the future. It attempts to do so in three sections on Origin and Diversification of Primitive Land Plants (4 papers), Origin and Diversification of

  19. Review

    NARCIS (Netherlands)

    Wilde, de W.J.J.O.

    1994-01-01

    This review marks the appearance of Volume II, after the publication of Volume I, Pteridophytes and Gymnosperms, in 1990; several more volumes are expected in the future before completion of the Vascular plants as a whole. The present volume contains 73 families out of some 250-500 families which

  20. Emission Treatment towards Cold Start and Back Pressure in Internal Combustion Engine against Performance of Catalytic Converter: A Review

    Directory of Open Access Journals (Sweden)

    Leman A.M.

    2017-01-01

    Full Text Available Nowadays, regulation for the vehicles emissions has becoming more stringent in order to reduce the effect of pollutant gases that was being released by the vehicles exhaust. The development of catalytic converter is to resolve the pollution emission aspect. There are lots of improvements done by the researchers towards improving catalytic converter, yet there are still key issues which give negative impact to the environment. One of the problems that are being concern by among of researchers is the cold-start and back pressure problems that usually occur in the composition of catalytic converter. Presented here is a review of cold-starts and back pressure problems together with several alternatives taken by not affecting the performance of vehicles engine and fuel consumption. The review also includes alternative system development and selection of materials to resolve these problems.

  1. A review of a method for dynamic load distribution, dynamical modeling, and explicit internal force control when two manipulators mutually lift and transport a rigid body object

    Energy Technology Data Exchange (ETDEWEB)

    Unseren, M.A.

    1997-04-20

    The paper reviews a method for modeling and controlling two serial link manipulators which mutually lift and transport a rigid body object in a three dimensional workspace. A new vector variable is introduced which parameterizes the internal contact force controlled degrees of freedom. A technique for dynamically distributing the payload between the manipulators is suggested which yields a family of solutions for the contact forces and torques the manipulators impart to the object. A set of rigid body kinematic constraints which restrict the values of the joint velocities of both manipulators is derived. A rigid body dynamical model for the closed chain system is first developed in the joint space. The model is obtained by generalizing the previous methods for deriving the model. The joint velocity and acceleration variables in the model are expressed in terms of independent pseudovariables. The pseudospace model is transformed to obtain reduced order equations of motion and a separate set of equations governing the internal components of the contact forces and torques. A theoretic control architecture is suggested which explicitly decouples the two sets of equations comprising the model. The controller enables the designer to develop independent, non-interacting control laws for the position control and internal force control of the system.

  2. Review of the Strategic Plan for International Collaboration on Fusion Science and Technology Research. Fusion Energy Sciences Advisory Committee (FESAC)

    International Nuclear Information System (INIS)

    1998-01-01

    The United States Government has employed international collaborations in magnetic fusion energy research since the program was declassified in 1958. These collaborations have been successful not only in producing high quality scientific results that have contributed to the advancement of fusion science and technology, they have also allowed us to highly leverage our funding. Thus, in the 1980s, when the funding situation made it necessary to reduce the technical breadth of the U.S. domestic program, these highly leveraged collaborations became key strategic elements of the U.S. program, allowing us to maintain some degree of technical breadth. With the recent, nearly complete declassification of inertial confinement fusion, the use of some international collaboration is expected to be introduced in the related inertial fusion energy research activities as well. The United States has been a leader in establishing and fostering collaborations that have involved scientific and technological exchanges, joint planning, and joint work at fusion facilities in the U.S. and worldwide. These collaborative efforts have proven mutually beneficial to the United States and our partners. International collaborations are a tool that allows us to meet fusion program goals in the most effective way possible. Working with highly qualified people from other countries and other cultures provides the collaborators with an opportunity to see problems from new and different perspectives, allows solutions to arise from the diversity of the participants, and promotes both collaboration and friendly competition. In short, it provides an exciting and stimulating environment resulting in a synergistic effect that is good for science and good for the people of the world.

  3. Public health interventions to protect against falsified medicines: a systematic review of international, national and local policies.

