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Sample records for justifies continued support

  1. Stem cells from residual IVF-embryos - Continuation of life justifies isolation.

    Science.gov (United States)

    Bongaerts, Ger P A; Severijnen, René S V M

    2007-01-01

    of stem cells embryos are not fully killed: at least one embryonic cell, i.e., a stem cell, remains alive. The life of stem cells cannot be qualified as independent. Nevertheless, the embryo's life is not completely stopped and continues in a primitive way of life and consequently it is not completely dead. Against this background we feel that isolation of human embryonic stem cells is preferred instead of passive destruction.

  2. Security Support in Continuous Deployment Pipeline

    DEFF Research Database (Denmark)

    Ullah, Faheem; Raft, Adam Johannes; Shahin, Mojtaba

    2017-01-01

    Continuous Deployment (CD) has emerged as a new practice in the software industry to continuously and automatically deploy software changes into production. Continuous Deployment Pipeline (CDP) supports CD practice by transferring the changes from the repository to production. Since most of the C...

  3. The use of computer decision-making support systems to justify address rehabilitation of the Semipalatinsk test site area

    Directory of Open Access Journals (Sweden)

    Viktoria V. Zaets

    2011-05-01

    Full Text Available The paper describes the development of a range of optimal protective measures for remediation of the territory of the Semipalatinsk Test Site. The computer system for decision-making support, ReSCA, was employed for the estimations. Costs and radiological effectiveness of countermeasures were evaluated.

  4. Justifying Action Research

    Science.gov (United States)

    Helskog, Guro Hansen

    2014-01-01

    In this paper I use a general philosophy of science perspective in looking at the problem of justifying action research. First I try to clarify the concept of justification, by contrasting it with the concept of validity, which seems to be used almost as a synonym in some parts of the literature. I discuss the need for taking a stand in relation…

  5. Rethinking Recruitment in Policing in Australia: Can the Continued Use of Masculinised Recruitment Tests and Pass Standards that Limit the Number of Women be Justified?

    Directory of Open Access Journals (Sweden)

    Susan Robinson

    2015-06-01

    Full Text Available Over the past couple of decades, Australian police organisations have sought to increase the numbers of women in sworn policing roles by strictly adhering to equal treatment of men and women in the recruitment process. Unfortunately this blind adherence to equal treatment in the recruitment processes may inadvertently disadvantage and limit women. In particular, the emphasis on masculine attributes in recruitment, as opposed to the ‘soft’ attributes of communication and conflict resolution skills, and the setting of the minimum pass standards according to average male performance, disproportionately disadvantages women and serves to unnecessarily limit the number of women in policing. This paper reviews studies undertaken by physiotherapists and a range of occupational experts to discuss the relevance of physical fitness and agility tests and the pass standards that are applied to these in policing. It is suggested that masculinised recruitment tests that pose an unnecessary barrier to women cannot be justified unless directly linked to the job that is to be undertaken. Utilising a policy development and review model, an analysis of the problem posed by physical testing that is unadjusted for gender, is applied. As a result, it is recommended that police organisations objectively review recruitment processes and requirements to identify and eliminate unnecessary barriers to women’s entry to policing. It is also recommended that where fitness and agility tests are deemed essential to the job, the pass level is adjusted for gender.

  6. Justifying departures from progressivity

    DEFF Research Database (Denmark)

    Heinemann, Trine; Steensig, Jakob

    2017-01-01

    -going activity. Some of the actions that altså prefaces can also be prefaced by phrases like ‘you know’ or ‘I mean’, which seem to do at least some of the work that altså does, but altså is used more frequently and across a wider range of actions. In our discussion, we raise the possibility that the usefulness......This chapter investigates the use of the Danish particle altså in turn-initial position. Turn-initial altså can be employed for prefacing a wide range of actions, including self- and other-initiated repair, questions, second stories and answers to both yes/no and wh-questions. We show that across...... these actions, participants in interaction produce altså to indicate (1) that the action they will produce departs from progressivity, (2) that it will expand on something prior, (3) that the departure is, therefore, justified, and (4) that it will contribute to reinstalling the progression of the larger on...

  7. Supporting curriculum development by visualizing a continuous learning pathway

    NARCIS (Netherlands)

    Schoonenboom, Judith; Oud, Wil

    2006-01-01

    Please, cite this publication as: Schoonenboom, J., & Oud, W. (2006). Supporting curriculum development by visualizing a continuous learning pathway. Proceedings of International Workshop in Learning Networks for Lifelong Competence Development, TENCompetence Conference. March 30th-31st, Sofia, Bulg

  8. Goal-oriented requirement engineering support for business continuity planning

    OpenAIRE

    Arenas, Alvaro; Massonet, Philippe; Ponsard, Christophe; Aziz, Benjamin

    2015-01-01

    Business continuity is a key management process that aims to maintain and rapidly recover an organizations key business functions in the face of serious incidents. The resulting business continuity plan must identify the key business functions that must be resilient, define recovery of critical business functions and define contingency measures when recovery is not possible. This paper argues that the process of business continuity planning can be efficiently supported by a goal-oriented requ...

  9. Supporting relationships between family and staff in continuing care settings.

    Science.gov (United States)

    Austin, Wendy; Goble, Erika; Strang, Vicki; Mitchell, Agnes; Thompson, Elizabeth; Lantz, Helen; Balt, Linda; Lemermeyer, Gillian; Vass, Kelly

    2009-08-01

    In this Canadian study, a participatory action research approach was used to examine the relationships between families of residents of traditional continuing care facilities and the health care team. The objectives were to (a) explore the formation and maintenance of family-staff relationships, with attention paid to the relational elements of engagement and mutual respect; (b) explore family and staff perspectives of environmental supports and constraints; and (c) identify practical ways to support and enhance these relationships. Results indicate that the resource-constrained context of continuing care has directly impacted family and staff relationships. The nature of these relationships are discussed using the themes of "Everybody Knows Your Name," "Loss and Laundry," "It's the Little Things That Count," and "The Chasm of Us Versus Them." Families' and staff's ideas of behaviors that support or undermine relationships are identified, as are concrete suggestions for improving family- staff relationships in traditional continuing care settings in Canada.

  10. On the Gabor frame set for compactly supported continuous functions

    DEFF Research Database (Denmark)

    Christensen, Ole; Kim, Hong Oh; Kim, Rae Young

    2016-01-01

    for a function to belong to the class are derived, and it is shown that the B-splines BN, N≥2, and certain ‘continuous and truncated’ versions of several classical functions (e.g., the Gaussian and the two-sided exponential function) belong to the class. The sufficient conditions for the frame property......We identify a class of continuous compactly supported functions for which the known part of the Gabor frame set can be extended. At least for functions with support on an interval of length two, the curve determining the set touches the known obstructions. Easy verifiable sufficient conditions...

  11. Continuous use of intermittent bladder catheterization - can social support contribute?

    Science.gov (United States)

    Lopes, Marjoyre Anne Lindozo; Lima, Elenice Dias Ribeiro de Paula

    2014-01-01

    Objective to investigate the factors affecting the adequate continuous use of intermittent catheterization and its relation with social support. Method sectional, descriptive and correlational study involving 49 patients with neuropathic bladder caused by spinal cord injury. Results almost all (92%) participants continued the intermittent catheterization, but 46.9% made some changes in the technique. The complications (28.6% of the sample) were mainly infection and vesicolithiasis. There were high scores for social support in relation to people that were part of the patient's social support. Conclusion All of them noticed great support from the family, but not from the society in general. The difficulties were related to the lack of equipment and inadequate infrastructure, leading to changes that increased urologic complications. PMID:25029058

  12. Continuous use of intermittent bladder catheterization - can social support contribute?

    Directory of Open Access Journals (Sweden)

    Marjoyre Anne Lindozo Lopes

    2014-06-01

    Full Text Available OBJECTIVE: to investigate the factors affecting the adequate continuous use of intermittent catheterization and its relation with social support.METHOD: sectional, descriptive and correlational study involving 49 patients with neuropathic bladder caused by spinal cord injury.RESULTS: almost all (92% participants continued the intermittent catheterization, but 46.9% made some changes in the technique. The complications (28.6% of the sample were mainly infection and vesicolithiasis. There were high scores for social support in relation to people that were part of the patient's social support.CONCLUSION: All of them noticed great support from the family, but not from the society in general. The difficulties were related to the lack of equipment and inadequate infrastructure, leading to changes that increased urologic complications.

  13. Founders' Continuing Roles in Schools Supporting Self-Directed Learning

    Science.gov (United States)

    Nash, Carol

    2014-01-01

    What should be the continuing role of founders in schools supporting self-directed learning? To answer this, the founders' views of two North American schools for self-directed learners will be compared. One school is exam-focused and private; the other is, test-free and public. The founders of both schools have comparable beliefs regarding the…

  14. Using Short Message Service (SMS) to Support Business Continuity

    CERN Document Server

    Abdel-qader, Maher; AL-Hamami, Alaa

    2011-01-01

    Now a day's many organizations are required to communicate online on a daily basis, 24-hour, seven-days-a-week, to gain the desired competitive advantages and profits; although there are a variety of disruptions that may occur within business application such as broken (off-line) database-links and unhanded database exceptions. Such cases will end the automated business work, and force business users to continue business procedures and functionalities via paper work, which causes additional resources with less business competitive advantages. In this paper, we will propose a new model in which we embed short message services (SMS) within business applications using the SMS Gateway such as "Ozeki Message Server", and programmed application packages. By using our proposed model, we can maintain business continuity when a partial disruption occurs and then switch to our application model. As a result to the experimental work, we conclude that our model supports business continuity since it supports the account b...

  15. What is ironic about wanting empirical support to justify changes in diagnostic criteria? Commentary on "the ironic fate of the personality disorders in DSM-5".

    Science.gov (United States)

    Zimmerman, Mark

    2013-10-01

    Comments on the original article "The ironic fate of the personality disorders in DSM-5" by A. E. Skodol et al. (see record 2013-45025-004). Zimmerman comments that concerns about the openness of the revision process and the signing of confidentiality agreements have been raised regarding the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013) revision. These confidentiality agreements are reminiscent of the types of agreements the pharmaceutical industry used to force investigators to sign before funding studies. At most academic institutions, such agreements have been prohibited for some time now. Hopefully, the DSM-5 confidentiality agreements do not constrain the behind the scenes descriptions of the revision process appearing in the peer-reviewed scientific literature, such as the article by Skodol et al. If these agreements do, in fact, limit what the authors can write, then the authors should disclose this information in the same manner that authors of industry-funded studies must reveal their sources of financial support and conflicts of interest.

  16. Justifying clinical trials for porcine islet xenotransplantation.

    Science.gov (United States)

    Ellis, Cara E; Korbutt, Gregory S

    2015-01-01

    The development of the Edmonton Protocol encouraged a great deal of optimism that a cell-based cure for type I diabetes could be achieved. However, donor organ shortages prevent islet transplantation from being a widespread solution as the supply cannot possibly equal the demand. Porcine islet xenotransplantation has the potential to address these shortages, and recent preclinical and clinical trials show promising scientific support. Consequently, it is important to consider whether the current science meets the ethical requirements for moving toward clinical trials. Despite the potential risks and the scientific unknowns that remain to be investigated, there is optimism regarding the xenotransplantation of some types of tissue, and enough evidence has been gathered to ethically justify clinical trials for the most safe and advanced area of research, porcine islet transplantation. Researchers must make a concerted effort to maintain a positive image for xenotransplantation, as a few well-publicized failed trials could irrevocably damage public perception of xenotransplantation. Because all of society carries the burden of risk, it is important that the public be involved in the decision to proceed. As new information from preclinical and clinical trials develops, policy decisions should be frequently updated. If at any point evidence shows that islet xenotransplantation is unsafe, then clinical trials will no longer be justified and they should be halted. However, as of now, the expected benefit of an unlimited supply of islets, combined with adequate informed consent, justifies clinical trials for islet xenotransplantation.

  17. Andrei Sakharov Prize Talk: Supporting Repressed Scientists: Continuing Efforts

    Science.gov (United States)

    Birman, Joseph L.

    2010-02-01

    Some years ago, Max Perutz asked ``By What Right Do We Scientists Invoke Human Rights?" My presentation will start with mentioning actions of the international community which relate to this question. Such action as the creation in 1919 of the International Research Council, and continuing on to the present with the UN sanctioned International Council of Scientific Unions [ICSU], and other Committees such as those formed by APS, CCS, NYAS, AAAS which give support to repressed scientists around the world now. My own work has attempted to combine my individual initiatives with work as a member and officer of these groups. Together with like minded colleagues who are deeply affected when colleagues are discharged from their positions, exiled, imprisoned and subject to brutal treatment, often after mock ``trials", we react. On visits in 1968 to conferences in Budapest, and then in 1969 to Moscow, Tallin and Leningrad I became personally and deeply touched by the lives of colleagues who were seriously constrained by living under dictatorships. I could move freely into and out of their countries,speak openly about my work or any other matter. They could not, under penalty of possibly serious punishment. Yet, I felt these people were like my extended family. If my grandparents had not left Eastern Europe for the USA in the late 189Os our situations could have been reversed. A little later in the 197O's, ``refusenik" and ``dissident" scientists in the USSR needed support. Colleagues like Andrei Sakharov, Naum Meiman, Mark Azbel, Yakov Alpert, Yuri Orlov and others were being punished for exercising their rights under the UN sanctioned international protocals on ``Universality of Science and Free Circulation of Scientists". Their own governments [which signed these agreements] ignored the very protections they had supported. On frequent trips to the USSR during the 7Os,and 8Os I also seized the opportunity for ``individual initiative" to help these colleagues. I asked for

  18. Cigarette continuity programs and social support for smoking.

    Science.gov (United States)

    Sumner, W; Dunaway, M; Dillman, D G

    1998-01-01

    To describe smokers' participation in cigarette continuity programs and the prevalence and structure of cooperative teams of smokers. Cross-sectional survey of smoking histories and continuity-program participation by individuals and their family members in a convenience sample of 176 current smokers at the University of Kentucky Chandler Medical Center, Lexington. Fisher exact test or chi2 tests were used to compare proportions. One of 3 smokers collected coupons for a continuity program. Three quarters of the collectors redeemed their own coupons, and one quarter gave coupons to another collector. Coupon collectors reported an average team size of more than 2 members. One fifth of collectors were teammates with another generation of family members, and one quarter of collectors aged 24 to 35 years were teammates with their children. Smokers were often aware of their relatives' coupon-collecting habits. Continuity programs have been a popular means of reinforcing smoking, especially within families and groups of friends. Continuity programs are novel in encouraging smoking and brand loyalty between generations. Continuity-program participants need to be aware of the risk of promoting smoking initiation by their children. Health advocates could use similar strategies to promote smoking cessation and prevention within families and other social groups.

  19. A model supporting Business Continuity auditing & planning in Information Systems

    NARCIS (Netherlands)

    Zambon, Emmanuele; Bolzoni, D.; Etalle, Sandro; Salvato, Marco

    2007-01-01

    One of the main tasks of IT business continuity planing (BCP) is guaranteeing that incidents affecting the IT infrastructure do not affect the availability of IT-dependent business processes beyond a given acceptable extent. Carrying out BCP of information systems is particularly challenging because

  20. A model supporting Business Continuity auditing & planning in Information Systems

    NARCIS (Netherlands)

    Zambon, Emmanuele; Bolzoni, D.; Etalle, Sandro; Salvato, Marco

    2007-01-01

    One of the main tasks of IT business continuity planning (BCP) is to guarantee that incidents affecting the IT infrastructure do not affect the availability of IT-dependent business processes beyond a given acceptable extent. Carrying out BCP of information systems is particularly challenging,

  1. A model supporting Business Continuity auditing & planning in Information Systems

    NARCIS (Netherlands)

    Zambon, Emmanuele; Bolzoni, Damiano; Etalle, Sandro; Salvato, Marco

    2007-01-01

    One of the main tasks of IT business continuity planning (BCP) is to guarantee that incidents affecting the IT infrastructure do not affect the availability of IT-dependent business processes beyond a given acceptable extent. Carrying out BCP of information systems is particularly challenging, becau

  2. A model supporting Business Continuity auditing & planning in Information Systems

    NARCIS (Netherlands)

    Zambon, Emmanuele; Bolzoni, Damiano; Etalle, Sandro; Salvato, Marco

    2007-01-01

    One of the main tasks of IT business continuity planing (BCP) is guaranteeing that incidents affecting the IT infrastructure do not affect the availability of IT-dependent business processes beyond a given acceptable extent. Carrying out BCP of information systems is particularly challenging because

  3. Experimentally supported mathematical modeling of continuous baking processes

    DEFF Research Database (Denmark)

    Stenby Andresen, Mette

    The scope of the PhD project was to increase knowledge on the process-to-product interactions in continuous tunnel ovens. The work has focused on five main objectives. These objectives cover development of new experimental equipment for pilot plant baking experiments, mathematical modeling of heat...... in this thesis. The oven was successfully validated against a 10 m tunnel oven. Besides the ability to emulate the baking conditions in a tunnel oven, the new batch oven is designed and constructed for experimental research work. In the design options to follow the product continuously (especially weight...... and temperature) and control the process (air flow, temperature, and humidity) are therefore emphasized. The oven is furthermore designed to work outside the range of standard tunnel ovens, making it interesting for manufacturers of both baking products and baking equipment. A mathematical model describing...

  4. An Analysis Of The Gps R and D Program As A Case Study Illustrating Dod R and D And Its Associated Successes To Justify The Continued Investments Into And Sustainment Of Dod R and D Budgets

    Science.gov (United States)

    2016-09-01

    animosity between both the U.S. and Russia led to the U.S. continuing to allocate R&D funding to bolster National Security in case of pending post-WWII...Handheld GPS receivers, smartphones, and 47 navigational units for automobiles have penetrated the worldwide consumer market for navigation. Beyond

  5. How to Sustain Change and Support Continuous Quality Improvement.

    Science.gov (United States)

    Silver, Samuel A; McQuillan, Rory; Harel, Ziv; Weizman, Adam V; Thomas, Alison; Nesrallah, Gihad; Bell, Chaim M; Chan, Christopher T; Chertow, Glenn M

    2016-05-06

    To achieve sustainable change, quality improvement initiatives must become the new way of working rather than something added on to routine clinical care. However, most organizational change is not maintained. In this next article in this Moving Points in Nephrology feature on quality improvement, we provide health care professionals with strategies to sustain and support quality improvement. Threats to sustainability may be identified both at the beginning of a project and when it is ready for implementation. The National Health Service Sustainability Model is reviewed as one example to help identify issues that affect long-term success of quality improvement projects. Tools to help sustain improvement include process control boards, performance boards, standard work, and improvement huddles. Process control and performance boards are methods to communicate improvement results to staff and leadership. Standard work is a written or visual outline of current best practices for a task and provides a framework to ensure that changes that have improved patient care are consistently and reliably applied to every patient encounter. Improvement huddles are short, regular meetings among staff to anticipate problems, review performance, and support a culture of improvement. Many of these tools rely on principles of visual management, which are systems transparent and simple so that every staff member can rapidly distinguish normal from abnormal working conditions. Even when quality improvement methods are properly applied, the success of a project still depends on contextual factors. Context refers to aspects of the local setting in which the project operates. Context affects resources, leadership support, data infrastructure, team motivation, and team performance. For these reasons, the same project may thrive in a supportive context and fail in a different context. To demonstrate the practical applications of these quality improvement principles, these principles are

  6. Screening for foot problems in children: is this practice justifiable?

    Directory of Open Access Journals (Sweden)

    Evans Angela

    2012-07-01

    Full Text Available Abstract Podiatry screening of children is a common practice, which occurs largely without adequate data to support the need for such activity. Such programs may be either formalised, or more ad hoc in nature, depending upon the use of guidelines or existing models. Although often not used, the well-established criteria for assessing the merits of screening programs can greatly increase the understanding as to whether such practices are actually worthwhile. This review examines the purpose of community health screening in the Australian context, as occurs for tuberculosis, breast, cervical and prostate cancers, and then examines podiatry screening practices for children with reference to the criteria of the World Health Organisation (WHO. Topically, the issue of paediatric foot posture forms the focus of this review, as it presents with great frequency to a range of clinicians. Comparison is made with developmental dysplasia of the hip, in which instance the WHO criteria are well met. Considering that the burden of the condition being screened for must be demonstrable, and that early identification must be found to be beneficial, in order to justify a screening program, there is no sound support for either continuing or establishing podiatry screenings for children.

  7. Continuing Professional Education, Organizational Support, and Professional Competence: Dilemmas of Rural Nurses.

    Science.gov (United States)

    Beatty, Rebecca M.

    2001-01-01

    Responses from 199 rural Pennsylvania nurses showed that 86% had participated in recent continuing education. Deterrents included lack of support from supervisors/spouses, inflexible schedules, money, time, and travel. Administrators believed nurses were supported for professional development. Little money was available for continuing education.…

  8. Theoretical pattern of supporting continuity in physical education of students' personality.

    Directory of Open Access Journals (Sweden)

    Vovk V.M.

    2011-04-01

    Full Text Available Methodological approaches and principles on which theoretical pattern of supporting of continuity in physical education of senior pupil and students' personality are considered. It is proved that effective process of continuity in physical education is impossible without construction of patterns. It is ascertained that continuity is a condition and mechanism of realization for others principles in teaching process that represent itself as major factors in realization of continuity in physical education.

  9. Are entry criteria for cataract surgery justified?

    Directory of Open Access Journals (Sweden)

    Daniel Böhringer

    Full Text Available PURPOSE: The German Ophthalmological Society (GOS recently proposed surgical entry criteria, i.e. 300 cataract surgeries. We herein correlate the surgical hands-on experience with the risk of posterior capsule ruptures in order to assess whether this number is appropriate. METHODS: We identified all cataract operations that had been performed at the University Eye Hospital Freiburg since 1995. For each surgeon, we assigned a running number to his/her procedures in the order they had been performed. Thereafter, we excluded all combined procedures and the second eyes. We then selected the 5475 surgical reports between November 2008 and November 2012 for detailed review. We additionally classified each surgery into low- vs. high- à priori risk for posterior capsule ruptures. We fitted a multifactorial logistic regression model to assess the GOS recommendation of 300 surgeries under supervision. In the low-risk group, we additionally visualized the 'typical' learning curve by plotting the posterior capsule ruptures against the respective rank numbers. RESULTS: The odds ratio for posterior capsule ruptures of 'learning-mode' (one of the respective surgeon's 300 first procedures vs. the non-learning-mode was 3.8 (p<0.0001. By contrast, classification into the low-risk group lowered the risk of posterior capsule ruptures three fold (p<0.0001. According to the low-risk plot, the surgeons started with a complication rate of 4% and continuously improved towards 0.5% after 1500 operations. Thereafter, the rate increased again and stabilized around one percent. CONCLUSION: The learning curve with respect to posterior capsule ruptures is surprisingly flat. The GOS entry criterion of 300 cataract procedures is therefore most likely justified. Careful selection of low-risk patients for the training surgeons may help in reducing the rate of posterior capsule ruptures during training.

  10. The Self-Justifying Desire for Happiness

    DEFF Research Database (Denmark)

    Rodogno, Raffaele

    2004-01-01

    In Happiness, Tabensky equates the notion of happiness to Aristotelian eudaimonia. I shall claim that doing so amounts to equating two concepts that moderns cannot conceptually equate, namely, the good for a person and the good person or good life. In §2 I examine the way in which Tabensky deals...... with this issue and claim that his idea of happiness is as problematic for us moderns as is any translation of the notion of eudaimonia in terms of happiness. Naturally, if happiness understood as eudaimonia is ambiguous, so will be the notion of a desire for happiness, which we find at the core of Tabensky......'s whole project. In §3 I shall be concerned with another aspect of the desire for happiness; namely, its alleged self-justifying nature. I will attempt to undermine the idea that this desire is self-justifying by undermining the criterion on which Tabensky takes self-justifiability to rest, i.e. its...

  11. Effects of continuous midwifery labour support for women with severe fear of childbirth

    OpenAIRE

    Sydsjö, Gunilla; Blomberg, Marie; Palmquist, Sofie; Angerbjörn, Louise; Bladh, Marie; Josefsson, Ann

    2015-01-01

    Background: Continuous support by a midwife during childbirth has shown positive effects on the duration of active labour, use of pain relief and frequency of caesarean section (CS) in women without fear of childbirth (FOC). We have evaluated how continuous support by a specially assigned midwife during childbirth affects birth outcome and the subjective experience of women with severe FOC. Methods: A case-control pilot study with an index group of 14 women with severe FOC and a reference gro...

  12. Healthy birth practice #3: bring a loved one, friend, or doula for continuous support.

    Science.gov (United States)

    Green, Jeanne; Hotelling, Barbara A

    2014-01-01

    All women should be allowed and encouraged to bring a loved one, friend, or doula to their birth without financial or cultural barriers. Continuous labor support offers benefits to mothers and their babies with no known harm. This article is an updated evidence-based review of the "Lamaze International Care Practices that Promote Normal Birth, Care Practice #3: Continuous Labor Support," published in The Journal of Perinatal Education, 16(3), 2007.

  13. Healthy Birth Practice #3: Bring a Loved One, Friend, or Doula for Continuous Support

    OpenAIRE

    Green, Jeanne; Hotelling, Barbara A.

    2014-01-01

    All women should be allowed and encouraged to bring a loved one, friend, or doula to their birth without financial or cultural barriers. Continuous labor support offers benefits to mothers and their babies with no known harm. This article is an updated evidence-based review of the “Lamaze International Care Practices that Promote Normal Birth, Care Practice #3: Continuous Labor Support,” published in The Journal of Perinatal Education, 16(3), 2007.

  14. Leading Learning: The Role of School Leaders in Supporting Continuous Professional Development

    Science.gov (United States)

    Stevenson, Michael; Hedberg, John G.; O'Sullivan, Kerry-Ann; Howe, Cathie

    2016-01-01

    In contemporary school settings, leaders seeking to support professional development are faced with many challenges. These challenges call for educators who can undertake professional learning that is continuous and adaptive to change. As a term, continuous professional development (CPD) reflects many different forms of professional development in…

  15. On Three Ways to Justify Religious Beliefs

    NARCIS (Netherlands)

    Brümmer, V.

    2001-01-01

    This paper compares the ways in which revealed theology, natural theology and philosophical theology justify religious belief. Revealed theology does so with an appeal to revelation and natural theology with an appeal to reason and perception. It is argued that both are inadequate. Philosophical the

  16. Moral Support, Strategic Reasoning, or Domestic Politics: America’s Continual Support to Israel

    Science.gov (United States)

    2007-12-01

    3Stephen Zunes, “The Israel Lobby: How Powerful is it Really?” (FPIF, 2006); Nadav Safran , Israel The Embattled Ally...better relations with Arabs.57 As time went on, according to Nadav Safran , “Nasser and the Soviets used the American sympathy and support for...57 Safran , 578. 58 Safran , 579. 21 Israel and using the Middle East to help offset the Soviet threat created a

  17. Can drug patents be morally justified?

    Science.gov (United States)

    Sterckx, Sigrid

    2005-01-01

    This paper offers a few elements of an answer to the question to what extent drug patents can be morally justified. Justifications based on natural rights, distributive justice and utilitarian arguments are discussed and criticized. The author recognizes the potential of the patents to benefit society but argues that the system is currently evolving in the wrong direction, particularly in the field of drugs. More than a third of the world's population has no access to essential drugs. The working of the patent system is an important determinant of access to drugs. This paper argues that drug patents are not easily justified and that the 'architecture' of the patent system should be rethought in view of its mission of benefiting society.

  18. Value-Based Argumentation for Justifying Compliance

    Science.gov (United States)

    Burgemeestre, Brigitte; Hulstijn, Joris; Tan, Yao-Hua

    Compliance is often achieved 'by design' through a coherent system of controls consisting of information systems and procedures . This system-based control requires a new approach to auditing in which companies must demonstrate to the regulator that they are 'in control'. They must determine the relevance of a regulation for their business, justify which set of control measures they have taken to comply with it, and demonstrate that the control measures are operationally effective. In this paper we show how value-based argumentation theory can be applied to the compliance domain. Corporate values motivate the selection of control measures (actions) which aim to fulfill control objectives, i.e. adopted norms (goals). In particular, we show how to formalize the dialogue in which companies justify their compliance decisions to regulators using value-based argumentation. The approach is illustrated by a case study of the safety and security measures adopted in the context of EU customs regulation.

  19. A Foundation for Vital Academic and Social Support in Clerkships: Learning Through Peer Continuity.

    Science.gov (United States)

    Chou, Calvin L; Teherani, Arianne

    2017-07-01

    Most medical students on clerkships currently experience lack of continuity of patient care, disjointed learning, and frequent changes in supervisors. Clerkship programs with continuity of care, curriculum, and supervisors appear to benefit student learning and patient-centeredness. A fourth form of continuity is proposed: continuity of peers, in which a stable cohort of students frequently meets to process their experiences on clerkships. This structure builds on benefits previously seen in peer-assisted learning, including enhanced knowledge, technical skills, and collegial peer relationships. Additional advantages of peer continuity in clerkships include facilitated integration into the workplace, social support, and enhanced clinical and professional learning. Practical components required for a successful peer continuity structure include intentional formation of peer cohorts; regular meetings that cover didactic or clinical skills learning; frequent opportunities for reflection on patient care, professional development, and well-being; and skilled facilitators without evaluative roles. Theoretical support for peer continuity comes from social cognitive theory, communities of clinical practice, and social comparison theory. Therefore, in conjunction with empirical programs that have shown benefits of developing these structures, peer continuity should become a formalized educational structure in clerkships.

  20. The proliferation of multidisciplinary team meetings (MDTMs): how can radiology departments continue to support them all?

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    Balasubramaniam, Ravivarma; Subesinghe, Manil; Smith, Jonathan T. [St. James' University Hospital, Leeds Teaching Hospitals NHS Trust, Department of Clinical Radiology, Leeds (United Kingdom)

    2015-12-15

    To quantify the changes in multidisciplinary team meeting (MDTM) workload for consultant radiologists working in a single UK tertiary referral cancer institution, assess its impact and suggest solutions to these challenges. The annual number of MDTM cases was collated over a 5-year period (2009 - 2013). Qualitative information was obtained through questionnaire-based interviews of 47 consultant radiologists. Data analysed included number of MDTMs involved with, type of MDTM (oncological or non-oncological), time allocation for preparation and perceived deficiencies in the current MDTM. Thirteen thousand and forty-nine cases were discussed in MDTMs in 2009 with a continued yearly increase over the 5-year period. Fifty-five percent of MDTM attendances were at oncological MDTMs. Consultant radiologists attended a median of two MDTMs per week, each requiring 4 hours time commitment; 60 % used out-of-hours time for MDTM preparation. The most frequently cited MDTM deficiency was lack of sufficient clinical input. The MDTM is a challenging but worthwhile demand on the modern radiologist's time. Solutions to the increasing MDTM workload include demonstration of the benefits of MDTMs to hospital administrators to justify additional resources required, improving MDTM efficiency and ensuring this increased workload is accurately represented and remunerated in individual job plans. (orig.)

  1. First application of supported ionic liquid phase (SILP) catalysis for continuous methanol carbonylation

    DEFF Research Database (Denmark)

    Riisager, Anders; Jørgensen, Betina; Wasserscheid, Peter

    2006-01-01

    A solid, silica-supported ionic liquid phase (SILP) rhodium iodide Monsanto-type catalyst system, [BMIM][Rh(CO)(2)I-2]-[BMIM]I -SiO2, exhibits excellent activity and selectivity towards acetyl products in fixed-bed, continuous gas-phase methanol carbonylation.......A solid, silica-supported ionic liquid phase (SILP) rhodium iodide Monsanto-type catalyst system, [BMIM][Rh(CO)(2)I-2]-[BMIM]I -SiO2, exhibits excellent activity and selectivity towards acetyl products in fixed-bed, continuous gas-phase methanol carbonylation....

  2. Pharmacokinetics of Continuous Infusion Meropenem With Concurrent Extracorporeal Life Support and Continuous Renal Replacement Therapy: A Case Report.

    Science.gov (United States)

    Cies, Jeffrey J; Moore, Wayne S; Conley, Susan B; Dickerman, Mindy J; Small, Christine; Carella, Dominick; Shea, Paul; Parker, Jason; Chopra, Arun

    2016-01-01

    Pharmacokinetic parameters can be significantly altered for both extracorporeal life support (ECLS) and continuous renal replacement therapy (CRRT). This case report describes the pharmacokinetics of continuous-infusion meropenem in a patient on ECLS with concurrent CRRT. A 2.8-kg, 10-day-old, full-term neonate born via spontaneous vaginal delivery presented with hypothermia, lethargy, and a ~500-g weight loss from birth. She progressed to respiratory failure on hospital day 2 (HD 2) and developed sepsis, disseminated intravascular coagulation, and liver failure as a result of disseminated adenoviral infection. By HD 6, acute kidney injury was evident, with progressive fluid overload >1500 mL (+) for the admission. On HD 6 venoarterial ECLS was instituted for lung protection and fluid removal. On HD 7 she was initiated on CRRT. On HD 12, a blood culture returned positive and subsequently grew Pseudomonas aeruginosa with a minimum inhibitory concentration (MIC) for meropenem of 0.25 mg/L. She was started on vancomycin, meropenem, and amikacin. A meropenem bolus of 40 mg/kg was given, followed by a continuous infusion of 10 mg/kg/hr (240 mg/kg/day). On HD 15 (ECLS day 9) a meropenem serum concentration of 21 mcg/mL was obtained, corresponding to a clearance of 7.9 mL/kg/min. Repeat cultures from HDs 13 to 15 (ECLS days 7-9) were sterile. This meropenem regimen was successful in providing a target attainment of 100% for serum concentrations above the MIC for ≥40% of the dosing interval and was associated with a sterilization of blood in this complex patient on concurrent ECLS and CRRT circuits.

  3. Highly Selective Continuous Gas-Phase Methoxycarbonylation of Ethylene with Supported Ionic Liquid Phase (SILP) Catalysts

    DEFF Research Database (Denmark)

    Khokarale, Santosh Govind; Garcia Suárez, Eduardo José; Fehrmann, Rasmus

    2017-01-01

    Supported ionic liquid phase (SILP) technology was applied for the first time to the Pd-catalyzed continuous, gas-phase methoxycarbonylation of ethylene to selectively produce methyl propanoate (MP) in high yields. The influence of catalyst and reaction parameters such as, for example, ionic liqu...

  4. Supported Rh-phosphine complex catalysts for continuous gas-phase decarbonylation of aldehydes

    DEFF Research Database (Denmark)

    Malcho, Phillip; Garcia-Suarez, Eduardo J.; Mentzel, Uffe Vie;

    2014-01-01

    Heterogeneous silica supported rhodium-phosphine complex catalysts are employed for the first time in the catalytic decarbonylation of aldehydes in continuous gas-phase. The reaction protocol is exemplified for the decarbonylation of p-tolualdehyde to toluene and further extended to other aromatic...

  5. Continuous gas-phase hydroformylation of 1-butene using supported ionic liquid phase (SILP) catalysts

    DEFF Research Database (Denmark)

    Haumann, Marco; Dentler, Katharina; Joni, Joni;

    2007-01-01

    The concept of supported ionic liquid phase (SILP) catalysis has been extended to 1-butene hydroformylation. A rhodium-sulfoxantphos complex was dissolved in [BMIM][n-C8H17OSO3] and this solution was highly dispersed on silica. Continuous gas-phase experiments in a fixed-bed reactor revealed...

  6. The Internet: The Battle Continues. Organizations Join together to Support Free Speech.

    Science.gov (United States)

    Hall, H. L.; Wilson, Bradley

    1998-01-01

    Reports on continuing efforts to block free access to the Internet, and describes how several national organizations have formed an alliance to support free speech on the Internet. Includes the Internet Free Expression Alliance's mission statement and URLs for seven organizations that provide information on this issue. (SR)

  7. Development of an automated system for continuous monitoring of powered roof support in longwall panel

    Institute of Scientific and Technical Information of China (English)

    ATUL Kumar; DHEERAJ Kumar; SINGH U.K.; GUPTA P.S.

    2010-01-01

    Described the development of an Intrinsically Safe System for continuous monitoring of load and convergence of powered roof supports installed at longwall faces.The system developed for monitoring of behavior of a powered support in a mechanized longwall sublevel caving face. The logging system can be programmed for logging the data from the sensors at different logging intervals ranging from 16 h to 1 ms for logging variation in hydraulic pressures in legs and convergence of the support during progressive face advance. For recording dynamic loads, the data logger can be programmed to start fast logging, say at 10 ms intervals, when the pressure in a leg reaches a pre-specified threshold value, and continue fast logging until the pressure drops below this threshold value. This fast logging automatically stops when the pressure drops below this threshold value.

  8. Legislative Prohibitions on wearing a headscarf: Are they justified?

    Directory of Open Access Journals (Sweden)

    Fatima Osman

    2014-11-01

    Full Text Available A headscarf, a simple piece of cloth that covers the head, is a controversial garment that carries various connotations and meanings. While it may be accepted as just another item of clothing when worn by non-Muslim women, it is often the subject of much controversy when worn by Muslim women. In recent years the headscarf has been described as a symbol of Islam's oppression of women and simultaneously of terrorism. As the debate regarding the acceptability of the headscarf in the modern world continues, an increasing number of states have legislated to ban the wearing of the headscarf. This article critically examines the reasons underlying these bans and argues that these prohibitions are not justified. It does this by first analysing the place of the headscarf in Islam, its religious basis and its significance to Muslim women. It argues that the headscarf is more than just a mere religious symbol and that Muslim women wear the headscarf as a matter of religious obligation. The headscarf is considered to be an important religious practice protected by the right to freedom of religion. Thereafter the article examines legislative bans on the headscarf in France, Turkey and Switzerland in order to identify the most popular justifications advanced by states and courts for banning the headscarf. It critically evaluates the justifications for protecting secularism, preventing coercion, promoting equality and curbing religious extremism, and disputes that the reasons put forward by states and accepted by courts justify banning the headscarf. It thereafter explores how South African courts would respond to a headscarf ban and argues that schools and employers should accommodate the headscarf. While Muslim women may not have an absolute right to wear the headscarf, there has thus far been no justifiable reason for banning the headscarf.

  9. FEATURES OF LONG-TERM MECHANICAL CIRCULATORY SUPPORT WITH CONTINUOUS-FLOW PUMP

    Directory of Open Access Journals (Sweden)

    G. P. Itkin

    2012-01-01

    Full Text Available In a review of the comparative analysis of methods and tools for long-term mechanical circulatory support with continuous flow and pulsatile flow implantable pumps. Particular attention is paid to the choice of the optimal modes of the operation of pumps based on the physical principles of the interaction between a the steady flow of blood to the pulsatile mechanics of the heart chambers. 

  10. Supporting continuous learning in a large organization: the role of group and organizational perspectives

    Energy Technology Data Exchange (ETDEWEB)

    Mulholland, Paul; Zdrahal, Zdenek; Domingue, John [Open Univ., Knowledge Media Inst., Milton Keynes (United Kingdom)

    2005-03-01

    Many organizations recognize the need to continuously adapt and learn in order to survive and remain competitive. Learning and therefore change in organizations is driven in two ways. First, there is strategically driven learning, motivated by high-level factors such as market changes, company mergers and newly emerging approaches to organizational management and workplace learning. These changes reveal themselves in the introduction of new training programmes, recruitment strategies and knowledge management methodologies. Second, there is local, continuous learning occurring from the ground up. This is revealed as workers become more adept at their job through experience and collaboration with colleagues. Continuous learning is more gradual and requires local autonomy. This paper describes an experiment in supporting local, continuous learning, and its dissemination, but driven by a strategic initiative of the organization. This work raised many issues concerning the difficulty of integrating local and global organizational influences on learning. We outline lessons learned and suggestions as to the extent to which it is possible to align continuous learning with a company-wide perspective. (Author)

  11. Supporting patients with type 1 diabetes using continuous subcutaneous insulin infusion therapy: Difficulties, disconnections, and disarray.

    Science.gov (United States)

    Perry, Lin; James, Steven; Gallagher, Robyn; Dunbabin, Janet; Steinbeck, Katharine; Lowe, Julia

    2017-08-01

    Use of continuous subcutaneous insulin infusion therapy in type 1 diabetes management is high. However, the incorporation of this technology into self-care is not without challenges, and the support of an appropriately skilled health care team is recommended. This study aimed to examine the support context for patients using continuous subcutaneous insulin infusion therapy from the health care professional perspective, as well as contextual influences for health care professionals and their patients. This ethnographic qualitative study was undertaken in New South Wales, Australia. Recruitment occurred using a snowball sampling technique, beginning with members of an established diabetes service group. Data were collected through the use of semistructured interviews undertaken by telephone and analysed using thematic analysis. Data were obtained from 26 interviews with staff from diverse professional backgrounds. An overarching theme of difficulties, disconnections, and disarray emerged, with findings indicating that participants perceived difficulties in relation to shortages of health care professional continuous subcutaneous insulin infusion-related expertise, and disconnected and disarrayed service structures and process, with barriers to access to these devices. Individual health care professionals were left to manage somehow or opted not to engage with related care. Findings provide insights from health care professionals' perspectives into the complexity of providing support for patients using continuous subcutaneous insulin infusion therapy across diverse contexts, and provide a platform for further research and service development. The need for consistent and coordinated care, and the infrastructure to facilitate this, flags an opportunity to drive integration of care and teamworking across as well as within settings and disciplines. © 2017 John Wiley & Sons, Ltd.

  12. [Characteristics and operation of enhanced continuous bio-hydrogen production reactor using support carrier].

    Science.gov (United States)

    Ren, Nan-qi; Tang, Jing; Gong, Man-li

    2006-06-01

    A kind of granular activated carbon, whose granular size is no more than 2mm and specific gravity is 1.54g/cm3, was used as the support carrier to allow retention of activated sludge within a continuous stirred-tank reactor (CSTR) using molasses wastewater as substrate for bio-hydrogen production. Continuous operation characteristics and operational controlling strategy of the enhanced continuous bio-hydrogen production system were investigated. It was indicated that, support carriers could expand the activity scope of hydrogen production bacteria, make the system fairly stable in response to organic load impact and low pH value (pH reactor at low HRT. The reactor with ethanol-type fermentation achieved an optimal hydrogen production rate of 0.37L/(g x d), while the pH value ranged from 3.8 to 4.4, and the hydrogen content was approximately 40% approximately 57% of biogas. It is effective to inhibit the methanogens by reducing the pH value of the bio-hydrogen production system, consequently accelerate the start-up of the reactor.

  13. A solid-supported organocatalyst for continuous-flow enantioselective aldol reactions.

    Science.gov (United States)

    Ayats, Carles; Henseler, Andrea H; Pericàs, Miquel A

    2012-02-13

    Asymmetric aldol reactions catalyzed by a novel polystyrene-immobilized proline derivative occur in short reaction times with excellent diastereo- and enantioselectivity. The catalyst can be recovered by simple filtration and shows very high reusability. The high activity depicted by the supported catalyst and its chemical and mechanical stability have allowed its application in packed-bed reactors for continuous flow processing. This system can produce enantio- and diastereomerically pure aldol adducts under continuous flow conditions with a residence time of 26 min. Furthermore, the reactor allowed processing of four different aldol products in sequence without any decrease in both catalytic activity and optical purity. The effective catalyst loading could be reduced to 1.6% (six-fold reduction of catalyst loading compared to the corresponding batch process).

  14. Development of a Supporting System of the Business Continuity Plan (BCP) for Construction Companies

    Science.gov (United States)

    Mano, Kouhei; Shiraki, Wataru; Inomo, Hitoshi; Kuyama, Hironori; Isouchi, Chikako

    Recently, the natural disaster and the accident have happened frequently. Thus, many companies and local organizations had been suffered such as discontinuity of business, loss of profits, customers' confidence decrease, and tremendous damage out of business. Especially the business stop of construction companies are influenced the recovery activities, so that it could be late the rescue activities. In this study, a supporting system of the business continuity plan (BCP) for construction companies is developed using the web server and database, and then some ideas for the user's friendly system are considered.

  15. Self-similar continuous cascades supported by random Cantor sets. Application to rainfall data

    CERN Document Server

    Muzy, J F

    2016-01-01

    We introduce a variant of continuous random cascade models that extends former constructions introduced by Barral-Mandelbrot and Bacry-Muzy in the sense that they can be supported by sets of arbitrary fractal dimension. The so introduced sets are exactly self-similar stationary versions of random Cantor sets formerly introduced by Mandelbrot as "random cutouts". We discuss the main mathematical properties of our construction and compute its scaling properties. We then illustrate our purpose on several numerical examples and we consider a possible application to rainfall data. We notably show that our model allows us to reproduce remarkably the distribution of dry period durations.

  16. 20 CFR 10.502 - How does OWCP evaluate evidence in support of continuing receipt of compensation benefits?

    Science.gov (United States)

    2010-04-01

    ... continuing receipt of compensation benefits? 10.502 Section 10.502 Employees' Benefits OFFICE OF WORKERS... THE FEDERAL EMPLOYEES' COMPENSATION ACT, AS AMENDED Continuing Benefits Rules and Evidence § 10.502 How does OWCP evaluate evidence in support of continuing receipt of compensation benefits? In...

  17. 20 CFR 10.501 - What medical evidence is necessary to support continuing receipt of compensation benefits?

    Science.gov (United States)

    2010-04-01

    ... continuing receipt of compensation benefits? 10.501 Section 10.501 Employees' Benefits OFFICE OF WORKERS... THE FEDERAL EMPLOYEES' COMPENSATION ACT, AS AMENDED Continuing Benefits Rules and Evidence § 10.501 What medical evidence is necessary to support continuing receipt of compensation benefits? (a) The...

  18. An educational intervention on promotion of breast feeding complemented by continuing support.

    Science.gov (United States)

    Neyzi, O; Güleçyüz, M; Dinçer, Z; Olgun, P; Kutluay, T; Uzel, N; Saner, G

    1991-07-01

    The study, aiming to document the effect of continued support for mothers on frequency of exclusive breast feeding, was carried out by inclusion of breast feeding counselling in the context of well-baby care. One hundred and forty-six mothers who had been exposed to two educational sessions on breast feeding after delivery were given appointments to bring their baby to the paediatric hospital for well-baby care. The mother-infant pairs were followed by the same two residents for 4 months. Mean number of visits was six. A conscious effort was made during all visits to influence the mothers and their close relatives towards exclusive breast feeding. It was observed that in a large proportion of the infants, breast milk was being supplemented with water at the time of the first visit and no further effort was made to change this traditional behaviour. Comparison of the results with a group of mothers who had been exposed to similar educational sessions after delivery but without further support showed a striking increase in frequency of exclusive breast feeding (breast milk and water) in the supported group.

  19. What is left to justify the use of chlorhexidine in hand hygiene?

    Science.gov (United States)

    Kampf, Günter

    2008-10-01

    The CDC guideline for hand hygiene describes chlorhexidine gluconate as an agent with "substantial residual activity". But not all studies support this claim. In both suspension tests (e.g. EN 13727) and tests under practical conditions (e.g. EN 1500) it is crucial to neutralize any residual activity in the sampling fluid in order to make sure that the agent does not continue to damage surviving cells after exposure. The neutralization step must also be validated. If this is not done the efficacy may be significantly overestimated, and the healthcare professional may rely on data which do not represent the true efficacy of an agent. A review of eight studies which are cited to support "substantial residual activity" show that none of them were performed with validated neutralization. Seven of them do not demonstrate any residual activity for chlorhexidine gluconate. Only in one study some residual activity is described but the validity of the study design does not allow make this claim as no neutralizing agents were used at all. The benefits of using an active agent must outweigh any risks in order to justify its use. If no real benefits are left for chlorhexidine gluconate in hand hygiene, all the risks count even more such as skin irritation, allergic reactions including anaphylactic shock, and acquired bacterial resistance. Unless there is new and valid evidence to clearly support a benefit of using chlorhexidine gluconate in hand hygiene, healthcare workers should prefer formulations without this agent.

  20. On justifying eco-unfriendly behaviors

    NARCIS (Netherlands)

    Meijers, M.H.C.

    2014-01-01

    The climate is changing, species are about to go extinct, and mountains of garbage are ever increasing. In order to preserve the earth and provide a good living standard for all its inhabitants, it is important for people to continue making environmentally friendly choices. This dissertation, howeve

  1. Which level of model complexity is justified by your data? A Bayesian answer

    Science.gov (United States)

    Schöniger, Anneli; Illman, Walter; Wöhling, Thomas; Nowak, Wolfgang

    2016-04-01

    hydraulic tomography data to be justified through the eyes of BMA, while a zonation-based model can be justified with more limited data set sizes. The actual model performance (as opposed to model justifiability), however, depends strongly on the quality of prior geological information. Overall, the proposed analysis provides valuable support for model evaluation and selection in light of limited data.

  2. Device-Related Thrombosis in Continuous-Flow Left Ventricular Assist Device Support.

    Science.gov (United States)

    Doligalski, Christina Teeter; Jennings, Douglas L

    2016-02-01

    Advanced heart failure therapy has been revolutionized with the advent of continuous-flow ventricular assist devices (CF-LVADs) which have improved both survival and quality of life. Despite this, support with CF-LVADs is frequently complicated, with 70% of recipients experiencing a major complication in the first year of durable support. The most concerning of these complications to emerge is device-related thrombosis, which is associated with increased morbidity and mortality. Pathophysiology and diagnosis are multifaceted and complex, with pump-specific and patient-specific factors to be considered. Incidence estimates are evolving with increases seen in the past 2 years compared with earlier implant data. Evidence for treatment is limited to case series and reports, which are subject to significant publication bias. Finally, appropriate primary and secondary prophylaxis is imprecise with multiple antiplatelet and antithrombotic strategies described. This review seeks to summarize the current literature surrounding the pathophysiology, diagnosis, and management of thrombosis in CF-LVAD recipients.

  3. Noninvasive respiratory support of juvenile rabbits by high-amplitude bubble continuous positive airway pressure.

    Science.gov (United States)

    Diblasi, Robert M; Zignego, Jay C; Tang, Dennis M; Hildebrandt, Jack; Smith, Charles V; Hansen, Thomas N; Richardson, C Peter

    2010-06-01

    Bubble continuous positive airway pressure (B-CPAP) applies small-amplitude, high-frequency oscillations in airway pressure (DeltaPaw) that may improve gas exchange in infants with respiratory disease. We developed a device, high-amplitude B-CPAP (HAB-CPAP), which provides greater DeltaPaw than B-CPAP provides. We studied the effects of different operational parameters on DeltaPaw and volumes of gas delivered to a mechanical infant lung model. In vivo studies tested the hypothesis that HAB-CPAP provides noninvasive respiratory support greater than that provided by B-CPAP. Lavaged juvenile rabbits were stabilized on ventilator nasal CPAP. The animals were then supported at the same mean airway pressure, bias flow, and fraction of inspired oxygen (FiO2) required for stabilization, whereas the bubbler angle was varied in a randomized crossover design at exit angles, relative to vertical, of 0 (HAB-CPAP0; equivalent to conventional B-CPAP), 90 (HAB-CPAP90), and 135 degrees (HAB-CPAP135). Arterial blood gases and pressure-rate product (PRP) were measured after 15 min at each bubbler angle. Pao2 levels were higher (p<0.007) with HAB-CPAP135 than with conventional B-CPAP. PaCO2 levels did not differ (p=0.073) among the three bubbler configurations. PRP with HAB-CPAP135 were half of the PRP with HAB-CPAP0 or HAB-CPAP90 (p=0.001). These results indicate that HAB-CPAP135 provides greater respiratory support than conventional B-CPAP does.

  4. 7 CFR 48.7 - Evidence to justify dumping.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Evidence to justify dumping. 48.7 Section 48.7... Dumping § 48.7 Evidence to justify dumping. Any person, receiving produce in interstate commerce or in the..., prior to such destroying, abandoning, discarding or dumping, obtain a dumping certificate or...

  5. Long-term costs and health impact of continued global fund support for antiretroviral therapy.

    Directory of Open Access Journals (Sweden)

    John Stover

    Full Text Available BACKGROUND: By the end of 2011 Global Fund investments will be supporting 3.5 million people on antiretroviral therapy (ART in 104 low- and middle-income countries. We estimated the cost and health impact of continuing treatment for these patients through 2020. METHODS AND FINDINGS: Survival on first-line and second-line ART regimens is estimated based on annual retention rates reported by national AIDS programs. Costs per patient-year were calculated from country-reported ARV procurement prices, and expenditures on laboratory tests, health care utilization and end-of-life care from in-depth costing studies. Of the 3.5 million ART patients in 2011, 2.3 million will still need treatment in 2020. The annual cost of maintaining ART falls from $1.9 billion in 2011 to $1.7 billion in 2020, as a result of a declining number of surviving patients partially offset by increasing costs as more patients migrate to second-line therapy. The Global Fund is expected to continue being a major contributor to meeting this financial need, alongside other international funders and domestic resources. Costs would be $150 million less in 2020 with an annual 5% decline in first-line ARV prices and $150-370 million less with a 5%-12% annual decline in second-line prices, but $200 million higher in 2020 with phase out of stavudine (d4T, or $200 million higher with increased migration to second-line regimens expected if all countries routinely adopted viral load monitoring. Deaths postponed by ART correspond to 830,000 life-years saved in 2011, increasing to around 2.3 million life-years every year between 2015 and 2020. CONCLUSIONS: Annual patient-level direct costs of supporting a patient cohort remain fairly stable over 2011-2020, if current antiretroviral prices and delivery costs are maintained. Second-line antiretroviral prices are a major cost driver, underscoring the importance of investing in treatment quality to improve retention on first-line regimens.

  6. Pharmacokinetics of continuous-infusion meropenem in a pediatric patient receiving extracorporeal life support.

    Science.gov (United States)

    Cies, Jeffrey J; Moore, Wayne S; Dickerman, Mindy J; Small, Christine; Carella, Dominick; Chopra, Arun; Parker, Jason

    2014-10-01

    Meropenem, a broad-spectrum carbapenem, is commonly used for empirical and definitive therapy in the pediatric intensive care unit (ICU). Pharmacokinetic data to guide dosing in children, however, are limited to healthy volunteers or patients who are not in the ICU. Adult data demonstrate that pharmacokinetic parameters such as the volume of distribution and clearance can be significantly altered in individuals receiving extracorporeal membrane oxygenation (ECMO). Alterations in the volume of distribution and clearance of antimicrobials in patients with sepsis and septic shock have also been documented, and these patients have demonstrated lower than expected antimicrobial serum concentrations based on standard dosing regimens. Therefore, an understanding of the pharmacokinetic changes in critically ill children receiving ECMO is crucial to determining the most appropriate dose and dosing interval selection for any antimicrobial therapy. In this case report, we describe the pharmacokinetics of a continuous infusion of meropenem in a pediatric cardiac ICU patient who was receiving concurrent extracorporeal life support. The patient was an 8-month-old male infant who underwent a Glenn procedure and pulmonary artery reconstruction. Postoperatively, he required ECMO with a total run of 21 days. On day 11 of ECMO, a bronchoalveolar lavage was performed, and blood cultures from days 11 and 12 of ECMO grew Pseudomonas aeruginosa, with a meropenem minimum inhibitory concentration (MIC) of 0.5 μg/ml. On ECMO day 13, meropenem was initiated with a loading dose of 40 mg/kg and infused over 30 minutes, followed by a continuous infusion of 200 mg/kg/day. A meropenem serum concentration measured 8 hours after the start of the infusion was 46 μg/ml. Repeat levels were measured on days 3 and 9 of meropenem therapy and were 39 and 42 μg/ml, respectively. Repeat blood and respiratory cultures remained negative. This meropenem regimen (40-mg/kg bolus followed by a

  7. Parent Support and Stress among First-Generation and Continuing-Generation Female Students during the Transition to College

    Science.gov (United States)

    Sy, Susan R.; Fong, Kristen; Carter, Rebecca; Boehme, Julia; Alpert, Amy

    2012-01-01

    This study compares first-generation and continuing-generation female college students in terms of: (a) level of parents' emotional and informational support; (b) level of students' stress; and (c) the relationship between both types of parent support and students' stress during the transition to college. We collected survey data from an…

  8. Parent Support and Stress among First-Generation and Continuing-Generation Female Students during the Transition to College

    Science.gov (United States)

    Sy, Susan R.; Fong, Kristen; Carter, Rebecca; Boehme, Julia; Alpert, Amy

    2012-01-01

    This study compares first-generation and continuing-generation female college students in terms of: (a) level of parents' emotional and informational support; (b) level of students' stress; and (c) the relationship between both types of parent support and students' stress during the transition to college. We collected survey data from an…

  9. Continued Advancement of Supported Liquid Membranes for Carbon Dioxide Control in Extravehicular Activity Applications

    Science.gov (United States)

    Wickham, David T.; Gleason, Kevin J.; Engel, Jeffrey R.; Cowley, Scott W.; Chullen, Cinda

    2015-01-01

    The Development of a new, robust, portable life support system (PLSS) is currently a high NASA priority in order to support longer and safer extravehicular activity (EVA) missions that will be necessary as space travel extends to near-Earth asteroids and eventually Mars. One of the critical PLSS functions is maintaining the carbon dioxide (CO2) concentration in the suit at acceptable levels. The Metal Oxide (MetOx) canister has a finite CO2 adsorption capacity and therefore in order to extend mission times, the unit would have to be larger and heavier, which is undesirable; therefore new CO2 control technologies must be developed. While recent work has centered on the use of alternating sorbent beds that can be regenerated during the EVA, this strategy increases the system complexity and power consumption. A simpler approach is to use a membrane that vents CO2 to space but retains oxygen(O2). A membrane has many advantages over current technology: it is a continuous system with no theoretical capacity limit, it requires no consumables, and it requires no hardware for switching beds between absorption and regeneration. Conventional gas separation membranes do not have adequate selectivity for use in the PLSS, but the required performance could be obtained with a supported liquid membrane (SLM), which consists of a microporous film filled with a liquid that selectively reacts with CO2 over oxygen (O2). In a recently completed Phase II Small Business Innovative Research project, Reaction Systems developed a new reactive liquid that has effectively zero vapor pressure, making it an ideal candidate for use in an SLM. Results obtained with the SLM in a flat sheet configuration with representative pressures of CO2, O2, and water (H2O) have shown that the CO2 permeation rate and CO2/O2 selectivity requirements have been met. In addition, the SLM vents moisture to space very effectively. The SLM has also been prepared and tested in a hollow fiber form, which will be

  10. A study of different supports for the catalytic reduction of nitrates from natural water with a continuous reactor

    OpenAIRE

    Palomares, A.E.; Franch, C.; Corma,A.

    2011-01-01

    The aim of this work is to study the activity for the nitrate catalytic reduction in natural water, using a continuous stirred tank reactor, of Pd/Cu and Pd/Sn catalysts supported on different materials. The studied supports are: -Al2O3 (commercial), active carbon, graphite, hydrotalcite and alumina synthesized in our laboratory with a high surface area. The activity and selectivity of the catalysts supported on these materials have been compared. The best results have been obtain...

  11. Calculation-experimental method justifies the life of wagons

    Directory of Open Access Journals (Sweden)

    Валерія Сергіївна Воропай

    2015-11-01

    Full Text Available The article proposed a method to evaluate the technical state of tank wagons operating in chemical industry. An algorithm for evaluation the technical state of tank wagons was developed, that makes it possible on the basis of diagnosis and analysis of current condition to justify a further period of operation. The complex of works on testing the tanks and mathematical models for calculations of the design strength and reliability were proposed. The article is devoted to solving the problem of effective exploitation of the working fleet of tank wagons. Opportunities for further exploitation of cars, the complex of works on the assessment of their technical state and the calculation of the resources have been proposed in the article. Engineering research of the chemical industries park has reduced the shortage of the rolling stock for transportation of ammonia. The analysis of the chassis numerous faults and the main elements of tank wagons supporting structure after 20 years of exploitation was made. The algorithm of determining the residual life of the specialized tank wagons operating in an industrial plant has been proposed. The procedure for resource conservation of tank wagons carrying cargo under high pressure was first proposed. The improved procedure for identifying residual life proposed in the article has both theoretical and practical importance

  12. Justifying genetics as a possible legal defence to criminal ...

    African Journals Online (AJOL)

    Justifying genetics as a possible legal defence to criminal responsibility in Nigeria. ... on the relationship between nature and nurture (genes versus environment). ... who commit murder due to one psychotic or hereditary mental disorders end ...

  13. Justifying Definitions in Mathematics---Going Beyond Lakatos

    OpenAIRE

    Werndl, Charlotte

    2013-01-01

    This paper addresses the actual practice of justifying definitions in mathematics. First, I introduce the main account of this issue, namely Lakatos's proof-generated definitions. Based on a case study of definitions of randomness in ergodic theory, I identify three other common ways of justifying definitions: natural-world-justification, condition-justification and redundancy-justification. Also, I clarify the interrelationships between the different kinds of justification. Finally, I point ...

  14. Developing and theoretically justifying innovative organizational practices in health information assurance

    Science.gov (United States)

    Collmann, Jeff R.

    2003-05-01

    This paper justifies and explains current efforts in the Military Health System (MHS) to enhance information assurance in light of the sociological debate between "Normal Accident" (NAT) and "High Reliability" (HRT) theorists. NAT argues that complex systems such as enterprise health information systems display multiple, interdependent interactions among diverse parts that potentially manifest unfamiliar, unplanned, or unexpected sequences that operators may not perceive or immediately understand, especially during emergencies. If the system functions rapidly with few breaks in time, space or process development, the effects of single failures ramify before operators understand or gain control of the incident thus producing catastrophic accidents. HRT counters that organizations with strong leadership support, continuous training, redundant safety features and "cultures of high reliability" contain the effects of component failures even in complex, tightly coupled systems. Building highly integrated, enterprise-wide computerized health information management systems risks creating the conditions for catastrophic breaches of data security as argued by NAT. The data security regulations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) implicitly depend on the premises of High Reliability Theorists. Limitations in HRT thus have implications for both safe program design and compliance efforts. MHS and other health care organizations should consider both NAT and HRT when designing and deploying enterprise-wide computerized health information systems.

  15. Development of virtual research environment for regional climatic and ecological studies and continuous education support

    Science.gov (United States)

    Gordov, Evgeny; Lykosov, Vasily; Krupchatnikov, Vladimir; Bogomolov, Vasily; Gordova, Yulia; Martynova, Yulia; Okladnikov, Igor; Titov, Alexander; Shulgina, Tamara

    2014-05-01

    Volumes of environmental data archives are growing immensely due to recent models, high performance computers and sensors development. It makes impossible their comprehensive analysis in conventional manner on workplace using in house computing facilities, data storage and processing software at hands. One of possible answers to this challenge is creation of virtual research environment (VRE), which should provide a researcher with an integrated access to huge data resources, tools and services across disciplines and user communities and enable researchers to process structured and qualitative data in virtual workspaces. VRE should integrate data, network and computing resources providing interdisciplinary climatic research community with opportunity to get profound understanding of ongoing and possible future climatic changes and their consequences. Presented are first steps and plans for development of VRE prototype element aimed at regional climatic and ecological monitoring and modeling as well as at continuous education and training support. Recently developed experimental software and hardware platform aimed at integrated analysis of heterogeneous georeferenced data "Climate" (http://climate.scert.ru/, Gordov et al., 2013; Shulgina et al., 2013; Okladnikov et al., 2013) is used as a VRE element prototype and approach test bench. VRE under development will integrate on the base of geoportal distributed thematic data storage, processing and analysis systems and set of models of complex climatic and environmental processes run on supercomputers. VRE specific tools are aimed at high resolution rendering on-going climatic processes occurring in Northern Eurasia and reliable and found prognoses of their dynamics for selected sets of future mankind activity scenaria. Currently the VRE element is accessible via developed geoportal at the same link (http://climate.scert.ru/) and integrates the WRF and «Planet Simulator» models, basic reanalysis and instrumental

  16. Individual Patient Support on Lower Leg Orthoses by Continuous Control over the Whole Gait Cycle

    DEFF Research Database (Denmark)

    Matthias Braun, Jan; Manoonpong, Poramate; Wörgötter, Florentin

    2016-01-01

    with gait samples. It allows continuous control over the whole gait cycle based on the tracking of gait progress and makes no assumption on the patient’s abilities. We conclude that the smoothness and linearity of the gait progress tracking allows continuous control which enhances the patient group....

  17. Therapeutic drug monitoring of continuous-infusion acylovir for disseminated herpes simplex virus infection in a neonate receiving concurrent extracorporeal life support and continuous renal replacement therapy.

    Science.gov (United States)

    Cies, Jeffrey J; Moore, Wayne S; Miller, Kyle; Small, Christine; Carella, Dominick; Conley, Susan; Parker, Jason; Shea, Paul; Chopra, Arun

    2015-02-01

    Disseminated herpes simplex virus (HSV) infection in neonates represents a devastating entity that yields high mortality. Acyclovir is the primary antiviral agent used to treat life-threatening HSV infections in neonates; however, even though the agent has reduced morbidity overall from these infections, mortality with disseminated disease remains high. Currently, to our knowledge, no data exist regarding therapeutic drug monitoring of acyclovir in the setting of extracorporeal life support (ECLS) or continuous renal replacement therapy (CRRT) coupled with ECLS. We describe the case of a 14-day-old female with disseminated HSV-1 infection that progressed to fulminant hepatic and renal failure, necessitating the use of ECLS for hemodynamic support and CRRT as a treatment modality for hepatic and renal failure. The standard dosage of acyclovir 20 mg/kg/dose intravenously every 8 hours had been initiated, but after conversion to ECLS and CRRT, the patient's dosage was increased to 30 mg/kg/dose every 8 hours. After a repeat viral load remained unchanged from the initial viral load at 1 × 10(8)  copies/ml, the patient was transitioned from intermittent dosing to a continuous infusion of acyclovir added to the dialysate solution for CRRT at a concentration of 5.5 mg/L. To provide an optimal outcome, dosing was designed to maintain acyclovir plasma concentrations of at least 3 mg/L in order to maintain an acyclovir concentration of at least 1 mg/L in the cerebrospinal fluid. The patient's acyclovir serum concentrations measured at 24 and 72 hours after starting continuous-infusion acyclovir via the dialysate were 8.8 and 5.3 mg/L, respectively, allowing for a continuous serum concentration above 3 mg/L. Unfortunately, before a repeat viral load could be obtained to assess the efficacy of the continuous infusion acyclovir, the patient experienced an intracerebral hemorrhage as a complication related to ECLS after which technological support was withdrawn

  18. Effect of nonlinearity of restrainer and supports on the elasto-plastic seismic response of continuous girder bridge

    Directory of Open Access Journals (Sweden)

    Wang Changfeng

    2014-10-01

    Full Text Available During an earthquake, the nonlinearity of the bridge structure mainly occurs at the supports, bridge piers and restrainers. When entering nonlinear stage, members of the bridge structure affect the elasto-plastic seismic response of the whole structure to a certain extent; for multi-span continuous bridges, longitudinal restrainers can be installed on the movable piers to optimise the distribution of seismic force and enable the movable piers to bear a certain amount of seismic effect. In order to evaluate the effect of nonlinearity of restrainer and supports on the elasto-plastic seismic response of continuous girder bridge, analytical models of continuous girder bridge structure considering the nonlinearity of movable supports, restrainers and bridge piers were built and the nonlinear time history analysis was conducted to evaluate the effect of nonlinearity of restraining devices and supports on the elasto-plastic seismic response of continuous girder bridge. Relevant structural measures and recommendation were made to reduce the seismic response of the fixed piers of the continuous girder bridge.

  19. Continuous daylight in the high-Arctic summer supports high plankton respiration rates compared to those supported in the dark

    KAUST Repository

    Mesa, Elena

    2017-04-21

    Plankton respiration rate is a major component of global CO2 production and is forecasted to increase rapidly in the Arctic with warming. Yet, existing assessments in the Arctic evaluated plankton respiration in the dark. Evidence that plankton respiration may be stimulated in the light is particularly relevant for the high Arctic where plankton communities experience continuous daylight in spring and summer. Here we demonstrate that plankton community respiration evaluated under the continuous daylight conditions present in situ, tends to be higher than that evaluated in the dark. The ratio between community respiration measured in the light (Rlight) and in the dark (Rdark) increased as the 2/3 power of Rlight so that the Rlight:Rdark ratio increased from an average value of 1.37 at the median Rlight measured here (3.62 µmol O2 L-1 d-1) to an average value of 17.56 at the highest Rlight measured here (15.8 µmol O2 L-1 d-1). The role of respiratory processes as a source of CO2 in the Arctic has, therefore, been underestimated and is far more important than previously believed, particularly in the late spring, with 24 h photoperiods, when community respiration rates are highest.

  20. HeartWare third-generation implantable continuous flow pump as biventricular support: mid-term follow-up.

    Science.gov (United States)

    Loforte, Antonio; Monica, Paola Lilla Della; Montalto, Andrea; Musumeci, Francesco

    2011-03-01

    A long-term mechanical biventricular support by HeartWare HVAS third-generation continuous flow pump (HeartWare, Inc, Miramar, FL, USA) was implanted in a Korean patient with a small chest size for treatment of a refractory end-stage heart failure due to an idiopathic dilative cardiomyopathy. We report our experience with a single patient and the early mid-term follow-up results with such a mechanical ventricular support.

  1. Sustaining Lesson Study: Resources and Factors that Support and Constrain Mathematics Teachers' Ability to Continue After the Grant Ends

    Science.gov (United States)

    Druken, Bridget Kinsella

    Lesson study, a teacher-led vehicle for inquiring into teacher practice through creating, enacting, and reflecting on collaboratively designed research lessons, has been shown to improve mathematics teacher practice in the United States, such as improving knowledge about mathematics, changing teacher practice, and developing communities of teachers. Though it has been described as a sustainable form of professional development, little research exists on what might support teachers in continuing to engage in lesson study after a grant ends. This qualitative and multi-case study investigates the sustainability of lesson study as mathematics teachers engage in a district scale-up lesson study professional experience after participating in a three-year California Mathematics Science Partnership (CaMSP) grant to improve algebraic instruction. To do so, I first provide a description of material (e.g. curricular materials and time), human (attending district trainings and interacting with mathematics coaches), and social (qualities like trust, shared values, common goals, and expectations developed through relationships with others) resources present in the context of two school districts as reported by participants. I then describe practices of lesson study reported to have continued. I also report on teachers' conceptions of what it means to engage in lesson study. I conclude by describing how these results suggest factors that supported and constrained teachers' in continuing lesson study. To accomplish this work, I used qualitative methods of grounded theory informed by a modified sustainability framework on interview, survey, and case study data about teachers, principals, and Teachers on Special Assignment (TOSAs). Four cases were selected to show the varying levels of lesson study practices that continued past the conclusion of the grant. Analyses reveal varying levels of integration, linkage, and synergy among both formally and informally arranged groups of

  2. Development of continuous pharmaceutical production processes supported by process systems engineering methods and tools

    DEFF Research Database (Denmark)

    Gernaey, Krist; Cervera Padrell, Albert Emili; Woodley, John

    2012-01-01

    The pharmaceutical industry is undergoing a radical transition towards continuous production processes. Systematic use of process systems engineering (PSE) methods and tools form the key to achieve this transition in a structured and efficient way....

  3. Validation of Loss and Continuation Rate Models to Support Navy Community Management

    Science.gov (United States)

    2014-02-01

    are a function of the optimization embedded in the software . The proposed models are ‘relatively’ standard; differences in results due to estimation... software used are unlikely, but possible. 8. Following CNA, continuation rates, (CR) for paygrades, (PG), E1-E3 were combined into one category. 9...2011), Forecasting Navy Continuation Rates: An Exploratory Analysis, Center for Naval Analysis, CRM D0023555.A2 Schmitz, E., Kraus, A., Sutton, W

  4. Staff attitudes towards continuation of life-support in newborns with major congenital anomalies

    NARCIS (Netherlands)

    Hazebroek, FWJ; Bos, AP; Ouwens, C; Tibboel, D; Molenaar, JC

    1996-01-01

    This study was conducted to gain insight into the attitudes of medical staff towards life-support of newborns with life-threatening problems, seen against the background of these children's expected morbidity and quality of life. The opinions about the mode of life-support were determined by questio

  5. Continuous CO2 capture in a circulating fluidized bed using supported amine sorbents

    NARCIS (Netherlands)

    Veneman, R.; Li, Z.; Hogendoorn, J.A.; Kersten, S.R.A.; Brilman, D.W.F.

    2012-01-01

    In this work, supported amine sorbents were prepared by physical impregnation of silica and polymethylmethacrylate (PMMA) with tetraethylenepentamine (TEPA) and studied for post-combustion CO2 capture purposes in a lab scale circulating fluidized bed (CFB) reactor. Sorbent amine loading and support

  6. Reassessing the Racial Divide in Support for Capital Punishment: The Continuing Significance of Race

    Science.gov (United States)

    Unnever, James D.; Cullen, Francis T.

    2007-01-01

    This project investigates the racial divide in support for capital punishment. The authors examine whether race has a direct effect on support for capital punishment and test whether the influence of race varies across class, being a native southerner, confidence in government officials, political orientation, and religious affiliation. Using data…

  7. Program Support and Value of Training in Mentors' Satisfaction and Anticipated Continuation of School-Based Mentoring Relationships

    Science.gov (United States)

    McQuillin, Samuel D.; Straight, Gerald G.; Saeki, Elina

    2015-01-01

    In this study, we tested a theoretical model of training practices in school-based mentoring by comparing the differences between two mentoring programs on mentor-reported program support, value of training, relationship satisfaction, and plans to continue mentoring. The two mentoring programs that we compared were conducted at the same school and…

  8. Continuous Reductive Amination of Biomass-Derived Molecules over Carbonized Filter Paper-Supported FeNi Alloy.

    Science.gov (United States)

    Chieffi, Gianpaolo; Braun, Max; Esposito, Davide

    2015-11-01

    This paper reports the continuous reductive amination of different molecules, including biomass-related compounds, over carbon-supported FeNi nanoparticles obtained on the basis of inexpensive and abundant metal precursors and cellulose. A biorefinery case study for the preparation of pyrrolidones via acid-catalyzed hydrolysis of glucose followed by reductive amination of the obtained levulinic acid is described.

  9. Program Support and Value of Training in Mentors' Satisfaction and Anticipated Continuation of School-Based Mentoring Relationships

    Science.gov (United States)

    McQuillin, Samuel D.; Straight, Gerald G.; Saeki, Elina

    2015-01-01

    In this study, we tested a theoretical model of training practices in school-based mentoring by comparing the differences between two mentoring programs on mentor-reported program support, value of training, relationship satisfaction, and plans to continue mentoring. The two mentoring programs that we compared were conducted at the same school and…

  10. Proposing a Continuous Professional Development Model to Support and Enhance Professional Learning of Teachers in Special Schools in South Africa

    Science.gov (United States)

    Kempen, M.; Steyn, G. M.

    2016-01-01

    A collaborative continuous professional (CPD) model was implemented and evaluated in six special schools in Gauteng, South Africa in order to support teachers in their professional capacity. The study which reports on a two year study aimed to establish the value of the CPD programme on teachers' learning, students' outcomes and whole school…

  11. Dynamic value assessments in oncology supported by the PACE Continuous Innovation Indicators.

    Science.gov (United States)

    Paddock, Silvia; Goodman, Clifford; Shortenhaus, Scott; Grainger, David; Zummo, Jacqueline; Thomas, Samuel

    2017-07-26

    Several recently developed frameworks aim to assess the value of cancer treatments, but the most appropriate metrics remain uncertain. We use data from the Patient Access to Cancer care Excellence Continuous Innovation Indicators to examine the relationship between hazard ratios (HRs) from clinical trials and dynamic therapeutic value accumulating over time. Our analysis shows that HRs from initial clinical trials poorly predict the eventual therapeutic value of cancer treatments. Relying strongly on HRs from registration trials to predict the long-term success of treatments leaves a lot of the variance unexplained. The Continuous Innovation Indicators offer a complementing, dynamic method to track the therapeutic value of cancer treatments and continuously update value assessments as additional evidence accumulates.

  12. Child behaviors as a moderator: Examining the relationship between foster parent supports, satisfaction, and intent to continue fostering.

    Science.gov (United States)

    Cooley, Morgan E; Farineau, Heather M; Mullis, Ann K

    2015-07-01

    Foster parents need access to supports and resources in order to be satisfied with their caregiving role and continue providing foster care services. However, they often experience multiple demands in their role as a substitute caregiver that could lead to stress. Child behaviors especially may be a significant factor when considering sources of strain and may be a potential risk factor for negative outcomes such as dissatisfaction or the decision to discontinue providing foster care. The purpose of this study was to examine whether child disruptive behaviors moderated or influenced the nature or strength of the relationship between foster parent supports and satisfaction as a caregiver as well as intent to continue fostering. The sample consisted of 155 licensed foster caregivers from across the United States. Child behaviors served as a significant moderator between some types of supports and satisfaction. Implications for future research, practice, and policy are discussed.

  13. Next Generation Life Support (NGLS): Continuous Electrochemical Gas Separator (CEGS) Element

    Data.gov (United States)

    National Aeronautics and Space Administration — Life support systems on human spacecraft are designed to provide a safe, habitable environment for the astronauts, and one of the most significant challenges is...

  14. Continuous flow room temperature reductive aqueous homo-coupling of aryl halides using supported Pd catalysts

    National Research Council Canada - National Science Library

    Feiz, Afsaneh; Bazgir, Ayoob; Balu, Alina M; Luque, Rafael

    2016-01-01

    .... A simple reductive homo-coupling Ullmann-type reaction was performed in an H-Cube mini using commercially available supported Pd catalysts under mild reaction conditions, with quantitative conversion to target products...

  15. Laboratory grey cast iron continuous casting line with electromagnetic forced convection support

    Directory of Open Access Journals (Sweden)

    J. Szajnar

    2010-07-01

    Full Text Available The article describes the construction of a 20 mm diameter grey cast iron ingots continuous casting laboratory line. This line is made ofthree main units: melting unit (induction furnace, casting unit and the pulling unit. In order to improve the homogeneity of themicrostructure of ingots (by applying forced convection of liquid metal during the crystallization process in this case a crystallizer system generating the forced movement of liquid metal based on a system of electrical power windings of the AC specific frequency. Thissolution allowed to obtain a homogeneous microstructure of the continuous casting of cast iron EN-GJL-200 species.

  16. Justifying Definitions in Mathematics---Going Beyond Lakatos

    CERN Document Server

    Werndl, Charlotte

    2013-01-01

    This paper addresses the actual practice of justifying definitions in mathematics. First, I introduce the main account of this issue, namely Lakatos's proof-generated definitions. Based on a case study of definitions of randomness in ergodic theory, I identify three other common ways of justifying definitions: natural-world-justification, condition-justification and redundancy-justification. Also, I clarify the interrelationships between the different kinds of justification. Finally, I point out how Lakatos's ideas are limited: they fail to show that various kinds of justification can be found and can be reasonable, and they fail to acknowledge the interplay between the different kinds of justification.

  17. A Time-Space Diagram as Controller Support Tool for Closed Path Continuous Descent Operations

    NARCIS (Netherlands)

    De Leege, A.M.P.; In 't Veld, A.C.; Mulder, M.; Van Paassen, M.M.

    2011-01-01

    Tactical control during a closed-path Continuous Descent Operation stops the aircraft from following its optimized descent. To mitigate tactical control, air traffic controllers apply arbitrary large spacing buffers to account for the unpredictability of the aircraft trajectory from the controller’s

  18. Space-time continuous models of swarm robotic systems supporting global-to-local programming

    CERN Document Server

    Hamann, Heiko; Nakamura, Yoshihiko

    2010-01-01

    Space-Time Continuous Models of Swarm Robotic Systems presents a control-algorithm-based model that predicts the behavior of large self-organizing robot groups, or robot swarms. Readers will find an extensive look into the interdisciplinary research field of swarm robotics.

  19. Hemodynamic stress echocardiography in patients supported with a continuous-flow left ventricular assist device

    DEFF Research Database (Denmark)

    Andersen, Mads; Gustafsson, Finn; Madsen, Per Lav

    2010-01-01

    Functional assessment of continuous-flow left ventricular assist devices (LVADs) is usually performed with the patient at rest. This study compared echocardiographic indices of contraction and filling pressure with invasive measures in 12 ambulatory LVAD patients undergoing symptom-limited bicycl...... parallel with cardiac output) and diastolic E/e' ratio decreased (correlating inversely with diastolic pulmonary artery pressure). These findings emphasize the potential role of exercise echocardiography in studying exercise hemodynamics in LVAD patients....

  20. Laboratory grey cast iron continuous casting line with electromagnetic forced convection support

    OpenAIRE

    2010-01-01

    The article describes the construction of a 20 mm diameter grey cast iron ingots continuous casting laboratory line. This line is made ofthree main units: melting unit (induction furnace), casting unit and the pulling unit. In order to improve the homogeneity of themicrostructure of ingots (by applying forced convection of liquid metal during the crystallization process) in this case a crystallizer system generating the forced movement of liquid metal based on a system of electrical power win...

  1. A global finite-element shallow-water model supporting continuous and discontinuous elements

    Directory of Open Access Journals (Sweden)

    P. A. Ullrich

    2014-08-01

    Full Text Available This paper presents a novel nodal finite element method for either continuous and discontinuous elements, as applied to the 2-D shallow-water equations on the cubed-sphere. The cornerstone of this method is the construction of a robust derivative operator which can be applied to compute discrete derivatives even over a discontinuous function space. A key advantage of the robust derivative is that it can be applied to partial differential equations in either conservative or non-conservative form. However, it is also shown that discontinuous penalization is required to recover the correct order of accuracy for discontinuous elements. Two versions with discontinuous elements are examined, using either the g1 and g2 flux correction function for distribution of boundary fluxes and penalty across nodal points. Scalar and vector hyperviscosity operators valid for both continuous and discontinuous elements are also derived for stabilization and removal of grid-scale noise. This method is validated using three standard shallow-water test cases, including geostrophically balanced flow, a mountain-induced Rossby wave train and a barotropic instability. The results show that although the discontinuous basis requires a smaller time step size than that required for continuous elements, the method exhibits better stability and accuracy properties in the absence of hyperviscosity.

  2. Investigation into How Managers Justify Investments in IT Infrastructure

    Science.gov (United States)

    Ibe, Richmond Ikechukwu

    2012-01-01

    Organization leaders are dependent on information technology for corporate productivity; however, senior managers have expressed concerns about insufficient benefits from information technology investments. The problem researched was to understand how midsized businesses justify investments in information technology infrastructure. The purpose of…

  3. Connections between Generalizing and Justifying: Students' Reasoning with Linear Relationships

    Science.gov (United States)

    Ellis, Amy B.

    2007-01-01

    Research investigating algebra students' abilities to generalize and justify suggests that they experience difficulty in creating and using appropriate generalizations and proofs. Although the field has documented students' errors, less is known about what students do understand to be general and convincing. This study examines the ways in which…

  4. Nurturing towards Wisdom: Justifying Music in the Curriculum

    Science.gov (United States)

    Heimonen, Marja

    2008-01-01

    This essay considers the music curriculum from a philosophical perspective, focusing on the tension between freedom (personal autonomy) and discipline (moral and ethical principles). The approach could be characterized as hermeneutical: the aim is to deepen our understanding through discussing the basic arguments for justifying the inclusion of…

  5. Lay denial of knowledge for justified true beliefs.

    Science.gov (United States)

    Nagel, Jennifer; Juan, Valerie San; Mar, Raymond A

    2013-12-01

    Intuitively, there is a difference between knowledge and mere belief. Contemporary philosophical work on the nature of this difference has focused on scenarios known as "Gettier cases." Designed as counterexamples to the classical theory that knowledge is justified true belief, these cases feature agents who arrive at true beliefs in ways which seem reasonable or justified, while nevertheless seeming to lack knowledge. Prior empirical investigation of these cases has raised questions about whether lay people generally share philosophers' intuitions about these cases, or whether lay intuitions vary depending on individual factors (e.g. ethnicity) or factors related to specific types of Gettier cases (e.g. cases that include apparent evidence). We report an experiment on lay attributions of knowledge and justification for a wide range of Gettier Cases and for a related class of controversial cases known as Skeptical Pressure cases, which are also thought by philosophers to elicit intuitive denials of knowledge. Although participants rated true beliefs in Gettier and Skeptical Pressure cases as being justified, they were significantly less likely to attribute knowledge for these cases than for matched True Belief cases. This pattern of response was consistent across different variations of Gettier cases and did not vary by ethnicity or gender, although attributions of justification were found to be positively related to measures of empathy. These findings therefore suggest that across demographic groups, laypeople share similar epistemic concepts with philosophers, recognizing a difference between knowledge and justified true belief. Copyright © 2013 Elsevier B.V. All rights reserved.

  6. Small-Business Computing: Is Software Piracy Justified?

    Science.gov (United States)

    Immel, A. Richard

    1983-01-01

    Presents several different perspectives on the copying of computer software (discs, tapes, etc.) in an attempt to determine whether such infringement of copyright, often called "software piracy," can ever be justified. Implications for both the hardware and software firms and the users are also discussed. (EAO)

  7. Continuous fixed-bed gas-phase hydroformylation using supported ionic liquid-phase (SILP) Rh catalysts

    DEFF Research Database (Denmark)

    Riisager, Anders; Wasserscheid, Peter; Van Hal, R.

    2003-01-01

    Continuous flow gas-phase hydroformylation of propene was performed using novel supported ionic liquid-phase (SILP) catalysts containing immobilized Rh complexes of the biphosphine ligand sulfoxantphos in the ionic liquids 1-n-butyl-3-methylimidazolium hexafluorophosphate and halogen-free 1-n......-butyl-3-methylimidazolium n-octylsulfate on silica support. The Rh-sulfoxantphos SILP catalysts proved to be more regioselective than catalysts without ligand and the analogous ionic liquid-free catalysts, giving up to 96% linear product. Furthermore, the performance of the catalysts was generally...

  8. Assessment of vocational opportunities and continuing job placement for persons with mental disabilities: factors indicating levels of necessary support.