    Science.gov (United States)

    Hamilton, William L; Doyle, Cormac; Halliwell-Ewen, Mycroft; Lambert, Gabriel

    2016-12-01

    Falsified medicines are deliberately fraudulent drugs that pose a direct risk to patient health and undermine healthcare systems, causing global morbidity and mortality. To produce an overview of anti-falsifying public health interventions deployed at international, national and local scales in low and middle income countries (LMIC). We conducted a systematic search of the PubMed, Web of Science, Embase and Cochrane Central Register of Controlled Trials databases for healthcare or pharmaceutical policies relevant to reducing the burden of falsified medicines in LMIC. Our initial search identified 660 unique studies, of which 203 met title/abstract inclusion criteria and were categorised according to their primary focus: international; national; local pharmacy; internet pharmacy; drug analysis tools. Eighty-four were included in the qualitative synthesis, along with 108 articles and website links retrieved through secondary searches. On the international stage, we discuss the need for accessible pharmacovigilance (PV) global reporting systems, international leadership and funding incorporating multiple stakeholders (healthcare, pharmaceutical, law enforcement) and multilateral trade agreements that emphasise public health. On the national level, we explore the importance of establishing adequate medicine regulatory authorities and PV capacity, with drug screening along the supply chain. This requires interdepartmental coordination, drug certification and criminal justice legislation and enforcement that recognise the severity of medicine falsification. Local healthcare professionals can receive training on medicine quality assessments, drug registration and pharmacological testing equipment. Finally, we discuss novel technologies for drug analysis which allow rapid identification of fake medicines in low-resource settings. Innovative point-of-purchase systems like mobile phone verification allow consumers to check the authenticity of their medicines. Combining anti

  4. Control, oversight and related terms in the international guidance on geological disposal of radioactive waste - Review of definitions and use

    International Nuclear Information System (INIS)

    2014-01-01

    This document presents the most complete analysis of the use of the words control, oversight, etc. as used in NEA, IAEA and ICRP literature connected to radioactive waste disposal. It reveals the many different ways the same word, 'control', has been used in international guidance and ambiguities than can arise, especially so for the post-closure phase of the repository. The newly introduced ICRP terminology, namely the use of the words 'oversight' and 'built-in controls', represents a step forward in terminology and resolves the ambiguity

  5. A review of culturally adapted versions of the Oswestry Disability Index: the adaptation process, construct validity, test-retest reliability and internal consistency.

    Science.gov (United States)

    Sheahan, Peter J; Nelson-Wong, Erika J; Fischer, Steven L

    2015-01-01

    The Oswestry Disability Index (ODI) is a self-report-based outcome measure used to quantify the extent of disability related to low back pain (LBP), a substantial contributor to workplace absenteeism. The ODI tool has been adapted for use by patients in several non-English speaking nations. It is unclear, however, if these adapted versions of the ODI are as credible as the original ODI developed for English-speaking nations. The objective of this study was to conduct a review of the literature to identify culturally adapted versions of the ODI and to report on the adaptation process, construct validity, test-retest reliability and internal consistency of these ODIs. Following a pragmatic review process, data were extracted from each study with regard to these four outcomes. While most studies applied adaptation processes in accordance with best-practice guidelines, there were some deviations. However, all studies reported high-quality psychometric properties: group mean construct validity was 0.734 ± 0.094 (indicated via a correlation coefficient), test-retest reliability was 0.937 ± 0.032 (indicated via an intraclass correlation coefficient) and internal consistency was 0.876 ± 0.047 (indicated via Cronbach's alpha). Researchers can be confident when using any of these culturally adapted ODIs, or when comparing and contrasting results between cultures where these versions were employed. Implications for Rehabilitation Low back pain is the second leading cause of disability in the world, behind only cancer. The Oswestry Disability Index (ODI) has been developed as a self-report outcome measure of low back pain for administration to patients. An understanding of the various cross-cultural adaptations of the ODI is important for more concerted multi-national research efforts. This review examines 16 cross-cultural adaptations of the ODI and should inform the work of health care and rehabilitation professionals.

  6. Why do we want the right to die? A systematic review of the international literature on the views of patients, carers and the public on assisted dying.