    Science.gov (United States)

    Suzuki, Yoshiko; Kikuchi, Emiko; Watanabe, Shu

    2008-01-01

    We determined primary factors in allocating support for vocational opportunities and continuing job placement for clients with mental disabilities. The study analyzed 29 items regarding work attitudes and vocational skills for 70 clients as assessed by the Tokyo Metropolitan Rehabilitation Center for the Physically and Mentally Disabled. The evaluations were performed using the situational assessment approach with a 3-point support scale system assigned through observation of behavior. The results of these evaluations placed 35 clients in employment groups (A and B) and 35 clients in a sheltered workshop group (C). The data was analyzed by multivariate analysis. Predictions of success and functional differences among the groups were indicated by the data. Differences were found among the three groups in work attitudes and skills such as "self-direction" and "directions for social participation". Out of the 35 clients currently employed, 11 were recognized as needing ongoing assistance from supported employment offices. For the supported employment group (B), the major work attitudes and skills for which they required continuous services for maintaining stable jobs were 'emotional stability' and 'learning of working skills and accomplishment of work.' In a previous study, the major differences between the competitive employment group (A) and the sheltered workshop group (C) were in areas of 'responsibilities,' 'goals for life,' 'motivation for the work and understanding of contents for work,' and 'safety during work.' Our study supports these findings. In addition, transition from the sheltered workshop to supported employment required training to improve skills and support for 'responsibilities,' 'goals for life,' 'participation in leisure activities and community-based activities,' and 'preparation and cleaning for work.'

  9. Continuous Water Quality Monitoring in the Sacramento-San Joaquin Delta to support Ecosystem Science

    Science.gov (United States)

    Downing, B. D.; Bergamaschi, B. A.; Pellerin, B. A.; Saraceno, J.; Sauer, M.; Kraus, T. E.; Burau, J. R.; Fujii, R.

    2013-12-01

    Characterizing habitat quality and nutrient availability to food webs is an essential step for understanding and predicting the success of pelagic organisms in the Sacramento-San Joaquin Delta (Delta). The difficulty is that water quality and nutrient supply changes continuously as tidal and wind-driven currents move new water parcels to and from comparatively static geomorphic settings. Understanding interactions between nutrient cycling, suspended sediment, and plankton dynamics with flow and tidal range relative to position in the estuary is critical to predicting and managing bottom up effects on aquatic habitat in the Delta. Historically, quantifying concentrations and loads in the Delta has relied on water quality data collected at monthly intervals. Current in situ optical sensors for nutrients, dissolved organic matter (DOM) and algal pigments (chlorophyll-A, phycocyanin) allow for real-time, high-frequency measurements on time scales of seconds, and extending up to years. Such data is essential for characterizing changes in water quality over short and long term temporal scales as well as over broader spatial scales. High frequency water quality data have been collected at key stations in the Delta since 2012. Sensors that continuously measure nitrate, DOM, algal pigments and turbidity have been co-located at pre-existing Delta flow monitoring stations. Data from the stations are telemetered to USGS data servers and are designed to run autonomously with a monthly service interval, where sensors are cleaned and checked against calibration standards. The autonomous system is verified against discrete samples taken monthly and intensively over periodic ebb to flood tidal cycles. Here we present examples of how coupled optical and acoustic data from the sensor network to improve our understanding of nutrient and DOM dynamics and fluxes. The data offer robust quantitative estimates of concentrations and constituent fluxes needed to investigate biogeochemical

  10. Continued Development of Compact Multi-gas Monitor for Life Support Systems Control in Space

    Science.gov (United States)

    Delgado-Alonso, Jesús; Phillips, Straun; Chullen, Cinda; Quinn, Gregory

    2016-01-01

    Miniature optic gas sensors (MOGS) based on luminescent materials have shown great potential as alternatives to Near-Infrared-based gas sensor systems for the advanced space suit portable life support system (PLSS). The unique capability of MOGS for carbon dioxide and oxygen monitoring under wet conditions has been reported, as has the fast recovery of MOGS humidity sensors after long periods of being wet. Lower volume and power requirements are also potential advantages of MOGS over both traditional and advanced Non-Dispersive Infrared (NDIR) gas sensors, which have shown so far longer life than luminescent sensors. This paper presents the most recent results in the development and analytical validation of a compact multi-gas sensor unit based on luminescent sensors for the PLSS. Results of extensive testing are presented, including studies conducted at Intelligent Optical Systems laboratories, a United Technology Corporation Aerospace Systems (UTAS) laboratory, and a Johnson Space Center laboratory. The potential of this sensor technology for gas monitoring in PLSSs and other life support systems and the advantages and limitations found through detailed sensor validation are discussed.

  11. Alternative technique for implantation of biventricular support with HeartWare implantable continuous flow pump.

    Science.gov (United States)

    Krabatsch, Thomas; Stepanenko, Alexander; Schweiger, Martin; Kukucka, Marian; Ewert, Peter; Hetzer, Roland; Potapov, Evgenij

    2011-01-01

    In this case report, we describe a modification of the biventricular implantation of the HeartWare HVAD. A 28-year-old man with dilative cardiomyopathy presented with biventricular decompensation. The patient underwent implantation of two HeartWare HVADs for biventricular support. Because of low flow of the right pump (2 L/min), a right ventricular angiogram and repeated transesophageal echocardiography (TEE) were done and showed that the pump was compressing the right ventricle. Operative revision was performed, resulting in removal of the right pump and placement into the right atrium, so that it was located in the right pleural cavity. The HVAD fixation ring on the free wall of the right ventricle was left in place, and the opening was closed with an individually designed titanium plug. The findings of this case are that implantation of the HeartWare HVAD for right ventricular (RV) support may be safely performed in atrial position, with individually designed plugs allowing safe and quick removal of the HeartWare pump. This might be used as a "bail-out" strategy when necessary.

  12. Type D personality, illness perception, social support and quality of life in continuous ambulatory peritoneal dialysis patients.

    Science.gov (United States)

    Li, Jianying; Wu, Xiaofeng; Lin, Jianxiong; Zou, Dongmei; Yang, Xiao; Cheng, Shouzhen; Guo, Qunying

    2017-02-01

    The previous studies reported Type D was associated with poor quality of life (QoL), increased psychological distress, and impaired health status in cardiac patients. The aim of this study is to assess the relationships among Type D personality, illness perception, social support, and investigate the impact of Type D personality on QoL in continuous ambulatory peritoneal dialysis (CAPD) patients. Type D personality was assessed by the Chinese 14-item Type D Personality Scale (DS14). Illness perceptions were assessed using the Chinese version of the Brief Illness Perception Questionnaire (B-IPQ). Social support status was assessed by the well-validated social support rating scale (SSRS). Patients' QoL was assessed by using Medical Outcomes Short Form 36 (SF-36), respectively. The Type Ds had significantly lower objective support score (8.18 ± 2.56 vs. 9.67 ± 3.28, p = 0.0001), subjective support score (6.71 ± 2.0 vs. 7.62 ± 1.93, p = 0.0001) and utilization of social support score (6.76 ± 2.0 vs. 7.61 ± 1.94, p = 0.0001) than that of the non-type Ds. Type Ds believed their illness had much more serious consequences (7.67 ± 2.64 vs. 6.27 ± 3.45, p social support (r = -0.24, p perceptions, social support and QoL in CAPD patients. The worse illness perceptions and lower social support level therefore represent possible mechanisms to explain the link between Type D and poor QoL in CAPD patients.

  13. Disrupting intergenerational continuity in harsh parenting: Self-control and a supportive partner.

    Science.gov (United States)

    Schofield, Thomas J; Conger, Rand D; Conger, Kathi J

    2016-12-22

    Harsh, abusive, and rejecting behavior by parents toward their children is associated with increased risk for many developmental problems for youth. Children raised by harsh parents are also more likely to treat their own children harshly. The present study addresses conditions that would break this intergenerational cycle of harsh parenting. Data come from a three-generation study of a cohort of 290 adolescents (Generation 2 [G2], 52% female) grown to adulthood and their parents (Generation 1 [G1]). During adolescence, observers rated G1 harsh parenting to G2. Several years later observers rated G2 harsh parenting toward their oldest child (Generation 3 [G3]). Several adaptive systems fundamental to human resilience attenuate intergenerational continuity in harshness. G2 parents were relatively less harsh to G3 children (notwithstanding a history of harshness from G1) when G2's romantic partner (a) communicated positively with G2 and (b) had a good relationship with G3, and (c) when G2 was high on self-control. Interventions that target all of these protective factors may not only break but also reverse the intergenerational cycle of child maltreatment.

  14. Strategies to support engagement and continuity of activity during mealtimes for families living with dementia; a qualitative study.

    Science.gov (United States)

    Keller, Heather H; Martin, Lori Schindel; Dupuis, Sherry; Reimer, Holly; Genoe, Rebecca

    2015-10-09

    Mealtimes are an essential part of living and quality of life for everyone, including persons living with dementia. A longitudinal qualitative study provided understanding of the meaning of mealtimes for persons with dementia and their family care partners. Strategies were specifically described by families to support meaningful mealtimes. The purpose of this manuscript is to describe the strategies devised and used by these families living with dementia. A longitudinal qualitative study was undertaken to explore the meaning and experience of mealtimes for families living with dementia over a three-year period. 27 families [older person with dementia and at least one family care partner] were originally recruited from the community of South-Western Ontario. Individual and dyad interviews were conducted each year. Digitally recorded transcripts were analyzed using grounded theory methodology. Strategies were identified and categorized. Strategies to support quality mealtimes were devised by families as they adapted to their evolving lives. General strategies such as living in the moment, as well as strategies specific to maintaining social engagement and continuity of mealtime activities were reported. In addition to nutritional benefit, family mealtimes provide important opportunities for persons with dementia and their family care partners to socially engage and continue meaningful roles. Strategies identified by participants provide a basis for further education and support to families living with dementia.

  15. Continuing medical and dental education on the global stage: the nexus of supporting international Christian healthcare workers and developing educators

    Directory of Open Access Journals (Sweden)

    Lyubov D Slashcheva

    2016-01-01

    Full Text Available One of the challenges facing international healthcare missionaries is that of maintaining up-to-date knowledge and staying current with professional certification. Since 1978, annual programs by the Christian Medical and Dental Associations have offered professional continuing education to thousands of US healthcare professionals serving as missionaries in the regions of Africa, Asia, and, in more recent years, globally. In addition, conference programming is designed to prepare, train, and support healthcare missionaries to, in turn, serve as educators in their places of ministry. The program is designed for both professional education and personal encouragement. Utilizing historical documents from program facilitation and interviews from those involved with its implementation, this paper describes the history, vision, and favorable quantitative growth and qualitative impact on participants. The program continues to grow as healthcare missionaries are educated near their places of service, while reinforcing their own roles as educators.

  16. ERMHAN: A Context-Aware Service Platform to Support Continuous Care Networks for Home-Based Assistance.

    Science.gov (United States)

    Paganelli, Federica; Spinicci, Emilio; Giuli, Dino

    2008-01-01

    Continuous care models for chronic diseases pose several technology-oriented challenges for home-based continuous care, where assistance services rely on a close collaboration among different stakeholders such as health operators, patient relatives, and social community members. Here we describe Emilia Romagna Mobile Health Assistance Network (ERMHAN) a multichannel context-aware service platform designed to support care networks in cooperating and sharing information with the goal of improving patient quality of life. In order to meet extensibility and flexibility requirements, this platform has been developed through ontology-based context-aware computing and a service oriented approach. We also provide some preliminary results of performance analysis and user survey activity.

  17. ERMHAN: A Context-Aware Service Platform to Support Continuous Care Networks for Home-Based Assistance

    Directory of Open Access Journals (Sweden)

    Federica Paganelli

    2008-01-01

    Full Text Available Continuous care models for chronic diseases pose several technology-oriented challenges for home-based continuous care, where assistance services rely on a close collaboration among different stakeholders such as health operators, patient relatives, and social community members. Here we describe Emilia Romagna Mobile Health Assistance Network (ERMHAN a multichannel context-aware service platform designed to support care networks in cooperating and sharing information with the goal of improving patient quality of life. In order to meet extensibility and flexibility requirements, this platform has been developed through ontology-based context-aware computing and a service oriented approach. We also provide some preliminary results of performance analysis and user survey activity.

  18. A polystyrene-supported 9-amino(9-deoxy)epi quinine derivative for continuous flow asymmetric Michael reactions.

    Science.gov (United States)

    Izquierdo, Javier; Ayats, Carles; Henseler, Andrea H; Pericàs, Miquel A

    2015-04-14

    A polystyrene (PS)-supported 9-amino(9-deoxy)epi quinine derivative catalyzes Michael reactions affording excellent levels of conversion and enantioselectivity using different nucleophiles and structurally diverse enones. The highly recyclable, immobilized catalyst has been used to implement a single-pass, continuous flow process (residence time: 40 min) that can be operated for 21 hours without significant decrease in conversion and with improved enantioselectivity with respect to batch operation. The flow process has also been used for the sequential preparation of a small library of enantioenriched Michael adducts.

  19. Continuous preparation of carbon-nanotube-supported platinum catalysts in a flow reactor directly heated by electric current

    Directory of Open Access Journals (Sweden)

    Alicja Schlange

    2011-10-01

    Full Text Available In this contribution we present for the first time a continuous process for the production of highly active Pt catalysts supported by carbon nanotubes by use of an electrically heated tubular reactor. The synthesized catalysts show a high degree of dispersion and narrow distributions of cluster sizes. In comparison to catalysts synthesized by the conventional oil-bath method a significantly higher electrocatalytic activity was reached, which can be attributed to the higher metal loading and smaller and more uniformly distributed Pt particles on the carbon support. Our approach introduces a simple, time-saving and cost-efficient method for fuel cell catalyst preparation in a flow reactor which could be used at a large scale.

  20. Commercial support of continuing medical education in the United States: the politics of doubt, the value of studies.

    Science.gov (United States)

    Mazmanian, Paul E

    2009-01-01

    The continuing medical education (CME) system of the United States is being questioned for its integrity. Leaders in medicine and in government are asking about the effectiveness of CME, the influence of commercial support, and the value of CME credit and accreditation in assuring CME courses offer valid content, free of commercial bias. Nationally accredited CME organizations received $1.2B in commercial support during 2007, much of it associated with CME in formats shown to be less effective for improving clinical behavior and patient outcomes. There are few reliable data to respond to careful criticism. In 2007, U.S. expenditures for health exceed $2.2 trillion, with physicians responsible for clinical decisions that account for a large part of the spending. Approximately $4013 was spent per physician on CME. Rigorous studies are required to describe and explain relationships of CME accreditation and credit to better education and improved patient outcomes.

  1. The Continuously Operating Caribbean Observational Network (COCONet): Supporting Regional Development of Geoscience Research Across the Circum-Caribbean

    Science.gov (United States)

    Braun, J.; Miller, M. M.; Mattioli, G. S.; Wang, G.; Feaux, K.; Rowan, L.; La Femina, P. C.

    2014-12-01

    The Continuously Operating Caribbean Observational Network (COCONet) is a National Science Foundation (NSF) funded infrastructure project that stretches across the circum-Caribbean to include Central America and the northern portions of South America. Its objective is to develop a large-scale network of geodetic and atmospheric infrastructure to support a broad range of geoscience and atmospheric investigations and enable research on process-oriented science with direct relevance to geo-hazards. The network includes over 60 new and refurbished continuously operating Global Positioning System (GPS) and surface meterology stations. It will also include data from at least 60 existing stations that are being operated by one of our more than 40 regional partners. As COCONet approaches the completion of its build-out phase, it is appropriate to evaluate the activities associated with the project that facilitate capacity building. These activities include three workshops to solicit feedback from regional partners regarding science objectives, station location, and long-term network operation. COCONet graduate research fellowships have been used to support nine students, with seven from countries within the COCONet footprint. The establishment of three regional data and archive centers to foster access to data and promote free and open data standards. Lastly, two Pan American Advanced Studies Institute (PASI) workshops on topics that are central to the main goals of COCONet were also organized to engage early career scientists who are interested in working on topics that are directly relevant to the region. Perhaps the most significant effort on expanding capacity in the region is the recent deployment of a station in Camaguey, Cuba with full support from both the U.S. and Cuban governments. This presentation summarizes the activities of the COCONet project to enhance and support both the human resource development and technical capabilities within the region.

  2. Cost-justifying usability an update for the internet age

    CERN Document Server

    Bias, Randolph G; Bias, Randolph G

    2005-01-01

    You just know that an improvement of the user interface will reap rewards, but how do you justify the expense and the labor and the time-guarantee a robust ROI!-ahead of time? How do you decide how much of an investment should be funded? And what is the best way to sell usability to others? In this completely revised and new edition, Randolph G. Bias (University of Texas at Austin, with 25 years' experience as a usability practitioner and manager) and Deborah J. Mayhew (internationally recognized usability consultant and author of two other seminal books including The Usability Enginee

  3. Is the use of sentient animals in basic research justifiable?

    OpenAIRE

    Greek Ray; Greek Jean

    2010-01-01

    Abstract Animals can be used in many ways in science and scientific research. Given that society values sentient animals and that basic research is not goal oriented, the question is raised: "Is the use of sentient animals in basic research justifiable?" We explore this in the context of funding issues, outcomes from basic research, and the position of society as a whole on using sentient animals in research that is not goal oriented. We conclude that the use of sentient animals in basic rese...

  4. Unlocking the potential of supported liquid phase catalysts with supercritical fluids: low temperature continuous flow catalysis with integrated product separation.

    Science.gov (United States)

    Franciò, Giancarlo; Hintermair, Ulrich; Leitner, Walter

    2015-12-28

    Solution-phase catalysis using molecular transition metal complexes is an extremely powerful tool for chemical synthesis and a key technology for sustainable manufacturing. However, as the reaction complexity and thermal sensitivity of the catalytic system increase, engineering challenges associated with product separation and catalyst recovery can override the value of the product. This persistent downstream issue often renders industrial exploitation of homogeneous catalysis uneconomical despite impressive batch performance of the catalyst. In this regard, continuous-flow systems that allow steady-state homogeneous turnover in a stationary liquid phase while at the same time effecting integrated product separation at mild process temperatures represent a particularly attractive scenario. While continuous-flow processing is a standard procedure for large volume manufacturing, capitalizing on its potential in the realm of the molecular complexity of organic synthesis is still an emerging area that requires innovative solutions. Here we highlight some recent developments which have succeeded in realizing such systems by the combination of near- and supercritical fluids with homogeneous catalysts in supported liquid phases. The cases discussed exemplify how all three levels of continuous-flow homogeneous catalysis (catalyst system, separation strategy, process scheme) must be matched to locate viable process conditions.

  5. Continuous Decision Support

    Science.gov (United States)

    2015-12-24

    overcoming the sense of “researcher animosity ” associated with the perception that the project is being “graded.” It is indicative however of again...difference between two alternatives whose Vmin scores exceed α if one consumes a substantial portion of available resources while the other’s resource...likely to select an alternative which scores well but consumes a large portion of the available resources, preferring instead those that offer a greater

  6. Justify a Dedicated Radiology Coder-Reimbursement Specialist.

    Science.gov (United States)

    Mulaikis, Melody W

    2015-01-01

    There are many opportunities to justify a dedicated staff member. We have to be able to answer the question "How does this position make money?" The bottom line is that it's crucial the facility does not forfeit appropriate reimbursement for its existing procedures. For new procedures, or equipment, this individual can also ensure cost-benefit analysis/ROI is correct for equipment and/or supply purchases. The specific opportunities vary by facility so you must determine where your potential opportunities lie. There is not one answer, but this article provides you with specific areas to evaluate. Keep in mind if you are evaluating opportunities related to specific procedures you need to utilize outpatient numbers and assume Medicare reimbursement rates so that you calculate a conservative estimate. There is nioney to be found in most hospital organizations, so take the time to identify the potential benefit for your own. You can quantify the impact of a dedicated individual based on your specific case mix, which is very useful when justifying a new position. Also, it's very important to remember, you get what you pay for-fill the new position wisely. Saving a small amount in salary may result in a large sacrifice in potential revenues.

  7. Stem cells from residual IVF-embryos - Continuation of life justifies isolation.

    NARCIS (Netherlands)

    Bongaerts, G.P.A.; Severijnen, R.S.V.M.

    2007-01-01

    Embryonic stem cells are undifferentiated pluripotent cells that can indefinitely grow in vitro. They are derived from the inner mass of early embryos. Because of their ability to differentiate into all three embryonic germ layers, and finally into specialized somatic cell types, human embryonic ste

  8. Can Breast Self-Examination Continue to Be Touted Justifiably as an Optional Practice?

    Directory of Open Access Journals (Sweden)

    T. T. Fancher

    2011-01-01

    Full Text Available In 2003, the revised American Cancer Society guidelines recommended that breast self-examination (BSE be optional. Of 822 women diagnosed with breast cancer in our hospital from 1994 to 2004, sixty four (7.7% were 40 years of age or younger. Forty four (68.7% of these young women discovered their breast cancers on BSE, 17 (18% by mammography, and 3 (4.7% by clinical breast examination by medical professionals. Of 758 women over 40 years of age diagnosed with breast cancer, 382 (49% discovered their cancer by mammography, 278 (39% by BSE, and 98 (14% by a clinical breast examination. Lymph node metastases in the older women was one-half that in the younger women (21% versus 42%, and a higher percentage of younger women presented with more advanced disease. In response to increasing breast cancer in young women under 41 years of age, encouragement of proper breast self-examination is warranted and should be advocated.

  9. Stem cells from residual IVF-embryos - Continuation of life justifies isolation.

    NARCIS (Netherlands)

    Bongaerts, G.P.A.; Severijnen, R.S.V.M.

    2007-01-01

    Embryonic stem cells are undifferentiated pluripotent cells that can indefinitely grow in vitro. They are derived from the inner mass of early embryos. Because of their ability to differentiate into all three embryonic germ layers, and finally into specialized somatic cell types, human embryonic

  10. Can Defense Spending Be Justified during a Period of Continual Peace?

    Science.gov (United States)

    1991-06-07

    Vilfredo Pareto , that economic welfare is increased if one person is made better off and no one is made worse off. Similarly, welfare is decreased when one...being made worse off. This is called the Pareto optimum. The rule does not prescribe how an increase in welfare is distributed. An increase in...welfare occurs so long as one person (does not matter who) is made better off, and everyone else is at lease not worse off. Nonetheless, Pareto optimality

  11. XM25 Schedule Delays, Cost Increases, and Performance Problems Continue, and Procurement Quantity Not Justified (REDACTED)

    Science.gov (United States)

    2016-08-29

    I N T E G R I T Y  E F F I C I E N C Y  A C C O U N TA B I L I T Y  E XC E L L E N C E Inspector General U.S. Department of Defense Report ...within 30 days of the issuance of this report . We recommend that the Commanding General , U.S. Army Maneuver Center of Excellence, perform and...DEPARTMENT OF DEFENSE 4800 MARK CENTER DRIVE ALEXANDRIA, VIRGINIA 22350-1500 August 29, 2016 MEMORANDUM FOR THE AUDITOR GENERAL , DEPARTMENT OF THE ARMY

  12. Remission of chronic anthracycline-induced heart failure with support from a continuous-flow left ventricular assist device.

    Science.gov (United States)

    Khan, Nadeem; Husain, Syed Arman; Husain, Syed Iman; Khalaf, Natalia; George, Joggy; Raissi, Farshad; Segura, Ana Maria; Kar, Biswajit; Bogaev, Roberta C; Frazier, O H

    2012-01-01

    We report the case of a patient who had chronic anthracycline-induced cardiomyopathy that was reversed after treatment with a left ventricular assist device. A 29-year-old woman had undergone anthracycline-based chemotherapy as a teenager in 1991 and 1992 and received a diagnosis of dilated cardiomyopathy 10 years later. Optimal medical therapy had initially controlled the symptoms of heart failure. However, in June 2006, the symptoms worsened to New York Heart Association functional class IV status. We implanted a continuous-flow left ventricular assist device as a bridge to cardiac transplantation; of note, a left ventricular core biopsy at that time showed no replacement fibrosis. The patient's clinical status improved thereafter, enabling left ventricular assist device ex-plantation after 17 months. To our knowledge, this is the first report of the use of left ventricular assist device support to reverse chronic anthracycline-induced heart failure.

  13. Supporting business continuity during a highly pathogenic avian influenza outbreak: a collaboration of industry, academia, and government.

    Science.gov (United States)

    Hennessey, Morgan; Lee, Brendan; Goldsmith, Timothy; Halvorson, Dave; Hueston, William; McElroy, Kristina; Waters, Katherine

    2010-03-01

    Since 2006, a collaborative group of egg industry, state, federal, and academia representatives have worked to enhance preparedness in highly pathogenic avian influenza (HPAI) planning. The collaborative group has created a draft egg product movement protocol, which calls for realistic, science-based contingency plans, biosecurity assessments, commodity risk assessments, and real-time reverse transcriptase-PCR testing to support the continuity of egg operations while also preventing and eradicating an HPAI outbreak. The work done by this group serves as an example of how industry, government, and academia can work together to achieve better preparedness in the event of an animal health emergency. In addition, in the event of an HPAI outbreak in domestic poultry, U.S. consumers will be assured that their egg products come from healthy chickens.

  14. A Java-based enterprise system architecture for implementing a continuously supported and entirely Web-based exercise solution.

    Science.gov (United States)

    Wang, Zhihui; Kiryu, Tohru

    2006-04-01

    Since machine-based exercise still uses local facilities, it is affected by time and place. We designed a web-based system architecture based on the Java 2 Enterprise Edition that can accomplish continuously supported machine-based exercise. In this system, exercise programs and machines are loosely coupled and dynamically integrated on the site of exercise via the Internet. We then extended the conventional health promotion model, which contains three types of players (users, exercise trainers, and manufacturers), by adding a new player: exercise program creators. Moreover, we developed a self-describing strategy to accommodate a variety of exercise programs and provide ease of use to users on the web. We illustrate our novel design with examples taken from our feasibility study on a web-based cycle ergometer exercise system. A biosignal-based workload control approach was introduced to ensure that users performed appropriate exercise alone.

  15. Reply: New results justify open discussion of alternative models

    Science.gov (United States)

    Newman, Andrew; Stein, Seth; Weber, John; Engeln, Joseph; Mao, Aitlin; Dixon, Timothy

    A millennium ago, Jewish sages wrote that “the rivalry of scholars increases wisdom.” In contrast, Schweig et al. (Eos, this issue) demand that “great caution” be exercised in discussing alternatives to their model of high seismic hazard in the New Madrid seismic zone (NMSZ). We find this view surprising; we have no objection to their and their coworkers' extensive efforts promoting their model in a wide variety of public media, but see no reason not to explore a lower-hazard alternative based on both new data and reanalysis of data previously used to justify their model. In our view, the very purpose of collecting new data and reassessing existing data is to promote spirited testing and improvement of existing hypotheses. For New Madrid, such open reexamination seems scientifically appropriate, given the challenge of understanding intraplate earthquakes, and socially desirable because of the public policy implications.

  16. Marketing of human organs and tissues is justified and necessary.

    Science.gov (United States)

    Kevorkian, J

    1989-01-01

    The bioethical guidelines now banning commerce in human body parts to be used for transplantation manifest unrealistic and arbitrary inflexibility which perpetuates and worsens the deficit in organ supply. Instead of relying on traditionally revered but now outmoded and even irrelevant bioethical maxims, formulators of the guidelines should have concentrated on a more meaningful situational adaptation to contemporary real-life circumstances. Many unexpectedly relevant and important nuances of concepts such as property, ownership, and altruism must now be taken into account. Hypothetical examples explore the morality of a universal ban by fiat and the associated problems of organ supply and demand, of cost and affordability, and of fair equity. It is difficult to justify purely altruistic organ donation today, when the health care professions and industries are frantically pursuing commercial profits. It is concluded that the ban should be scrapped in favor of a well-organized, open, and legally regulated commercial market for human organs and tissues.

  17. Short and long term outcomes of 200 patients supported by continuous-flow left ventricular assist devices

    Institute of Scientific and Technical Information of China (English)

    Athanasios; Tsiouris; Gaetano; Paone; Hassan; W; Nemeh; Jamil; Borgi; Celeste; T; Williams; David; E; Lanfear; Jeffrey; A; Morgan

    2015-01-01

    AIM: To study the institutional experience over 8 years with 200 continuous-flow(CF)- left ventricular assist devices(LVAD).METHODS: We evaluated our institution’s LVAD database and analyzed all patients who received a CF LVAD as a bridge to transplant(BTT) or destination therapy from March 2006 until June 2014. We identified 200 patients, of which 179 were implanted with a Heart Mate II device(Thoratec Corp., Pleasanton, CA) and 21 received a Heartware HVAD(Heart Ware Inc., Framingham, MA).RESULTS: The mean age of our LVAD recipients was 59.3 years(range 17-81), 76%(152/200) were males, and 49% were implanted for the indication of BTT. The survival rate for our LVAD patients at 30 d, 6 mo, 12 mo, 2 years, 3 years, and 4 years was 94%, 86%, 78%, 71%, 62% and 45% respectively. The mean duration of LVAD support was 581 d(range 2-2595 d). Gastrointestinal bleeding(was the most common adverse event(43/200, 21%), followed by right ventricular failure(38/200, 19%), stroke(31/200, 15%), re exploration for bleeding(31/200, 15%),ventilator dependent respiratory failure(19/200, 9%) and pneumonia(15/200, 7%). Our driveline infection rate was 7%. Pump thrombosis occurred in 6% of patients. Device exchanged was needed in 6% of patients. On multivariate analysis, preoperative liver dysfunction, ventilator dependent respiratory failure, tracheostomy and right ventricular failure requiring right ventricular assist device support were significant predictors of post LVAD survival.CONCLUSION: Short and long term survival for patients on LVAD support are excellent, although outcomes still remain inferior compared to heart transplantation. The incidence of driveline infections, pump thrombosis and pump exchange have declined significantly in recent years.

  18. Adsorptive removal of arsenate from aqueous solutions by biochar supported zero-valent iron nanocomposite: Batch and continuous flow tests

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Shengsen [Department of Agricultural and Biological Engineering, University of Florida, Gainesville, FL 32611 (United States); Gao, Bin, E-mail: bg55@ufl.edu [Department of Agricultural and Biological Engineering, University of Florida, Gainesville, FL 32611 (United States); Li, Yuncong [Tropical Research and Education Center, University of Florida, Homestead, FL 33031 (United States); Creamer, Anne Elise [Department of Agricultural and Biological Engineering, University of Florida, Gainesville, FL 32611 (United States); He, Feng [College of Biological and Environmental Engineering, Zhejiang University of Technology, Hangzhou, Zhejiang 310014 (China)

    2017-01-15

    Highlights: • Biochar supported nZVI (nZVI/BC) was synthesized. • nZVI/BC showed excellent As(V) removal efficiency in batch and CMR experiments. • 100% removal efficiency was achieved in CMRs. • Surface adsorption was the dominant removal mechanism. - Abstract: Arsenate (As(V)) removal ability by nanoscale zero-valent iron (nZVI) is compromised by aggregation of nZVI particles. In this work, pine derived biochar (PB) was used as a supporting material to stabilize nZVI for As(V) removal. The biochar supported nZVI (nZVI/BC) was synthesized by precipitating the nanoparticles on carbon surfaces. Experiments using batch and continuous flow, completely mixed reactors (CMRs) were carried out to investigate the removal of As(V) by the nZVI/BC from aqueous solutions. Batch experiments showed that nZVI/BC had high As(V) removal capacity in a wide range of pH (3–8). Kinetic data revealed that equilibrium was reached within 1 h and the isotherm data showed that the Langmuir maximum adsorption capacity of the nZVI/BC for As(V) at pH 4.1 was 124.5 g kg{sup −1}. As(V) (100 mg L{sup −1}) adsorption in anoxic condition was about 8% more than in oxic conditions, where As(V) reduction was observed in anoxic condition. The performance of the nZVI/BC in flowing condition was evaluated in CMRs at influent As(V) concentrations of 2.1 and 5.5 mg L{sup −1} and the adsorbent removed 100% and 90% of the As(V), respectively. Furthermore, the nZVI/BC composite is magnetic which facilitates collection from aqueous solutions.

  19. Can a right to health care be justified by linkage arguments?

    Science.gov (United States)

    Nickel, James W

    2016-08-01

    Linkage arguments, which defend a controversial right by showing that it is indispensable or highly useful to an uncontroversial right, are sometimes used to defend the right to health care (RHC). This article evaluates such arguments when used to defend RHC. Three common errors in using linkage arguments are (1) neglecting levels of implementation, (2) expanding the scope of the supported right beyond its uncontroversial domain, and (3) giving too much credit to the supporting right for outcomes in its area. A familiar linkage argument for RHC focuses on its contributions to the right to life. Among the problems with this argument are that it requires a positive conception of the right to life that is not uncontroversial and that it only justifies the subset of RHC that seeks to prevent loss of life. A linkage argument for RHC with better prospects claims that a well-realized right to health care enhances the realization of a number of uncontroversial rights.

  20. Killing in Combat: Utilizing a Christian Perspective, When is a Soldier Justified in Taking a Life?

    Science.gov (United States)

    2014-06-13

    classical teaching. Necessarily, intent versus action will be investigated and the concept of utilitarian ethics and the doctrine of double effect...19. Legally Justified Killing – Christian .............................................................79 Figure 20. Ethically Justified Killing...111 x Figure 48. Ethically Justified Hesitation on Killing – Non-Christian ..........................112 Figure 49. Hesitation

  1. Propene and l-octene hydroformylation with silica-supported, ionic liquid-phase (SILP) Rh-phosphine catalysts in continuous fixed-bed mode

    DEFF Research Database (Denmark)

    Riisager, Anders; Eriksen, Kim Michael; Wasserscheid, Peter

    2003-01-01

    Supported ionic liquid-phase (SILP) catalysts were made by immobilizing Rh-monophosphine complexes of bis(m-phenylguanidinium) phenylphosphine 1 and NORBOS 2 ligands in 1-n-butyl-3-methylimidazolium hexafluorophosphate, [BMIM] [PF6], on a silica support. The catalysts were active in continuous ga...

  2. Can foster care ever be justified for weight management?

    Science.gov (United States)

    Williams, G M G; Bredow, Maria; Barton, John; Pryce, Rebekah; Shield, J P H

    2014-03-01

    Article nine of the UN Convention of the Rights of the Child states that 'Children must not be separated from their parents unless it is in the best interests of the child.' We describe the impact that placing a child into care can have on long-standing and intractable obesity when this is a component of a child safeguarding strategy. Significant weight loss was documented in a male adolescent following his placement into foster care due to emotional harm and neglect within his birth family. The child's body mass index (BMI) dropped from a peak of 45.6 to 35 over 18 months. We provide brief details of two further similar cases and outcomes. Childhood obesity is often not the sole concern during safeguarding proceedings. Removal from an 'obesogenic' home environment should be considered if failure by the parents/carers to address the obesity is a major cause for concern. It is essential that all other avenues have been explored before removing a child from his birth family. However, in certain circumstances we feel it may be justified.

  3. Continuing professional development: researching non-technical competencies can support cognitive reappraisal and reduced stress in clinicians.

    Science.gov (United States)

    Kinnison, Tierney; May, Stephen

    2017-09-09

    Generic professional capabilities (non-technical competencies) are increasingly valued for their links to patient outcomes and clinician well-being. This study explores the emotional change, and practice-related outcomes, of participants of a veterinary professional key skills (PKS) continuing professional development (CPD) module. Reflective summaries produced by participants were analysed. A change in emotion, from 'negative' to 'positive', was the focus of analysis. Sections regarding these emotions were thematically analysed. Analysis was performed on 46 summaries. Three themes were identified: 'the PKS module' (centred on reluctance becoming surprise and stimulation), 'developing non-technical competencies' (unease to confidence) and 'stress and coping through a reflective focus' (anxiety to harmony). The changing emotions were connected to positive cognitive reappraisal and often behaviour changes, benefitting self, practice, clients and patients. The PKS module teaches participants to reflect; a new and challenging concept. The consequences of this enabled participants to understand the importance of professional topics, to be appreciative as well as critical, and to enjoy their job. Importantly, the module stimulated coping responses. Better understanding of roles led to participants having more reasonable expectations of themselves, more appreciation of their work and reduced stress. This research supports more attention to professional skills CPD for health professions. © British Veterinary Association (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  4. Sample size in orthodontic randomized controlled trials: are numbers justified?

    Science.gov (United States)

    Koletsi, Despina; Pandis, Nikolaos; Fleming, Padhraig S

    2014-02-01

    Sample size calculations are advocated by the Consolidated Standards of Reporting Trials (CONSORT) group to justify sample sizes in randomized controlled trials (RCTs). This study aimed to analyse the reporting of sample size calculations in trials published as RCTs in orthodontic speciality journals. The performance of sample size calculations was assessed and calculations verified where possible. Related aspects, including number of authors; parallel, split-mouth, or other design; single- or multi-centre study; region of publication; type of data analysis (intention-to-treat or per-protocol basis); and number of participants recruited and lost to follow-up, were considered. Of 139 RCTs identified, complete sample size calculations were reported in 41 studies (29.5 per cent). Parallel designs were typically adopted (n = 113; 81 per cent), with 80 per cent (n = 111) involving two arms and 16 per cent having three arms. Data analysis was conducted on an intention-to-treat (ITT) basis in a small minority of studies (n = 18; 13 per cent). According to the calculations presented, overall, a median of 46 participants were required to demonstrate sufficient power to highlight meaningful differences (typically at a power of 80 per cent). The median number of participants recruited was 60, with a median of 4 participants being lost to follow-up. Our finding indicates good agreement between projected numbers required and those verified (median discrepancy: 5.3 per cent), although only a minority of trials (29.5 per cent) could be examined. Although sample size calculations are often reported in trials published as RCTs in orthodontic speciality journals, presentation is suboptimal and in need of significant improvement.

  5. Time-varying Reeb Graphs: A Topological Framework Supporting the Analysis of Continuous Time-varying Data

    Energy Technology Data Exchange (ETDEWEB)

    Mascarenhas, Ajith Arthur [Univ. of North Carolina, Chapel Hill, NC (United States)

    2006-01-01

    I present time-varying Reeb graphs as a topological framework to support the analysis of continuous time-varying data. Such data is captured in many studies, including computational fluid dynamics, oceanography, medical imaging, and climate modeling, by measuring physical processes over time, or by modeling and simulating them on a computer. Analysis tools are applied to these data sets by scientists and engineers who seek to understand the underlying physical processes. A popular tool for analyzing scientific datasets is level sets, which are the points in space with a fixed data value s. Displaying level sets allows the user to study their geometry, their topological features such as connected components, handles, and voids, and to study the evolution of these features for varying s. For static data, the Reeb graph encodes the evolution of topological features and compactly represents topological information of all level sets. The Reeb graph essentially contracts each level set component to a point. It can be computed efficiently, and it has several uses: as a succinct summary of the data, as an interface to select meaningful level sets, as a data structure to accelerate level set extraction, and as a guide to remove noise. I extend these uses of Reeb graphs to time-varying data. I characterize the changes to Reeb graphs over time, and develop an algorithm that can maintain a Reeb graph data structure by tracking these changes over time. I store this sequence of Reeb graphs compactly, and call it a time-varying Reeb graph. I augment the time-varying Reeb graph with information that records the topology of level sets of all level values at all times, that maintains the correspondence of level set components over time, and that accelerates the extraction of level sets for a chosen level value and time. Scientific data sampled in space-time must be extended everywhere in this domain using an interpolant. A poor choice of interpolant can create degeneracies that are

  6. A quasi-positive family of continuous Darcy-flux finite-volume schemes with full pressure support

    Science.gov (United States)

    Edwards, Michael G.; Zheng, Hongwen

    2008-11-01

    A new family of flux-continuous, locally conservative, finite-volume schemes is presented for solving the general tensor pressure equation of subsurface flow in porous media. The new schemes have full pressure continuity imposed across control-volume faces. Previous families of flux-continuous schemes are point-wise continuous in pressure and flux. When applying the earlier point-wise flux-continuous schemes to strongly anisotropic full-tensor fields their failure to satisfy a maximum principle (as with other FEM and finite-volume methods) can result in loss of local stability for high anisotropy ratios which can cause strong spurious oscillations in the numerical pressure solution. An M-matrix analysis reveals the upper limits for guaranteeing a maximum principle for general 9-point schemes and aids in the design of schemes that minimize the occurrence of spurious oscillations in the discrete pressure field. The full pressure continuity schemes are shown to possess a larger range of flux-continuous schemes, than the previous point-wise counter parts. For strongly anisotropic full-tensor cases it is shown that the full quadrature range possessed by the new schemes permits these schemes to exploit quadrature points (previously out of range) that are shown to minimize spurious oscillations in discrete pressure solutions. The new formulation leads to a more robust quasi-positive family of flux-continuous schemes applicable to general discontinuous full-tensor fields.

  7. Hamilton--Jacobi theory for continuation of magnetic field across a toroidal surface supporting a plasma pressure discontinuity

    CERN Document Server

    McGann, M; Dewar, R L; von Nessi, G

    2010-01-01

    The vanishing of the divergence of the total stress tensor (magnetic plus kinetic) in a neighborhood of an equilibrium plasma containing a toroidal surface of discontinuity gives boundary and jump conditions that strongly constrain allowable continuations of the magnetic field across the surface. The boundary conditions allow the magnetic fields on either side of the discontinuity surface to be described by surface magnetic potentials, reducing the continuation problem to that of solving a Hamilton--Jacobi equation. The characteristics of this equation obey Hamiltonian equations of motion, and a necessary condition for the existence of a continued field across a general toroidal surface is that there exist invariant tori in the phase space of this Hamiltonian system. It is argued from the Birkhoff theorem that existence of such an invariant torus is also, in general, sufficient for continuation to be possible. An important corollary is that the rotational transform of the continued field on a surface of disco...

  8. Justifying the Ivory Tower: Higher Education and State Economic Growth

    Science.gov (United States)

    Baldwin, J. Norman; McCracken, William A., III

    2013-01-01

    As the U.S. continues to embrace a comprehensive plan for economic recovery, this article investigates the validity of the claim that investing in higher education will help restore state economic growth and prosperity. It presents the findings from a study that indicates that the most consistent predictors of state economic growth related to…

  9. Justifying the Ivory Tower: Higher Education and State Economic Growth

    Science.gov (United States)

    Baldwin, J. Norman; McCracken, William A., III

    2013-01-01

    As the U.S. continues to embrace a comprehensive plan for economic recovery, this article investigates the validity of the claim that investing in higher education will help restore state economic growth and prosperity. It presents the findings from a study that indicates that the most consistent predictors of state economic growth related to…

  10. Incidence of ventricular arrhythmias in patients on long-term support with a continuous-flow assist device (HeartMate II)

    DEFF Research Database (Denmark)

    Andersen, Mads; Videbaek, Regitze; Boesgaard, Søren;

    2009-01-01

    The incidence of ventricular tachycardia (VT) or ventricular fibrillation (VF) in patients supported with a continuous-flow left ventricular assist device (LVAD) has not been investigated in detail. In 23 consecutive recipients of a HeartMate II, we analyzed the incidence of VT/VF during a total...

  11. Continuous traffic flow modeling of driver support systems in multiclass traffic with inter-vehicle communication and drivers in the loop

    NARCIS (Netherlands)

    Tampere, C.M.J.; Hoogendoorn, S.P.; Arem, B. van

    2009-01-01

    This paper presents a continuous traffic-flow model for the explorative analysis of advanced driver-assistance systems (ADASs). Such systems use technology (sensors and intervehicle communication) to support the task of the driver, who retains full control over the vehicle. Based on a review of diff

  12. Offshore code comparison collaboration continuation (OC4), phase I - Results of coupled simulations of an offshore wind turbine with jacket support structure

    DEFF Research Database (Denmark)

    Popko, Wojciech; Vorpahl, Fabian; Zuga, Adam;

    2012-01-01

    In this paper, the exemplary results of the IEA Wind Task 30 "Offshore Code Comparison Collaboration Continuation" (OC4) Project - Phase I, focused on the coupled simulation of an offshore wind turbine (OWT) with a jacket support structure, are presented. The focus of this task has been...