    Science.gov (United States)

    Hendry, Maggie; Pasterfield, Diana; Lewis, Ruth; Carter, Ben; Hodgson, Daniel; Wilkinson, Clare

    2013-01-01

    Assisted dying is legal in four European countries and three American states. Elsewhere, particularly in more affluent or mainly Protestant countries, it remains controversial. Dominant headlines feature professional (medical, legal, religious) arguments versus celebrity campaigners; ordinary people are less clearly represented. To synthesise the international evidence of people's views and attitudes towards assisted dying in order to inform current debate about this controversial issue. Systematic review and mixed method synthesis of qualitative and survey data. Eleven electronic databases from inception to October 2011; bibliographies of included studies. Two reviewers independently screened papers and appraised quality. Qualitative results were extracted verbatim; survey results were summarised in a table. Qualitative data were synthesised using framework methods and survey results integrated where they supported, contrasted or added to the themes identified. Sixteen qualitative studies and 94 surveys were included; many participants considered the immediate relevance of assisted dying for them. Themes related to poor quality of life, a good quality of death, potential abuse of assisted dying and the importance of individual stance. People valued autonomy in death as much as in life. Attitudes were diverse, complex and related to definitions of unbearable suffering including physical, psycho-social and existential factors and were consistent regardless of social, economic, legal and health-care contexts. Our review sheds light on ordinary people's perspectives about assisted dying, when they are ill or disabled. Unbearable suffering is a key construct, and common factors are revealed that lead people to ask for help to die. The consistency of international views indicates a mandate for legislative and medical systems worldwide to listen and understand this.

  7. Learning from nuclear regulatory self-assessment. International peer review of the CSN report on lessons learnt from the essential service water system degradation event at the Vandellos nuclear power plant

    International Nuclear Information System (INIS)

    2006-01-01

    Nuclear regulatory self-assessment together with the benchmarking of regulatory practices against those of other countries operating nuclear power plants are key elements in maintaining a high level of nuclear safety. In that light, the Spanish Consejo de Seguridad Nuclear (CSN) formally asked the OECD Nuclear Energy Agency (NEA) to establish an international peer review team to assess the CSN report on the lessons learnt as a result of the 2004 Vandellos II event involving essential service water system degradation. The International Review Team considers the CSN report prepared in follow-up to the Vandellos event to be a commendable effort in regulatory self-assessment. The report, complemented by this international peer review, should enable the CSN to take appropriate action to ensure that its regulatory supervision is in line with best international practice. (authors)

  8. A systematic literature review of the situation of the International Classification of Functioning, Disability, and Health and the International Classification of Functioning, Disability, and Health-Children and Youth version in education: a useful tool or a flight of fancy?

    Science.gov (United States)

    Moretti, Marta; Alves, Ines; Maxwell, Gregor

    2012-02-01

    This article presents the outcome of a systematic literature review exploring the applicability of the International Classification of Functioning, Disability, and Health (ICF) and its Children and Youth version (ICF-CY) at various levels and in processes within the education systems in different countries. A systematic database search using selected search terms has been used. The selection of studies was then refined further using four protocols: inclusion and exclusion protocols at abstract and full text and extraction levels along with a quality protocol. Studies exploring the direct relationship between education and the ICF/ICF-CY were sought.As expected, the results show a strong presence of studies from English-speaking countries, namely from Europe and North America. The articles were mainly published in noneducational journals. The most used ICF/ICF-CY components are activity and participation, participation, and environmental factors. From the analysis of the papers included, the results show that the ICF/ICF-CY is currently used as a research tool, theoretical framework, and tool for implementing educational processes. The ICF/ICF-CY can provide a useful language to the education field where there is currently a lot of disparity in theoretical, praxis, and research issues. Although the systematic literature review does not report a high incidence of the use of the ICF/ICF-CY in education, the results show that the ICF/ICF-CY model and classification have potential to be applied in education systems.

  9. THE PROFILE OF THE ACCOUNTING RESEARCH ABOUT IFRS: A BIBLIOMETRIC REVIEW OF INTERNATIONAL ARTICLES ON THE SUBJECT

    Directory of Open Access Journals (Sweden)

    Andressa Iovine Martins

    2012-12-01

    Full Text Available The main objective of this article is to identify what is currently being researched in the area of International Financial Reporting Standards (IFRS around the world; who is carrying on such researches; which researches has caused stronger impact; which journals shows more articles about this issue and the ones that cause more impacts; the time frames and places this subject is more often produced. The applied methodology was based on the metrics precepts, using as data base platform the Web of Science (WoS of Citation Indexes from the Institute for Scientific Information – ISI – Citation Indexes. It was found 150 articles for the research lookout of “International Financial Reporting Standards” and 147 for “IFRS” found in the four main categories of WoS related to that subject. According to the two used terms for research, the result was quite conflicting. It was observed that the more productive writers are not necessarily the most influential ones, which also occurred in regard to periodic publications. The large majority of the production occurred from 2006 on, and the countries that stood out more, in quantity terms, were the United States of America, Germany, Australia and England.