  13. British media attacks on homeopathy: are they justified?

    Science.gov (United States)

    Vithoulkas, George

    2008-04-01

    Homeopathy is being attacked by the British media. These attacks draw support from irresponsible and unjustified claims by certain teachers of homeopathy. Such claims include the use of 'dream' and 'imaginative' methods for provings. For prescribing some such teachers attempt to replace the laborious process of matching symptom picture and remedy with spurious theories based on 'signatures', sensations and other methods. Other irresponsible claims have also been made. These "new ideas" risk destroying the principles, theory, and practice of homeopathy.

  14. An Approach to Continuous Approximation of Pareto Front Using Geometric Support Vector Regression for Multi-objective Optimization of Fermentation Process

    Institute of Scientific and Technical Information of China (English)

    Jiahuan Wu; Jianlin Wang; Tao Yu; Liqiang Zhao

    2014-01-01

    The approaches to discrete approximation of Pareto front using multi-objective evolutionary algorithms have the problems of heavy computation burden, long running time and missing Pareto optimal points. In order to overcome these problems, an approach to continuous approximation of Pareto front using geometric support vector regression is presented. The regression model of the small size approximate discrete Pareto front is constructed by geometric support vector regression modeling and is described as the approximate continuous Pareto front. In the process of geometric support vector regression modeling, considering the distribution characteristic of Pareto optimal points, the separable augmented training sample sets are constructed by shifting original training sample points along multiple coordinated axes. Besides, an interactive decision-making (DM) procedure, in which the continuous approximation of Pareto front and decision-making is performed interactive-ly, is designed for improving the accuracy of the preferred Pareto optimal point. The correctness of the continuous approximation of Pareto front is demonstrated with a typical multi-objective optimization problem. In addition, combined with the interactive decision-making procedure, the continuous approximation of Pareto front is applied in the multi-objective optimization for an industrial fed-batch yeast fermentation process. The experi-mental results show that the generated approximate continuous Pareto front has good accuracy and complete-ness. Compared with the multi-objective evolutionary algorithm with large size population, a more accurate preferred Pareto optimal point can be obtained from the approximate continuous Pareto front with less compu-tation and shorter running time. The operation strategy corresponding to the final preferred Pareto optimal point generated by the interactive DM procedure can improve the production indexes of the fermentation process effectively.

  15. Continuous Medication Monitoring (CoMM): A foundational model to support the clinical work of community pharmacists.

    Science.gov (United States)

    Goedken, Amber M; Butler, Christine M; McDonough, Randal P; Deninger, Michael J; Doucette, William R

    2017-01-02

    Under the Continuous Medication Monitoring (CoMM) approach, community pharmacists prevent, identify, resolve, and document drug therapy problems during the dispensing process. To describe the patients receiving CoMM interventions and the pattern of delivery of CoMM interventions. Pharmacy dispensing and clinical records were reviewed for patients filling at least one prescription and receiving at least one continuous medication monitoring intervention at a community pharmacy from April 2014 through March 2015. The proportion of patients receiving an intervention type and the number of interventions per patient were computed. Nearly 2500 patients received 16,986 continuous medication monitoring interventions over the year. The average age of the patients receiving the interventions was 59.1 years, and they filled an average of 8.0 unique medications. An average of 6.8 interventions was delivered to each patient. About half (49.7%) of interventions addressed drug therapy problems. The pharmacists delivered 3.0 patient counseling and education and 3.4 drug therapy problem interventions per patient on average. There are many opportunities to improve patients' medication use that can be identified and addressed under a Continuous Medication Monitoring model. Movement to this model of practice is desirable, but changes are needed to facilitate the shift. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. Neurohormonal activation and exercise tolerance in patients supported with a continuous-flow left ventricular assist device

    DEFF Research Database (Denmark)

    Jung, Mette Holme; Goetze, Jens Peter; Boesgaard, Soeren;

    2016-01-01

    BACKGROUND: Neurohormones play a key role in regulating hemodynamics in heart failure (HF) both at rest and during exercise. In contrast, little is known about the importance of neurohormonal regulation for exercise capacity in continuous-flow left ventricular assist device (CF-LVAD) patients...

  17. Understanding the continuous renal replacement therapy circuit for acute renal failure support: a quality issue in the intensive care unit.

    Science.gov (United States)

    Boyle, Martin; Baldwin, Ian

    2010-01-01

    Delivery of renal replacement therapy is now a core competency of intensive care nursing. The safe and effective delivery of this form of therapy is a quality issue for intensive care, requiring an understanding of the principles underlying therapy and the functioning of machines used. Continuous hemofiltration, first described in 1977, used a system where blood flowed from arterial to venous cannulas through a small-volume, low-resistance, and high-flux filter. Monitoring of these early systems was limited, and without a machine interface, less nursing expertise was required. Current continuous renal replacement therapy machines offer user-friendly interfaces, cassette-style circuits, and comprehensive circuit diagnostics and monitoring. Although these machines conceal complexity behind a user-friendly interface, it remains important that nurses have sufficient knowledge for their use and the ability to compare and contrast circuit setups and functions for optimal and efficient treatment.

  18. Social Support as a Neglected E-Learning Motivator Affecting Trainee's Decisions of Continuous Intentions of Usage

    Science.gov (United States)

    Weng, Cathy; Tsai, Chin-Chung; Weng, Apollo

    2015-01-01

    Drawing from the social influence theory and acknowledging that the others' support within the work context affects employees' learning, values, and behaviours, an alternative framework was proposed to explain employees' learning satisfaction and future intention to participate in e-training programs in the current study. 578 survey data collected…

  19. Longitudinal structural, functional, and cellular myocardial alterations with chronic centrifugal continuous-flow left ventricular assist device support.

    Science.gov (United States)

    Muthiah, Kavitha; Humphreys, David T; Robson, Desiree; Dhital, Kumud; Spratt, Phillip; Jansz, Paul; Macdonald, Peter S; Hayward, Christopher S

    2017-07-01

    Left ventricular assist device (LVAD) support triggers adaptations within failing hearts. The HeartWare (HeartWare International, Inc., Framingham, MA) LVAD exhibits different flow profiles and afterload dependence compared with previous-generation devices, which may alter remodelling patterns. We sought to characterize myocardial adaptation to third-generation centrifugal-flow LVADs at a functional, hemodynamic, and structural level in addition to profiling transcriptomal changes using next-generation sequencing platforms. We studied 37 patients supported with the HeartWare device with paired measurements of invasive hemodynamics, serial longitudinal left ventricular (LV) and right ventricular (RV) 3-dimensional echocardiography, and N-terminal of the prohormone brain natriuretic peptide (NT-proBNP) measurements. Paired samples for comparison of histologic myocardial cellular size and transcriptomal profiling were performed on specimens taken at pump implant and transplantation. The mean support duration was 280 ± 163 days. Mechanical unloading after HeartWare support resulted in reduced filling pressures (mean pulmonary capillary wedge pressure 27.1 ± 6.6 to 14.8 ± 5.1 mm Hg, p hypertrophy, and an improvement in LV and RV ejection fractions. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  20. Supporting Children's Thinking in the Foundation Stage: Practitioners' Views on the Role of Initial Training and Continuing Professional Development

    Science.gov (United States)

    Robson, Sue

    2006-01-01

    The English "Curriculum Guidance for the Foundation Stage" refers to the importance of supporting the development of young children's thinking, a teaching role that Kite suggests should be seen as the major focus for education. This paper draws on data from the Froebel Research Fellowship Project, "Ownership and Autonomy in Early…

  1. Social Support as a Neglected E-Learning Motivator Affecting Trainee's Decisions of Continuous Intentions of Usage

    Science.gov (United States)

    Weng, Cathy; Tsai, Chin-Chung; Weng, Apollo

    2015-01-01

    Drawing from the social influence theory and acknowledging that the others' support within the work context affects employees' learning, values, and behaviours, an alternative framework was proposed to explain employees' learning satisfaction and future intention to participate in e-training programs in the current study. 578 survey data collected…

  2. Myocardial changes in patients with end-stage heart failure during continuous flow left ventricular assist device support

    NARCIS (Netherlands)

    Lok, S.I.|info:eu-repo/dai/nl/370140508

    2013-01-01

    With respect to the clinical outcome, cf-LVADs provide sufficient ventricular unloading and circulatory support. The post-operative mortality and morbidity in our centre are comparable with other recent experiences with this device. Based on these data, Heart Mate II (HM II) LVAD therapy can be cons

  3. Polyurethane foam-covered breast implants: a justified choice?

    Science.gov (United States)

    Scarpa, C; Borso, G F; Vindigni, V; Bassetto, F

    2015-01-01

    Even if the safety of the polyurethane prosthesis has been the subject of many studies and professional and public controversies. Nowadays, polyurethane covered implants are very popular in plastic surgery for the treatment of capsular contracture. We have identified 41 papers (1 is a communication of the FDA) by using search browsers such as Pubmed, Medline, and eMedicine. Eleven manuscripts have been used for an introduction, and the remaining thirty have been subdivided into three tables whose results have been summarized in three main chapters: (1) capsular formation and contracture, (2) complications, (3) biodegradation and cancer risk. (1) The polyurethanic capsule is a well defined foreign body reaction characterized by synovial metaplasia, a thin layer of disarranged collagen fibers and a high vascularization. These features make possible a "young" capsule and a low occurrence of capsular contracture even over a long period (10 years); (2) the polyurethane implants may be difficult to remove but there is no evidence that they cause an increase in the other complications; (3) there is no evidence of polyurethane related cancer in long-term studies (after 5 years). Polyurethane foam covered breast implants remain a valid choice for the treatment of capsular contracture even if it would be very useful to verify the ease of removal of the prosthesis and to continue investigations on biodegradation products.

  4. Anthrax vaccine adsorbed: further evidence supporting continuing the vaccination series rather than restarting the series when doses are delayed.

    Science.gov (United States)

    Pittman, Phillip R; Cavicchia, M A; Kingsbury, J L; Johnson, N A; Barrera-Oro, J G; Schmader, T; Korman, L; Quinn, X; Ranadive, M

    2014-09-03

    Whether to restart or continue the series when anthrax vaccine doses are missed is a frequent medical management problem. We applied the noninferiority analysis model to this prospective study comparing the Bacillus anthracis protective antigen (PA) IgG antibody response and lethal toxin neutralization activity at day 28 to the anthrax vaccine adsorbed (AVA) (Biothrax®) administered on schedule or delayed. A total of 600 volunteers were enrolled: 354 in the on-schedule cohort; 246 in the delayed cohort. Differences were noted in immune responses between cohorts (panthrax vaccine are delayed as long as 5 or more years.

  5. Strategies to support engagement and continuity of activity during mealtimes for families living with dementia; a qualitative study

    OpenAIRE

    2015-01-01

    Background Mealtimes are an essential part of living and quality of life for everyone, including persons living with dementia. A longitudinal qualitative study provided understanding of the meaning of mealtimes for persons with dementia and their family care partners. Strategies were specifically described by families to support meaningful mealtimes. The purpose of this manuscript is to describe the strategies devised and used by these families living with dementia. Methods A longitudinal qua...

  6. Linux-based File System Supporting the Continuous Media%基于Linux的文件系统对连续媒体的支持

    Institute of Scientific and Technical Information of China (English)

    王光彩; 黄清华; 顾君忠

    2001-01-01

    For techniques on compress and network and multimedia are developed rapidly, audio & video media become popular. However present operating systems can support the continuous media only on the layer of applications, not in the layer of foundation. In this paper, considerating on the operating system, we discuss how to support the continuous media on the base layer. Then we depict clearly the design and implementation of BLOB ( Binary Large Object) file system which is based on Lin ux.%从操作系统角度考虑了底层文件系统对连续媒体的支持,并详细介绍了在Linux下设计和实现的BLOB(Binary Large Object)文件系统的设计思想及其实现技术细节,并讨论它对连续媒体的支持情况.

  7. Operational Decision Support for Material Management in Continuous Mining Systems: From Simulation Concept to Practical Full-Scale Implementations

    Directory of Open Access Journals (Sweden)

    Masoud Soleymani Shishvan

    2017-07-01

    Full Text Available Material management in opencast mines is concerned with planning, organizing, and control of the flow of materials from their extraction points to destinations. It can be strongly affected by operational decisions that have to be made during the production process. To date, little research has focused on the application of simulation modeling as a powerful supportive tool for decision making in such systems. Practical experiences from implementing a simulation model of a mine for the operational support on an industrial scale are not known to the authors. This paper presents the extension of a developed stochastic simulation model by the authors from a conceptual stage (TRL4 to a new Technology Readiness Level (TRL 6 by implementing it in an industrially relevant environment. A framework for modeling, simulation, and validation of the simulation model applied to two large opencast lignite mines is presented in detail. Operational implementation issues, experiences, and challenges in practical applications are discussed. Furthermore, the strength of applying the simulation modeling as an operational decision support for material management in coal mining is demonstrated. Results of the case studies are used to describe the details of the framework, and to illustrate the strength and limitations of its application.

  8. Correlations Between Hysteretic Categorical and Continuous Judgments of Perceptual Stimuli Supporting a Unified Dynamical Systems Approach to Perception.

    Science.gov (United States)

    Kim, S; Frank, T D

    2017-01-01

    We report from two variants of a figure-ground experiment that is known in the literature to involve a bistable perceptual domain. The first variant was conducted as a two-alternative forced-choice experiment and in doing so tested participants on a categorical measurement scale. The second variant involved a Likert scale measure that was considered to represent a continuous measurement scale. The two variants were conducted as a single within-subjects experiment. Measures of bistability operationalized in terms of hysteresis size scores showed significant positive correlations across the two response conditions. The experimental findings are consistent with a dualistic interpretation of self-organizing perceptual systems when they are described on a macrolevel by means of so-called amplitude equations. This is explicitly demonstrated for a Lotka-Volterra-Haken amplitude equation model of task-related brain activity. As a by-product, the proposed dynamical systems perspective also sheds new light on the anchoring problem of producing numerical, continuous judgments.

  9. Is Justified True Belief Knowledge? / ¿Una creencia verdadera justificada es conocimiento?

    Directory of Open Access Journals (Sweden)

    Edmund L. Gettier

    2013-12-01

    Full Text Available [ES] En este breve trabajo, se presenta una edición bilingüe de Is Justified True Belief Knowledge? (1963, de Edmund L. Gettier, donde se presentan contraejemplos a la definición de «conocimiento» como «creencia verdadera justificada». [ES] In this brief text, a bilingual edition of Is Justified True Belief Knowledge?, (1963 by Edmund L. Gettier, some counterexamples are presented to the definition of «knowledge» as «justified true belief».

  10. Is tenure justified? An experimental study of faculty beliefs about tenure, promotion, and academic freedom.

    Science.gov (United States)

    Ceci, Stephen J; Williams, Wendy M; Mueller-Johnson, Katrin

    2006-12-01

    The behavioral sciences have come under attack for writings and speech that affront sensitivities. At such times, academic freedom and tenure are invoked to forestall efforts to censure and terminate jobs. We review the history and controversy surrounding academic freedom and tenure, and explore their meaning across different fields, at different institutions, and at different ranks. In a multifactoral experimental survey, 1,004 randomly selected faculty members from top-ranked institutions were asked how colleagues would typically respond when confronted with dilemmas concerning teaching, research, and wrong-doing. Full professors were perceived as being more likely to insist on having the academic freedom to teach unpopular courses, research controversial topics, and whistle-blow wrong-doing than were lower-ranked professors (even associate professors with tenure). Everyone thought that others were more likely to exercise academic freedom than they themselves were, and that promotion to full professor was a better predictor of who would exercise academic freedom than was the awarding of tenure. Few differences emerged related either to gender or type of institution, and behavioral scientists' beliefs were similar to scholars from other fields. In addition, no support was found for glib celebrations of tenure's sanctification of broadly defined academic freedoms. These findings challenge the assumption that tenure can be justified on the basis of fostering academic freedom, suggesting the need for a re-examination of the philosophical foundation and practical implications of tenure in today's academy.

  11. Can context justify an ethical double standard for clinical research in developing countries?

    Directory of Open Access Journals (Sweden)

    Landes Megan

    2005-07-01

    Full Text Available Abstract Background The design of clinical research deserves special caution so as to safeguard the rights of participating individuals. While the international community has agreed on ethical standards for the design of research, these frameworks still remain open to interpretation, revision and debate. Recently a breach in the consensus of how to apply these ethical standards to research in developing countries has occurred, notably beginning with the 1994 placebo-controlled trials to reduce maternal to child transmission of HIV-1 in Africa, Asia and the Caribbean. The design of these trials sparked intense debate with the inclusion of a placebo-control group despite the existence of a 'gold standard' and trial supporters grounded their justifications of the trial design on the context of scarcity in resource-poor settings. Discussion These 'contextual' apologetics are arguably an ethical loophole inherent in current bioethical methodology. However, this convenient appropriation of 'contextual' analysis simply fails to acknowledge the underpinnings of feminist ethical analysis upon which it must stand. A more rigorous analysis of the political, social, and economic structures pertaining to the global context of developing countries reveals that the bioethical principles of beneficence and justice fail to be met in this trial design. Conclusion Within this broader, and theoretically necessary, understanding of context, it becomes impossible to justify an ethical double standard for research in developing countries.

  12. Ruthenium carbenes supported on mesoporous silicas as highly active and selective hybrid catalysts for olefin metathesis reactions under continuous flow.

    Science.gov (United States)

    Bru, Miriam; Dehn, Richard; Teles, J Henrique; Deuerlein, Stephan; Danz, Manuel; Müller, Imke B; Limbach, Michael

    2013-08-26

    In the search for a highly active and selective heterogenized metathesis catalyst, we systematically varied the pore geometry and size of various silica-based mesoporous (i.e., MCM-41, MCM-48, and SBA-15) and microporous (ZSM-5 and MWW) versus macroporous materials (D11-10 and Aerosil 200), besides other process parameters (temperature, dilution, and mean residence time). The activity and, especially, selectivity of such "linker-free" supports for ruthenium metathesis catalysts were evaluated in the cyclodimerization of cis-cyclooctene to form 1,9-cyclohexadecadiene, a valuable intermediate in the flavor and fragrance industry. The optimized material showed not only exceptionally high selectivity to the valuable product, but also turned out to be a truly heterogeneous catalyst with superior activity relative to the unsupported homogeneous complex.

  13. Taxonomy of literature to justify data governance as a pre-requisite for information governance

    CSIR Research Space (South Africa)

    Olaitan, O

    2016-09-01

    Full Text Available is devoted to data governance. This study chronicles extant literature to justify the position that data governance should be a prerequisite for information governance within organisations. The study argues that an information governance policy which is based...

  14. Opportunistic pathogens and elements of the resistome that are common in bottled mineral water support the need for continuous surveillance.

    Directory of Open Access Journals (Sweden)

    Maria Fernanda Falcone-Dias

    Full Text Available Several differences concerning bacterial species, opportunistic pathogens, elements of the resistome as well as variations concerning the CFU/mL counts were identified in some of the five most marketed bottled mineral water from Araraquara city, São Paulo, Brazil. Two out of five brands tested were confirmed as potential source of opportunistic pathogens, including Mycobacterium gordonae, Ralstonia picketti and Burkholderia cepacia complex (Bcc. A total of one hundred and six isolates were recovered from four of these bottled mineral water brands. Betaproteobacteria was predominant followed by Alphaproteobacteria, Gammaproteobacteria and Firmicutes. Ninety percent of the bacteria isolated demonstrated resistance to seventeen of the nineteen antimicrobials tested. These antimicrobials included eight different classes, including 3rd and 4th generation cephalosporins, carbapenems and fluoroquinolones. Multidrug resistant bacteria were detected for fifty-nine percent of isolates in three water brands at counts up to 103 CFU/ml. Of major concern, the two bottled mineral water harboring opportunistic pathogens were also source of elements of the resistome that could be directly transferred to humans. All these differences found among brands highlight the need for continuous bacteriological surveillance of bottled mineral water.

  15. Opportunistic pathogens and elements of the resistome that are common in bottled mineral water support the need for continuous surveillance.

    Science.gov (United States)

    Falcone-Dias, Maria Fernanda; Centrón, Daniela; Pavan, Fernando; Moura, Adriana Candido da Silva; Naveca, Felipe Gomes; de Souza, Victor Costa; Farache Filho, Adalberto; Leite, Clarice Queico Fujimura

    2015-01-01

    Several differences concerning bacterial species, opportunistic pathogens, elements of the resistome as well as variations concerning the CFU/mL counts were identified in some of the five most marketed bottled mineral water from Araraquara city, São Paulo, Brazil. Two out of five brands tested were confirmed as potential source of opportunistic pathogens, including Mycobacterium gordonae, Ralstonia picketti and Burkholderia cepacia complex (Bcc). A total of one hundred and six isolates were recovered from four of these bottled mineral water brands. Betaproteobacteria was predominant followed by Alphaproteobacteria, Gammaproteobacteria and Firmicutes. Ninety percent of the bacteria isolated demonstrated resistance to seventeen of the nineteen antimicrobials tested. These antimicrobials included eight different classes, including 3rd and 4th generation cephalosporins, carbapenems and fluoroquinolones. Multidrug resistant bacteria were detected for fifty-nine percent of isolates in three water brands at counts up to 103 CFU/ml. Of major concern, the two bottled mineral water harboring opportunistic pathogens were also source of elements of the resistome that could be directly transferred to humans. All these differences found among brands highlight the need for continuous bacteriological surveillance of bottled mineral water.

  16. Progress report: Continued development of an integrated sounding system in support of the DOE/ARM experimental program

    Energy Technology Data Exchange (ETDEWEB)

    Edgeworth R. Westwater; Kenneth S. Gage; Yong Han; Joseph A. Shaw; Jim H. Churnside

    1996-09-06

    From January 6 to February 28, 1993, the second phase of the Prototype Radiation Observation Experiment (PROBE) was conducted in Kavieng, Papua New Guinea. Data taken during PROBE included frequent radiosondes, 915 MHz Wind profiler/Radio Acoustic Sounding System (RASS) observations of winds and temperatures, and lidar measurements of cloud-base heights. In addition, a dual-channel Microwave Water Substance Radiometer (MWSR) at 23.87 and 31.65 GHz and a Fourier Transform Infrared Radiometer (FTIR) were operated. The FTIR operated between 500 and 2000 cm{sup -1} and measured some of the first high spectral resolution (1 cm{sup -1}) radiation data taken in the tropics. The microwave radiometer provided continuous measurements with 30-second resolution of precipitable water vapor (PWV) and integrated cloud liquid (ICL), the RASS measured virtual temperature profiles every 30 minutes, and the cloud lidar provided episodic measurements of clouds every minute. The RASS, MWSR, and FTIR data taken during PROBE were compared with radiosonde data. Broadband longwave and shortwave irradiance data and lidar data were used to identify the presence of cirrus clouds and clear conditions. Comparisons were made between measured and calculated radiance during clear conditions, using radiosonde data as input to a Line-By-Line Radiative Transfer Model. Comparisons of RASS-measured virtual temperature with radiosonde data revealed a significant cold bias below 500 m.

  17. Summary Report: DoD Information Technology Contracts Awarded Without Competition Were Generally Justified

    Science.gov (United States)

    2015-09-09

    GENERAL AUDITOR GENERAL , DEPARTMENT OF THE ARMY SUBJECT: Summary Report : DoD Information Technology Contracts Awarded Without Competition Were...E M B E R 9 , 2 0 1 5 Summary Report : DoD Information Technology Contracts Awarded Without Competition Were Generally Justified Report No... Generally Justified ( Report No. DODIG-2015-167) We are providing the enclosed charts for your information and use. Contracting personnel at the Army, Navy

  18. Elective nasal continuous positive airway pressure to support respiration after prolonged ventilation in infants after congenital cardiac surgery

    Science.gov (United States)

    Gandhi, Hemang; Mishra, Amit; Thosani, Rajesh; Acharya, Himanshu; Shah, Ritesh; Surti, Jigar; Sarvaia, Alpesh

    2017-01-01

    Background: We sought to compare the effectiveness of oxygen (O2) treatment administered by an O2 mask and nasal continuous positive airway pressure (NCPAP) in infants after congenital cardiac surgery. Methods: In this retrospective observational study, 54 infants undergoing corrective cardiac surgery were enrolled. According to the anesthesiologist's preference, the patients ventilated for more than 48 h were either put on NCPAP or O2 mask immediately after extubation. From pre-extubation to 24 h after treatment, arterial blood gas and hemodynamic data were measured. Results: After 24 h of NCPAP institution, the patients showed a significant improvement in oxygenation compared to O2 mask group. Respiratory rate (per minute) decreased from 31.67 ± 4.55 to 24.31 ± 3.69 (P < 0.0001), PO2 (mmHg) increased from 112.12 ± 22.83 to 185.74 ± 14.81 (P < 0.0001), and PCO2 (mmHg) decreased from 42.88 ± 5.01 to 37.00 ± 7.22 (P < 0.0076) in patients on NCPAP. In this group, mean pediatric cardiac surgical Intensive Care Unit (PCSICU) stay was 4.72 ± 1.60 days, with only 2 (11.11%) patients requiring re-intubation. Conclusion: NCPAP can be used safely and effectively in infants undergoing congenital cardiac surgery to improve oxygenation/ventilation. It also reduces the work of breathing, PCSICU stay, and may reduce the likelihood of re-intubation. PMID:28163425

  19. Exercise hemodynamics during extended continuous flow left ventricular assist device support: the response of systemic cardiovascular parameters and pump performance.

    Science.gov (United States)

    Martina, Jerson; de Jonge, Nicolaas; Rutten, Marcel; Kirkels, J Hans; Klöpping, Corinne; Rodermans, Ben; Sukkel, Eveline; Hulstein, Nelienke; Mol, Bas; Lahpor, Jaap

    2013-09-01

    Patients on continuous flow left ventricular assist devices (cf-LVADs) are able to return to an active lifestyle and perform all sorts of physical activities. This study aims to evaluate exercise hemodynamics in patients with a HeartMate II cf-LVAD (HM II). Thirty (30) patients underwent a bicycle exercise test. Along with exercise capacity, systemic cardiovascular responses and pump performance were evaluated at 6 and 12 months after HM II implantation. From rest to maximum exercise, heart rate increased from 87 ± 14 to 140 ± 32 beats/minute (bpm) (P<0.01), while systolic arterial blood pressure increased from 93 ± 12 to 116 ± 21 mm Hg (P<0.01). Total cardiac output (TCO) increased from 4.1 ± 1.1 to 8.5 ± 2.8 L/min (P<0.01) while pump flow increased less, from 5.1 ± 0.7 to 6.4 ± 0.6 L/min (P<0.01). Systemic vascular resistance (SVR) decreased from 1776 ± 750 to 1013 ± 83 dynes.s/cm(5) (P<0.001) and showed the strongest correlation with TCO (r= -0.72; P<0.01). Exercise capacity was affected by older age, while blood pressure increased significantly in men compared with women. Exercise capacity remained consistent at 6 and 12 months after HM II implantation, 51% ± 13% and 52% ± 13% of predicted VO2 max for normal subjects corrected for age and gender. In conclusion, pump flow of the HM II may contribute partially to TCO during exercise, while SVR was the strongest determinant of TCO.

  20. Supported Photocatalyst for Removal of Emerging Contaminants from Wastewater in a Continuous Packed-Bed Photoreactor Configuration

    Directory of Open Access Journals (Sweden)

    Mª Emma Borges

    2015-02-01

    Full Text Available Water pollution from emerging contaminants (ECs or emerging pollutants is an important environmental problem. Heterogeneous photocatalytic treatment, as advanced oxidation treatment of wastewater effluents, has been proposed to solve this problem. In this paper, a heterogeneous photocatalytic process was studied for emergent contaminants removal using paracetamol as a model contaminant molecule. TiO2 photocatalytic activity was evaluated using two photocatalytic reactor configurations: Photocatalyst solid suspension in wastewater in a stirred photoreactor and TiO2 supported on glass spheres (TGS configuring a packed bed photoreactor. The surface morphology and texture of the TGS were monitored by scanning electron microscope (SEM. The influence of photocatalyst amount and wastewater pH were evaluated in the stirred photoreactor and the influence of wastewater flowrate was tested in the packed bed photoreactor, in order to obtain the optimal operation conditions. Moreover, results obtained were compared with those obtained from photolysis and adsorption studies, using the optimal operation conditions. Good photocatalytic activities have been observed and leads to the conclusion that the heterogeneous photocatalytic system in a packed bed is an effective method for removal of emerging pollutants.

  1. Continuous reporting of new cases in Spain supports the relationship between Herbalife® products and liver injury.

    Science.gov (United States)

    Manso, Gloria; López-Rivas, Laureano; Salgueiro, M Esther; Duque, Jose M; Jimeno, Francisco J; Andrade, Raúl J; Lucena, M Isabel

    2011-10-01

    Previous publications have linked Herbalife® products to hepatotoxicity. The identification of earlier cases in which the culprit agent could not be established raised the hypothesis of a possible contamination of some specific batches of Herbalife products. We searched the Spanish Pharmacovigilance Centres' database of adverse reactions for reports of liver injury associated with the use of Herbalife products from 2003, when the first case was submitted, through September 2010. The search resulted in 20 reports of liver damage (mean age, 49 years; 16 women), with 12 patients (60%) requiring hospitalization. Hepatocellular damage predominated, and nine (53%) of the hepatocellular cases with bilirubin values were jaundiced, fulfilling the Hy's law criteria, which increases the risk for serious outcomes. Two patients experienced a positive rechallenge. One patient developed cirrhosis, whereas all the others recovered. Causality assessment by the Karch and Lasagna modified algorithm showed a category of definite in 1 case, probable in 14, and possible in 5. Analysis of the different Herbalife products that each patient had taken did not enable us to identify any commonly known hepatotoxic ingredient. Our results support the relationship between the consumption of Herbalife products and hepatotoxicity, underscore the concern regarding the liver-related safety of this dietary supplement, and emphasize the need to establish further regulatory measures. Copyright © 2011 John Wiley & Sons, Ltd.

  2. HTA decision support system for sustainable business continuity management in hospitals. The case of surgical activity at the University Hospital in Florence.

    Science.gov (United States)

    Miniati, Roberto; Dori, Fabrizio; Cecconi, Giulio; Gusinu, Roberto; Niccolini, Fabrizio; Gentili, Guido Biffi

    2013-01-01

    A fundamental element of the social and safety function of a health structure is the need to guarantee continuity of clinical activity through the continuity of technology. This paper aims to design a Decision Support System (DSS) for medical technology evaluations based on the use of Key Performance Indicators (KPI) in order to provide a multi-disciplinary valuation of a technology in a health structure. The methodology used in planning the DSS followed the following key steps: the definition of relevant KPIs, the development of a database to calculate the KPIs, the calculation of the defined KPIs and the resulting study report. Finally, the clinical and economic validation of the system was conducted though a case study of Business Continuity applied in the operating department of the Florence University Hospital AOU Careggi in Italy. A web-based support system was designed for HTA in health structures. The case study enabled Business Continuity Management (BCM) to be implemented in a hospital department in relation to aspects of a single technology and the specific clinical process. Finally, an economic analysis of the procedure was carried out. The system is useful for decision makers in that it precisely defines which equipment to include in the BCM procedure, using a scale analysis of the specific clinical process in which the equipment is used. In addition, the economic analysis shows how the cost of the procedure is completely covered by the indirect costs which would result from the expenses incurred from a broken device, hence showing the complete auto-sustainability of the methodology.

  3. Self-supported chiral titanium cluster (SCTC) as a robust catalyst for the asymmetric cyanation of imines under batch and continuous flow at room temperature.

    Science.gov (United States)

    Seayad, Abdul M; Ramalingam, Balamurugan; Chai, Christina L L; Li, Chuanzhao; Garland, Marc V; Yoshinaga, Kazuhiko

    2012-04-27

    A robust heterogeneous self-supported chiral titanium cluster (SCTC) catalyst and its application in the enantioselective imine-cyanation/Strecker reaction is described under batch and continuous processes. One of the major hurdles in the asymmetric Strecker reaction is the lack of availability of efficient and reusable heterogeneous catalysts that work at room temperature. We exploited the readily hydrolyzable nature of titanium alkoxide to synthesize a self-supported chiral titanium cluster (SCTC) catalyst by the controlled hydrolysis of a preformed chiral titanium-alkoxide complex. The isolated SCTC catalysts were remarkably stable and showed up to 98 % enantioselectivity (ee) with complete conversion of the imine within 2 h for a wide variety of imines at room temperature. The heterogeneous catalysts were recyclable more than 10 times without any loss in activity or selectivity. The robustness, high performance, and recyclability of the catalyst enabled it to be used in a packed-bed reactor to carry out the cyanation under continuous flow. Up to 97 % ee and quantitative conversion with a throughput of 45 mg h(-1) were achieved under optimized flow conditions at room temperature in the case of benzhydryl imine. Furthermore, a three-component Strecker reaction was performed under continuous flow by using the corresponding aldehydes and amines instead of the preformed imines. A good product distribution was obtained for the formation of amino nitriles with ee values of up to 98 %. Synthetically useful ee values were also obtained for challenging α-branched aliphatic aldehyde by using the three-component continuous Strecker reaction. Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  4. On emergencies and emigration: how (not) to justify compulsory medical service.

    Science.gov (United States)

    Blake, Michael

    2016-04-20

    I have argued that the best way to understand the supposed right to restrict emigration is with reference to the concept of an emergency; restrictions on emigration are permitted, if at all, only as responses to an emergency situation, and must be judged with reference to the ethics of responding to such an emergency. Eszter Kollar argues, against this, that the concept of 'emergency' fails to describe the actual situation in low/middle-income countries, in which shortages of medical personnel are long-standing problems; she also argues that there is no need to invoke the concept of an emergency, when we might simply discuss these restrictions with reference to the relative importance of the human goods and interests involved. I argue, against Kollar, that we have no reason to think that an emergency must involve novelty; if the moral stakes are significant enough, we have reason to think of a situation as an emergency, regardless of when that situation began. I argue, too, that we have reason to differentiate between restrictions of liberties undertaken as part of the process of specifying liberal freedoms and emergency restrictions of those liberties defended by liberalism itself. The latter, I suggest, ought to be recognised and defended as a distinct moral category, if only to recognise the continuing moral remainder when a liberal right is temporarily suspended under emergency circumstances. I conclude that a permission to restrict emigration is, if at all, only justifiable as an emergency response to unfavourable circumstances, and ought not to be analysed in the more conventional liberal terms Kollar deploys.

  5. Offshore code comparison collaboration continuation (OC4), phase I - Results of coupled simulations of an offshore wind turbine with jacket support structure

    DEFF Research Database (Denmark)

    Popko, Wojciech; Vorpahl, Fabian; Zuga, Adam

    2012-01-01

    In this paper, the exemplary results of the IEA Wind Task 30 "Offshore Code Comparison Collaboration Continuation" (OC4) Project - Phase I, focused on the coupled simulation of an offshore wind turbine (OWT) with a jacket support structure, are presented. The focus of this task has been the verif...... such as the buoyancy calculation and methods of accounting for additional masses (such as hydrodynamic added mass). Finally, recommendations concerning the modeling of the jacket are given. Copyright © 2012 by the International Society of Offshore and Polar Engineers (ISOPE)....

  6. Physicians and strikes: can a walkout over the malpractice crisis be ethically justified?

    Science.gov (United States)

    Fiester, Autumn

    2004-01-01

    Malpractice insurance rates have created a crisis in American medicine. Rates are rising and reimbursements are not keeping pace. In response, physicians in the states hardest hit by this crisis are feeling compelled to take political action, and the current action of choice seems to be physician strikes. While the malpractice insurance crisis is acknowledged to be severe, does it justify the extreme action of a physician walkout? Should physicians engage in this type of collective action, and what are the costs to patients and the profession when such action is taken? I will offer three related arguments against physician strikes that constitute a prima facie prohibition against such action: first, strikes are intended to cause harm to patients; second, strikes are an affront to the physician-patient relationship; and, third, strikes risk decreasing the public's respect for the medical profession. As with any prima facie obligation, there are justifying conditions that may override the moral prohibition, but I will argue that the current malpractice crisis does not rise to the level of such a justifying condition. While the malpractice crisis demands and justifies a political response on the part of the nation's physicians, strikes and slow-downs are not an ethically justified means to the legitimate end of controlling insurance costs.

  7. Don't Lie but Don't Tell the Whole Truth: The Therapeutic Privilege - Is it Ever Justified?

    Science.gov (United States)

    Edwin, Ak

    2008-12-01

    This position paper will show that withholding information from a competent patient is a violation of the doctor's role as a fiduciary and is not ever justified. As a fiduciary, the doctor's relationship with his or her patient must be one of candour since it will be impossible for the patient to trust the doctor without regular candid information regarding the patient's condition and its outcome. Although the use of the therapeutic privilege has been recognized by several courts and is supported by scientific literature, I will explore why withholding information from a competent patient is a violation of the doctor's role as a fiduciary and as such is not legally or ethically defensible.While some courts have recognized the therapeutic privilege as a way of promoting patient wellbeing and respecting the Hippocratic dictum of "primum non nocere" {or first do no harm}, my position is that this is not ethically justifiable. Since information is a powerful tool for both harm and good, consciously withholding information from competent patients disempowers them and requires greater justification than patient welfare.Even though there is legal recognition of therapeutic privilege, it is not applicable on ethical grounds. In addition to disrespecting autonomy, withholding information from competent patients does not benefit them in the long run and can actually cause more harm than good. Consequently, a doctor who withholds information from a competent patient unless in the exceptional case of patient waiver violates the ethical principles of autonomy, beneficence and nonmaleficence.

  8. Compatriot partiality and cosmopolitan justice: Can we justify compatriot partiality within the cosmopolitan framework?

    Directory of Open Access Journals (Sweden)

    Rachelle Bascara

    2016-10-01

    Full Text Available This paper shows an alternative way in which compatriot partiality could be justified within the framework of global distributive justice. Philosophers who argue that compatriot partiality is similar to racial partiality capture something correct about compatriot partiality. However, the analogy should not lead us to comprehensively reject compatriot partiality. We can justify compatriot partiality on the same grounds that liberation movements and affirmative action have been justified. Hence, given cosmopolitan demands of justice, special consideration for the economic well-being of your nation as a whole is justified if and only if the country it identifies is an oppressed developing nation in an unjust global order.This justification is incomplete. We also need to say why Person A, qua national of Country A, is justified in helping her compatriots in Country A over similarly or slightly more oppressed non-compatriots in Country B. I argue that Person A’s partiality towards her compatriots admits further vindication because it is part of an oppressed group’s project of self-emancipation, which is preferable to paternalistic emancipation.Finally, I identify three benefits in my justification for compatriot partiality. First, I do not offer a blanket justification for all forms of compatriot partiality. Partiality between members of oppressed groups is only a temporary effective measure designed to level an unlevel playing field. Second, because history attests that sovereign republics could arise as a collective response to colonial oppression, justifying compatriot partiality on the grounds that I have identified is conducive to the development of sovereignty and even democracy in poor countries, thereby avoiding problems of infringement that many humanitarian poverty alleviation efforts encounter. Finally, my justification for compatriot partiality complies with the implicit cosmopolitan commitment to the realizability of global justice

  9. Continuous-flow left ventricular assist device support in patients with advanced heart failure: points of interest for the daily management.

    Science.gov (United States)

    Felix, S E A; Martina, J R; Kirkels, J H; Klöpping, C; Nathoe, H; Sukkel, E; Hulstein, N; Ramjankhan, F Z; Doevendans, P A F M; Lahpor, J R; de Jonge, Nicholaas

    2012-04-01

    Today, continuous-flow left ventricular assist devices (cf-LVADs) are implanted more often in patients with end-stage heart failure. Because of greater durability they can be implanted for an extended period of time. As a result of increased numbers of patients on cf-LVAD support, healthcare professionals should be aware of the potential complications inherent to this therapy. Both bleeding and thrombosis may occur, and also complications related either to the device itself or to the ensuing altered haemodynamics, valvular pathology, and rhythm disturbances such as ventricular tachycardias and fibrillation. Accurate clinical evaluation, together with an electrocardiogram and, if necessary, combined with an echocardiogram, is obligatory in these situations. This review summarizes common complications complemented by a few clinical cases.

  10. Justifying Blame: why free will matters and why it does not

    NARCIS (Netherlands)

    M.M.S.K. Sie (Maureen)

    2005-01-01

    textabstractThis book shows why we can justify blaming people for their wrong actions even if free will turns out not to exist. Contrary to most contemporary philosophizing about this issue, we do this not by denying that free will is relevant to considerations about personal desert. Instead we reco

  11. Influenza Vaccination in dutch Nursing Homes: is tacit consent morally justified?

    NARCIS (Netherlands)

    Verweij, M.F.; Hoven, M.A. van den

    2005-01-01

    Objectives: Efficient procedures for obtaining informed (proxy) consent may contribute to high influenza vaccination rates in nursing homes. Yet are such procedures justified? This study’s objective was to gain insight in informed consent policies in Dutch nursing homes; to assess how these may affe

  12. Intervention in Countries with Unsustainable Energy Policies: Is it Ever Justifiable?

    Energy Technology Data Exchange (ETDEWEB)

    Tonn, Bruce Edward [ORNL

    2010-08-01

    This paper explores whether it is ever justifiable for the international community to forcibly intervene in countries that have unsustainable energy policies. The literature on obligations to future generations suggests, philosophically, that intervention might be justified under certain circumstances. Additionally, the world community has intervened in the affairs of other countries for humanitarian reasons, such as in Kosovo, Somalia, and Haiti. However, intervention to deal with serious energy problems is a qualitatively different and more difficult problem. A simple risk analysis framework is used to organize the discussion about possible conditions for justifiable intervention. If the probability of deaths resulting from unsustainable energy policies is very large, if the energy problem can be attributed to a relatively small number of countries, and if the risk of intervention is acceptable (i.e., the number of deaths due to intervention is relatively small), then intervention may be justifiable. Without further analysis and successful solution of several vexing theoretical questions, it cannot be stated whether unsustainable energy policies being pursued by countries at the beginning of the 21st century meet the criteria for forcible intervention by the international community.

  13. "Teach Your Children Well": Arguing in Favor of Pedagogically Justifiable Hospitality Education

    Science.gov (United States)

    Potgieter, Ferdinand J.

    2016-01-01

    This paper is a sequel to the paper which I delivered at last year's BCES conference in Sofia. Making use of hermeneutic phenomenology and constructive interpretivism as methodological apparatus, I challenge the pedagogic justifiability of the fashionable notion of religious tolerance. I suggest that we need, instead, to reflect "de…

  14. The Luckless and the Doomed: Contractualism on Justified Risk-Imposition

    DEFF Research Database (Denmark)

    Holm, Sune Hannibal

    2017-01-01

    Several authors have argued that contractualism faces a dilemma when it comes to justifying risks generated by socially valuable activities. At the heart of the matter is the question of whether contractualists should adopt an ex post or an ex ante perspective when assessing whether an action...

  15. Context Based Inferences in Research Methodology: The Role of Culture in Justifying Knowledge Claims

    Science.gov (United States)

    Evers, Colin W.; Mason, Mark

    2011-01-01

    Drawing on work in epistemology and the philosophy of science, this paper seeks to provide very general reasons for why a comparative perspective needs to be applied to the inferential procedures of research methodologies where these concern the issue of justifying knowledge claims. In particular, the paper explores the role of culture on a number…

  16. Are Score Comparisons across Language Proficiency Test Batteries Justified?: An IELTS-TOEFL Comparability Study.

    Science.gov (United States)

    Geranpayeh, Ardeshir

    1994-01-01

    This paper reports on a study conducted to determine if comparisons between scores on the Test of English as a Foreign Language (TOEFL) and the International English Language Testing Service (IELTS) are justifiable. The test scores of 216 Iranian graduate students who took the TOEFL and IELTS, as well as the Iranian Ministry of Culture and Higher…

  17. From the Lindlar catalyst to supported ligand-modified palladium nanoparticles: selectivity patterns and accessibility constraints in the continuous-flow three-phase hydrogenation of acetylenic compounds.

    Science.gov (United States)

    Vilé, Gianvito; Almora-Barrios, Neyvis; Mitchell, Sharon; López, Núria; Pérez-Ramírez, Javier

    2014-05-12

    Site modification and isolation through selective poisoning comprise an effective strategy to enhance the selectivity of palladium catalysts in the partial hydrogenation of triple bonds in acetylenic compounds. The recent emergence of supported hybrid materials matching the stereo- and chemoselectivity of the classical Lindlar catalyst holds promise to revolutionize palladium-catalyzed hydrogenations, and will benefit from an in-depth understanding of these new materials. In this work, we compare the performance of bare, lead-poisoned, and ligand-modified palladium catalysts in the hydrogenation of diverse alkynes. Catalytic tests, conducted in a continuous-flow three-phase reactor, coupled with theoretical calculations and characterization methods, enable elucidation of the structural origins of the observed selectivity patterns. Distinctions in the catalytic performance are correlated with the relative accessibility of the active site to the organic substrate, and with the adsorption configuration and strength, depending on the ensemble size and surface potentials. This explains the role of the ligand in the colloidally prepared catalysts in promoting superior performance in the hydrogenation of terminal and internal alkynes, and short-chain alkynols. In contrast, the greater accessibility of the active surface of the Pd-Pb alloy and the absence of polar groups are shown to be favorable in the conversion of alkynes containing long aliphatic chains and/or ketone groups. These findings provide detailed insights for the advanced design of supported nanostructured catalysts.

  18. Persistent blood stream infection in patients supported with a continuous-flow left ventricular assist device is associated with an increased risk of cerebrovascular accidents.

    Science.gov (United States)

    Trachtenberg, Barry H; Cordero-Reyes, Andrea M; Aldeiri, Molham; Alvarez, Paulino; Bhimaraj, Arvind; Ashrith, Guha; Elias, Barbara; Suarez, Erik E; Bruckner, Brian; Loebe, Matthias; Harris, Richard L; Zhang, J Yi; Torre-Amione, Guillermo; Estep, Jerry D

    2015-02-01

    Common adverse events in patients supported with Continuous-flow left ventricular assist devices (CF-LVAD) include infections and cerebrovascular accidents (CVA). Some studies have suggested a possible association between blood stream infection (BSI) and CVA. Medical records of patients who received Heartmate II (HMII) CF-LVADs in 2008-2012 at a single center were reviewed. CVA was categorized as either hemorrhagic (HCVA) or ischemic (ICVA). BSI was divided into persistent (pBSI) and nonpersistent (non-pBSI). pBSI was defined as BSI with the same organism on repeated blood culture >72 hours from initial blood culture despite antibiotics. Univariate and multivariate analyses were performed to determine predictors. A total of 149 patients had HMII implanted; 76% were male, and the overall mean age was 55.4 ± 13 years. There were a total of 19 (13%) patients who had CVA (7 HCVA and 12 ICVA) at a median of 295 days (range 5-1,096 days) after implantation. There were a total of 28 (19%) patients with pBSI and 17 (11%) patients with non-pBSI. Patients with pBSI had a trend toward greater BMI (31 kg/m(2) vs 27 kg/m(2); P = .09), and longer duration of support (1,019 d vs 371 d; P CVA on multivariate analysis (odds ratio [OR] 5.97; P = .003) as well as persistent Pseudomonas aeruginosa infection (OR 4.54; P = .048). Persistent BSI is not uncommon in patients supported by CF-LVAD and is highly associated with all-cause CVA and increased all-cause mortality. Copyright © 2015 Elsevier Inc. All rights reserved.

  19. Most Antidepressant Use in Primary Care Is Justified; Results of the Netherlands Study of Depression and Anxiety

    Science.gov (United States)

    Piek, Ellen; van der Meer, Klaas; Hoogendijk, Witte J. G.; Penninx, Brenda W. J. H.; Nolen, Willem A.

    2011-01-01

    Background Depression is a common illness, often treated in primary care. Many studies have reported undertreatment with antidepressants in primary care. Recently, some studies also reported overtreatment with antidepressants. The present study was designed to assess whether treatment with antidepressants in primary care is in accordance with current guidelines, with a special focus on overtreatment. Methodology We used baseline data of primary care respondents from the Netherlands Study of Depression and Anxiety (NESDA) (n = 1610). Seventy-nine patients with treatment in secondary care were excluded. We assessed justification for treatment with antidepressant according to the Dutch primary care guidelines for depression and for anxiety disorders. Use of antidepressants was based on drug-container inspection or, if unavailable, on self-report. Results were recalculated to the original population of primary care patients from which the participants in NESDA were selected (n = 10,677). Principal Findings Of 1531 included primary care patients, 199 (13%) used an antidepressant, of whom 188 (94.5%) (possibly) justified. After recalculating these numbers to the original population (n = 10,677), we found 908 (95% CI 823 to 994) antidepressant users. Forty-nine (95% CI 20 to 78) of them (5.4%) had no current justification for an antidepressant, but 27 of them (54.5%) had a justified reason for an antidepressant at some earlier point in their life. Conclusions We found that overtreatment with antidepressants in primary care is not a frequent problem. Too long continuation of treatment seems to explain the largest proportion of overtreatment as opposed to inappropriate initiation of treatment. PMID:21479264

  20. Most antidepressant use in primary care is justified; results of the Netherlands Study of Depression and Anxiety.

    Directory of Open Access Journals (Sweden)

    Ellen Piek

    Full Text Available BACKGROUND: Depression is a common illness, often treated in primary care. Many studies have reported undertreatment with antidepressants in primary care. Recently, some studies also reported overtreatment with antidepressants. The present study was designed to assess whether treatment with antidepressants in primary care is in accordance with current guidelines, with a special focus on overtreatment. METHODOLOGY: We used baseline data of primary care respondents from the Netherlands Study of Depression and Anxiety (NESDA (n = 1610. Seventy-nine patients with treatment in secondary care were excluded. We assessed justification for treatment with antidepressant according to the Dutch primary care guidelines for depression and for anxiety disorders. Use of antidepressants was based on drug-container inspection or, if unavailable, on self-report. Results were recalculated to the original population of primary care patients from which the participants in NESDA were selected (n = 10,677. PRINCIPAL FINDINGS: Of 1531 included primary care patients, 199 (13% used an antidepressant, of whom 188 (94.5% (possibly justified. After recalculating these numbers to the original population (n = 10,677, we found 908 (95% CI 823 to 994 antidepressant users. Forty-nine (95% CI 20 to 78 of them (5.4% had no current justification for an antidepressant, but 27 of them (54.5% had a justified reason for an antidepressant at some earlier point in their life. CONCLUSIONS: We found that overtreatment with antidepressants in primary care is not a frequent problem. Too long continuation of treatment seems to explain the largest proportion of overtreatment as opposed to inappropriate initiation of treatment.

  1. Plate Boundary Observatory East Region Update and Status: Supporting New Science Through Enhanced Telemetry, Monument Evaluation, and Continued Operations and Maintenance

    Science.gov (United States)

    Dittmann, S. T.

    2012-12-01

    The EarthScope Plate Boundary Observatory (PBO) - East Region consists of 280 continuously operating GPS sites in a region that extends from the western border of California to the East Coast of the U.S. We present a number of highlights from the operations and maintenance (O&M) of the network in FY2012. One goal for 2012 was to replace poorly performing stations and another was to fill in some of the gaps in the eastern region of PBO. Accordingly, new GPS sites were installed at several locations across the mid-west, including in Wisconsin and South Dakota. CAYU, a GPS station at Cayuga College, New York also was incorporated into the PBO data flow to replace the poorly performing PBO station, LOZ1. UNAVCO now manages over 20 PBO GPS stations east of the Rocky Mountains, including 2 GPS stations installed in November 2011 as part of an NSF-funded RAPID project to the study of the post-rupture crustal relaxation resulting from the M5.8 Mineral, VA earthquake. PBO engineers also are constructing two additional monuments at five existing PBO sites to compare the performance of different monument types in different geological and tectonic settings. In addition, PBO engineers are upgrading GPS stations in Colorado and New Mexico, which comprise the semi-permanent Rio Grande Rift GPS network, and which have been downloaded manually for over 6 years, to cellular data communications. Lastly, engineers from the PBO-East region continued to support special projects from EarthScope-funded PIs, including Dr. Kristine Larson, who is advancing the use of GPS multipath observations to estimate snow depth (PBO H20) and vegetation growth. In summary, the PBO East Region sub-network state of health remained consistently above 97% throughout 2012, a testament to network hardening completed during the last three years of PBO O&M.

  2. Preoperative Proteinuria and Reduced Glomerular Filtration Rate Predicts Renal Replacement Therapy in Patients Supported With Continuous-Flow Left Ventricular Assist Devices.

    Science.gov (United States)

    Topkara, Veli K; Coromilas, Ellie J; Garan, Arthur Reshad; Li, Randall C; Castagna, Francesco; Jennings, Douglas L; Yuzefpolskaya, Melana; Takeda, Koji; Takayama, Hiroo; Sladen, Robert N; Mancini, Donna M; Naka, Yoshifumi; Radhakrishnan, Jai; Colombo, Paolo C

    2016-12-01

    Renal failure requiring renal replacement therapy (RRT) has detrimental effects on quality of life and survival of patients with continuous-flow left ventricular assist devices (CF-LVADs). Current guidelines do not offer a decision-making algorithm for CF-LVAD candidates with poor baseline renal function. Objective of this study was to identify risk factors associated with RRT after CF-LVAD implantation. Three hundred and eighty-nine consecutive patients underwent contemporary CF-LVAD implantation at the Columbia University Medical Center between January 2004 and August 2015. Baseline demographics, comorbid conditions, clinical risk scores, and renal function were analyzed in patients with or without RRT after CF-LVAD implantation. Time-dependent receiver-operating characteristic curve analysis was performed to define optimal cutoffs for continuous risk factors. Forty-four patients (11.6%) required RRT during a median follow-up of 9.9 months. Patients requiring RRT had significantly worse renal function, lower hemoglobin, and increased proteinuria at baseline. Low estimated glomerular filtration rate (proteinuria (urine protein to creatinine ratio ≥0.55 mg/mg) were significant predictors of RRT after CF-LVAD support. Dipstick proteinuria was also a significant predictor of RRT after CF-LVAD implantation. Patients with both low estimated glomerular filtration rate and proteinuria had highest risk of RRT (63.6%) compared with those with either low estimated glomerular filtration rate or proteinuria (18.7%) and those with neither of these risk factors (2.7%) at 1-year follow-up (log-rank Pproteinuria are predictors RRT after CF-LVAD implantation and should be routinely assessed in CF-LVAD candidates to guide decision making. © 2016 American Heart Association, Inc.

  3. Assessment of agreement between general practitioners and radiologists as to whether a radiation exposure is justified.

    Science.gov (United States)

    Dhingsa, R; Finlay, D B L; Robinson, G D; Liddicoat, A J

    2002-02-01

    The objective of this study was to assess agreement between General Practitioners (GPs) and Consultant Radiologists as to whether a radiation exposure is justified and whether a request conforms to the Royal College of Radiologists (RCR) guidelines. Three GPs and three Consultant Radiologists were asked to review 100 requests for plain film imaging from GPs and to state whether the request justified a radiation exposure and whether the request conformed to RCR guidelines. It was discovered that there is greater agreement between radiologists than between GPs; this is a consistent pattern. The best agreement was between two Consultant Radiologists using the RCR guidelines. The poorest was between GPs using the request form details. It is suggested that the guidelines should be symptom-based to improve efficacy.

  4. Routine X-ray of the chest is not justified in staging of cutaneous melanoma patients

    DEFF Research Database (Denmark)

    Gjorup, Caroline Asirvatham; Hendel, Helle Westergren; Pilegaard, Rita Kaae

    2016-01-01

    value was 8%, and the negative predictive value was 100%. CONCLUSION: Our results suggest that CXR cannot be justified in the initial staging of cutaneous melanoma patients. The guideline for the treatment of melanoma in Denmark is under revision: The use of CXR has been omitted. FUNDING: This study......INTRODUCTION: The incidence of cutaneous melanoma is increasing in Denmark and worldwide. However, the prevalence of distant metastases at the time of diagnosis has decreased to 1%. We therefore questioned the value of routine preoperative chest X-ray (CXR) for staging asymptomatic melanoma...... patients and hypothesised that routine CXR is not justified. METHODS: A retrospective study was conducted on patients undergoing wide local excision and sentinel lymph node biopsy for cutaneous melanoma in the period from 2010 to 2014. RESULTS: A total of 603 patients were included. The mean time of follow...

  5. Estimation of increased regional income that emanates from economically justified road construction projects

    Directory of Open Access Journals (Sweden)

    W. J. Pienaar

    2005-09-01

    Full Text Available This article identifies the possible development benefits than can emanate from economically justified road construction projects. It shows how the once-off increase in regional income resulting from investment in road construction projects, and the recurring additional regional income resulting from the use of new or improved roads can be estimated. The difference is shown that exists between a cost-benefit analysis (to determine how economically justified a project is and a regional economic income analysis (to estimate the general economic benefits that will be developed by investment in and usage of a road. Procedures are proposed through which the once-off and recurring increases in regional income can be estimated by using multiplier and accelerator analyses respectively. Finally guidelines are supplied on the appropriate usage of input variables in the calculation of the regional income multiplier.

  6. COMPARISONS OF THE FINITE-ELEMENT-WITH-DISCONTIGUOUS-SUPPORT METHOD TO CONTINUOUS-ENERGY MONTE CARLO FOR PIN-CELL PROBLEMS

    Energy Technology Data Exchange (ETDEWEB)

    A. T. Till; M. Hanuš; J. Lou; J. E. Morel; M. L. Adams

    2016-05-01

    The standard multigroup (MG) method for energy discretization of the transport equation can be sensitive to approximations in the weighting spectrum chosen for cross-section averaging. As a result, MG often inaccurately treats important phenomena such as self-shielding variations across a material. From a finite-element viewpoint, MG uses a single fixed basis function (the pre-selected spectrum) within each group, with no mechanism to adapt to local solution behavior. In this work, we introduce the Finite-Element-with-Discontiguous-Support (FEDS) method, whose only approximation with respect to energy is that the angular flux is a linear combination of unknowns multiplied by basis functions. A basis function is non-zero only in the discontiguous set of energy intervals associated with its energy element. Discontiguous energy elements are generalizations of bands and are determined by minimizing a norm of the difference between snapshot spectra and their averages over the energy elements. We begin by presenting the theory of the FEDS method. We then compare to continuous-energy Monte Carlo for one-dimensional slab and two-dimensional pin-cell problem. We find FEDS to be accurate and efficient at producing quantities of interest such as reaction rates and eigenvalues. Results show that FEDS converges at a rate that is approximately first-order in the number of energy elements and that FEDS is less sensitive to weighting spectrum than standard MG.

  7. Neutron radiation embrittlement studies in support of continued operation, and validation by sampling of Magnox reactor steel pressure vessels and components

    Energy Technology Data Exchange (ETDEWEB)

    Jones, R.B.; Bolton, C.J. [Magnox Electric plc, Berkeley Centre, Glos (United Kingdom)

    1997-02-01

    Magnox steel reactor pressure vessels differ significantly from US LWR vessels in terms of the type of steel used, as well as their operating environment (dose level, exposure temperature range, and neutron spectra). The large diameter ferritic steel vessels are constructed from C-Mn steel plates and forgings joined together with manual metal and submerged-arc welds which are stress-relieved. All Magnox vessels are now at least thirty years old and their continued operation is being vigorously pursued. Vessel surveillance and other programmes are summarized which support this objective. The current understanding of the roles of matrix irradiation damage, irradiation-enhanced copper impurity precipitation and intergranular embrittlement effects is described in so far as these influence the form of the embrittlement and hardening trend curves for each material. An update is given on the influence of high temperature exposure, and on the role of differing neutron spectra. Finally, the validation offered by the results of an initial vessel sampling exercise is summarized together with the objectives of a more extensive future sampling programme.

  8. A fast-initiating ionically tagged ruthenium complex: a robust supported pre-catalyst for batch-process and continuous-flow olefin metathesis.

    Science.gov (United States)

    Borré, Etienne; Rouen, Mathieu; Laurent, Isabelle; Magrez, Magaly; Caijo, Fréderic; Crévisy, Christophe; Solodenko, Wladimir; Toupet, Loic; Frankfurter, René; Vogt, Carla; Kirschning, Andreas; Mauduit, Marc

    2012-12-14

    In this study, a new pyridinium-tagged Ru complex was designed and anchored onto sulfonated silica, thereby forming a robust and highly active supported olefin-metathesis pre-catalyst for applications under batch and continuous-flow conditions. The involvement of an oxazine-benzylidene ligand allowed the reactivity of the formed Ru pre-catalyst to be efficiently controlled through both steric and electronic activation. The oxazine scaffold facilitated the introduction of the pyridinium tag, thereby affording the corresponding cationic pre-catalyst in good yield. Excellent activities in ring-closing (RCM), cross (CM), and enyne metathesis were observed with only 0.5 mol % loading of the pre-catalyst. When this powerful pre-catalyst was immobilized onto a silica-based cationic-exchange resin, a versatile catalytically active material for batch reactions was generated that also served as fixed-bed material for flow reactors. This system could be reused at 1 mol % loading to afford metathesis products in high purity with very low ruthenium contamination under batch conditions (below 5 ppm). Scavenging procedures for both batch and flow processes were conducted, which led to a lowering of the ruthenium content to as little as one tenth of the original values.

  9. Multi-objective Numeric Association Rules Mining via Ant Colony Optimization for Continuous Domains without Specifying Minimum Support and Minimum Confidence

    Directory of Open Access Journals (Sweden)

    Parisa Moslehi

    2011-09-01

    Full Text Available Currently, all search algorithms which use discretization of numeric attributes for numeric association rule mining, work in the way that the original distribution of the numeric attributes will be lost. This issue leads to loss of information, so that the association rules which are generated through this process are not precise and accurate. Based on this fact, algorithms which can natively handle numeric attributes would be interesting. Since association rule mining can be considered as a multi-objective problem, rather than a single objective one, a new multi-objective algorithm for numeric association rule mining is presented in this paper, using Ant Colony Optimization for Continuous domains (ACOR. This algorithm mines numeric association rules without any need to specify minimum support and minimum confidence, in one step. In order to do this we modified ACOR for generating rules. The results show that we have more precise and accurate rules after applying this algorithm and the number of rules is more than the ones resulted from previous works.

  10. Technical Data to Justify Full Burnup Credit in Criticality Safety Licensing Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Enercon Services, Inc.

    2011-03-14

    Enercon Services, Inc. (ENERCON) was requested under Task Order No.2 to identify scientific and technical data needed to benchmark and justify Full Burnup Credit, which adds 16 fission products and 4 minor actinides1 to Actinide-Only burnup credit. The historical perspective for Full Burnup Credit is discussed, and interviews of organizations participating in burnup credit activities are summarized as a basis for identifying additional data needs and making recommendation. Input from burnup credit participants representing two segments of the commercial nuclear industry is provided. First, the Electric Power Research Institute (EPRI) has been very active in the development of Full Burnup Credit, representing the interests of nuclear utilities in achieving capacity gains for storage and transport casks. EPRI and its utility customers are interested in a swift resolution of the validation issues that are delaying the implementation of Full Burnup Credit [EPRI 2010b]. Second, used nuclear fuel storage and transportation Cask Vendors favor improving burnup credit beyond Actinide-Only burnup credit, although their discussion of specific burnup credit achievements and data needs was limited citing business sensitive and technical proprietary concerns. While Cask Vendor proprietary items are not specifically identified in this report, the needs of all nuclear industry participants are reflected in the conclusions and recommendations of this report. In addition, Oak Ridge National Laboratory (ORNL) and Sandia National Laboratory (SNL) were interviewed for their input into additional data needs to achieve Full Burnup Credit. ORNL was very open to discussions of Full Burnup Credit, with several telecoms and a visit by ENERCON to ORNL. For many years, ORNL has provided extensive support to the NRC regarding burnup credit in all of its forms. Discussions with ORNL focused on potential resolutions to the validation issues for the use of fission products. SNL was helpful in

  11. Can "presumed consent" justify the duty to treat infectious diseases? An analysis

    Directory of Open Access Journals (Sweden)

    Arda Berna

    2008-03-01

    Full Text Available Abstract Background AIDS, SARS, and the recent epidemics of the avian-flu have all served to remind us the debate over the limits of the moral duty to care. It is important to first consider the question of whether or not the "duty to treat" might be subject to contextual constraints. The purpose of this study was to investigate the opinions and beliefs held by both physicians and dentists regarding the occupational risks of infectious diseases, and to analyze the argument that the notion of "presumed consent" on the part of professionals may be grounds for supporting the duty to treat. Methods For this cross-sectional survey, the study population was selected from among physicians and dentists in Ankara. All of the 373 participants were given a self-administered questionnaire. Results In total, 79.6% of the participants said that they either had some degree of knowledge about the risks when they chose their profession or that they learned of the risks later during their education and training. Of the participants, 5.2% said that they would not have chosen this profession if they had been informed of the risks. It was found that 57% of the participants believed that there is a standard level of risk, and 52% of the participants stated that certain diseases would exceed the level of acceptable risk unless specific protective measures were implemented. Conclusion If we use the presumed consent argument to establish the duty of the HCW to provide care, we are confronted with problems ranging over the difficulty of choosing a profession autonomously, the constant level of uncertainty present in the medical profession, the near-impossibility of being able to evaluate retrospectively whether every individual was informed, and the seemingly inescapable problem that this practice would legitimize, and perhaps even foster, discrimination against patients with certain diseases. Our findings suggest that another problem can be added to the list: one

  12. Continued Follow-Up of Phambili Phase 2b Randomized HIV-1 Vaccine Trial Participants Supports Increased HIV-1 Acquisition among Vaccinated Men.

    Directory of Open Access Journals (Sweden)

    Zoe Moodie

    Full Text Available The Phase 2b double-blinded, randomized Phambili/HVTN 503 trial evaluated safety and efficacy of the MRK Ad5 gag/pol/nef subtype B HIV-1 preventive vaccine vs placebo in sexually active HIV-1 seronegative participants in South Africa. Enrollment and vaccinations stopped and participants were unblinded but continued follow-up when the Step study evaluating the same vaccine in the Americas, Caribbean, and Australia was unblinded for non-efficacy. Final Phambili analyses found more HIV-1 infections amongst vaccine than placebo recipients, impelling the HVTN 503-S recall study.HVTN 503-S sought to enroll all 695 HIV-1 uninfected Phambili participants, provide HIV testing, risk reduction counseling, physical examination, risk behavior assessment and treatment assignment recall. After adding HVTN 503-S data, HIV-1 infection hazard ratios (HR vaccine vs. placebo were estimated by Cox models.Of the 695 eligible, 465 (67% enrolled with 230 from the vaccine group and 235 from the placebo group. 38% of the 184 Phambili dropouts were enrolled. Enrollment did not differ by treatment group, gender, or baseline HSV-2. With the additional 1286 person years of 503-S follow-up, the estimated HR over Phambili and HVTN 503-S follow-up was 1.52 (95% CI 1.08-2.15, p = 0.02, 82 vaccine/54 placebo infections. The HR was significant for men (HR = 2.75, 95% CI 1.49, 5.06, p = 0.001 but not for women (HR = 1.12, 95% CI 0.73, 1.72, p = 0.62.The additional follow-up from HVTN 503-S supported the Phambili finding of increased HIV-1 acquisition among vaccinated men and strengthened the evidence of lack of vaccine effect among women.clinicaltrials.gov NCT00413725 SA National Health Research Database DOH-27-0207-1539.

  13. The application of continuous wavelet transform and least squares support vector machine for the simultaneous quantitative spectrophotometric determination of Myricetin, Kaempferol and Quercetin as flavonoids in pharmaceutical plants.

    Science.gov (United States)

    Sohrabi, Mahmoud Reza; Darabi, Golnaz

    2016-01-05

    Flavonoids are γ-benzopyrone derivatives, which are highly regarded in these researchers for their antioxidant property. In this study, two new signals processing methods been coupled with UV spectroscopy for spectral resolution and simultaneous quantitative determination of Myricetin, Kaempferol and Quercetin as flavonoids in Laurel, St. John's Wort and Green Tea without the need for any previous separation procedure. The developed methods are continuous wavelet transform (CWT) and least squares support vector machine (LS-SVM) methods integrated with UV spectroscopy individually. Different wavelet families were tested by CWT method and finally the Daubechies wavelet family (Db4) for Myricetin and the Gaussian wavelet families for Kaempferol (Gaus3) and Quercetin (Gaus7) were selected and applied for simultaneous analysis under the optimal conditions. The LS-SVM was applied to build the flavonoids prediction model based on absorption spectra. The root mean square errors for prediction (RMSEP) of Myricetin, Kaempferol and Quercetin were 0.0552, 0.0275 and 0.0374, respectively. The developed methods were validated by the analysis of the various synthetic mixtures associated with a well- known flavonoid contents. Mean recovery values of Myricetin, Kaempferol and Quercetin, in CWT method were 100.123, 100.253, 100.439 and in LS-SVM method were 99.94, 99.81 and 99.682, respectively. The results achieved by analyzing the real samples from the CWT and LS-SVM methods were compared to the HPLC reference method and the results were very close to the reference method. Meanwhile, the obtained results of the one-way ANOVA (analysis of variance) test revealed that there was no significant difference between the suggested methods.

  14. The application of continuous wavelet transform and least squares support vector machine for the simultaneous quantitative spectrophotometric determination of Myricetin, Kaempferol and Quercetin as flavonoids in pharmaceutical plants

    Science.gov (United States)

    Sohrabi, Mahmoud Reza; Darabi, Golnaz

    2016-01-01

    Flavonoids are γ-benzopyrone derivatives, which are highly regarded in these researchers for their antioxidant property. In this study, two new signals processing methods been coupled with UV spectroscopy for spectral resolution and simultaneous quantitative determination of Myricetin, Kaempferol and Quercetin as flavonoids in Laurel, St. John's Wort and Green Tea without the need for any previous separation procedure. The developed methods are continuous wavelet transform (CWT) and least squares support vector machine (LS-SVM) methods integrated with UV spectroscopy individually. Different wavelet families were tested by CWT method and finally the Daubechies wavelet family (Db4) for Myricetin and the Gaussian wavelet families for Kaempferol (Gaus3) and Quercetin (Gaus7) were selected and applied for simultaneous analysis under the optimal conditions. The LS-SVM was applied to build the flavonoids prediction model based on absorption spectra. The root mean square errors for prediction (RMSEP) of Myricetin, Kaempferol and Quercetin were 0.0552, 0.0275 and 0.0374, respectively. The developed methods were validated by the analysis of the various synthetic mixtures associated with a well- known flavonoid contents. Mean recovery values of Myricetin, Kaempferol and Quercetin, in CWT method were 100.123, 100.253, 100.439 and in LS-SVM method were 99.94, 99.81 and 99.682, respectively. The results achieved by analyzing the real samples from the CWT and LS-SVM methods were compared to the HPLC reference method and the results were very close to the reference method. Meanwhile, the obtained results of the one-way ANOVA (analysis of variance) test revealed that there was no significant difference between the suggested methods.

  15. Support of NASA ADR/ Cross-Enterprise NRA Advanced Adiabatic Demagnetization Refrigerators for Continuous Cooling from 10K to 50mK, Development of a Heat Switch

    Science.gov (United States)

    Richards, Paul L.

    2005-01-01

    Mechanical heat switches are used in conjunction with sorption refrigerators, adiabatic demagnetization refrigerators and for other cryogenic tasks including the pre-cooling cryogenic systems. They use a mechanical actuator which closes Au plated Cu jaws on an Au plated Cu bar. The thermal conductance in the closed position is essentially independent of the area of the jaws and proportional to the force applied. It varies linearly with T. It is approximately 10mW/K for 200 N at 1.5K. In some applications, the heat switch can be driven from outside the cryostat by a rotating rod and a screw. Such heat switches are available commercially from several sources. In other applications, including systems for space, it is desirable to drive the switch using a cold linear motor, or solenoid. Superconducting windings are used at temperatures s 4.2K to minimize power dissipation, but are not appropriate for pre-cooling a system at higher temperatures. This project was intended to improve the design of solenoid activated mechanical heat switches and to provide such switches as required to support the development of Advanced Adiabatic Demagnetization Refrigerators for Continuous Cooling from 10 K to 50 mK at GSFC. By the time funding began in 5/1/01, the immediate need for mechanical heat switches at GSFC had subsided but, at the same time, the opportunity had arisen to improve the design of mechanical heat switching by incorporating a "latching solenoid". In this device, the solenoid current is required only for changing the state of the switch and not during the whole time that the switch is closed.

  16. Belief in school meritocracy as a system-justifying tool for low status students.

    Science.gov (United States)

    Wiederkehr, Virginie; Bonnot, Virginie; Krauth-Gruber, Silvia; Darnon, Céline

    2015-01-01

    The belief that, in school, success only depends on will and hard work is widespread in Western societies despite evidence showing that several factors other than merit explain school success, including group belonging (e.g., social class, gender). In the present paper, we argue that because merit is the only track for low status students to reach upward mobility, Belief in School Meritocracy (BSM) is a particularly useful system-justifying tool to help them perceive their place in society as being deserved. Consequently, for low status students (but not high status students), this belief should be related to more general system-justifying beliefs (Study 1). Moreover, low status students should be particularly prone to endorsing this belief when their place within a system on which they strongly depend to acquire status is challenged (Study 2). In Study 1, high status (boys and high SES) were compared to low status (girls and low SES) high school students. Results indicated that BSM was related to system-justifying beliefs only for low SES students and for girls, but not for high SES students or for boys. In Study 2, university students were exposed (or not) to information about an important selection process that occurs at the university, depending on the condition. Their subjective status was assessed. Although such a confrontation reduced BSM for high subjective SES students, it tended to enhance it for low subjective SES students. Results are discussed in terms of system justification motives and the palliative function meritocratic ideology may play for low status students.

  17. Justifying molecular images in cell biology textbooks: From constructions to primary data.

    Science.gov (United States)

    Serpente, Norberto

    2016-02-01

    For scientific claims to be reliable and productive they have to be justified. However, on the one hand little is known on what justification precisely means to scientists, and on the other the position held by philosophers of science on what it entails is rather limited; for justifications customarily refer to the written form (textual expressions) of scientific claims, leaving aside images, which, as many cases from the history of science show are relevant to this process. The fact that images can visually express scientific claims independently from text, plus their vast variety and origins, requires an assessment of the way they are currently justified and in turn used as sources to justify scientific claims in the case of particular scientific fields. Similarly, in view of the different nature of images, analysis is required to determine on what side of the philosophical distinction between data and phenomena these different kinds of images fall. This paper historicizes and documents a particular aspect of contemporary life sciences research: the use of the molecular image as vehicle of knowledge production in cell studies, a field that has undergone a significant shift in visual expressions from the early 1980s onwards. Focussing on textbooks as sources that have been overlooked in the historiography of contemporary biomedicine, the aim is to explore (1) whether the shift of cell studies, entailing a superseding of the optical image traditionally conceptualised as primary data, by the molecular image, corresponds with a shift of justificatory practices, and (2) to assess the role of the molecular image as primary data. This paper also explores the dual role of images as teaching resources and as resources for the construction of knowledge in cell studies especially in its relation to discovery and justification. Finally, this paper seeks to stimulate reflection on what kind of archival resources could benefit the work of present and future epistemic

  18. ["The end justifies the means." Historical realism and causality in modernity].

    Science.gov (United States)

    Catteeuw, Laurie

    2014-01-01

    Perceived all along, from the beginning of the modern era, causality in history cannot be abstracted from a reflection on "the reason and uses of States". Such realism engages with the heart of the arts of governance, the practices which form the basis for the adage "the end justifies the means". In order to assess the implications of this maxim on the definition of causality, this article examines the modalities of the description of historical facts, its usages and censoring (understood as a necessary means to aspired ends), and the calculation of the aleatory dimensions of politics.

  19. When is deliberate killing of young children justified? Indigenous interpretations of infanticide in Bolivia.

    Science.gov (United States)

    de Hilari, Caroline; Condori, Irma; Dearden, Kirk A

    2009-01-01

    In the Andes, as elsewhere, infanticide is a difficult challenge that remains largely undocumented and misunderstood. From January to March 2004 we used community-based vital event surveillance systems, discussions with health staff, ethnographic interviews, and focus group discussions among Aymara men and women from two geographically distinct sites in the Andes of Bolivia to provide insights into the practice of infanticide. We noted elevated mortality at both sites. In one location, suspected causes of infanticide were especially high for girls. We also observed that community members maintain beliefs that justify infanticide under certain circumstances. Among the Aymara, justification for infanticide was both biological (deformities and twinship) and social (illegitimate birth, family size and poverty). Communities generally did not condemn killing when reasons for doing so were biological, but the taking of life for social reasons was rarely justified. In this cultural context, strategies to address the challenge of infanticide should include education of community members about alternatives to infanticide. At a program level, planners and implementers should target ethnic groups with high levels of infanticide and train health care workers to detect and address multiple warning signs for infanticide (for example, domestic violence and child maltreatment) as well as proxies for infant neglect and abuse such as mother/infant separation and bottle use.

  20. [Do histologic changes of the upper renal pole in double ectopic ureterocele justify a conservative approach?].

    Science.gov (United States)

    Arena, F; Nicotina, P A; Cruccetti, A; Centonze, A; Arena, S; Romeo, G

    2001-01-01

    The aim of this study was to review the histology of the upper pole segment in patients with duplex ectopic ureterocele to verify if a less aggressive surgery is justified in the prenatally diagnosed patients. We reviewed the histology of the upper pole segment of 15 consecutive patients with duplex system ectopic ureterocele treated between 1991 and 1999 at the Paediatric Surgery Unit of University Hospital of Messina. The diagnosis of duplex system ectopic ureterocele was made according to the criteria of the Section on Urology of the American Academy of Paediatrics. The histology specimens were assessed for dysplastic, inflammatory and obstructive changes. All 15 patients with duplex system ectopic ureterocele were surgically treated with heminephro-ureterectomy and the surgical specimens were histologically examined. Nine of the 15 patients were prenatally diagnosed. The histology of the upper pole segment of the 9 prenatally diagnosed showed in all patients segmental renal microcystic dysplasia, chondroid metaplasic islands and an inflammatory tubulo-interstitial nephropathy in 6 patients (66.6%) and in 2 (22.2%) nephroblastomatosis. The histology of six the postnatal postnatally diagnosed patients showed in all patients segmental multicystic renal dysplasia, inflammatory tubulo-interstitial nephropathy and segmental parenchymal scars. The upper pole histology of the patients with duplex ectopic ureterocele diagnosed prenatally did not show any evidence of reversible histological change. Considering the histology and the good outcome of patients treated with upper pole nephroureterectomy a less aggressive surgery with preservation of the upper pole does not seem justified.

  1. Can histologic changes of the upper pole justify a conservative approach in neonatal duplex ectopic ureterocele?

    Science.gov (United States)

    Arena, F; Nicotina, A; Cruccetti, A; Centonze, A; Arena, S; Romeo, G

    2002-12-01

    The aim of this study was to review the histology of the upper-pole segment in patients with duplex-system ectopic ureterocele (DEU) to determine if less aggressive surgery is justified in prenatally-diagnosed cases. The study included 15 consecutive patients with DEU treated between 1991 and 1999. The diagnosis was made according to the criteria of the Section on Urology of the American Academy of Pediatrics. The histology specimens were assessed for dysplastic, inflammatory, and obstructive changes. All 15 patients were surgically treated by heminephro-ureterectomy and the surgical specimens were histologically examined. Nine cases were diagnosed prenatally; the histology of the upper-pole segment in these patients showed segmental renal microcystic dysplasia, chondroid metaplasic islands, and an inflammatory tubulointerstitial nephropathy in 6 (66.6%) and nephroblastomatosis in 2 (22.2%). The histology of the 6 postnatally-diagnosed patients showed segmental multicystic renal dysplasia, inflammatory tubulo-interstitial nephropathy, and segmental parenchymal scars. The upper-pole histology of the prenatally-diagnosed patients did not show any evidence of reversible histologic changes. Considering this findings and the good outcome of patients treated with upper-pole nephroureterectomy, less aggressive surgery with preservation of the upper pole does not seem justified.

  2. [Is a hysterectomy justifiable to prevent post-tubal ligation syndrome?].

    Science.gov (United States)

    Maheux, R; Fugère, P

    1980-12-01

    Among 2057 tubal ligations performed between 1971-75 in "Hopital Saint-Luc" in Montreal, 78 patients had to be readmitted for hysterectomy. The main indication for hysterectomy among these patients was for menstrual disorders (65%). These menstrual disorders were present at the moment of the tubal ligation in about half of the patients. Among the patients who had to be reoperated for hysterectomy for menstrual disorders and who were asymptomatic at the momemt of their tubal ligation, 88% were using oral contraceptives for a mean period of 5.8 years. The low incidence of hysterectomy post-tubal ligation (3.8%) does not seem to justify a total hysterectomy to prevent what has been described as the "post tubal ligation syndrome" in the patients who are asymptomatic and desire a permanent sterilization. (Author's modified)

  3. Justifying the Choice and Use of a Game and a Song in My Lesson

    Institute of Scientific and Technical Information of China (English)

    庄新月

    2013-01-01

      Games and songs can bring a lot of pleasure to children. They are useful tools in children’s language learning. As Eng⁃lish teachers, we should know how to make full use of them to stimulate children’s interest and promote their learning. In this es⁃say, I will take one primary English lesson as an example to demonstrate my point. First I am going to talk about the advantages of using a game and a song, and then analyze the teaching or learning context and the activities in the lesson. At last I am going to fo⁃cus on how and why to use the game and the song in the classroom. In a word, I am going to justify my choice and use of a game and a song in a revision lesson.

  4. Perceptions about civil war in Central Africa: Can war be justified or solve problems?

    Directory of Open Access Journals (Sweden)

    Kitambala Lumbu

    2009-09-01

    Full Text Available Civil war and ethnic violence are major problems in Central Africa and have caused the death and displacement of millions of people over the years. The aim of this study was to investigate the perceptions of religious leaders, lecturers and students in theology at various tertiary institutions in Central Africa with regard to civil war in the region. A structured questionnaire was used to investigate participants� perceptions about and attitudes towards civil war. The questionnaire was completed by 1 364 participants who originated or lived in the Democratic Republic of the Congo (DRC and Rwanda. The results of the study illustrated the severe effect that civil wars had on the participants or their families and further indicated that Rwandans, Tutsis and males were more inclined toward justifying wars and seeing them as solutions for problems. The role of the Church in countering these perceptions is discussed.

  5. When the End (Automatically) Justifies the Means: Automatic Tendency Toward Sex Exchange for Crack Cocaine

    Science.gov (United States)

    Kopetz, Catalina E.; Collado, Anahi; Lejuez, Carl W.

    2016-01-01

    The current research explores the idea that self-defeating behaviors represent means toward individuals’ goals. In this quality, they may be automatically initiated upon goal activation without individual’s voluntary intention and thus exemplify the long-held idea that the end justifies the means. To investigate this notion empirically we explored one of the most problematic self-defeating behavior: engagement in sex exchange for crack cocaine. This behavior is common among female drug users despite its well-known health and legal consequences. Although these women know and understand the consequences of such behavior, they have a hard time resisting it when the goal of drug obtainment becomes accessible. Indeed, the current study shows that when the accessibility of such a goal is experimentally increased, participants for whom sex exchange represents an instrumental means to drug obtainment are faster to approach sex-exchange targets in a joystick task despite their self-reported intentions to avoid such behavior.

  6. Four ways to justify temporal memory operators in the lossy wave equation

    CERN Document Server

    Holm, Sverre

    2015-01-01

    Attenuation of ultrasound often follows near power laws which cannot be modeled with conventional viscous or relaxation wave equations. The same is often the case for shear wave propagation in tissue also. More general temporal memory operators in the wave equation can describe such behavior. They can be justified in four ways: 1) Power laws for attenuation with exponents other than two correspond to the use of convolution operators with a temporal memory kernel which is a power law in time. 2) The corresponding constitutive equation is also a convolution, often with a temporal power law function. 3) It is also equivalent to an infinite set of relaxation processes which can be formulated via the complex compressibility. 4) The constitutive equation can also be expressed as an infinite sum of higher order derivatives. An extension to longitudinal waves in a nonlinear medium is also provided.

  7. Can science justify regulatory decisions about the cultivation of transgenic crops?

    Science.gov (United States)

    Raybould, Alan

    2012-08-01

    Results of scientific studies are sometimes claimed to provide scientific justification for regulatory decisions about the cultivation of certain transgenic crops. A decision may be scientifically justified if objective analysis shows that the decision is more likely than alternatives to lead to the achievement of specific policy objectives. If policy objectives are not defined operationally, as is often the case, scientific justification for decisions is not possible. The search for scientific justification for decisions leads to concentration on reducing scientific uncertainty about the behaviour of transgenic crops instead of reducing uncertainty about the objectives of policies that regulate their use. Focusing on reducing scientific uncertainty at the expense of clarifying policy objectives may have detrimental effects on scientists, science and society.

  8. What justifies the United States ban on federal funding for nonreproductive cloning?

    Science.gov (United States)

    Cunningham, Thomas V

    2013-11-01

    This paper explores how current United States policies for funding nonreproductive cloning are justified and argues against that justification. I show that a common conceptual framework underlies the national prohibition on the use of public funds for cloning research, which I call the simple argument. This argument rests on two premises: that research harming human embryos is unethical and that embryos produced via fertilization are identical to those produced via cloning. In response to the simple argument, I challenge the latter premise. I demonstrate there are important ontological differences between human embryos (produced via fertilization) and clone embryos (produced via cloning). After considering the implications my argument has for the morality of publicly funding cloning for potential therapeutic purposes and potential responses to my position, I conclude that such funding is not only ethically permissible, but also humane national policy.

  9. Is routine antenatal venereal disease research laboratory test still justified? Nigerian experience.

    Science.gov (United States)

    Nwosu, Betrand O; Eleje, George U; Obi-Nwosu, Amaka L; Ahiarakwem, Ita F; Akujobi, Comfort N; Egwuatu, Chukwudi C; Onyiuke, Chukwudumebi O C

    2015-01-01

    To determine the seroreactivity of pregnant women to syphilis in order to justify the need for routine antenatal syphilis screening. A multicenter retrospective analysis of routine antenatal venereal disease research laboratory (VDRL) test results between 1 September 2010 and 31 August 2012 at three specialist care hospitals in south-east Nigeria was done. A reactive VDRL result is subjected for confirmation using Treponema pallidum hemagglutination assay test. Analysis was by Epi Info 2008 version 3.5.1 and Stata/IC version 10. Adequate records were available regarding 2,156 patients and were thus reviewed. The mean age of the women was 27.4 years (±3.34), and mean gestational age was 26.4 weeks (±6.36). Only 15 cases (0.70%) were seropositive to VDRL. Confirmatory T. pallidum hemagglutination assay was positive in 4 of the 15 cases, giving an overall prevalence of 0.19% and a false-positive rate of 73.3%. There was no significant difference in the prevalence of syphilis in relation to maternal age and parity (P>0.05). While the prevalence of syphilis is extremely low in the antenatal care population at the three specialist care hospitals in south-east Nigeria, false-positive rate is high and prevalence did not significantly vary with maternal age or parity. Because syphilis is still a serious but preventable and curable disease, screening with VDRL alone, without confirmatory tests may not be justified. Because of the increase in the demand for evidence-based medicine and litigation encountered in medical practice, we may advocate that confirmatory test for syphilis is introduced in routine antenatal testing to reduce the problem of false positives. The government should increase the health budget that will include free routine antenatal testing including the T. pallidum hemagglutination assay.