  10. Surgical management of penile carcinoma in situ: results from an international collaborative study and review of the literature.

    Science.gov (United States)

    Chipollini, Juan; Yan, Sylvia; Ottenhof, Sarah R; Zhu, Yao; Draeger, Désirée; Baumgarten, Adam S; Tang, Dominic H; Protzel, Chris; Ye, Ding-Wei; Hakenberg, Oliver W; Horenblas, Simon; Watkin, Nicholas A; Spiess, Philippe E

    2018-03-01

    To evaluate recurrence after penile-sparing surgery (PSS) in the management of carcinoma in situ (CIS) of the penis in a large multicentre cohort of patients. We identified consecutive patients from five major academic centres, treated between June 1986 and November 2014, who underwent PSS for pathologically proven penile CIS. The primary outcome was local recurrence-free survival (RFS), which was estimated using the Kaplan-Meier method. A total of 205 patients were identified. Treatment methods included circumcision, glansectomy, wide local excision, laser therapy and total glans resurfacing. Over a median (interquartile range [IQR]) follow-up of 40 (26-65.6) months, there were 48 local recurrences, with 45.8% occurring in the first year and 81.3% occurring by year 5. The majority of recurrences were observed in the laser group (58.3%). The median (IQR) time to local recurrence was 15.9 (5.66-26.14) months. The 1- 2- and 5-year RFS rates were 88.4, 85.6 and 75%, respectively, and the median (IQR) RFS time was 106.5 (80.2-132.2) months. Among patients with penile CIS selected for surgical management, durable responses at intermediate- to long-term follow-up were noted. For those with glandular CIS, glans resurfacing offered the best outcomes. © 2017 The Authors BJU International © 2017 BJU International Published by John Wiley & Sons Ltd.

  11. Reduction of Military Vehicle Acquisition Time and Cost through Advanced Modelling and Virtual Simulation (La reduction des couts et des delais d’acquisition des vehicules militaires par la modelisation avancee et la simulation de produit virtuel)

    Science.gov (United States)

    2003-03-01

    technology to support interactive digital styling reviews (Celsnek, 1989), virtual showroom reviews (Smith & Leigh, 2000), and aerodynamic flow simulations...SEINE CEDEX, FRANCE RTO MEETING PROCEEDINGS 89 Reduction of Military Vehicle Acquisition Time and Cost through Advanced Modelling and Virtual Simulation...MEETING PROCEEDINGS 89 Reduction of Military Vehicle Acquisition Time and Cost through Advanced Modelling and Virtual Simulation (La réduction des

  12. Do We Need Updated Guidelines on the Use of Insulin Pump Therapy in Type 2 Diabetes? A Review of National and International Practice Guidelines

    Science.gov (United States)

    Cohen, Ohad; Valentine, William

    2016-01-01

    Background: Continuous subcutaneous insulin infusion (CSII) is used less for type 2 than for type 1 diabetes because of inconsistencies in evidence of effectiveness. We reviewed published guidelines on intensive insulin therapy in type 2 diabetes to assess whether updating of guidance is needed with respect to evidence used and recommendations for CSII in diabetes management. Methods: A literature review was performed to identify published national and international guidelines on type 2 diabetes management. Searches were performed using PubMed, Cochrane Library, and Embase databases, and websites of national health care agencies, reimbursement agencies, and professional associations. Searches were limited to articles published in English between 2004 and 2014 and 1666 unique hits were identified, of which 22 were reviewed following screening. Results: Only 6 of the 22 guidelines identified from North and South America, Western Europe, Greece, and Israel provided specific recommendations on intensive insulin therapy and the role of CSII, and only 1 provided information on the grade of evidence supporting recommendations. Quality appraisal based on the AGREE II tool suggested that published guidelines may have limitations in terms of search methodology and evidence grading, and findings were of mixed rigor and clarity. Only 3 guidelines described the population for whom CSII may be appropriate. Conclusions: Guidelines need to improve the evidence base, rigor, clarity, and grading of evidence associated with recommendations on intensive insulin therapy in type 2 diabetes. Future updates may benefit from considering recent evidence on the efficacy of CSII in poorly controlled patients on MDI. PMID:27621141

  13. The burden of premature mortality of epilepsy in high-income countries: A systematic review from the Mortality Task Force of the International League Against Epilepsy.