  10. Through rose-colored glasses: system-justifying beliefs dampen the effects of relative deprivation on well-being and political mobilization.

    Science.gov (United States)

    Osborne, Danny; Sibley, Chris G

    2013-08-01

    Individual-based and group-based forms of relative deprivation (IRD and GRD, respectively) are linked with individual- and group-based responses to inequality, respectively. System justification theory, however, argues that we are motivated to believe that people's outcomes are equitably determined. As such, endorsement of system-justifying beliefs should dampen people's reactions to outcomes perceived to be unequal and ultimately undermine support for political mobilization. We examined these hypotheses in a national probability sample of New Zealanders (N = 6,886). As expected, IRD predicted individual-based responses to inequality (i.e., satisfaction with one's standard of living and psychological distress) better than GRD. Conversely, GRD predicted group-based responses to inequality (i.e., perceived discrimination against one's group and support for political mobilization) better than IRD. Each of these relationships was, however, notably weaker among participants who were high, relative to low, on system justification. These results demonstrate that system-justifying beliefs have a palliative effect on people's experiences with inequality.

  11. Continuous auditing & continuous monitoring : Continuous value?

    NARCIS (Netherlands)

    van Hillo, Rutger; Weigand, Hans; Espana, S; Ralyte, J; Souveyet, C

    2016-01-01

    Advancements in information technology, new laws and regulations and rapidly changing business conditions have led to a need for more timely and ongoing assurance with effectively working controls. Continuous Auditing (CA) and Continuous Monitoring (CM) technologies have made this possible by obtain

  12. Continuous auditing & continuous monitoring : Continuous value?

    NARCIS (Netherlands)

    van Hillo, Rutger; Weigand, Hans; Espana, S; Ralyte, J; Souveyet, C

    2016-01-01

    Advancements in information technology, new laws and regulations and rapidly changing business conditions have led to a need for more timely and ongoing assurance with effectively working controls. Continuous Auditing (CA) and Continuous Monitoring (CM) technologies have made this possible by obtain

  13. Continuous auditing & continuous monitoring : Continuous value?

    NARCIS (Netherlands)

    van Hillo, Rutger; Weigand, Hans; Espana, S; Ralyte, J; Souveyet, C

    2016-01-01

    Advancements in information technology, new laws and regulations and rapidly changing business conditions have led to a need for more timely and ongoing assurance with effectively working controls. Continuous Auditing (CA) and Continuous Monitoring (CM) technologies have made this possible by

  14. The global spread of Zika virus: is public and media concern justified in regions currently unaffected?

    Institute of Scientific and Technical Information of China (English)

    Narayan Gyawali; Richard S.Bradbury; Andrew W.Taylor-Robinson

    2016-01-01

    Background:Zika virus,an Aedes mosquito-borne flavivirus,is fast becoming a worldwide public health concern following its suspected association with over 4000 recent cases of microcephaly among newborn infants in Brazil.Discussion:Prior to its emergence in Latin America in 2015-2016,Zika was known to exist at a relatively low prevalence in parts of Africa,Asia and the Pacific islands.An extension of its apparent global dispersion may be enabled by climate conditions suitable to support the population growth ofA.aegypti and A.albopictus mosquitoes over an expanding geographical range.In addition,increased globalisation continues to pose a risk for the spread of infection.Further,suspicions of alternative modes of virus transmission (sexual and vertical),if proven,provide a platform for outbreaks in mosquito non-endemic regions as well.Since a vaccine or anti-viral therapy is not yet available,current means of disease prevention involve protection from mosquito bites,excluding pregnant females from travelling to Zika-endemic territories,and practicing safe sex in those countries.Importantly,in countries where Zika is reported as endemic,caution is advised in planning to conceive a baby until such time as the apparent association between infection with the virus and microcephaly is either confirmed or refuted.The question arises as to what advice is appropriate to give in more economically developed countries distant to the current epidemic and in which Zika has not yet been reported.Summary:Despite understandable concern among the general public that has been fuelled by the media,in regions where Zika is not present,such as North America,Europe and Australia,at this time any outbreak (initiated by an infected traveler returning from an endemic area) would very probably be contained locally.Since Aedes spp.has very limited spatial dispersal,overlapping high population densities of mosquitoes and humans would be needed to sustain a focus of infection.However,as A

  15. The global spread of Zika virus: is public and media concern justified in regions currently unaffected?

    Science.gov (United States)

    Gyawali, Narayan; Bradbury, Richard S; Taylor-Robinson, Andrew W

    2016-04-19

    Zika virus, an Aedes mosquito-borne flavivirus, is fast becoming a worldwide public health concern following its suspected association with over 4000 recent cases of microcephaly among newborn infants in Brazil. Prior to its emergence in Latin America in 2015-2016, Zika was known to exist at a relatively low prevalence in parts of Africa, Asia and the Pacific islands. An extension of its apparent global dispersion may be enabled by climate conditions suitable to support the population growth of A. aegypti and A. albopictus mosquitoes over an expanding geographical range. In addition, increased globalisation continues to pose a risk for the spread of infection. Further, suspicions of alternative modes of virus transmission (sexual and vertical), if proven, provide a platform for outbreaks in mosquito non-endemic regions as well. Since a vaccine or anti-viral therapy is not yet available, current means of disease prevention involve protection from mosquito bites, excluding pregnant females from travelling to Zika-endemic territories, and practicing safe sex in those countries. Importantly, in countries where Zika is reported as endemic, caution is advised in planning to conceive a baby until such time as the apparent association between infection with the virus and microcephaly is either confirmed or refuted. The question arises as to what advice is appropriate to give in more economically developed countries distant to the current epidemic and in which Zika has not yet been reported. Despite understandable concern among the general public that has been fuelled by the media, in regions where Zika is not present, such as North America, Europe and Australia, at this time any outbreak (initiated by an infected traveler returning from an endemic area) would very probably be contained locally. Since Aedes spp. has very limited spatial dispersal, overlapping high population densities of mosquitoes and humans would be needed to sustain a focus of infection. However, as A

  16. Is routine antenatal venereal disease research laboratory test still justified? Nigerian experience

    Directory of Open Access Journals (Sweden)

    Nwosu BO

    2015-01-01

    Full Text Available Betrand O Nwosu,1 George U Eleje,1 Amaka L Obi-Nwosu,2 Ita F Ahiarakwem,3 Comfort N Akujobi,4 Chukwudi C Egwuatu,4 Chukwudumebi O Onyiuke5 1Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria; 2Department of Family Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria; 3Department of Medical Microbiology, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria; 4Department of Medical Microbiology, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria; 5Department of Medical Microbiology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, NigeriaObjective: To determine the seroreactivity of pregnant women to syphilis in order to justify the need for routine antenatal syphilis screening.Methods: A multicenter retrospective analysis of routine antenatal venereal disease research laboratory (VDRL test results between 1 September 2010 and 31 August 2012 at three specialist care hospitals in south-east Nigeria was done. A reactive VDRL result is subjected for confirmation using Treponema pallidum hemagglutination assay test. Analysis was by Epi Info 2008 version 3.5.1 and Stata/IC version 10.Results: Adequate records were available regarding 2,156 patients and were thus reviewed. The mean age of the women was 27.4 years (±3.34, and mean gestational age was 26.4 weeks (±6.36. Only 15 cases (0.70% were seropositive to VDRL. Confirmatory T. pallidum hemagglutination assay was positive in 4 of the 15 cases, giving an overall prevalence of 0.19% and a false-positive rate of 73.3%. There was no significant difference in the prevalence of syphilis in relation to maternal age and parity (P>0.05.Conclusion: While the prevalence of syphilis is extremely low in the antenatal care population at the three specialist care hospitals in south-east Nigeria, false-positive rate is high and prevalence did not significantly vary with maternal age or

  17. Digital and multimedia forensics justified: An appraisal on professional policy and legislation

    Science.gov (United States)

    Popejoy, Amy Lynnette

    Recent progress in professional policy and legislation at the federal level in the field of forensic science constructs a transformation of new outcomes for future experts. An exploratory and descriptive qualitative methodology was used to critique and examine Digital and Multimedia Science (DMS) as a justified forensic discipline. Chapter I summarizes Recommendations 1, 2, and 10 of the National Academy of Sciences (NAS) Report 2009 regarding disparities and challenges facing the forensic science community. Chapter I also delivers the overall foundation and framework of this thesis, specifically how it relates to DMS. Chapter II expands on Recommendation 1: "The Promotion and Development of Forensic Science," and focuses chronologically on professional policy and legislative advances through 2014. Chapter III addresses Recommendation 2: "The Standardization of Terminology in Reporting and Testimony," and the issues of legal language and terminology, model laboratory reports, and expert testimony concerning DMS case law. Chapter IV analyzes Recommendation 10: "Insufficient Education and Training," identifying legal awareness for the digital and multimedia examiner to understand the role of the expert witness, the attorney, the judge and the admission of forensic science evidence in litigation in our criminal justice system. Finally, Chapter V studies three DME specific laboratories at the Texas state, county, and city level, concentrating on current practice and procedure.

  18. Are stock prices too volatile to be justified by the dividend discount model?

    Science.gov (United States)

    Akdeniz, Levent; Salih, Aslıhan Altay; Ok, Süleyman Tuluğ

    2007-03-01

    This study investigates excess stock price volatility using the variance bound framework of LeRoy and Porter [The present-value relation: tests based on implied variance bounds, Econometrica 49 (1981) 555-574] and of Shiller [Do stock prices move too much to be justified by subsequent changes in dividends? Am. Econ. Rev. 71 (1981) 421-436.]. The conditional variance bound relationship is examined using cross-sectional data simulated from the general equilibrium asset pricing model of Brock [Asset prices in a production economy, in: J.J. McCall (Ed.), The Economics of Information and Uncertainty, University of Chicago Press, Chicago (for N.B.E.R.), 1982]. Results show that the conditional variance bounds hold, hence, our hypothesis of the validity of the dividend discount model cannot be rejected. Moreover, in our setting, markets are efficient and stock prices are neither affected by herd psychology nor by the outcome of noise trading by naive investors; thus, we are able to control for market efficiency. Consequently, we show that one cannot infer any conclusions about market efficiency from the unconditional variance bounds tests.

  19. The Social Interaction Phobia Scale: Continued support for the psychometric validity of the SIPS using clinical and non-clinical samples.

    Science.gov (United States)

    Menatti, Alison R; Weeks, Justin W; Carleton, R Nicholas; Morrison, Amanda S; Heimberg, Richard G; Hope, Debra A; Blanco, Carlos; Schneier, Franklin R; Liebowitz, Michael R

    2015-05-01

    The present study sought to extend findings supporting the psychometric validity of a promising measure of social anxiety (SA) symptoms, the Social Interaction Phobia Scale (SIPS; Carleton et al., 2009). Analyses were conducted using three samples: social anxiety disorder (SAD) patients, generalized anxiety disorder (GAD) patients, and healthy controls. SIPS scores of SAD patients demonstrated internal consistency and construct validity, and the previously demonstrated three-factor structure of the SIPS was replicated. Further, the SIPS total score uniquely predicted SA symptoms, and SIPS scores were significantly higher for SAD patients than GAD patients or controls. Two cut-off scores that discriminated SAD patients from GAD patients and from healthy controls were identified. The current study is the first to replicate the SIPS three-factor model in a large, treatment-seeking sample of SAD patients and establish a cut-off score discriminating SAD from GAD patients. Findings support the SIPS as a valid, SAD-specific assessment instrument.

  20. Relation Between Pressure and Volume Unloading During Ramp Testing in Patients Supported with a Continuous-Flow Left Ventricular Assist Device

    DEFF Research Database (Denmark)

    Jung, Mette H; Hassager, Christian; Balling, Louise;

    2015-01-01

    Pulmonary capillary wedge pressure (PCWP) is the key to describing left ventricular (LV) unloading, however, the relation between pressure and the echocardiography-derived surrogate of LV volume (left ventricular end-diastolic diameter (LVEDD)) as a function of pump speed (RPM) in continuous......-flow left ventricular assist device (CF-LVAD) patients is unknown. In this study the pressure-volume relationship as a function of RPM during ramp testing was investigated by simultaneously measuring PCWP by Swan-Ganz catheter and LVEDD by echocardiography. The ramp protocol started at usual pump setting...

  1. The Continued Need for USAF Light Attack post OEF/OIF: A Survey of West African Infrastructure to Support Tactical Air Operations

    Science.gov (United States)

    2013-04-01

    16 Figure5: Algeria ….…………………………………………………………………………18 Abstract As the USAF transitions to post-OIF/OEF operations there is a continued...Since then AQIM’s area of operation has expanded beyond Algeria to include Mali, Mauritania, Tunisia and Morocco.5 AQIM also operates along the...western boarder of Niger and may have links there to the local Tuareg group Mouvement des Nigerians pour la Justice.6 In 2010 AQIM announced its

  2. The Care management Information system for the home Care Network (SI GESCAD): support for care coordination and continuity of care in the Brazilian Unified health system (SUS).

    Science.gov (United States)

    Pires, Maria Raquel Gomes Maia; Gottems, Leila Bernarda Donato; Vasconcelos Filho, José Eurico; Silva, Kênia Lara; Gamarski, Ricardo

    2015-06-01

    The present article describes the development of the initial version of the Brazilian Care Management Information System for the Home Care Network (SI GESCAD). This system was created to enhance comprehensive care, care coordination and the continuity of care provided to the patients, family and caretakers of the Home Care (HC) program. We also present a reflection on the contributions, limitations and possibilities of the SI GESCAD within the scope of the Home Care Network of the Brazilian Unified Health System (RAS-AD). This was a study on technology production based on a multi-method protocol. It discussed software engineering and human-computer interaction (HCI) based on user-centered design, as well as evolutionary and interactive software process (prototyping and spiral). A functional prototype of the GESCAD was finalized, which allowed for the management of HC to take into consideration the patient's social context, family and caretakers. The system also proved to help in the management of activities of daily living (ADLs), clinical care and the monitoring of variables associated with type 2 HC. The SI GESCAD allowed for a more horizontal work process for HC teams at the RAS-AD/SUS level of care, with positive repercussions on care coordination and continuity of care.

  3. Genome-wide CNV analysis replicates the association between GSTM1 deletion and bladder cancer: a support for using continuous measurement from SNP-array data

    Directory of Open Access Journals (Sweden)

    Marenne Gaëlle

    2012-07-01

    Full Text Available Abstract Background Structural variations such as copy number variants (CNV influence the expression of different phenotypic traits. Algorithms to identify CNVs through SNP-array platforms are available. The ability to evaluate well-characterized CNVs such as GSTM1 (1p13.3 deletion provides an important opportunity to assess their performance. Results 773 cases and 759 controls from the SBC/EPICURO Study were genotyped in the GSTM1 region using TaqMan, Multiplex Ligation-dependent Probe Amplification (MLPA, and Illumina Infinium 1 M SNP-array platforms. CNV callings provided by TaqMan and MLPA were highly concordant and replicated the association between GSTM1 and bladder cancer. This was not the case when CNVs were called using Illumina 1 M data through available algorithms since no deletion was detected across the study samples. In contrast, when the Log R Ratio (LRR was used as a continuous measure for the 5 probes contained in this locus, we were able to detect their association with bladder cancer using simple regression models or more sophisticated methods such as the ones implemented in the CNVtools package. Conclusions This study highlights an important limitation in the CNV calling from SNP-array data in regions of common aberrations and suggests that there may be added advantage for using LRR as a continuous measure in association tests rather than relying on calling algorithms.

  4. Continuous biodisel productions: A review

    Directory of Open Access Journals (Sweden)

    Stamenković Ivica S.

    2009-01-01

    Full Text Available Continuous biodiesel production on laboratory and industrial scale was analyzed, with focus on their advantages and disadvantages. Attention was paid to specific characteristics of industrial processes in order to point out the advanced technologies. The well-known base-catalyzed continuous biodiesel production processes are related to problems caused by the immiscibility of the reactants (alcohol and oil, application of relatively high operating temperature (usually the boiling temperature of alcohol or one near it and obtained yield of methyl ester yields lower than desired. One way to overcome these problems is to employ special reactor design favoring the emulsion process and increasing the overall rate of biodiesel production process, even at room temperature and atmospheric pressure. The second way is to apply heterogeneous catalysts in continuous processes, which will probably be the optimal approach to economically justified and environmentally friendly biodiesel production.

  5. Army Justified Initial Production Plan for the Paladin Integrated Management Program but Has Not Resolved Two Vehicle Performance Deficiencies (Redacted)

    Science.gov (United States)

    2016-08-05

    a total of 37 howitzers and deploy the first vehicles in March 2017. An extensive AFES redesign could require significant human resources and time...Department of Defense Report No. DODIG-2016-118 A U G U S T 5 , 2 0 1 6 Army Justified Initial Production Plan for the Paladin Integrated Management ...DODIG-2016-118 (Project No. D2016-D000AU-0003.000) │ i Results in Brief Army Justified Initial Production Plan for the Paladin Integrated Management

  6. Vibrational spectroscopy to support the link between rheology and continuous twin-screw melt granulation on molecular level: A case study.

    Science.gov (United States)

    Monteyne, Tinne; Heeze, Liza; Oldörp, Klaus; Vervaet, Chris; Remon, Jean-Paul; De Beer, Thomas

    2016-06-01

    Twin screw hot melt granulation (TSHMG) is an innovative and continuous drug formulation process allowing granulation of moisture sensitive drugs. However, due to the lack of experience and in-depth process understanding, this technique is not yet widely used. During the TSHMG process, the microstructure of the granules is generated and modified and strongly depends on the flow behavior of the material. Hence, rheology might be a suitable tool to simulate and examine this process. However, chemical interactions of the material are influencing the physical properties leading to the microstructure. In this research project it is spectroscopically investigated whether the heat applied in a rheometer induces the same molecular effects as these occurring during TSHMG of the model formulation caffeine anhydrous/Soluplus®. Hence, it is evaluated whether rheology can be used as a simulation tool to improve the understanding of the material behavior at molecular level during continuous melt granulation. Therefore, in-line Raman spectroscopy is executed during TSHMG and in situ Fourier Transform Infra-red (FTIR) during oscillatory rheological experiments. The results from the in-line Raman monitoring revealed polymorph transition of caffeine anhydrous during twin screw melt granulation with Soluplus® which is stimulated depending on the binder concentration and/or granulation temperature. A correlation was seen between the FTIR spectra obtained during the rheological temperature ramp and the in-line collected Raman spectra during the melt granulation runs. The polymorphic conversion of caffeine anhydrous could be detected in the same temperature range with both techniques, proving the comparability of plate-plate rheometry and hot melt granulation (HMG) for this case with the used parameter settings. Process simulation using rheology combined with in situ FTIR seems a promising approach to increase process understanding and to facilitate binder and parameter selection for

  7. Immobilised lipase on structured supports containing covalently attached ionic liquids for the continuous synthesis of biodiesel in scCO2.

    Science.gov (United States)

    Lozano, Pedro; García-Verdugo, Eduardo; Bernal, Juana M; Izquierdo, Diana F; Burguete, M Isabel; Sánchez-Gómez, Gregorio; Luis, Santiago V

    2012-04-01

    Different nanostructured supports, based on 1-decyl-2-methyimidazolium cations covalently attached to a polystyrene divinylbenzene porous matrix, were used as carriers to immobilise Candida antarctica lipase B. The suitability of these immobilised lipase derivatives for the synthesis of biodiesel (methyl oleate) by the methanolysis of triolein has been tested in both tert-butanol and supercritical (sc)CO(2) (18 MPa, 45 °C) as reaction media. The use of modified supports with low ionic-liquid loading covalently attached to the main polymeric backbone chains provide structured materials that led to the best biodiesel yields (up to 95 %) and operational stability (85 % biodiesel yield after 45 cycles of 8-4 h) in scCO(2) (45 °C, 18 MPa). The presence of tert-butanol as an inert cosolvent in the scCO(2) phase at the same concentration as triolein was key to avoid poisoning the biocatalyst through the blockage of its active sites by the polar byproduct (glycerol) produced in the biodiesel synthesis.

  8. Is routine thromboprophylaxis justified among Indian patients sustaining major orthopedic trauma? A systematic review

    Directory of Open Access Journals (Sweden)

    Ramesh K Sen

    2011-01-01

    Full Text Available Venous thromboembolism (VTE is one of the most common preventable cause of morbidity and mortality after trauma. Though most of the western countries have their guidelines for thromboprophylaxis in these patients, India still does not have these. The increasing detection of VTE among Indian population, lack of awareness, underestimation of the risk, and fear of bleeding complications after chemical prophylaxis have made deep vein thrombosis (DVT a serious problem, hence a standard guideline for thromboprophylaxis after trauma is essential. The present review article discusses the incidence of DVT and role of thromboprophylaxis in Indian patients who have sustained major orthopedic trauma. A thorough search of ′PubMed′ and ′Google Scholar′ revealed 10 studies regarding venous thromboembolism in Indian patients after major orthopedic trauma surgery (hip or proximal femur fracture and spine injury. Most of these studies have evaluated venous thromboembolism in patients of arthroplasty and trauma. The incidence, risk factors, diagnosis and management of VTE in the subgroup of trauma patients (1049 patients were separately evaluated after segregating them from the arthroplasty patients. Except two studies, which were based on spinal injury, all other studies recommended screening/ thromboprophylaxis in posttraumatic conditions in the Indian population. Color Doppler was used as common diagnostic or screening tool in most of the studies (eight studies, 722 patients. The incidence of VTE among thromboprophylaxis-receiving group was found to be 8% (10/125, whereas it was much higher (14.49%, 40/276 in patients not receiving any form of prophylaxis. Indian patients have definite risk of venous thromboembolism after major orthopedic trauma (except spinal injury, and thromboprophylaxis either by chemical or mechanical methods seems to be justified in them.

  9. Application of Fibrin Glue Sealant After Hepatectomy Does Not Seem Justified

    Science.gov (United States)

    Figueras, Juan; Llado, Laura; Miro, Mónica; Ramos, Emilio; Torras, Jaume; Fabregat, Juan; Serrano, Teresa

    2007-01-01

    Objective: To evaluate the efficacy, amount of hemorrhage, biliary leakage, complications, and postoperative evolution after fibrin glue sealant application in patients undergoing liver resection. Summary Background Data: Fibrin sealants have become popular as a means of improving perioperative hemostasis and reducing biliary leakage after liver surgery. However, trials regarding its use in liver surgery remain limited and of poor methodologic quality. Patients and Methods: A total of 300 patients undergoing hepatic resection were randomly assigned to fibrin glue application or control groups. Characteristics and debit of drainage and postoperative complications were evaluated. The amount of blood loss, measurements of hematologic parameters liver test, and postoperative evolution (particularly involving biliary fistula and morbidity) was also recorded. Results: Postoperatively, no differences were observed in the amount of transfusion (0.15 ± 0.66 vs. 0.17 ± 0.63 PRCU; P = 0.7234) or in the patients that required transfusion (18% vs. 12%; P = 0.2), respectively, for the fibrin glue or control group. There were no differences in overall drainage volumes (1180 ± 2528 vs. 960 ± 1253 mL) or in days of postoperative drainage (7.9 ± 5 vs. 7.1 ± 4.7). Incidence of biliary fistula was similar in the fibrin glue and control groups, (10% vs. 11%). There were no differences regarding postoperative morbidity between groups (23% vs. 23%; P = 1). Conclusions: Application of fibrin sealant in the raw surface of the liver does not seem justified. Blood loss, transfusion, incidence of biliary fistula, and outcome are comparable to patients without fibrin glue. Therefore, discontinuation of routine use of fibrin sealant would result in significant cost saving. PMID:17414601

  10. Are sample sizes clear and justified in RCTs published in dental journals?

    Directory of Open Access Journals (Sweden)

    Despina Koletsi

    Full Text Available Sample size calculations are advocated by the CONSORT group to justify sample sizes in randomized controlled trials (RCTs. The aim of this study was primarily to evaluate the reporting of sample size calculations, to establish the accuracy of these calculations in dental RCTs and to explore potential predictors associated with adequate reporting. Electronic searching was undertaken in eight leading specific and general dental journals. Replication of sample size calculations was undertaken where possible. Assumed variances or odds for control and intervention groups were also compared against those observed. The relationship between parameters including journal type, number of authors, trial design, involvement of methodologist, single-/multi-center study and region and year of publication, and the accuracy of sample size reporting was assessed using univariable and multivariable logistic regression. Of 413 RCTs identified, sufficient information to allow replication of sample size calculations was provided in only 121 studies (29.3%. Recalculations demonstrated an overall median overestimation of sample size of 15.2% after provisions for losses to follow-up. There was evidence that journal, methodologist involvement (OR = 1.97, CI: 1.10, 3.53, multi-center settings (OR = 1.86, CI: 1.01, 3.43 and time since publication (OR = 1.24, CI: 1.12, 1.38 were significant predictors of adequate description of sample size assumptions. Among journals JCP had the highest odds of adequately reporting sufficient data to permit sample size recalculation, followed by AJODO and JDR, with 61% (OR = 0.39, CI: 0.19, 0.80 and 66% (OR = 0.34, CI: 0.15, 0.75 lower odds, respectively. Both assumed variances and odds were found to underestimate the observed values. Presentation of sample size calculations in the dental literature is suboptimal; incorrect assumptions may have a bearing on the power of RCTs.

  11. Are sample sizes clear and justified in RCTs published in dental journals?

    Science.gov (United States)

    Koletsi, Despina; Fleming, Padhraig S; Seehra, Jadbinder; Bagos, Pantelis G; Pandis, Nikolaos

    2014-01-01

    Sample size calculations are advocated by the CONSORT group to justify sample sizes in randomized controlled trials (RCTs). The aim of this study was primarily to evaluate the reporting of sample size calculations, to establish the accuracy of these calculations in dental RCTs and to explore potential predictors associated with adequate reporting. Electronic searching was undertaken in eight leading specific and general dental journals. Replication of sample size calculations was undertaken where possible. Assumed variances or odds for control and intervention groups were also compared against those observed. The relationship between parameters including journal type, number of authors, trial design, involvement of methodologist, single-/multi-center study and region and year of publication, and the accuracy of sample size reporting was assessed using univariable and multivariable logistic regression. Of 413 RCTs identified, sufficient information to allow replication of sample size calculations was provided in only 121 studies (29.3%). Recalculations demonstrated an overall median overestimation of sample size of 15.2% after provisions for losses to follow-up. There was evidence that journal, methodologist involvement (OR = 1.97, CI: 1.10, 3.53), multi-center settings (OR = 1.86, CI: 1.01, 3.43) and time since publication (OR = 1.24, CI: 1.12, 1.38) were significant predictors of adequate description of sample size assumptions. Among journals JCP had the highest odds of adequately reporting sufficient data to permit sample size recalculation, followed by AJODO and JDR, with 61% (OR = 0.39, CI: 0.19, 0.80) and 66% (OR = 0.34, CI: 0.15, 0.75) lower odds, respectively. Both assumed variances and odds were found to underestimate the observed values. Presentation of sample size calculations in the dental literature is suboptimal; incorrect assumptions may have a bearing on the power of RCTs.

  12. Effects of conventional physiotherapy, continuous positive airway pressure and non-invasive ventilatory support with bilevel positive airway pressure after coronary artery bypass grafting.

    Science.gov (United States)

    Matte, P; Jacquet, L; Van Dyck, M; Goenen, M

    2000-01-01

    Coronary artery bypass graft (CABG) surgery with the use of mammary arteries is associated with severe alteration of lung function parameters. The purpose of the present study was to compare the effect on lung function tests of conventional physiotherapy using incentive spirometry (IS) with non-invasive ventilation on continuous positive airway pressure (CPAP) and with non-invasive ventilation on bilevel positive airway pressure (BiPAP or NIV-2P), METHODS: Ninety-six patients were randomly assigned to 1 of 3 groups: NIV-2P (1 h/3 h), CPAP (1 h/3 h) and IS (20/2 h). Pulmonary function tests and arterial blood gases analyses were obtained before surgery. On the 1st and 2nd postoperative days, these parameters were collected together with cardiac output and calculation of venous admixture. For the 3 groups a severe restrictive pulmonary defect was observed during the 1st postoperative day. On the 2nd postoperative day, in opposition to IS, intensive use of CPAP and NIV-2P reduced significantly the venous admixture (Ppreventive use of NIV can be considered as an effective means to decrease the negative effect of coronary surgery on pulmonary function.

  13. Upper Midwest farmer perceptions: Too much uncertainty about impacts of climate change to justify changing current agricultural practices

    Science.gov (United States)

    Lois Wright Morton; Gabrielle E. Roesch-McNally; Adam Wilke

    2017-01-01

    To be uncertain is to be unsure or have doubt. Results from a random sample survey show the majority (89.5%) of farmers in the Upper Midwest perceived there was too much uncertainty about the impacts of climate to justify changing their agricultural practices and strategies, despite scientific evidence regarding the causes and potential consequences of climate change....

  14. Development of the TLALOCNet GPS-Met Network in Northwestern Mexico: Supporting Continuous Water Vapor Observations of the North American Monsoon

    Science.gov (United States)

    Galetzka, J.; Feaux, K.; Cabral, E.; Salazar-Tlaczani, L.; Adams, D. K.; Serra, Y. L.; Mattioli, G. S.; Miller, M. M.

    2014-12-01

    TLALOCNet is a combined atmospheric and tectonic cGPS-Met network in Mexico designed for the investigation of climate, atmospheric processes, the earthquake cycle, and tectonics. While EarthScope-Plate Boundary Observatory (conterminous US, Alaska, Puerto Rico) is among the networks poised to become a nucleus for hemisphere-scale GPS observations, the completion of TLALOCNet at the end of 2015 will close a gap between PBO and other Latin American GPS networks that include COCONet (Central America, Caribbean, and Northern South America), CAnTO, CAP, and IGS extending from Alaska to Patagonia. The National Science Foundation funded the construction and operation of TLALOCNet, with significant matching funds and resources provided by the Universidad Nacional Autónoma de México (UNAM). The project will involve the construction or refurbishment of 38 cGPS-Met stations in Mexico built to PBO standards. The first three TLALOCNet stations were installed in the northern Mexican states of Sonora and Chihuahua in July 2014, following the North American Monsoon GPS Transect Experiment 2013. Together these observations better characterize critical components of water transport in the region. Data from these stations are now available through the UNAVCO data archive and can be downloaded from http://facility.unavco.org/data/dai2/app/dai2.html#. By the end of 2014, TLALOCNet data, together with complementary data from other regional cGPS networks in Mexico, will also be openly available through a Mexico-based data center. We will present the status of the project to date, including an overview of the station hardware, data communications, data flow, construction schedule, and science objectives. We will also present some of the challenges encountered, including regional logistics, shipping and importation, site security, and other issues associated with the construction and operation of a large continuous GPS network.

  15. 灵活部署COM组件保障业务的连续性%Flexible Deployment of COM Components to Support Business Continuity

    Institute of Scientific and Technical Information of China (English)

    徐金建

    2011-01-01

    Objective To reduce the impact of failure caused by the COM component failure to ihe conlinuity of the entire system for the COM component application system based on 3-layer structure. Methods The system took variety methods for the COM components management deployment. Contrast of their respective advantages and disadvantages were made so that the deployment of the COM component-based application would be more flexible and rational. Reaulto Business continuity and system stability were improved. ^*?M*hifM" The deployment of the COM component should be flexible according to the practical component-based application. This plays the crucial role for the whole system's suslainabilily and usability.[Chinese Medical Equipment Journal,2011,32(10) :59-60J%目的:对基于3层结构的COM组件的应用系统,尽可能降低由于COM组件故障而影响整个系统业务的连续性故障发生.方法:系统采用多种COM组件管理部署方法,并进行了详细的对比,给出了各自的优、缺点,使得COM组件应用部署更具灵活性、合理性.结果:提高了业务连续性、实时性及系统稳定性.结论:基于组件的应用系统,应根据实际应用情况灵活部署COM组件,对整个系统的持续性、可用性起到决定作用.

  16. Continuous aerobic treatment of dairy waste waters. Supported reactor; Depuracion aerobia de aguas residuales de industrias lacteas en regimen continuo. Reactor con soporte

    Energy Technology Data Exchange (ETDEWEB)

    Carta, F.; Romeero, F.; Pereda, J.; Alvarez, P. [Universidad de Sevilla (Spain)

    1998-12-31

    Experiences in continuous flow been carried out to achieve effluents with low COD and a minimum ammonium nitrogen concentration. A 80 liter reactor with rectangular cross-section (width 25 cm and depth 30 cm) and length 150 cm was used thermostated. The system was aerated by air injection the air passed through perforated tubes settled at the bottom and covered by a plastic mesh. The liquor (water and milk) temperature was near 30 degree centigree Mixtures of milk and water, with pH of 11 and containing 3500 mg COD/1 (as sewage from Dairy Center`s) were fed into the reactor. A mixed cultive constituted of cultives isolated from Dairy Center`s effluent adapted to 30 degree centigree for 19 days, and mixed with sludge from a domestic wastewater treatment plant was used as inoculum. The influent flow rates were 81/d, 101/d and 12,6 L/d. The experiences went on up to stationary-state. In all the experience, the pH values become stabilized over 8,5 and the nitrite and nitrate nitrogen concentrations were insignificant. It was observed that when flow rate rises, the average COD values and the ammonium nitrogen concentrations (achieved at the end of experiences) decreased in a parallel way up to a certain flow rate value at which they are almost constant with the increase of the flow rate. The sludge analysis showed a composition of 5,4 gN and 2,4 gP in 100 g biomass. (Author) 16 refs.

  17. Continuous degradation of maltose: improvement in stability and catalytic properties of maltase (α-glucosidase) through immobilization using agar-agar gel as a support.

    Science.gov (United States)

    Nawaz, Muhammad Asif; Karim, Asad; Aman, Afsheen; Marchetti, Roberta; Qader, Shah Ali Ul; Molinaro, Antonio

    2015-04-01

    Maltose degrading enzyme was immobilized within agar-agar support via entrapment method due to its industrial utilization. The maximum immobilization efficiency (82.77%) was achieved using 4.0% agar-agar keeping the diameter of bead up to 3.0 mm. The matrix entrapment showed maximum catalytic activity at pH 7.0 and temperature 65 °C. Substrate saturation kinetics showed that the K m of immobilized enzyme increased from 1.717 to 2.117 mM ml(-1) where as Vmax decreased from 8,411 to 7,450 U ml(-1 )min(-1) as compared to free enzyme. The immobilization significantly increased the stability of maltase against various temperatures and immobilized maltase retain 100% of its original activity after 2 h at 50 °C, whereas the free maltase only showed 60% residual activity under same condition. The reusability of entrapped maltase showed activity up to 12 cycles and retained 50% of activity even after 5th cycle. Storage stability of agar entrapped maltase retain 73% of its initial activity even after 2 months when stored at 30 °C while free enzyme showed only 37% activity at same storage conditions.

  18. Is radiography justified for the evaluation of patients presenting with cervical spine trauma?

    Energy Technology Data Exchange (ETDEWEB)

    Theocharopoulos, Nicholas; Chatzakis, Georgios; Damilakis, John [Department of Medical Physics, Faculty of Medicine, University of Crete, P.O. Box 2208, Iraklion, 71003 Crete (Greece) and Department of Natural Sciences, Technological Education Institute of Crete, P.O. Box 140, Iraklion 71004 Crete (Greece); Department of Radiology, Faculty of Medicine, University of Crete, P.O. Box 2208, Iraklion, 71003 Crete (Greece); Department of Medical Physics, Faculty of Medicine, University of Crete, P.O. Box 2208, Iraklion, 71003 Crete (Greece)

    2009-10-15

    radiogenic lethal cancer incidents. According to the decision model calculations, the use of CT is more favorable over the use of radiography alone or radiography with CT by a factor of 13, for low risk 20 yr old patients, to a factor of 23, for high risk patients younger than 80 yr old. The radiography/CT imaging strategy slightly outperforms plain radiography for high and moderate risk patients. Regardless of the patient age, sex, and fracture risk, the higher diagnostic accuracy obtained by the CT examination counterbalances the increase in dose compared to plain radiography or radiography followed by CT only for positive radiographs and renders CT utilization justified and the radiographic screening redundant.

  19. Discussion about decision support systems using continuous multi-criteria methods for planning in areas with hydro-basins, agriculture and forests, from examples in Argentine.

    Science.gov (United States)

    Anton, J. M.; Grau, J. B.; Tarquis, A. M.; Andina, D.; Cisneros, J. M.; Sanchez, E.

    2012-04-01

    The authors were involved last years in projects considering diverse decision problems on the use of some regions in Argentine, and also related to rivers or rural services in them. They used sets of multi-criteria decision methods, first discrete when the problem included few distinct alternatives, such as e.g. forestry, traditional or intensive agriculture. For attributes they were different effects, classified then in environmental, economic and social criteria. Extending to other gentler areas, such as at South of the Province of Córdoba, Arg., they have balanced more delicately effects of continuous levels of actions, with a combination of Goal Programming linked methods, and they adopted compromises to have precise solutions. That has shown, and in part open, a line of research, as the setting of such models require various kinds of definitions and valuations, including optimizations, goals with penalties in deviations and restrictions. That can be in diverse detail level and horizon, in presence of various technical and human horizons, and that can influence politics of use of terrain and production that will require public and private agents. The research will consider consideration of use and conservation of soils, human systems and agro productions, and hence models for optimization, preferably in such Goal Programming ways. That will require considering various systems of models, first in theory to be reliable, and then in different areas to evaluate the quality of conclusions, and maybe that successively if results are found advantageous. The Bayesian ways will be considered, but they would require a prospective of sets of precise future states of nature or markets with elicited probabilities, which are neither evident nor decisive for the moment, as changes may occur in years but will be very unexpected or uncertain. The results will be lines of models to aid to establish policies of use of territories, by public agencies setting frames for private

  20. Protocol Development for the NASA-JSC Lunar-Mars Life Support Test Project (LMLSTP) Phase 3 Project: A Report on Baseline Studies at KSC for Continuous Salad Production

    Science.gov (United States)

    Goins, G. D.; Yorio, N. C.; Vivenzio, H. R.

    1998-01-01

    The Phase 3 Lunar-Mars Life Support Test Project (LMLSTP) was conducted in a 20-foot chamber at Johnson Space Center. The overall objective of the Phase 3 project was to conduct a 90-day regenerative life support system test involving 4 human subjects to demonstrate an integrated biological and physicochemical life support system. A secondary objective of the Phase 3 LMLSTP was to demonstrate the ability to produce salad-type vegetable by integration of a small benchtop growth chamber located within the crew habitat area. This small chamber, commercially manufactured as the Controlled Environment Research Ecosystem (CERES 2010(TM)), functioned as a means to continuously provide fresh lettuce crops for crew members. The CERES 2010(TM) growth chamber utilized hardware components developed for effective plant biomass production in spaceflight applications. These components included: (1) LED lighting; (2) Astroculture(TM) Root Trays; and (3) Zeoponic media. In planning for the LMLSTP Phase 3, a request was put forward for KSC scientists to generate a protocol for successful continuous planting, culturing, and harvesting of the salad-crop, lettuce. By conducting baseline tests with components of the CERES 2010(TM), a protocol was developed.

  1. [Cesarean birth: justifying indication or justified concern?].

    Science.gov (United States)

    Muñoz-Enciso, José Manuel; Rosales-Aujang, Enrique; Domínguez-Ponce, Guillermo; Serrano-Díaz, César Leopoldo

    2011-02-01

    Caesarean section is the most common surgery performed in all hospitals of second level of care in the health sector and more frequently in private hospitals in Mexico. To determine the behavior that caesarean section in different hospitals in the health sector in the city of Aguascalientes and analyze the indications during the same period. A descriptive and cross in the top four secondary hospitals in the health sector of the state of Aguascalientes, which together account for 81% of obstetric care in the state, from 1 September to 31 October 2008. Were analyzed: indication of cesarean section and their classification, previous pregnancies, marital status, gestational age, weight and minute Apgar newborn and given birth control during the event. were recorded during the study period, 2.964 pregnancies after 29 weeks, of whom 1.195 were resolved by Caesarean section with an overall rate of 40.3%. We found 45 different indications, which undoubtedly reflect the great diversity of views on the institutional medical staff to schedule a cesarean section. Although each institution has different resources and a population with different characteristics, treatment protocols should be developed by staff of each hospital to have the test as a cornerstone of labor, also request a second opinion before a caesarean section, all try to reduce the frequency of cesarean section.

  2. Why Linguistic Territorialism in the UK Does Not Justify Differential Minority Language Rights

    Science.gov (United States)

    Gates, Shaun

    2010-01-01

    Despite the declarations of international documents on minority language rights, provision is patchy for supporting minority languages in the UK, where since the 1980s governments have deliberately or unwittingly greatly raised the profile and comparative standing of English. The partial exception to this trend has been the treatment of…

  3. Continuity theory

    CERN Document Server

    Nel, Louis

    2016-01-01

    This book presents a detailed, self-contained theory of continuous mappings. It is mainly addressed to students who have already studied these mappings in the setting of metric spaces, as well as multidimensional differential calculus. The needed background facts about sets, metric spaces and linear algebra are developed in detail, so as to provide a seamless transition between students' previous studies and new material. In view of its many novel features, this book will be of interest also to mature readers who have studied continuous mappings from the subject's classical texts and wish to become acquainted with a new approach. The theory of continuous mappings serves as infrastructure for more specialized mathematical theories like differential equations, integral equations, operator theory, dynamical systems, global analysis, topological groups, topological rings and many more. In light of the centrality of the topic, a book of this kind fits a variety of applications, especially those that contribute to ...

  4. Continuous Markovian Logics

    DEFF Research Database (Denmark)

    Mardare, Radu Iulian; Cardelli, Luca; Larsen, Kim Guldstrand

    2012-01-01

    Continuous Markovian Logic (CML) is a multimodal logic that expresses quantitative and qualitative properties of continuous-time labelled Markov processes with arbitrary (analytic) state-spaces, henceforth called continuous Markov processes (CMPs). The modalities of CML evaluate the rates...... characterizes stochastic bisimilarity and it supports the definition of a quantified extension of the satisfiability relation that measures the "compatibility" between a model and a property. In this context, the metaproperties allows us to prove two robustness theorems for the logic stating that one can...

  5. Mobile Learning Application in Continuing Education:the Coherence,Application Mode and Support Conditions%移动学习应用与成人教育:契合点、应用模式与支撑条件

    Institute of Scientific and Technical Information of China (English)

    徐和平; 吴小建

    2014-01-01

    移动学习作为一种新型的数字化学习模式,其移动性、高效性、交互性、虚拟性以及其强大的扩展性的特点契合了成人教育的学习方式,通过分析移动学习应用与成人教育的模式,提出了要实现成人移动学习需要有理论支撑、技术支撑和资源支撑,同时还需要建立统一的标准。%As a new way of digital learning ,mobile learning has the characteristics of mobility ,high effi-ciency ,interactivity ,virtuality and powerful extensibility ,which are coherent with the features of continuing education . Through analyzing mobile learning applications and continuing education mode , the article proposes that there should be support in theory ,technology and resources to realize the continuing mobile education .Meanwhile ,unified standards should also be established .

  6. Supporting calculations and assumptions for use in WESF safetyanalysis

    Energy Technology Data Exchange (ETDEWEB)

    Hey, B.E.

    1997-03-07

    This document provides a single location for calculations and assumptions used in support of Waste Encapsulation and Storage Facility (WESF) safety analyses. It also provides the technical details and bases necessary to justify the contained results.

  7. The global spread of Zika virus: is public and media concern justified in regions currently unaffected?

    OpenAIRE

    Gyawali, Narayan; Bradbury, Richard S.; Taylor-Robinson, Andrew W.

    2016-01-01

    Background Zika virus, an Aedes mosquito-borne flavivirus, is fast becoming a worldwide public health concern following its suspected association with over 4000 recent cases of microcephaly among newborn infants in Brazil. Discussion Prior to its emergence in Latin America in 2015–2016, Zika was known to exist at a relatively low prevalence in parts of Africa, Asia and the Pacific islands. An extension of its apparent global dispersion may be enabled by climate conditions suitable to support ...

  8. Viral screening at the time of each donation in ART patients: is it justified?

    LENUS (Irish Health Repository)

    Hughes, C

    2011-11-01

    The frequency for virology testing for couples undergoing assisted reproductive treatment (ART) in Europe is currently under debate, with little scientific data available to support the time-frame imposed by EU legislation. The aim of this study was to determine the incidence of blood-borne viruses (BBV) in this population and to assess the likelihood of seroconversion after an initial negative screen and the possible cost saving to couples.

  9. Supporting Continuous Improvement in California's Education System

    Science.gov (United States)

    Darling-Hammond, Linda; Plank, David N.

    2015-01-01

    California's new accountability system originated in the radical decentralization of power and authority from Sacramento to local schools and their communities brought about by the Legislature's adoption of the Local Control Funding Formula (LCFF) in 2013. Under California's previous accountability policies and the federal "No Child Left…

  10. Continuing Support of the ASA Standards Program

    Science.gov (United States)

    1993-05-20

    0 U, U,~ ~ U) ZGc Zw S31368 COMMITTEE CORRESPONDENCE ATTACHMENT C-1 Tom Frank, Ph.D. 5-A Moore Building Department of Communication Disorders Penn...Chair ’s Circulated-by: A. Brenig, ASA Standard na igkf Reference Document(s): ATTACHMEN rvision of ANSI S1.1-1960 (R 1976) DOC/Lb ýNj’ P8 cou ical...the following address. Tomasz R. Letowski, Ph.D. 5-B Moore Building Department of Communication Disorders Penn State University University Park, PA 16802 Phone: 814/863-2018; FAX: 814/863-3759

  11. Continuation calculus

    Directory of Open Access Journals (Sweden)

    Bram Geron

    2013-09-01

    Full Text Available Programs with control are usually modeled using lambda calculus extended with control operators. Instead of modifying lambda calculus, we consider a different model of computation. We introduce continuation calculus, or CC, a deterministic model of computation that is evaluated using only head reduction, and argue that it is suitable for modeling programs with control. It is demonstrated how to define programs, specify them, and prove them correct. This is shown in detail by presenting in CC a list multiplication program that prematurely returns when it encounters a zero. The correctness proof includes termination of the program. In continuation calculus we can model both call-by-name and call-by-value. In addition, call-by-name functions can be applied to call-by-value results, and conversely.

  12. Is the Inclusion of Animal Source Foods in Fortified Blended Foods Justified?

    Directory of Open Access Journals (Sweden)

    Kristen E. Noriega

    2014-09-01

    Full Text Available Fortified blended foods (FBF are used for the prevention and treatment of moderate acute malnutrition (MAM in nutritionally vulnerable individuals, particularly children. A recent review of FBF recommended the addition of animal source food (ASF in the form of whey protein concentrate (WPC, especially to corn-soy blends. The justification for this recommendation includes the potential of ASF to increase length, weight, muscle mass accretion and recovery from wasting, as well as to improve protein quality and provide essential growth factors. Evidence was collected from the following four different types of studies: (1 epidemiological; (2 ASF versus no intervention or a low-calorie control; (3 ASF versus an isocaloric non-ASF; and (4 ASF versus an isocaloric, isonitrogenous non-ASF. Epidemiological studies consistently associated improved growth outcomes with ASF consumption; however, little evidence from isocaloric and isocaloric, isonitrogenous interventions was found to support the inclusion of meat or milk in FBF. Evidence suggests that whey may benefit muscle mass accretion, but not linear growth. Overall, little evidence supports the costly addition of WPC to FBFs. Further, randomized isocaloric, isonitrogenous ASF interventions with nutritionally vulnerable children are needed.

  13. Perforated duodenal ulcer in high risk patients: Is percutaneous drainage justified?

    Directory of Open Access Journals (Sweden)

    Aly Saber

    2012-01-01

    Full Text Available Background: Conservative treatment was recommended as the treatment of choice in perforated acute peptic ulcer. Here, we adjunct percutaneous peritoneal drainage with nonoperative conservative treatment in high risk elderly patients with perforated duodenal ulcer. Aim: The work was to study the efficacy of percutaneous peritoneal drainage under local anesthesia supported by conservative measures in high risk elderly patients, according to the American Society of Anesthesiologists grading, with perforated duodenal ulcer. Patients and Methods: Twenty four high risk patients with age >65 years having associated medical illness with evidence of perforated duodenal ulcer. Results: The overall morbidity and mortality were comparable with those treated by conservative measures alone. Conclusion: In high risk patients with perforated peptic ulcer and established peritonitis, percutaneous peritoneal drainage under local anesthesia seems to be effective with least operative trauma and mortality rate.

  14. Effect of increasing pump speed during exercise on peak oxygen uptake in heart failure patients supported with a continuous-flow left ventricular assist device. A double-blind randomized study

    DEFF Research Database (Denmark)

    Jung, Mette Holme; Hansen, Peter Bo; Sander, Kaare

    2014-01-01

    AIMS: Continuous-flow left ventricular assist device (CF-LVAD) implantation is associated with improved quality of life, but the effect on exercise capacity is less well documented. It is uncertain whether a fixed CF-LVAD pump speed, which allows for sufficient circulatory support at rest, remains...... adequate during exercise. The aim of this study was to evaluate the effects of fixed versus incremental pump speed on peak oxygen uptake (peak VO2) during a maximal exercise test. METHODS AND RESULTS: In CF-LVAD (HeartMate II) patients exercise testing measuring peak oxygen uptake (VO2) was performed...... on an ergometer bike twice in one day: once with fixed pump speed (testfix) and once with incremental pump speed (testinc). The order of testfix and testinc in each patient was determined by randomization. During testinc pump speed was increased from the baseline value by 400 rpm/2 min. Fourteen patients (aged 23...

  15. Future delivery of the Drug Interventions Programme: do the benefits justify the costs?

    Science.gov (United States)

    Osborne, Andrew

    2013-10-01

    The Drug Interventions Programme is an initiative employed by the Home Office in 2003 to integrate the Criminal Justice System with drug treatment services with the ultimate goal of reducing acquisitive crime. Drug Action Teams employ this scheme on a local level by providing a broad range of services for misusers in the community. Although much attention has been placed on societal gains, there is an added benefit in improving the health outcomes of those referred. Opioid replacement therapy decreases illicit heroin use, reduces mortality and maintains contact with misusers allowing for psychosocial intervention. The Drug Interventions Programme provides direct access to such treatment in an otherwise high-risk and disengaged population. Anecdotal evidence of the programme is positive; with improved mental and physical health in offenders and a reduction in hospital admissions. However, monitoring health outcomes in offenders is challenging as long-term follow-up is difficult, poor compliance is an issue and coercive referrals may introduce a reporting bias. Drug Action Team services are cost-effective due a lower consumption of health and social care and reduced offending levels. The Drug Interventions Programme has been successful in maintaining offenders in treatment and the Home Office claim its role in reducing crime is cost-saving. Future delivery of the initiative is at risk due to spending reductions, competing interests and a focus towards payment by results. Opposition to future implementation of the Drug Interventions Programme must be met with evidence for its effectiveness in order to ensure its continued investment.

  16. Research on Continuous Transformation and Reinforcement for Old Simply Supported Hollow Slab Bridge%旧空心板简支梁桥的连续化改造加固研究

    Institute of Scientific and Technical Information of China (English)

    韦建刚; 黄蕾; 李佩元; 吴庆雄

    2014-01-01

    In order to improve bearing capacity and safety margin of the old simply supported hollow slab bridge in service ,the authors applied the system transformation thought that was used in the construction of transforming a simply supported bridge structure into a continuous one to the reinforcement of the old simply supported hollow slab bridge in service ,and put forward a method that could reinforce the old bridge and improve their bearing capacity of simply supported continuous transformation .Meanwhile ,the implementation method of this reinforced technology was introduced .The effect of load ,shrinkage and creep of the new and old concrete after simply supported continuous transformation was analyzed .The results indicate that the largest bending moment in the mid‐span is decreased by 13 .8% under the most unfavorable conditions ,and the maximum shear in the edge across the lateral pivot is reduced by 7 .6% ,and the deflection in the mid‐span is even decreased by 42% .T he bending moment led by the shrinkage and creep of the new and old concrete with different ages on pier top is positive bending moment ,which is harmful to the force in cross section .T he bending moment in the cross section of the secondary side span across is the biggest increase by 3 .9% .Negative bending moment value on pier top decreased at the same time ,the biggest decrease of that in the side span is 4 .3% ,so the effects are not signifi‐cant .%为提高既有旧空心板简支梁桥的承载能力和安全储备,将先简支后连续施工方法中的体系转换思想运用到旧空心板简支梁桥的加固改造上,提出了一种旧桥改造提载加固方案———简支连续化改造,并对此加固技术的实施方法进行了介绍;对简支连续化改造后的荷载效应以及连续化后新、旧混凝土收缩徐变效应进行了分析计算。结果表明:最不利工况下跨中最大弯矩下降了13.8%,边跨外侧支点最大剪力降低7.6

  17. Are current disease-modifying therapeutics in multiple sclerosis justified on the basis of studies in experimental autoimmune encephalomyelitis?

    Science.gov (United States)

    Farooqi, Nasr; Gran, Bruno; Constantinescu, Cris S

    2010-11-01

    The precise aetio-pathology of multiple sclerosis remains elusive. However, important recent advances have been made and several therapies have been licensed for clinical use. Many of these were developed, validated or tested in the animal model, experimental autoimmune encephalomyelitis (EAE). This systematic review aims to assess whether the current disease modifying treatments and those that are the closest to the clinic are justified on the basis of the results of EAE studies. We discuss some aspects of the utility and caveats of EAE as a model for multiple sclerosis drug development.

  18. Acute abscess with fistula: long-term results justify drainage and fistulotomy.

    Science.gov (United States)

    Benjelloun, E B; Jarrar, A; El Rhazi, K; Souiki, T; Ousadden, A; Ait Taleb, K

    2013-09-01

    Conventional treatment of anal abscess by a simple drainage continues to be routine in many centers despite retrospective and randomized data showing that primary fistulotomy at the time of abscess drainage is safe and efficient. The purpose of this study is to report the long-term results of fistulotomy in the treatment of anal abscesses. This is a prospective nonrandomized study of 165 consecutive patients treated for anal abscess in University Hospital Hassan II, Fez, Morocco, between January 2005 and December 2010. Altogether 102 patients were eligible to be included in the study. Among them, 52 were treated by a simple drainage and 50 by drainage with fistulotomy. The results were analyzed in terms of recurrence and incontinence after a median follow-up of 3.2 years (range 2-6 years). The groups were comparable in terms of age, gender distribution, type and size of abscess. The recurrence rate after surgery was significantly higher in the group treated by drainage alone (88 %) compared to other group treated by drainage and fistulotomy (4, 8 %) (p fistulotomy group (5 % vs 1 %), although this difference was not significant (p = 0.27). In the group treated by drainage and fistulotomy, high fistula tract patients are more prone to develop incontinence and recurrence, mainly within the first year. A long-term follow-up seems not to influence the results of fistulotomy group. These findings confirm that fistulotomy is an efficient and safe treatment of anal abscess with good long-term results. An exception is a high fistula, where fistulotomy may be associated with a risk of recurrence and incontinence.

  19. Is mandating elective single embryo transfer ethically justifiable in young women?

    Directory of Open Access Journals (Sweden)

    Kelton Tremellen

    2015-12-01

    Full Text Available Compared with natural conception, IVF is an effective form of fertility treatment associated with higher rates of obstetric complications and poorer neonatal outcomes. While some increased risk is intrinsic to the infertile population requiring treatment, the practice of multiple embryo transfer contributes to these complications and outcomes, especially concerning its role in higher order pregnancies. As a result, several jurisdictions (e.g. Sweden, Belgium, Turkey, and Quebec have legally mandated elective single-embryo transfer (eSET for young women. We accept that in very high-risk scenarios (e.g. past history of preterm delivery and poor maternal health, double-embryo transfer (DET should be prohibited due to unacceptably high risks. However, we argue that mandating eSET for all young women can be considered an unacceptable breach of patient autonomy, especially since DET offers certain women financial and social advantages. We also show that mandated eSET is inconsistent with other practices (e.g. ovulation induction and intrauterine insemination–ovulation induction that can expose women and their offspring to risks associated with multiple pregnancies. While defending the option of DET for certain women, some recommendations are offered regarding IVF practice (e.g. preimplantation genetic screening and better support of IVF and maternity leave to incentivise patients to choose eSET.

  20. Paediatric and adolescent horse-related injuries: does the mechanism of injury justify a trauma response?

    Science.gov (United States)

    Craven, John A

    2008-08-01

    To identify the frequency, variety and disposition of horse-related injury presentations to the ED and to use this information to evaluate the existing institutional trauma team activation criteria following horse-related injuries. A retrospective case analysis was performed of all horse-related injury presentations to the ED of Women's and Children's Hospital, Adelaide, Australia, in the 5 year period between January 1999 and December 2003. A total of 186 children presented with horse-related injuries during the 5 year study period. The median age of injury was 9 years (range 1-17 years), with 81% of presentations female and 60% of patients hospitalized. The mechanism of injury was divided into four groups: 148 falls (79%), 28 kicks (15%), 7 tramples (4%) and 5 bites (3%). There was one death. Seven presentations rated an Injury Severity Score >15, with full trauma team activation occurring for two of these presentations. Although horse-related injury presentations are uncommon, severe injuries do occur. Patients presenting with severe horse-related injuries do not always activate a full trauma team response based on current trauma team activation criteria. These severe injury presentations are supported by a limited trauma team response, which activates on the mechanism of injury. The effectiveness of this as a contingency system needs to be evaluated.

  1. Ce-Zr-La/Al2O3 prepared in a continuous stirred-tank reactor: a highly thermostable support for an efficient Rh-based three-way catalyst.

    Science.gov (United States)

    Wang, Su-Ning; Lan, Li; Hua, Wei-Bo; Shi, Zhong-Hua; Chen, Yao-Qiang; Gong, Mao-Chu; Zhong, Lin

    2015-12-21

    Two Ce-Zr-La/Al2O3 composite oxides, CZLA-C and CZLA-B, were synthesized using a co-precipitation method in a continuous stirred-tank reactor (CSTR) and a batch reactor (BR), respectively. Two Rh-based three-way catalysts (TWCs), Rh/CZLA-C and Rh/CZLA-B were obtained by a wet-impregnation method using the two composites as the supports. The physicochemical properties of the samples before and after thermal treatment at 1000 °C were characterized by N2 adsorption-desorption, X-ray diffraction (XRD), scanning electron microscopy (SEM), transmission electron microscopy (TEM), high-resolution transmission electron microscopy (HRTEM), H2-temperature programmed reduction (H2-TPR) and CO chemisorption. The results indicated that CZLA-C shows higher thermal stability than CZLA-B due to a sparsely-agglomerated morphology. Compared with Rh/CZLA-B, Rh/CZLA-C displayed better reducibility and higher thermal stability and exhibited significantly higher activity in the catalytic removal of the simulated gasoline vehicle exhaust emission (NO, CO and C3H8). Our work can provide a facile and economical synthesis route to advanced support materials and catalysts for exhaust emission control.

  2. Fragility analysis of long span continuous rigid frame bridge under multi-support excitations%多点地震激励下大跨连续钢构桥易损性分析

    Institute of Scientific and Technical Information of China (English)

    李吉涛; 杨庆山; 刘阳冰

    2013-01-01

    Due to wave passage effect, incoherence effect, local effect and other factors in seismic ground motion, the internal force and deformation of long span continuous rigid framed bridges will be error-estimated when seismic responses analysis is performed under identical support ground motion excitations. A Monte Carlo simulation method was used to establish the random sample for the system of large-span continuous rigid frame bridge under ground motion excitation, by means of considering the uncertainties of structural material and ground motion, both for identical support ground motion excitations and multiple support ground motion excitations. The ductility ratio of piers was defined as the index of damage state of the bridge. The seismic fragility analysis was carried out under the two different modes of excitations and the fragility curves of the bridge were given based on the damage state definition. The peak acceleration relationship between the two different modes of excitations was obtained under the same level damage.%针对地震动存在行波效应、场地效应、不相干效应等因素,分析大跨连续钢构桥在一致地震激励输入响应时结构内力和变形会被偏估问题,考虑结构及地震动不确定性,采用蒙特卡罗方法建立一致激励与多点激励两种工况下大跨连续钢构桥-地震动系统随机样本.以桥墩位移延性比表示桥梁破坏状态阶段,对桥梁易损性进行分析,给出大跨连续钢构桥结构的易损性曲线,得到同样程度破坏的多点地震激励与一致地震激励下加速度峰值关系.

  3. Humidified High Flow Nasal Cannula versus Nasal Continuous Positive Airway Pressure as an Initial Respiratory Support in Preterm Infants with Respiratory Distress: a Randomized, Controlled Non-Inferiority Trial.

    Science.gov (United States)

    Shin, Jeonghee; Park, Kyuhee; Lee, Eun Hee; Choi, Byung Min

    2017-04-01

    Heated, humidified, high-flow nasal cannula (HHFNC) is frequently used as a noninvasive respiratory support for preterm infants with respiratory distress. But there are limited studies that compares HHFNC with nasal continuous positive airway pressure (nCPAP) only as the initial treatment of respiratory distress in preterm infants immediately after birth. The aim of this study is to assess the effectiveness and safety of HHFNC compared to nCPAP for the initial treatment of preterm infants with respiratory distress. Preterm infants at between 30 and 35 weeks of gestational age were randomized to HHFNC or nCPAP when they showed respiratory distress in less than 24 hours of age postnatally. Preterm infants who needed invasive respiratory supports were excluded. Primary outcome was the incidence of treatment failure (defined as need for the intubation or mechanical ventilation). Eighty-five infants were analyzed. Sixteen of 42 infants randomized to HHFNC showed treatment failure compared to 9 of 43 infants using nCPAP (Risk difference 17.17 [-1.90-36.23]; P = 0.099). In terms of the reason for treatment failure, the frequency of hypoxia was significantly higher in the HHFNC group than in the nCPAP group (P = 0.020). There was no difference between the 2 groups in terms of respiratory and clinical outcomes and complications. Although HHFNC is safe compared to nCPAP, it is not certain that HHFNC is effective compared to nCPAP non-inferiorly as an initial respiratory support in preterm infants with respiratory distress.

  4. Beyond Conflict and Spoilt Identities: How Rwandan Leaders Justify a Single Recategorization Model for Post-Conflict Reconciliation

    Directory of Open Access Journals (Sweden)

    Sigrun Marie Moss

    2014-08-01

    Full Text Available Since 1994, the Rwandan government has attempted to remove the division of the population into the ‘ethnic’ identities Hutu, Tutsi and Twa and instead make the shared Rwandan identity salient. This paper explores how leaders justify the single recategorization model, based on nine in-depth semi-structured interviews with Rwandan national leaders (politicians and bureaucrats tasked with leading unity implementation conducted in Rwanda over three months in 2011/2012. Thematic analysis revealed this was done through a meta-narrative focusing on the shared Rwandan identity. Three frames were found in use to “sell” this narrative where ethnic identities are presented as a an alien construction; b which was used to the disadvantage of the people; and c non-essential social constructs. The material demonstrates the identity entrepreneurship behind the single recategorization approach: the definition of the category boundaries, the category content, and the strategies for controlling and overcoming alternative narratives. Rwandan identity is presented as essential and legitimate, and as offering a potential way for people to escape spoilt subordinate identities. The interviewed leaders insist Rwandans are all one, and that the single recategorization is the right path for Rwanda, but this approach has been criticised for increasing rather than decreasing intergroup conflict due to social identity threat. The Rwandan case offers a rare opportunity to explore leaders’ own narratives and framing of these ‘ethnic’ identities to justify the single recategorization approach.

  5. La guerre en Irak peut-elle être justifiée comme un cas d’intervention humanitaire?

    Directory of Open Access Journals (Sweden)

    Stéphane Courtois

    2006-05-01

    Full Text Available Most current criticisms against the intervention in Iraq have tackled the two justifications articulated by the members of the coalition:(1 that the United States had to neutralize the threats that Iraq generated for their own security and to the political stability in the Middle Eastand (2 that the war in Iraq can be justified as a necessary stage in the war against international terrorism. The principal objection against justification (1 is that it was, and remains, unfounded. Against justification (2, many have replied that the intervention in Iraq had no connection,or at best had merely an indirect connection, with the fight against terrorism. In a recent text,Fernando Tesón claims that the American intervention in Iraq can nevertheless be morally justified as a case of humanitarian intervention. By “humanitarian intervention”, one must understand a coercive action taken by a state or a group of states inside the sphere of jurisdiction of an independent political community, without the permission of the latter, in order to preventor to end a massive violation of individual rights perpetrated against innocent persons which are not co-nationals inside this political community. I argue in this article that the American intervention in Iraq does not satisfy the conditions of a legitimate humanitarian intervention, as opposed to what Fernando Tesón claims.

  6. Is the use of wildlife group-specific concentration ratios justified?

    Energy Technology Data Exchange (ETDEWEB)

    Wood, Michael D. [School of Environment and Life Sciences, University of Salford, Manchester, M4 4WT (United Kingdom); Beresford, Nicholas A. [School of Environment and Life Sciences, University of Salford, Manchester, M4 4WT (United Kingdom); Centre for Ecology and Hydrology, Bailrigg, Lancaster, LA1 4AP (United Kingdom); Copplestone, David [School of Natural Sciences, University of Stirling, Stirling, FK9 4LA (United Kingdom); Howard, Brenda J. [Centre for Ecology and Hydrology, Bailrigg, Lancaster, LA1 4AP (United Kingdom); Yankovich, Tamara L. [International Atomic Energy Agency, Vienna International Centre, 1400 Vienna (Austria)

    2014-07-01

    The international Wildlife Transfer Database (WTD; www.wildlifetransferdatabase.org/?) provides the most comprehensive international compilation of radionuclide transfer parameters (concentration ratios) for wildlife. The concentration ratio (CR{sub wo-media}) is a constant that describes the ratio between the activity concentration of a radionuclide in the whole- organism and the activity concentration of that radionuclide in a reference environmental medium (e.g. soil or filtered water). Developed to support activities of the International Atomic Energy Agency (IAEA) and the International Commission on Radiological Protection (ICRP), the WTD now contains over 100,000 CR{sub wo-media} values. The WTD has been used to generate summary statistics for broad wildlife groups (e.g. amphibian, arthropod, mammal, reptile, shrub, tree etc). The group-specific summary statistics include mean and standard deviation (both arithmetic and geometric) and range. These summarised CR{sub wo-media} values (generally arithmetic or geometric mean) are used in most of the modelling approaches currently implemented for wildlife dose assessment. Beyond the broad organism group summary statistics presented within the WTD, it is possible to generate CR{sub wo-media} summary statistics for some organism sub-categories (e.g. carnivorous, herbivorous and omnivorous birds). However, using a statistical analysis we developed recently for the analysis of summarised datasets, we have shown that there is currently little statistical justification for the use of organism sub-category CR{sub wo-media} values. Large variability is a characteristic of many of the organism-radionuclide datasets within the WTD, even within individual input data sets. Therefore, the statistical validity of defining different CR{sub wo-media} values for these broad wildlife groups may also be questioned. However, no analysis has been undertaken to date to determine the statistical significance of any differences between

  7. Debate forum: levocarnitine therapy is rational and justified in selected dialysis patients.

    Science.gov (United States)

    Schreiber, Brian D

    2006-01-01

    levocarnitine. Whereas the reasons for the reluctance of nephrologists to prescribe this therapeutic trial are unclear, possible explanations include a lack of appreciation of the pivotal role played by carnitine in cellular metabolism and the strength of evidence for a substantial deficiency of carnitine in dialysis patients, an underestimation of the prognostic import of EPO resistance and dialysis-related hypotension, inadequate dissemination of the clinical trial data supporting the use of levocarnitine in dialysis patients, and the heterogeneous clinical response of dialysis patients to levocarnitine therapy. Difficulties in documenting both initial eligibility and evidence of improvement as a result of therapy may also be a contributing factor. This paper discusses the biological role of carnitine and its particular relevance to dialysis patients. Clinical trial data concerning an effect of therapy on EPO resistance and dialysis-related hypotension are summarized along with a discussion of the logic behind the use of levocarnitine in dialysis. Finally, the difficulties posed by a reimbursement policy based on clinical as opposed to laboratory endpoints and a heterogeneous response to therapy are addressed. Copyright 2006 S. Karger AG, Basel.

  8. Synchronization of coupled noisy oscillators: Coarse graining from continuous to discrete phases

    Science.gov (United States)

    Escaff, Daniel; Rosas, Alexandre; Toral, Raúl; Lindenberg, Katja

    2016-11-01

    The theoretical description of synchronization phenomena often relies on coupled units of continuous time noisy Markov chains with a small number of states in each unit. It is frequently assumed, either explicitly or implicitly, that coupled discrete-state noisy Markov units can be used to model mathematically more complex coupled noisy continuous phase oscillators. In this work we explore conditions that justify this assumption by coarse graining continuous phase units. In particular, we determine the minimum number of states necessary to justify this correspondence for Kuramoto-like oscillators.

  9. Continuation of periodic orbits in symmetric Hamiltonian and conservative systems

    Science.gov (United States)

    Galan-Vioque, J.; Almaraz, F. J. M.; Macías, E. F.

    2014-12-01

    We present and review results on the continuation and bifurcation of periodic solutions in conservative, reversible and Hamiltonian systems in the presence of symmetries. In particular we show how two-point boundary value problem continuation software can be used to compute families of periodic solutions of symmetric Hamiltonian systems. The technique is introduced with a very simple model example (the mathematical pendulum), justified with a theoretical continuation result and then applied to two non trivial examples: the non integrable spring pendulum and the continuation of the figure eight solution of the three body problem.

  10. Should she be granted asylum? Examining the justifiability of the persecution criterion and nexus clause in asylum law

    Directory of Open Access Journals (Sweden)

    Noa Wirth Nogradi

    2016-10-01

    Full Text Available The current international asylum regime recognizes only persecuted persons as rightful asylum applicants. The Geneva Convention and Protocol enumerate specific grounds upon which persecution is recognized. Claimants who cannot demonstrate a real risk of persecution based on one of the recognized grounds are unlikely to be granted asylum. This paper aims to relate real-world practices to normative theories, asking whether the Convention’s restricted preference towards persecuted persons is normatively justified. I intend to show that the justifications of the persecution criterion also apply to grounds currently lacking recognition. My main concern will be persecution on the grounds of gender.The first section introduces the dominant standpoints in theories of asylum, which give different answers to the question of who should be granted asylum, based on different normative considerations. Humanitarian theories base their claims on the factual neediness of asylum-seekers, holding that whoever is in grave danger of harm or deprivation should be granted asylum. Political theories base their justifications on conceptions of legitimacy and membership, holding that whoever has been denied membership in their original state should be granted asylum. Under political theories, Matthew Price’s theory will be discussed, which provides a normative justification of the currently recognized persecution criterion. The second section provides a descriptive definition of persecution based on Kuosmanen (2014, and evaluates the normative relevance of the different elements of this definition based on the theories presented previously. The third section is devoted to the examination of the normative justifiability of the nexus clause’s exclusive list of the bases (grounds upon which persons might be persecuted. The section argues that while the clause does not recognize that persecution might be based on gender, in fact many women experience harms based on

  11. A Lacanian Reading of the Two Novels The Scarlet Letter And Private Memoirs And Confessions of A Justified Sinner

    Directory of Open Access Journals (Sweden)

    Marjan Yazdanpanahi

    2016-07-01

    Full Text Available This paper discusses two novels The Private Memoirs and Confessions of a Justified Sinner and The Scarlet Letter written by James Hogg and Nathaniel Hawthorn from the perspective of Jacques Lacan theories: the mirror stage, the-name-of-the-father and desire. The mirror stage refers to historical value and an essential libidinal relationship with the body-image. The-name-of-the-father is defined as the prohibitive role of the father as the one who lays down the incest taboo in the Oedipus complex. Meanwhile, desire is neither the appetite for satisfaction, nor the demand for love, but the difference that results from the subtraction of the first from the second.

  12. PET/CT in cancer: moderate sample sizes may suffice to justify replacement of a regional gold standard

    DEFF Research Database (Denmark)

    Gerke, Oke; Poulsen, Mads Hvid; Bouchelouche, Kirsten

    2009-01-01

    PURPOSE: For certain cancer indications, the current patient evaluation strategy is a perfect but locally restricted gold standard procedure. If positron emission tomography/computed tomography (PET/CT) can be shown to be reliable within the gold standard region and if it can be argued that PET....../CT also performs well in adjacent areas, then sample sizes in accuracy studies can be reduced. PROCEDURES: Traditional standard power calculations for demonstrating sensitivities of both 80% and 90% are shown. The argument is then described in general terms and demonstrated by an ongoing study...... of metastasized prostate cancer. RESULTS: An added value in accuracy of PET/CT in adjacent areas can outweigh a downsized target level of accuracy in the gold standard region, justifying smaller sample sizes. CONCLUSIONS: If PET/CT provides an accuracy benefit in adjacent regions, then sample sizes can be reduced...

  13. Is a Clean Development Mechanism project economically justified? Case study of an International Carbon Sequestration Project in Iran.

    Science.gov (United States)

    Katircioglu, Salih; Dalir, Sara; Olya, Hossein G

    2016-01-01

    The present study evaluates a carbon sequestration project for the three plant species in arid and semiarid regions of Iran. Results show that Haloxylon performed appropriately in the carbon sequestration process during the 6 years of the International Carbon Sequestration Project (ICSP). In addition to a high degree of carbon dioxide sequestration, Haloxylon shows high compatibility with severe environmental conditions and low maintenance costs. Financial and economic analysis demonstrated that the ICSP was justified from an economic perspective. The financial assessment showed that net present value (NPV) (US$1,098,022.70), internal rate of return (IRR) (21.53%), and payback period (6 years) were in an acceptable range. The results of the economic analysis suggested an NPV of US$4,407,805.15 and an IRR of 50.63%. Therefore, results of this study suggest that there are sufficient incentives for investors to participate in such kind of Clean Development Mechanism (CDM) projects.

  14. The protection of fundamental rights in the Netherlands and South Africa compared: can the many differences be justified?

    Directory of Open Access Journals (Sweden)

    G van der Schyff

    2008-08-01

    Full Text Available This contribution considers the protection of fundamental rights in the Netherlands and South Africa. Both countries strive to be constitutional democracies that respect basic rights. But both countries go about this aim in very different ways. These different paths to constitutionalism are compared, as well as the reasons for these differences and whether it can be said that these differences are justifiable. This is done by comparing the character of the rights guaranteed in the Dutch and South African legal orders, the sources of these rights and the locus or centre of protection in both systems. The conclusion is reached that no single or perfect route to attaining the desired protection of fundamental rights exists, but that one should always enquire as to the state of individual freedom and the right to make free political choices in measuring the worth of a system's protection of rights.

  15. Justifier l’injustifiable

    Directory of Open Access Journals (Sweden)

    Olivier Jouanjan

    2006-04-01

    Full Text Available Le « droit » tient aussi dans les discours qu’on tient sur lui, notamment les discours des juristes. L’analyse des discours des juristes engagés du Troisième Reich fait ressortir un schéma général de justification, un principe grammatical génératif de ces discours qu’on peut qualifier de « décisionnisme substantiel ». Le positivisme juridique, parce qu’abstrait et « juif », fut désigné comme l’ennemi principal de la science du « droit » nazi, une « science » qui ne pouvait se concevoir elle-même que comme politique. En analysant la construction idéologico-juridique de l’État total, la destruction de la notion de droits subjectifs, la substitution au concept de personnalité juridique d’une notion « concrète » de l’« être-membre-de-la-communauté », puis en montrant le fonctionnement de ces discours dans la pratique, la présente contribution met en évidence la double logique de l’incorporation et de l’incarnation à l’œuvre dans la science nazie du droit, une « science » dont Carl Schmitt fait la « théorie » en 1934 à travers la « pensée de l’ordre concret ».

  16. Justifying Educational Language Rights

    Science.gov (United States)

    May, Stephen

    2014-01-01

    The author of this chapter observes that post-9/11 there has been a rapid and significant retrenchment of multiculturalism as public policy, particularly within education. This apparent retrenchment of multiculturalism as public policy has been bolstered by parallel arguments for a more "cosmopolitan" approach to education within an…

  17. E-governance justified

    Directory of Open Access Journals (Sweden)

    William Akotam Agangiba

    2013-03-01

    Full Text Available Information and Communication Technology today has become an indispensable part in our lives, gaining wide application in human activities. This is due to the fact that, its use is less expensive, more secure, and allows speedy information transmission and access. It serves as a good base for the development and success of today’s relatively young technologies. It has relieved people of manual day-to-day activities in such areas as businesses organizations, transport industry, teaching and research, banking, broadcasting, entertainment amongst other. This paper takes an overview study of e-governance, one of the most demanding applications of information and communication technology for public services. The paper summarizes the concept of e-governance, its major essence and some ongoing e-governance activities in some parts of the world.

  18. Is Sport Nationalism Justifiable?

    Directory of Open Access Journals (Sweden)

    José Luis Pérez Triviño

    2015-07-01

    Full Text Available The article aims to clarify the deep relationships established between sport and nationalism by considering, among other factors, the instrumentalisation of sport by political elites, political apathy of citizens, economic resources for sport, the question of violence or identitarian matters. In order to define if the combination of sport and nationalism is admissible, the paper defines sport nationalism and distinguishes the political use of sport for purposes of domestic and foreign policy. In the first section the analysis focuses on whether a causal link with respect to the contribution to violence can be established and with respect to its use in the internal politics of a state, the paper differentiates between normal political circumstances and political crises in order to properly address the question of whether there are grounds to assert that sport can distract citizens from asserting their genuine interests.

  19. Is Sport Nationalism Justifiable?

    Directory of Open Access Journals (Sweden)

    José Luis Pérez Triviño

    2012-01-01

    Full Text Available The article aims to clarify the deep relationships established between sport and nationalism by considering, among other factors, the instrumentalisation of sport by political elites, political apathy of citizens, economic resources for sport, the question of violence or identitarian matters. In order to define if the combination of sport and nationalism is admissible, the paper defines sport nationalism and distinguishes the political use of sport for purposes of domestic and foreign policy. In the first section the analysis focuses on whether a causal link with respect to the contribution to violence can be established and with respect to its use in the internal politics of a state, the paper differentiates between normal political circumstances and political crises in order to properly address the question of whether there are grounds to assert that sport can distract citizens from asserting their genuine interests.

  20. Association of Oxidative Stress and Platelet Receptor Glycoprotein GPIbα and GPVI Shedding During Nonsurgical Bleeding in Heart Failure Patients With Continuous-Flow Left Ventricular Assist Device Support.

    Science.gov (United States)

    Mondal, Nandan K; Chen, Zengsheng; Trivedi, Jaimin R; Sorensen, Erik N; Pham, Si M; Slaughter, Mark S; Griffith, Bartley P; Wu, Zhongjun J

    2017-09-26

    Nonsurgical bleeding (NSB) in heart failure (HF) patients with continuous-flow left ventricular assist device (CF-LVAD) support is the most common clinical complication. The aim of this study was to investigate the association between oxidative stress and platelet glycoproteins GPIbα and GPVI shedding on the incidence of NSB in CF-LVAD patients. Fifty-one HF patients undergoing CF-LVAD implantation and 11 healthy volunteers were recruited. Fourteen patients developed NSB (bleeder group) during 1 month follow-up duration, while others were considered nonbleeder group (n = 37). Several biomarkers of oxidative stress were quantified at baseline and weekly intervals in all patients. Surface expression and plasma elements of platelet receptor glycoproteins GPIbα and GPVI were measured. Oxidative stress biomarkers and platelet GPIbα and GPVI receptor-shedding (decreased surface expression and higher plasma levels) were found to be preexisting conditions in baseline samples of both groups of HF patients when compared with healthy volunteers. Significantly elevated oxidative stress biomarkers and platelet glycoprotein receptor shedding were observed in postimplant bleeder group temporarily when compared with nonbleeder group. Strong significant associations between biomarkers of oxidative stress and platelet glycoprotein receptor shedding were observed, suggesting a possible role of oxidative stress in platelet integrin shedding leading to NSB in CF-LVAD patients. Receiver operating characteristic analyses of GPIbα and GPVI indicated that the likelihood of NSB had a predictive power of bleeding complication in CF-LVAD patients. In conclusion, elevated oxidative stress may play a role in GPIbα and GPVI shedding in the event of NSB. Thus, oxidative stress and GPIbα and GPVI shedding may be used as potential biomarkers for bleeding risk stratification in those patients.

  1. 简直转连续斜箱梁桥单梁静载试验分析%PRESTRESSED REINFORCED CONCRETE SIMPLY SUPPORTED-CONTINUOUS BOX GIRDER SINGLE STATIC LOAD EXPERIMENT AND ANALYSIS

    Institute of Scientific and Technical Information of China (English)

    张宏祥; 曹岩

    2013-01-01

    The single static load experiment is one of the important means to identify whether the bridges can be normal operationed or not during the normal operation period. We can detect whether single static structure performance meets the requirements of design documents and specifications and guarantee the safety of bridge after the completion of the bridge by the single static load experiment This paper unifies some prestressed reinforced concrete box example. It introduced the experiment examination content, the testing sequence, and the test result analysis of the prestressed reinforced concrete box girder simply supported - continuous static load testing. We can make a correct evaluation of prestressed reinforced concrete box girder, and provide the basis for future tests by summarizing the results of static loading test%单梁静载试验是检验桥梁在正常运营期间能否保证桥梁正常运营的一个重要手段,通过对单梁静载试验,检测单梁的结构性能是否达到设计文件和规范要求,保证成桥后桥梁的安全.结合某预应力混凝土斜箱梁实例,介绍预应力钢筋混凝土简直转连续单梁静载试验的检测内容、试验步骤和试验结果分析.总结单梁静载试验结果,对预应力钢筋混凝土简直转连续梁桥作出正确的质量评估,为以后的试验提供理论依据.

  2. Catastrophic Decline of World's Largest Primate: 80% Loss of Grauer's Gorilla (Gorilla beringei graueri) Population Justifies Critically Endangered Status.

    Science.gov (United States)

    Plumptre, Andrew J; Nixon, Stuart; Kujirakwinja, Deo K; Vieilledent, Ghislain; Critchlow, Rob; Williamson, Elizabeth A; Nishuli, Radar; Kirkby, Andrew E; Hall, Jefferson S

    2016-01-01

    Grauer's gorilla (Gorilla beringei graueri), the World's largest primate, is confined to eastern Democratic Republic of Congo (DRC) and is threatened by civil war and insecurity. During the war, armed groups in mining camps relied on hunting bushmeat, including gorillas. Insecurity and the presence of several militia groups across Grauer's gorilla's range made it very difficult to assess their population size. Here we use a novel method that enables rigorous assessment of local community and ranger-collected data on gorilla occupancy to evaluate the impacts of civil war on Grauer's gorilla, which prior to the war was estimated to number 16,900 individuals. We show that gorilla numbers in their stronghold of Kahuzi-Biega National Park have declined by 87%. Encounter rate data of gorilla nests at 10 sites across its range indicate declines of 82-100% at six of these sites. Spatial occupancy analysis identifies three key areas as the most critical sites for the remaining populations of this ape and that the range of this taxon is around 19,700 km2. We estimate that only 3,800 Grauer's gorillas remain in the wild, a 77% decline in one generation, justifying its elevation to Critically Endangered status on the IUCN Red List of Threatened Species.

  3. [Justifying genetic and immune markers of efficiency and sensitivity under combined exposure to risk factors in mining industry workers].

    Science.gov (United States)

    Dolgikh, O V; Zaitseva, N V; Krivtsov, A V; Gorshkova, K G; Lanin, D V; Bubnova, O A; Dianova, D G; Lykhina, T S; Vdovina, N A

    2014-01-01

    The authors evaluated and justified immunologic and genetic markers under combined exposure to risk factors in mining industry workers. Analysis covered polymorphism features of 29 genes with variant alleles possibly participating in occupationally conditioned diseases formation and serving as sensitivity markers of these diseases risk. The genes association selected demonstrates reliably changed polymorphism vs. the reference group (SOD2 superoxidedismutase gene, ANKK1 dophamine receptor gene, SULT1A1 sulphtransaminase gene, MTHFR methylene tetrahydrofolate reductase gene, VEGF endothelial growth factor gene, TNF-alpha tumor necrosis factor gene). Under combined exposure to occupational hazards (sylvinite dust, noise) in mining industry, this association can serve as adequate marking complex of sensitivity to development of occupationally conditioned diseases. Increased-production of immune cytokine regulation markers: tumor necrosis factor and vascular endothelial growth factor. Genes SOD2, ANKK1, SULT1A1, VEGF, TNFalpha are recommended as sensitivity markers, and the coded cytokines (tumor necrosis factor and endothelial growth factor) are proposed as effect markers in evaluation of health risk for workers in mining industry.

  4. Continuous Reinforced Concrete Beams

    DEFF Research Database (Denmark)

    Hoang, Cao Linh; Nielsen, Mogens Peter

    1996-01-01

    This report deals with stress and stiffness estimates of continuous reinforced concrete beams with different stiffnesses for negative and positive moments e.g. corresponding to different reinforcement areas in top and bottom. Such conditions are often met in practice.The moment distribution...... at the limit state of serviceability is in some simple cases determined by setting up the statical and the compatibility conditions.With these moment distributions, the maximum deflection and the reinforcement stresses at the span middle and at a support are calculated.The results are compared with results...

  5. Continuous Shearlet Tight Frames

    KAUST Repository

    Grohs, Philipp

    2010-10-22

    Based on the shearlet transform we present a general construction of continuous tight frames for L2(ℝ2) from any sufficiently smooth function with anisotropic moments. This includes for example compactly supported systems, piecewise polynomial systems, or both. From our earlier results in Grohs (Technical report, KAUST, 2009) it follows that these systems enjoy the same desirable approximation properties for directional data as the previous bandlimited and very specific constructions due to Kutyniok and Labate (Trans. Am. Math. Soc. 361:2719-2754, 2009). We also show that the representation formulas we derive are in a sense optimal for the shearlet transform. © 2010 Springer Science+Business Media, LLC.