    Science.gov (United States)

    Thurman, David J; Logroscino, Giancarlo; Beghi, Ettore; Hauser, W Allen; Hesdorffer, Dale C; Newton, Charles R; Scorza, Fulvio Alexandre; Sander, Josemir W; Tomson, Torbjörn

    2017-01-01

    Since previous reviews of epidemiologic studies of premature mortality among people with epilepsy were completed several years ago, a large body of new evidence about this subject has been published. We aim to update prior reviews of mortality in epilepsy and to reevaluate and quantify the risks, potential risk factors, and causes of these deaths. We systematically searched the Medline and Embase databases to identify published reports describing mortality risks in cohorts and populations of people with epilepsy. We reviewed relevant reports and applied criteria to identify those studies likely to accurately quantify these risks in representative populations. From these we extracted and summarized the reported data. All population-based studies reported an increased risk of premature mortality among people with epilepsy compared to general populations. Standard mortality ratios are especially high among people with epilepsy aged <50 years, among those whose epilepsy is categorized as structural/metabolic, those whose seizures do not fully remit under treatment, and those with convulsive seizures. Among deaths directly attributable to epilepsy or seizures, important immediate causes include sudden unexpected death in epilepsy (SUDEP), status epilepticus, unintentional injuries, and suicide. Epilepsy-associated premature mortality imposes a significant public health burden, and many of the specific causes of death are potentially preventable. These require increased attention from healthcare providers, researchers, and public health professionals. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  14. Systematic review: probiotics in the management of lower gastrointestinal symptoms - an updated evidence-based international consensus.

    Science.gov (United States)

    Hungin, A P S; Mitchell, C R; Whorwell, P; Mulligan, C; Cole, O; Agréus, L; Fracasso, P; Lionis, C; Mendive, J; Philippart de Foy, J-M; Seifert, B; Wensaas, K-A; Winchester, C; de Wit, N

    2018-02-20

    In 2013, a systematic review and Delphi consensus reported that specific probiotics can benefit adult patients with irritable bowel syndrome (IBS) and other gastrointestinal (GI) problems. To update the consensus with new evidence. A systematic review identified randomised, placebo-controlled trials published between January 2012 and June 2017. Evidence was graded, previously developed statements were reassessed by an 8-expert panel, and agreement was reached via Delphi consensus. A total of 70 studies were included (IBS, 34; diarrhoea associated with antibiotics, 13; diarrhoea associated with Helicobacter pylori eradication therapy, 7; other conditions, 16). Of 15 studies that examined global IBS symptoms as a primary endpoint, 8 reported significant benefits of probiotics vs placebo. Consensus statements with 100% agreement and "high" evidence level indicated that specific probiotics help reduce overall symptom burden and abdominal pain in some patients with IBS and duration/intensity of diarrhoea in patients prescribed antibiotics or H. pylori eradication therapy, and have favourable safety. Statements with 70%-100% agreement and "moderate" evidence indicated that, in some patients with IBS, specific probiotics help reduce bloating/distension and improve bowel movement frequency/consistency. This updated review indicates that specific probiotics are beneficial in certain lower GI problems, although many of the new publications did not report benefits of probiotics, possibly due to inclusion of new, less efficacious preparations. Specific probiotics can relieve lower GI symptoms in IBS, prevent diarrhoea associated with antibiotics and H. pylori eradication therapy, and show favourable safety. This study will help clinicians recommend/prescribe probiotics for specific symptoms. © 2018 The Authors. Alimentary Pharmacology & Therapeutics published by John Wiley & Sons Ltd.

  15. Systematic review of the most important medicinal plants and place them in the international treatment of diseases

    Directory of Open Access Journals (Sweden)

    azadeh Khonsari

    2010-03-01

    Full Text Available Herbal medicine, a complementary and alternative medical system has been used to treat various diseases over thousands of years in many countries and the use of herbal medicine is growing in all of the world. Exploring the most frequently used herbs and herbal products in alternative and complementary medicine worldwide is a challenging issue because herbal medicine has been increased popularity among physicians and patients. The aim of this study was to systematically review literature reporting on the use of the herbal medicine to determine the genus of the most frequently used herbs in alternative medicine and the diseases under treatment. Material and Methods: Systematic searches were carried out in the databases Medline, Pubmed, Sciencedirect and Springer. Each databases was searched from Jan 2000 until Jan 2008 with the keywords of herbal medicine, herb medicine, phytotherapy and extract medicine. Systematic reviews and meta – analysis were included and no language restrictions were imposed, to find the genus of commonly used herbs and studied diseases. The findings were evaluated according to frequency of usage. Results: In this paper we have reported 8 plants which are the most common ones and have been in vogue from ancient time in the world. These most frequently used plants are Ginseng, Salvia, Ginkgo biloba, Hypericum, Garlic, Ginger, Aloe vera and Marijuana. According to findings neurologic, inflammatory – immunogenic, digestive and urinary – kidney diseases are the most interested fields in herbal medicine. Although most of the reviewed articles (89.2% showed a positive effect but side effects of herbal medicine are reported in the others and also need to furthermore works was mentioned as a necessity in 49.7% of them. Discussion: According to the present findings, herbal medicine has historically been efficacious in the treatment and management of many health problems. The ultimate purpose of the herbal medicine is to

  16. A review of cancer mortality data of radiation workers of Nuclear Power Plant, Paks, Hungary, in the light the international radiation epidemiology study

    International Nuclear Information System (INIS)

    Turai, I.; Kerekes, A.; Otos, M.; Veress, K.

    2007-01-01

    Complete text of publication follows. Objective: To give a review of cancer mortality data among Hungarian radiation workers in nuclear industry in comparison with the results of the international nuclear workers' study prevailing the size of the study group of all former studies. Methods: Retrospective cohort study including 598,068 workers of 154 nuclear establishments in 15 countries (AUS, BEL, CAN, FIN, FRA, GER, HUN, JAP, LIT, ROK, SLK, SPA, SWE, UK, USA) coordinated by the International Agency for Research on Cancer (IARC, Lyon, France). The national study was extended for an additional 4-year period. Results: In the international study 407,391 persons in 13 years of average employment received 19.4 mSv mean cumulative dose, while in the national study 3322 radiation workers of Nuclear Power Plant (NPP) Paks, Hungary, in 14 years of follow-up period accumulated in average 5.13 mSv, only. There were 5233 cancer deaths registered in the international study, associated with an estimated ERR of 0.97 per Sv. Thus, 19.4 mSv recorded cumulative dose can explain 1 to 2% of cancer death cases. In radiation workers of NPP, Paks, during the period of 1985-1998 there were 40 cancer deaths observed against the expected 58.8 cases. In a further four year period (1999-2002) 29 cancer death cases were identified vs. the expected 65.5 cases. The SMR for the cancer death cases registered in recent and former radiation workers of NPP, Paks in the 18-year follow-up period is 56%. The SMR from all causes was even lower, 40% only. Conclusions: In the international study the mean accumulated radiation dose received by nuclear workers in 13 years is below of the recent annual dose limit (20 mSv/yr of the effective dose). The average value for the whole of radiation workers in 15 countries is almost 4-times higher of that registered in Hungary. The 'healthy worker effect' in the nuclear industry, and particularly in Hungary has been proven, once again. Nevertheless, the results

  17. Improvements for international medicine donations: a review of the World Health Organization Guidelines for Medicine Donations, 3rd edition.

    Science.gov (United States)

    Cañigueral-Vila, Nuria; Chen, Jennifer C; Frenkel-Rorden, Lindsey; Laing, Richard

    2015-01-01

    Some humanitarian and development organizations respond to major natural disasters and emergencies by donating medicines. Many provide medicines on a routine basis to support health systems, particularly those run by Faith-Based Organizations. Although such donations can provide essential medicines to populations in great need, inappropriate donations also take place, with burdensome consequences. The World Health Organization (WHO) has developed the interagency Guidelines for Medicine Donations for use by donors and recipients in the context of emergency aid and international development assistance. Although comprehensive in nature and transferable to various emergency situations, adjustments to both content and formatting would improve this resource. Recommendations for the next version of these guidelines include: specific wording and consistent formatting; definition of who is a recipient, clear distinction between acute and long-term emergencies, and proper donation procedures pertaining to each; inclusion of visual aides such as flowcharts, checklists, and photos; and improving the citations system.

  18. Disparities in epilepsy: Report of a systematic review by the North American Commission of the International League Against Epilepsy

    Science.gov (United States)

    Burneo, Jorge G.; Jette, Nathalie; Theodore, William; Begley, Charles; Parko, Karen; Thurman, David J.; Wiebe, Samuel

    2011-01-01

    Summary Purpose We undertook a systematic review of the evidence on disparities in epilepsy with a focus on North American data (Canada, United States, and the English-speaking Caribbean). Methods We identified and evaluated: access to and outcomes following medical and surgical treatment, disability, incidence and prevalence, and knowledge and attitudes. An exhaustive search (1965–2007) was done, including: (1) disparities by socioeconomic status (SES), race/ethnicity, age, or education of subgroups of the epilepsy population; or (2) disparities between people with epilepsy (PWE) and healthy people or with other chronic illnesses. Results From 1,455 citations, 278 eligible abstracts were identified and 44 articles were reviewed. Comparative research data were scarce in all areas. PWE have been shown to have lower education and employment status; among PWE, differences in access to surgery have been shown by racial/ethnic groups. Aboriginals, women, and children have been shown to differ in use of health resources. Poor compliance has been shown to be associated with lower SES, insufficient insurance, poor relationship with treating clinicians, and not having regular responsibilities. Discussion Comprehensive, comparative research on all aspects of disparities in epilepsy is needed to understand the causes of disparities and the development of any policies aimed at addressing health disparities and minimizing their impact. PMID:19732134

  19. Understanding the internal and external validity of health literacy interventions: a systematic literature review using the RE-AIM framework.

    Science.gov (United States)

    Allen, Kacie; Zoellner, Jamie; Motley, Monica; Estabrooks, Paul A

    2011-01-01

    We conducted a systematic literature review, using the RE-AIM framework, with the goal of determining what information is available to inform research to practice translation of health promotion interventions developed to address health literacy. Thirty-one articles reflecting 25 trials published between 2000 and 2010 met inclusion criteria. Two researchers coded each article, using a validated RE-AIM (reach, effectiveness/efficacy, adoption, implementation, maintenance) data extraction tool, and group meetings were used to gain consensus on discrepancies. Across all studies (14 randomized controlled trials, 11 quasi-experimental; 24 clinic-based, 1 community-based), the mean level of reporting RE-AIM indicators varied by dimension (reach = 69%; efficacy/ effectiveness = 58%; adoption = 36%; implementation = 35%; maintenance = 11%). Among participants enrolled in the 25 interventions, approximately 38% were identified as low health literate. Only eight of the studies examined health literacy status as a moderator of intervention effectiveness. This review suggests that the current research on health promotion for participants with low health literacy provides insufficient information to conclude whether interventions for health literacy can attract the target population, achieve an effect that is sustainable, or be generalized outside of clinical settings. Recommendations for enhancing the design and reporting of these trials are provided.

  20. The hospital Internal Medicine specialist today: a literature review and strength, weaknesses, opportunity, threats (SWOT analysis to develop a working proposal

    Directory of Open Access Journals (Sweden)

    Emilio Scotti

    2013-12-01

    Full Text Available The aim of the paper is to identify the role of the hospital Internal Medicine specialist in the Internal Medicine Unit (IMU through a clinical and statistical analysis of the patients referred to them by identifying the activities that differentiate them from patients in General Medicine and Emergency Departments, i.e. diagnosis and treatment of complex patient with varying degrees of instability, identifying priorities in the acute problems of co-morbidities. The modified early warning score (MEWS, an internationally validated marker, was chosen to assess and stratify the clinical instability of patients referred to the IMU. A literature review was carried out, and a cut-off score of 3 was chosen to define the critical patients referred to the IMU; a MEWS value of 4 defines the need for transfer to the Intensive Care Unit (ICU or Intensive Cardiac Care Unit (CCU, considered the primary end point in most of the studies examined. To better characterize the internist’s role today, a strength, weaknesses, opportunity, threats (SWOT analysis was performed and examined, and commented upon. A total of 101 articles were reviewed and 5 were selected. The case histories relating to the IMU appear to be made up of complex patients with conditions that are, in most cases, acute and unstable. From 10% to 17% of patients present a MEWS of 3 or more that defines a condition of severe clinical instability requiring continuous observation and non-invasive multi-parametric monitoring. From 5% to 7% of cases present a MEWS of 4 or more and therefore require transfer to the ICU/CCU or risk rapid death. Approximately 40% of patients present MEWS of 1-2 and still have disease flare-up, but with a lesser degree of instability; however, these patients could experience a potentially negative disease development if not promptly and properly treated. Approximately 40% of patients have MEWS of 0 and represent the group of fragile patients that cannot be studied