  6. Disrupting the Continuities Among Residential Schools, the Sixties Scoop, and Child Welfare: An Analysis of Colonial and Neocolonial Discourses

    Directory of Open Access Journals (Sweden)

    Holly A. McKenzie

    2016-04-01

    Full Text Available In Canada, it is estimated that 3 times as many Indigenous children are currently in the care of the state compared to when the residential schools’ populations were at their peak. It is imperative that action be taken. This article explores the continuities among residential schools, the Sixties Scoop, and child welfare in Canada today. In particular, we examine how colonial and neocolonial discourses operate through and justify these policies and practices. We propose nine policy recommendations, which aim to transform child welfare and support Indigenous families to care for their children. Although transformative policy change is unlikely within this neocolonial and neoliberal climate, the recent change in federal leadership has made it more possible to move these policy recommendations forward.

  7. Is Carbon Motivated Border Tax Justifiable?%碳关税的合理性何在?

    Institute of Scientific and Technical Information of China (English)

    林伯强; 李爱军

    2012-01-01

    2012年1月,欧盟将航空业纳入碳交易体系,意味着碳关税正式付诸实践。由于巨大的二氧化碳排放量和排放增量,中国将会受到碳关税问题的冲击。然而,碳关税可以降低中国二氧化碳排放量,能源税、碳税等措施同样也可以降低中国二氧化碳排放量。那么,哪种碳减排措施是更为有效的碳减排工具?换句话讲,碳关税是不是一个有效的碳减排工具,在碳减排问题上是否具有合理性?本文采用多国CGE模型进行分析,试图回答这些问题。结果表明,碳关税与碳关税等效措施的影响存在显著差异。相比较而言,碳关税会导致较高的碳减排成本,较高的碳泄漏率,对世界二氧化碳减排的贡献相对较小。因而,碳关税不具有合理性。不过,碳关税却是有效的威胁手段,因为它可以迫使发展中国家采用碳减排措施。%Carbon motivated border tax (CMBT for short) came into practice when EU levied airline carbon tax in January 2012. Due to large carbon emissions and incremental carbon emissions, China would face the challenge of CMBT. CMBT could reduce China's carbon emissions, and energy tax or carbon tax (termed as CMBT -emission-equivalent policies) in China could also reduce carbon emissions. Then, which policy option would be more effective to reduce carbon emissions.9 Put it differently, could carbon emissions reduction justify CMBT? The paper applies a muhination CGE trying to analyze and answer these questions. Our simulation results based on CGE model indicate that there would be significant differences in the effects between CMBT and CMBT-emission-equivalent policies. Compared to CMBT -emission-equivalent policies, CMBT would be more costly in reducing carbon emissions, resulting in high carbon leakage rate, and contribute less to world's emission reduction. Therefore, carbon emissions reduciton alone will not justify CMBT. However, CMBT could

  8. The frequency of Tay-Sachs disease causing mutations in the Brazilian Jewish population justifies a carrier screening program

    Directory of Open Access Journals (Sweden)

    Roberto Rozenberg

    Full Text Available CONTEXT: Tay-Sachs disease is an autosomal recessive disease characterized by progressive neurologic degeneration, fatal in early childhood. In the Ashkenazi Jewish population the disease incidence is about 1 in every 3,500 newborns and the carrier frequency is 1 in every 29 individuals. Carrier screening programs for Tay-Sachs disease have reduced disease incidence by 90% in high-risk populations in several countries. The Brazilian Jewish population is estimated at 90,000 individuals. Currently, there is no screening program for Tay-Sachs disease in this population. OBJECTIVE: To evaluate the importance of a Tay-Sachs disease carrier screening program in the Brazilian Jewish population by determining the frequency of heterozygotes and the acceptance of the program by the community. SETTING: Laboratory of Molecular Genetics - Institute of Biosciences - Universidade de São Paulo. PARTICIPANTS: 581 senior students from selected Jewish high schools. PROCEDURE: Molecular analysis of Tay-Sachs disease causing mutations by PCR amplification of genomic DNA, followed by restriction enzyme digestion. RESULTS: Among 581 students that attended educational classes, 404 (70% elected to be tested for Tay-Sachs disease mutations. Of these, approximately 65% were of Ashkenazi Jewish origin. Eight carriers were detected corresponding to a carrier frequency of 1 in every 33 individuals in the Ashkenazi Jewish fraction of the sample. CONCLUSION: The frequency of Tay-Sachs disease carriers among the Ashkenazi Jewish population of Brazil is similar to that of other countries where carrier screening programs have led to a significant decrease in disease incidence. Therefore, it is justifiable to implement a Tay-Sachs disease carrier screening program for the Brazilian Jewish population.

  9. Sentinel lymph node biopsy in patients with a needle core biopsy diagnosis of ductal carcinoma in situ: is it justified?

    LENUS (Irish Health Repository)

    Doyle, B

    2012-02-01

    BACKGROUND: The incidence of ductal carcinoma in situ (DCIS) has increased markedly with the introduction of population-based mammographic screening. DCIS is usually diagnosed non-operatively. Although sentinel lymph node biopsy (SNB) has become the standard of care for patients with invasive breast carcinoma, its use in patients with DCIS is controversial. AIM: To examine the justification for offering SNB at the time of primary surgery to patients with a needle core biopsy (NCB) diagnosis of DCIS. METHODS: A retrospective analysis was performed of 145 patients with an NCB diagnosis of DCIS who had SNB performed at the time of primary surgery. The study focused on rates of SNB positivity and underestimation of invasive carcinoma by NCB, and sought to identify factors that might predict the presence of invasive carcinoma in the excision specimen. RESULTS: 7\\/145 patients (4.8%) had a positive sentinel lymph node, four macrometastases and three micrometastases. 6\\/7 patients had invasive carcinoma in the final excision specimen. 55\\/145 patients (37.9%) with an NCB diagnosis of DCIS had invasive carcinoma in the excision specimen. The median invasive tumour size was 6 mm. A radiological mass and areas of invasion <1 mm, amounting to "at least microinvasion" on NCB were predictive of invasive carcinoma in the excision specimen. CONCLUSIONS: SNB positivity in pure DCIS is rare. In view of the high rate of underestimation of invasive carcinoma in patients with an NCB diagnosis of DCIS in this study, SNB appears justified in this group of patients.

  10. Airway support using a pediatric intubation tube in adult patients with atrial fibrillation: A simple and unique method to prevent heart movement during catheter ablation under continuous deep sedation

    Directory of Open Access Journals (Sweden)

    Masateru Takigawa, MD

    2017-08-01

    Conclusion: This unique airway management technique using a pediatric intubation tube for CA procedures performed in adult patients with AF under continuous deep sedation was easy, safe, and effective.

  11. Web-based support for daily functioning of people with mild intellectual disabilities or chronic psychiatric disorders: A feasibility study in routine practice

    Directory of Open Access Journals (Sweden)

    Jessica de Wit

    2015-05-01

    Conclusion: The initial results of the use of web-based support for this client population seem promising and justify further research on online support for clients with mild intellectual disabilities or chronic psychiatric disorders.

  12. Justifying the Use of a Second Language Oral Test as an Exit Test in Hong Kong: An Application of Assessment Use Argument Framework

    Science.gov (United States)

    Jia, Yujie

    2013-01-01

    This study employed Bachman and Palmer's (2010) Assessment Use Argument framework to investigate to what extent the use of a second language oral test as an exit test in a Hong Kong university can be justified. It also aimed to help test developers of this oral test identify the most critical areas in the current test design that might need…

  13. Why Police Kill Black Males with Impunity: Applying Public Health Critical Race Praxis (PHCRP) to Address the Determinants of Policing Behaviors and "Justifiable" Homicides in the USA.

    Science.gov (United States)

    Gilbert, Keon L; Ray, Rashawn

    2016-04-01

    Widespread awareness of the recent deaths of several black males at the hands of police has revealed an unaddressed public health challenge-determining the root causes of excessive use of force by police applied to black males that may result in "justifiable homicides." The criminalization of black males has a long history in the USA, which has resulted in an increase in policing behaviors by legal authorities and created inequitable life chances for black males. Currently, the discipline of public health has not applied an intersectional approach that investigates the intersection of race and gender to understanding police behaviors that lead to "justifiable homicides" for black males. This article applies the core tenets and processes of Public Health Critical Race Praxis (PHCRP) to develop a framework that can improve research and interventions to address the disparities observed in recent trend analyses of "justifiable homicides." Accordingly, we use PHCRP to offer an alternative framework on the social, legal, and health implications of violence-related incidents. We aim to move the literature in this area forward to help scholars, policymakers, and activists build the capacity of communities to address the excessive use of force by police to reduce mortality rates from "justifiable homicides."

  14. Is emergency and salvage coronary artery bypass grafting justified? The Nordic Emergency/Salvage coronary artery bypass grafting study.

    Science.gov (United States)

    Axelsson, Tomas A; Mennander, Ari; Malmberg, Markus; Gunn, Jarmo; Jeppsson, Anders; Gudbjartsson, Tomas

    2016-05-01

    According to the EuroSCORE-II criteria, patients undergoing emergency coronary artery bypass grafting (CABG) are operated on before the beginning of the next working day after decision to operate while salvage CABG patients require cardiopulmonary resuscitation en route to the operating theatre. The objective of this multicentre study was to investigate the efficacy of emergency and salvage CABG. A retrospective analysis of all patients that underwent emergency or salvage CAGB at four North-European university hospitals from 2006 to 2014. A total of 614 patients; 580 emergency and 34 salvage CABG patients (mean age 67 ± 10 years, 56% males) were included. All patients had an acute coronary syndrome: 234 (38%) had an ST segment elevation myocardial infarction (STEMI) and 289 (47%) had a non-STEMI. Haemodynamic instability requiring inotropic drugs and/or intra-aortic balloon pump preoperatively occurred in 87 (14%) and 82 (13%) of the patients, respectively. Three hundred and thirty-one patient (54%) were transferred to the operating room immediately after angiography and 205 (33%) had a failure of an attempted percutaneous coronary intervention. Cardiopulmonary resuscitation within 1 h before the operation was performed in 49 patients (8%), and 9 patients (1%) received cardiac massage during sternotomy. Hospital mortality for emergency and salvage operations was 13 and 41%, respectively. Early complications included reoperation for bleeding (15%), postoperative stroke (6%) and de novo dialysis for acute kidney injury (6%). Overall 5-year survival rate was 79% for emergency operations and 46% for salvage operations. Only one out of 9 patients receiving cardiac massage during sternotomy survived. Early mortality in patients undergoing emergent and salvage CABG is substantial, especially in salvage patients. Long-term survival is acceptable in both emergent and salvage patients. Life-saving emergency and salvage CABG is justified in most patients but salvage patients

  15. Does continuous trusted adult support in childhood impart life-course resilience against adverse childhood experiences - a retrospective study on adult health-harming behaviours and mental well-being.

    Science.gov (United States)

    Bellis, Mark A; Hardcastle, Katie; Ford, Kat; Hughes, Karen; Ashton, Kathryn; Quigg, Zara; Butler, Nadia

    2017-03-23

    Adverse childhood experiences (ACEs) including child abuse and household problems (e.g. domestic violence) increase risks of poor health and mental well-being in adulthood. Factors such as having access to a trusted adult as a child may impart resilience against developing such negative outcomes. How much childhood adversity is mitigated by such resilience is poorly quantified. Here we test if access to a trusted adult in childhood is associated with reduced impacts of ACEs on adoption of health-harming behaviours and lower mental well-being in adults. Cross-sectional, face-to-face household surveys (aged 18-69 years, February-September 2015) examining ACEs suffered, always available adult (AAA) support from someone you trust in childhood and current diet, smoking, alcohol consumption and mental well-being were undertaken in four UK regions. Sampling used stratified random probability methods (n = 7,047). Analyses used chi squared, binary and multinomial logistic regression. Adult prevalence of poor diet, daily smoking and heavier alcohol consumption increased with ACE count and decreased with AAA support in childhood. Prevalence of having any two such behaviours increased from 1.8% (0 ACEs, AAA support, most affluent quintile of residence) to 21.5% (≥4 ACEs, lacking AAA support, most deprived quintile). However, the increase was reduced to 7.1% with AAA support (≥4 ACEs, most deprived quintile). Lower mental well-being was 3.27 (95% CIs, 2.16-4.96) times more likely with ≥4 ACEs and AAA support from someone you trust in childhood (vs. 0 ACE, with AAA support) increasing to 8.32 (95% CIs, 6.53-10.61) times more likely with ≥4 ACEs but without AAA support in childhood. Multiple health-harming behaviours combined with lower mental well-being rose dramatically with ACE count and lack of AAA support in childhood (adjusted odds ratio 32.01, 95% CIs 18.31-55.98, ≥4 ACEs, without AAA support vs. 0 ACEs, with AAA support). Adverse childhood experiences

  16. Continuous cold therapy in total knee arthroplasty.

    Science.gov (United States)

    Leutz, D W; Harris, H

    1995-01-01

    This article describes a retrospective study that assessed 52 consecutive patients who underwent total knee arthroplasty (TKA) between January 1, 1992 and September 15, 1992. Thirty-three patients underwent TKA and received cold therapy pads placed over a thin dressing in the operating room. Nineteen patients underwent TKA using an identical operative and postoperative procedure, but did not receive continuous cold therapy. Continuous cold therapy consisted of two sterile plastic pads connnected by rubber hoses containing cool water from an electric main unit that maintained a constant temperature of 42 degrees F for the immediate postoperative period. Cold therapy pads were used an average of 3 days and removed with the first dressing change. Patients who had continuous cold therapy averaged a 200 cc decrease in postoperative blood loss. There was no significant difference in the amount of narcotic use, transfusion requirements, or hospital stay between the two groups. Postoperative swelling and range of motion were not consistently recorded. Twenty-eight other variables also examined not significant. Based on these results, we cannot recommend continuous cold therapy or justify the extra expense for all patients who undergo TKA.

  17. "If I Wasn't Learning Anything New about Teaching I Would Have Left It by Now!": How History Teachers Can Support Their Own and Others' Continued Professional Learning

    Science.gov (United States)

    Burn, Katharine

    2012-01-01

    Katharine Burn has a long-standing interest in history teachers' professional learning--not just the ways in which experienced teachers can support beginners, but how teachers at all stages of their career can be encouraged to go developing their practice. In this article, which draws on a number of small-scale research projects, she illustrates…

  18. On deciding to have a lobotomy: either lobotomies were justified or decisions under risk should not always seek to maximise expected utility.

    Science.gov (United States)

    Cooper, Rachel

    2014-02-01

    In the 1940s and 1950s thousands of lobotomies were performed on people with mental disorders. These operations were known to be dangerous, but thought to offer great hope. Nowadays, the lobotomies of the 1940s and 1950s are widely condemned. The consensus is that the practitioners who employed them were, at best, misguided enthusiasts, or, at worst, evil. In this paper I employ standard decision theory to understand and assess shifts in the evaluation of lobotomy. Textbooks of medical decision making generally recommend that decisions under risk are made so as to maximise expected utility (MEU) I show that using this procedure suggests that the 1940s and 1950s practice of psychosurgery was justifiable. In making sense of this finding we have a choice: Either we can accept that psychosurgery was justified, in which case condemnation of the lobotomists is misplaced. Or, we can conclude that the use of formal decision procedures, such as MEU, is problematic.

  19. LANL continuity of operations plan

    Energy Technology Data Exchange (ETDEWEB)

    Senutovitch, Diane M [Los Alamos National Laboratory

    2010-12-22

    The Los Alamos National Laboratory (LANL) is a premier national security research institution, delivering scientific and engineering solutions for the nation's most crucial and complex problems. Our primary responsibility is to ensure the safety, security, and reliability of the nation's nuclear stockpile. LANL emphasizes worker safety, effective operational safeguards and security, and environmental stewardship, outstanding science remains the foundation of work at the Laboratory. In addition to supporting the Laboratory's core national security mission, our work advances bioscience, chemistry, computer science, earth and environmental sciences, materials science, and physics disciplines. To accomplish LANL's mission, we must ensure that the Laboratory EFs continue to be performed during a continuity event, including localized acts of nature, accidents, technological or attack-related emergencies, and pandemic or epidemic events. The LANL Continuity of Operations (COOP) Plan documents the overall LANL COOP Program and provides the operational framework to implement continuity policies, requirements, and responsibilities at LANL, as required by DOE 0 150.1, Continuity Programs, May 2008. LANL must maintain its ability to perform the nation's PMEFs, which are: (1) maintain the safety and security of nuclear materials in the DOE Complex at fixed sites and in transit; (2) respond to a nuclear incident, both domestically and internationally, caused by terrorist activity, natural disaster, or accident, including mobilizing the resources to support these efforts; and (3) support the nation's energy infrastructure. This plan supports Continuity of Operations for Los Alamos National Laboratory (LANL). This plan issues LANL policy as directed by the DOE 0 150.1, Continuity Programs, and provides direction for the orderly continuation of LANL EFs for 30 days of closure or 60 days for a pandemic/epidemic event. Initiation of COOP operations may

  20. How to define and build an effective cyber threat intelligence capability how to understand, justify and implement a new approach to security

    CERN Document Server

    Dalziel, Henry; Carnall, James

    2014-01-01

    Intelligence-Led Security: How to Understand, Justify and Implement a New Approach to Security is a concise review of the concept of Intelligence-Led Security. Protecting a business, including its information and intellectual property, physical infrastructure, employees, and reputation, has become increasingly difficult. Online threats come from all sides: internal leaks and external adversaries; domestic hacktivists and overseas cybercrime syndicates; targeted threats and mass attacks. And these threats run the gamut from targeted to indiscriminate to entirely accidental. Amo

  1. Biogas and reduction of organic matter in anaerobic reactor with continuous flow means support; Producao de biogas e reducao de materia organica em reatores anaerobicos de fluxo continuo com meio suporte

    Energy Technology Data Exchange (ETDEWEB)

    Kunzler, Kathia Regina; Gomes, Simone Damasceno; Goncalves, Jefferson Luiz; Kuczman, Osvaldo [Universidade Estadual do Oeste do Parana (PGEAGRI/UNIOESTE), Cascavel, PR (Brazil). Programa de Pos-Graduacao em Engenharia Agricola], Emails: kathiark@yahoo.com.br, simoned@unioeste.br; Piana, Pitagoras Augusto [Universidade Estadual do Oeste do Parana (UNIOESTE), Toledo, PR (Brazil)

    2010-07-01

    Starch processing industries are to obtain cassava starch. Its main residue is the effluent resulting from pressing the roots, Manipueira, high organic load and toxic. In this study, we compared the removal efficiency of organic loading and biogas production in anaerobic reactors, with the support means bamboo in different relations width: height. The first lesion diameter of 15 cm and a length of 90 cm, a ratio 1:6 and the second with a diameter of 20 cm and 60 cm long, ratio of 1:3. The support medium consisted of rings of bamboo with 10 cm length and diameters between 1.7 and 2.5 cm. The loads applied were 0.519, 1.156, 1.471, 3.813, 4.347, 4.708 and 5.601gDQO/L.day. To evaluate the removal efficiency of organic matter, the samples were subjected to analysis of DQO biogas production was assessed in terms of organic load removed. Bamboo as a support allowed the application of higher loads. The higher efficiency in the production of biogas was produced in the reactor with the highest ratio width: height, being more significant for the organic load of 5, 601 gCOD/L.day, showing more stability this. (author)

  2. A Software Engine to Justify the Conclusions of an Expert System for Detecting Renal Obstruction on 99mTc-MAG3 Scans

    Science.gov (United States)

    Garcia, Ernest V.; Taylor, Andrew; Manatunga, Daya; Folks, Russell

    2013-01-01

    The purposes of this study were to describe and evaluate a software engine to justify the conclusions reached by a renal expert system (RENEX) for assessing patients with suspected renal obstruction and to obtain from this evaluation new knowledge that can be incorporated into RENEX to attempt to improve diagnostic performance. Methods RENEX consists of 60 heuristic rules extracted from the rules used by a domain expert to generate the knowledge base and a forward-chaining inference engine to determine obstruction. The justification engine keeps track of the sequence of the rules that are instantiated to reach a conclusion. The interpreter can then request justification by clicking on the specific conclusion. The justification process then reports the English translation of all concatenated rules instantiated to reach that conclusion. The justification engine was evaluated with a prospective group of 60 patients (117 kidneys). After reviewing the standard renal mercaptoacetyltriglycine (MAG3) scans obtained before and after the administration of furosemide, a masked expert determined whether each kidney was obstructed, whether the results were equivocal, or whether the kidney was not obstructed and identified and ranked the main variables associated with each interpretation. Two parameters were then tabulated: the frequency with which the main variables associated with obstruction by the expert were also justified by RENEX and the frequency with which the justification rules provided by RENEX were deemed to be correct by the expert. Only when RENEX and the domain expert agreed on the diagnosis (87 kidneys) were the results used to test the justification. Results RENEX agreed with 91% (184/203) of the rules supplied by the expert for justifying the diagnosis. RENEX provided 103 additional rules justifying the diagnosis; the expert agreed that 102 (99%) were correct, although the rules were considered to be of secondary importance. Conclusion We have described and

  3. [Community-based rehabilitation and outpatient care for patients with acquired brain injury and chronic neurological disability in Germany: continuing support for social participation and re-integration in the neurological care system?].

    Science.gov (United States)

    Reuther, P; Hendrich, A; Kringler, W; Vespo, E

    2012-12-01

    In Germany a number of patients who are suffering from acquired brain injury and chronic neurological disability are either undersupplied or exposed to inappropriate care in their social environment. The number of these patients is increasing due to the changes in the procedures of care and due to demographic factors. While acute medical care and early rehabilitative treatment is accessible throughout the German health care system the necessary multimodal and competent care is rare or absent in the social participative sites such as life and occupational environments of the patients. The complex impairment of the brain, the central organ for sensorial, executive and other cognitive functions of human beings, renders the affected patient an exception in the system of medical and social care - this has only inadequately been considered in the past. The authors explain the necessity to disclose the status of a "human-with acquired-brain damage (Mensch-mit-erworbener-Hirnschädigung, MeH)" explicitly as severely disabled. The paper recommends a number of structural and procedural elements that have proven to overcome the insufficient or inappropriate support in integrating the patients suffering from acquired brain injury and chronic neurological disability in their social environment as well as for a demand-focused support with sustainable rehabilitative and ambulant follow-up procedures. Comparisons with other developed health care systems and international guidelines show that with organizing of early-supported-discharge, community-ambulation, shared-care and community-based-rehabilitation these problems have long since been identified elsewhere. Community-based and resident-oriented concepts have already been systematically implemented. In order to achieve the necessary support for the individual patient, a nation-wide development is necessary in Germany to perform the principles of the German social code and the principles of the Convention on the Rights of

  4. Improving child support enforcement for children receiving SSI.

    Science.gov (United States)

    Wilschke, S

    possible. Improving access to child support data would enhance the integrity of the SSI program by reducing overpayments to children receiving child support. Given the reality of limited administrative resources as well as the apparent difficulties of gaining access to the needed child support data, SSA must decide which data matches to pursue and which requirements enhance the program enough to justify the additional resources. Although the options discussed in this article may be chosen independently, there are important interactions to consider. For example, although a requirement to pursue support might result in more children receiving child support, SSA would still rely on parents to report that income unless it was able to gain better access to child support data. Implementing the option to require cooperation with child support enforcement (CSE) agencies could improve verification of income from child support if field offices developed better communication with local CSE offices. However, by itself, it would not have as great an effect on overpayments as would having direct access to child support data. In a 1999 report, the General Accounting Office acknowledged that the potential benefit reductions would be offset by the cost for SSA to administer a child support cooperation requirement and by the costs to the CSE programs to provide services. The report suggested that the goals of promoting parental responsibility and increasing the income of children receiving SSI should be pursued despite the costs. Requiring cooperation may increase administrative costs by $6 million over 5 years and may result in program savings. Gaining access to data may be more expensive and may not prevent overpayments to the same extent as other data-matching workloads on which SSA has placed a priority. SSA should continue to work with federal child support enforcement and with individual states to develop a cost-effective way to identify child support income.

  5. 论构建互动持续综合支持戒毒(康复)模式%ABOUT THE ESTABLISHING OF DRUG DETOXIFICATION AND REHABILITATION MODEL WITH INTERACTIVE, CONTINUOUS AND COMPREHENSIVE SUPPORT

    Institute of Scientific and Technical Information of China (English)

    孙安清

    2011-01-01

    本文从复吸毒品的多因素分析为切入点,探索强化决心、互动帮教、家庭协同、社会综合、同伴互助、适时跟进支持等方法,构建持续综合支持戒毒康复模式,以改变过去较单一的戒毒康复模式,提高戒毒康复效果,降低复吸率.%This paper cut - in with the analysis of the reasons for drug relapse explained the model of drug detoxification and rehabilitation with the skills of strengthening motivation, interactive education, family cooperation, social integration, peer education, timely follow -up support to make changes in the former treatment methods. The aim is to improve drug treatment effects and reduce drug relapse.

  6. A narrow pH range supports butanol, hexanol, and octanol production from syngas in a continuous co-culture of Clostridium ljungdahlii and Clostridium kluyveri with in-line product extraction

    Directory of Open Access Journals (Sweden)

    Hanno Richter

    2016-11-01

    Full Text Available Carboxydotrophic bacteria (CTB have received attention due to their ability to synthesize commodity chemicals from producer gas and synthesis gas (syngas. CTB have an important advantage of a high product selectivity compared to chemical catalysts. However, the product spectrum of wild-type CTB is narrow. Our objective was to investigate whether a strategy of combining two wild-type bacterial strains into a single, continuously fed bioprocessing step would be promising to broaden the product spectrum. Here, we have operated a syngas-fermentation process with Clostridium ljungdahlii and Clostridium kluyveri with in-line product extraction through gas stripping and product condensing within the syngas recirculation line. The main products from C. ljungdahlii fermentation at a pH of 6.0 were ethanol and acetate at net volumetric production rates of 65.5 and 431 mmol C•L-1•d-1, respectively. An estimated 2/3 of total ethanol produced was utilized by C. kluyveri to chain elongate with the reverse β-oxidation pathway, resulting in n-butyrate and n-caproate at net rates of 129 and 70 mmol C•L-1•d-1, respectively. C. ljungdahlii likely reduced the produced carboxylates to their corresponding alcohols with the reductive power from syngas. This resulted in the longer-chain alcohols n-butanol, n-hexanol, and n-octanol at net volumetric production rates of 39.2, 31.7, and 0.045 mmol C•L-1•d-1, respectively. The continuous production of the longer-chain alcohols occurred only within a narrow pH spectrum of 5.7-6.4 due to the pH discrepancy between the two strains. Regardless whether other wild-type strains could overcome this pH discrepancy, the specificity (mol carbon in product per mol carbon in all other liquid products for each longer-chain alcohol may never be high in a single bioprocessing step. This, because two bioprocesses compete for intermediates (i.e., carboxylates: 1 chain elongation; and 2 biological reduction. This innate

  7. Discretization of Continuous Frame

    Indian Academy of Sciences (India)

    A Fattahi; H Javanshiri

    2012-05-01

    In this paper we consider the notion of continuous frame of subspaces and define a new concept of continuous frame, entitled continuous atomic resolution of identity, for arbitrary Hilbert space $\\mathcal{H}$ which has a countable reconstruction formula. Among the other results, we characterize the relationship between this new concept and other known continuous frames. Finally, we state and prove the assertions of the stability of perturbation in this concept.

  8. Proofs of the Technical Results Justifying a Biologically Inspired Algorithm for Reactive Navigation of Nonholonomic Robots in Maze-Like Environments

    CERN Document Server

    Matveev, Alexey S; Savkin, Andrey V

    2011-01-01

    We present technical results justifying a method for guidance of a Dubins-like vehicle with saturated control towards a target in a steady simply connected maze-like environment. The vehicle always has access to to the target relative bearing angle and the distance to the nearest point of the maze if it is within the given sensor range. The proposed control law is composed by biologically inspired reflex-level rules. Mathematically rigorous analysis of this law is provided; its convergence and performance are confirmed by computer simulations and experiments with real robots.

  9. Outcome and survival of patients aged 75 years and older compared to younger patients after ruptured abdominal aortic aneurysm repair: do the results justify the effort?

    DEFF Research Database (Denmark)

    Shahidi, S; Schroeder, T Veith; Carstensen, M.

    2009-01-01

    on prospectively registered data. The protocol was an "all-comers" policy. Seventy-two patients, who were operated on for RAAA in our department from January 1, 2005, to December 30, 2005, are included in this study. The follow-up time of survivors was 1 year. We defined 75-year-old patients as elderly because...... the only significant (p believe that treatment for RAAA can be justified in elderly patients. In our experience, surgical open repair has been life-saving in 33% of patients aged 75 years and older, at a relatively low price for each...

  10. Continuous Markovian Logics

    DEFF Research Database (Denmark)

    Mardare, Radu Iulian; Cardelli, Luca; Larsen, Kim Guldstrand

    2012-01-01

    Continuous Markovian Logic (CML) is a multimodal logic that expresses quantitative and qualitative properties of continuous-time labelled Markov processes with arbitrary (analytic) state-spaces, henceforth called continuous Markov processes (CMPs). The modalities of CML evaluate the rates of the ...

  11. Plants under continuous light

    NARCIS (Netherlands)

    Velez Ramirez, A.I.; Ieperen, van W.; Vreugdenhill, D.; Millenaar, F.F.

    2011-01-01

    Continuous light is an essential tool for understanding the plant circadian clock. Additionally, continuous light might increase greenhouse food production. However, using continuous light in research and practice has its challenges. For instance, most of the circadian clock-oriented experiments wer

  12. The nutritive and immunoprotective quality of human milk beyond 1 year postpartum: are lactation-duration-based donor exclusions justified?

    Science.gov (United States)

    Perrin, Maryanne Tigchelaar; Fogleman, April; Allen, Jonathan C

    2013-08-01

    Donor human milk is critical for the fragile preterm infant who does not have access to his or her mother's milk, improving survival rates and quality of survival and decreasing hospital stay. Despite the opening of donor milk banks around the world, shortages continue as demand for donor milk exceeds supply. One potential means of increasing supply is by reducing exclusion criteria that prohibit mothers from donating milk based on duration of lactation. Minimal research has been done on the composition of human milk during the second year of lactation, with most research focusing on the nutritive compounds and not the immunoprotective compounds. Several immunoprotective compounds, including lysozyme, lactoferrin, secretory immunoglobulin A, and oligosaccharides, are abundant in human milk compared to bovine-based infant formula and are partially or fully retained during Holder pasteurization, making them an important differentiating feature of donor milk. A PubMed search was conducted to review studies in human milk composition during the second year of lactation. Limitations of existing research include sample collection protocols, small study sizes, and use of populations that may have been at risk for nutritional deficiencies. Stable concentrations of several components were reported including protein, lactose, iron, copper, lactoferrin, and secretory immunoglobulin A. Lysozyme concentration increased during extended lactation, while zinc and calcium concentrations declined into the second year. Conflicting findings were reported on fat content, and no information was available regarding oligosaccharide content. More research is needed to create evidence-based guidelines regarding the nutritive and immunoprotective value of donor milk throughout the course of lactation.

  13. Current Evidence to Justify, and the Methodological Considerations for a Randomised Controlled Trial Testing the Hypothesis that Statins Prevent the Malignant Progression of Barrett's Oesophagus

    Institute of Scientific and Technical Information of China (English)

    David Thurtle; Leo Alexandre; Yoon K Loke; Ed Cheong; Andrew Hart

    2014-01-01

    Barrett's oesophagus is the predominant risk factor for oesophageal adenocarcinoma, a cancer whose incidence is increasing and which has a poor prognosis. This article reviews the latest experimental and epidemiological evidence justifying the development of a randomised controlled trial investigating the hypothesis that statins prevent the malignant progression of Barrett's oesophagus, and explores the methodological considerations for such a trial. The experimental evidence suggests anti-carcinogenic properties of statins on oesophageal cancer cell lines, based on the inhibition of the mevalonate pathway and the production of pro-apoptotic proteins. The epidemiological evidence reports inverse associations between statin use and the incidence of oesophageal carcinoma in both general population and Barrett's oesophagus cohorts. Such a randomised controlled trial would be a large multi-centre trial, probably investigating simvastatin, given the wide clinical experience with this drug, relatively low side-effect profile and low ifnancial cost. As with any clinical trial, high adherence is important, which could be increased with therapy, patient, doctor and system-focussed interventions. We would suggest there is now sufifcient evidence to justify a full clinical trial that attempts to prevent this aggressive cancer in a high-risk population.

  14. Current Evidence to Justify, and the Methodological Considerations for a Randomised Controlled Trial Testing the Hypothesis that Statins Prevent the Malignant Progression of Barrett's Oesophagus

    Directory of Open Access Journals (Sweden)

    David Thurtle

    2014-12-01

    Full Text Available Barrett’s oesophagus is the predominant risk factor for oesophageal adenocarcinoma, a cancer whose incidence is increasing and which has a poor prognosis. This article reviews the latest experimental and epidemiological evidence justifying the development of a randomised controlled trial investigating the hypothesis that statins prevent the malignant progression of Barrett’s oesophagus, and explores the methodological considerations for such a trial. The experimental evidence suggests anti-carcinogenic properties of statins on oesophageal cancer cell lines, based on the inhibition of the mevalonate pathway and the production of pro-apoptotic proteins. The epidemiological evidence reports inverse associations between statin use and the incidence of oesophageal carcinoma in both general population and Barrett’s oesophagus cohorts. Such a randomised controlled trial would be a large multi-centre trial, probably investigating simvastatin, given the wide clinical experience with this drug, relatively low side-effect profile and low financial cost. As with any clinical trial, high adherence is important, which could be increased with therapy, patient, doctor and system-focussed interventions. We would suggest there is now sufficient evidence to justify a full clinical trial that attempts to prevent this aggressive cancer in a high-risk population.

  15. Starship Life Support

    Science.gov (United States)

    Jones, Harry W.

    2009-01-01

    The design and mass cost of a starship and its life support system are investigated. The mission plan for a multi generational interstellar voyage to colonize a new planet is used to describe the starship design, including the crew habitat, accommodations, and life support. Only current technology is assumed. Highly reliable life support systems can be provided with reasonably small additional mass, suggesting that they can support long duration missions. Bioregenerative life support, growing crop plants that provide food, water, and oxygen, has been thought to need less mass than providing stored food for long duration missions. The large initial mass of hydroponics systems is paid for over time by saving the mass of stored food. However, the yearly logistics mass required to support a bioregenerative system exceeds the mass of food solids it produces, so that supplying stored dehydrated food always requires less mass than bioregenerative food production. A mixed system that grows about half the food and supplies the other half dehydrated has advantages that allow it to breakeven with stored dehydrated food in about 66 years. However, moderate increases in the hydroponics system mass to achieve high reliability, such as adding spares that double the system mass and replacing the initial system every 100 years, increase the mass cost of bioregenerative life support. In this case, the high reliability half food growing, half food supplying system does not breakeven for 389 years. An even higher reliability half and half system, with three times original system mass and replacing the system every 50 years, never breaks even. Growing food for starship life support requires more mass than providing dehydrated food, even for multigeneration voyages of hundreds of years. The benefits of growing some food may justify the added mass cost. Much more efficient recycling food production is wanted but may not be possible. A single multigenerational interstellar voyage to

  16. Building a global business continuity programme.

    Science.gov (United States)

    Lazcano, Michael

    2014-01-01

    Business continuity programmes provide an important function within organisations, especially when aligned with and supportive of the organisation's goals, objectives and organisational culture. Continuity programmes for large, complex international organisations, unlike those for compact national companies, are more difficult to design, build, implement and maintain. Programmes for international organisations require attention to structural design, support across organisational leadership and hierarchy, seamless integration with the organisation's culture, measured success and demonstrated value. This paper details practical, but sometimes overlooked considerations for building successful global business continuity programmes.

  17. Continuity in Discrete Sets

    CERN Document Server

    Burgin, Mark

    2010-01-01

    Continuous models used in physics and other areas of mathematics applications become discrete when they are computerized, e.g., utilized for computations. Besides, computers are controlling processes in discrete spaces, such as films and television programs. At the same time, continuous models that are in the background of discrete representations use mathematical technology developed for continuous media. The most important example of such a technology is calculus, which is so useful in physics and other sciences. The main goal of this paper is to synthesize continuous features and powerful technology of the classical calculus with the discrete approach of numerical mathematics and computational physics. To do this, we further develop the theory of fuzzy continuous functions and apply this theory to functions defined on discrete sets. The main interest is the classical Intermediate Value theorem. Although the result of this theorem is completely based on continuity, utilization of a relaxed version of contin...

  18. On barely continuous functions

    Directory of Open Access Journals (Sweden)

    Richard Stephens

    1988-01-01

    Full Text Available The term barely continuous is a topological generalization of Baire-1 according to F. Gerlits of the Mathematical Institute of the Hungarian Academy of Sciences, and thus worthy of further study. This paper compares barely continuous functions and continuous functions on an elementary level. Knowing how the continuity of the identity function between topologies on a given set yields the lattice structure for those topologies, the barely continuity of the identity function between topologies on a given set is investigated and used to add to the structure of that lattice. Included are certain sublattices generated by the barely continuity of the identity function between those topologies. Much attention is given to topologies on finite sets.

  19. Cutting Out Continuations

    DEFF Research Database (Denmark)

    Bahr, Patrick; Hutton, Graham

    2016-01-01

    In the field of program transformation, one often transforms programs into continuation-passing style to make their flow of control explicit, and then immediately removes the resulting continuations using defunctionalisation to make the programs first-order. In this article, we show how these two...... transformations can be fused together into a single transformation step that cuts out the need to first introduce and then eliminate continuations. Our approach is calculational, uses standard equational reasoning techniques, and is widely applicable....

  20. Business Continuity Management Plan

    Science.gov (United States)

    2014-12-01

    uninterrupted power supply WSS Weapons System Support xvi THIS PAGE INTENTIONALLY LEFT BLANK xvii ACKNOWLEDGMENTS We...equipment, including components supporting ReMAD, is linked to an uninterruptible power supply (UPS) that can provide 45 minutes to 1 hour of power during...Framework.pdf Hynosky, J. (2010). Naval Supply Systems Command (NAVSUP), Weapon Systems Support (WSS) Allowancing power point presentation. Power

  1. Let Continuous Outcome Variables Remain Continuous

    Directory of Open Access Journals (Sweden)

    Enayatollah Bakhshi

    2012-01-01

    Full Text Available The complementary log-log is an alternative to logistic model. In many areas of research, the outcome data are continuous. We aim to provide a procedure that allows the researcher to estimate the coefficients of the complementary log-log model without dichotomizing and without loss of information. We show that the sample size required for a specific power of the proposed approach is substantially smaller than the dichotomizing method. We find that estimators derived from proposed method are consistently more efficient than dichotomizing method. To illustrate the use of proposed method, we employ the data arising from the NHSI.

  2. Residential Continuing Education.

    Science.gov (United States)

    Houle, Cyril O.

    The theme of this discursive essay is residential continuing education: its definition, its development along somewhat different lines in Europe and in America, and its practice in university centers in the United States. Continuing education includes any learning or teaching program that is based on the assumptions that the learners have studied…

  3. On continued fraction algorithms

    NARCIS (Netherlands)

    Smeets, Ionica

    2010-01-01

    Is there a good continued fraction approximation between every two bad ones? What is the entropy of the natural extension for alpha-Rosen fractions? How do you find multi-dimensional continued fractions with a guaranteed quality in polynomial time? These, and many more, questions are answered in thi

  4. On continued fraction algorithms

    NARCIS (Netherlands)

    Smeets, Ionica

    2010-01-01

    Is there a good continued fraction approximation between every two bad ones? What is the entropy of the natural extension for alpha-Rosen fractions? How do you find multi-dimensional continued fractions with a guaranteed quality in polynomial time? These, and many more, questions are answered in thi

  5. The EU Seal Products Ban – Why Ineffective Animal Welfare Protection Cannot Justify Trade Restrictions under European and International Trade Law

    Directory of Open Access Journals (Sweden)

    Martin Hennig

    2015-03-01

    Full Text Available In this article, the author questions the legitimacy of the general ban on trade in seal products adopted by the European Union. It is submitted that the EU Seal Regime, which permits the marketing of Greenlandic seal products derived from Inuit hunts, but excludes Canadian and Norwegian seal products from the European market, does not ensure a satisfactory degree of animal welfare protection in order to justify the comprehensive trade restriction in place. It is argued that the current ineffective EU ban on seal products, which according to the WTO Appellate Body cannot be reconciled with the objective of protecting animal welfare, has no legal basis in EU Treaties and should be annulled.

  6. Can beneficial ends justify lying? Neural responses to the passive reception of lies and truth-telling with beneficial and harmful monetary outcomes.

    Science.gov (United States)

    Yin, Lijun; Weber, Bernd

    2016-03-01

    Can beneficial ends justify morally questionable means? To investigate how monetary outcomes influence the neural responses to lying, we used a modified, cheap talk sender-receiver game in which participants were the direct recipients of lies and truthful statements resulting in either beneficial or harmful monetary outcomes. Both truth-telling (vs lying) as well as beneficial (vs harmful) outcomes elicited higher activity in the nucleus accumbens. Lying (vs truth-telling) elicited higher activity in the supplementary motor area, right inferior frontal gyrus, superior temporal sulcus and left anterior insula. Moreover, the significant interaction effect was found in the left amygdala, which showed that the monetary outcomes modulated the neural activity in the left amygdala only when truth-telling rather than lying. Our study identified a neural network associated with the reception of lies and truth, including the regions linked to the reward process, recognition and emotional experiences of being treated (dis)honestly.

  7. South Africa: defiance campaign continues.

    Science.gov (United States)

    2002-03-01

    The Treatment Action Campaign (TAC) has continued its "defiance campaign against patent abuse and AIDS profiteering." In partnership with Médecins Sans Frontières (Doctors Without Borders), and with the support of Oxfam and the Council of South African Trade Unions (COSATU), on 28 January 2002 three TAC members returned to South Africa from Brazil carrying generic versions of the antiretroviral drugs zidovudine (AZT), lamivudine (3TC), and nevirapine (NVP). Some of the imported capsules contain a combination of AZT and 3TC.

  8. Mechanisms of comorbidity, continuity, and discontinuity in anxiety-related disorders

    OpenAIRE

    McNaughton, N; Corr, P J

    2016-01-01

    We discuss comorbidity, continuity, and discontinuity of anxiety-related disorders from the perspective of a two-dimensional neuropsychology of fear (threat avoidance) and anxiety (threat approach). Pharmacological dissection of the "neurotic" disorders justifies both a categorical division between fear and anxiety and a subdivision of each mapped to a hierarchy of neural modules that process different immediacies of threat. It is critical that each module can generate normal responses, sympt...

  9. State of nutrition support teams.

    Science.gov (United States)

    DeLegge, Mark Henry; Kelly, Andrea True; Kelley, Andrea True

    2013-12-01

    The incidence of malnutrition in hospitalized patients is relatively high (up to 55%) despite breakthroughs in nutrition support therapies. These patients have increased morbidity and mortality, extended hospital stays, and care that is associated with higher costs. These patients are often poorly managed due to inadequate nutrition assessment and poor medical knowledge and practice in the field of nutrition. Nutrition support teams (NSTs) are interdisciplinary support teams with specialty training in nutrition that are often comprised of physicians, dietitians, nurses, and pharmacists. Their role includes nutrition assessment, determination of nutrition needs, recommendations for appropriate nutrition therapy, and management of nutrition support therapy. Studies have demonstrated significant improvements in patient nutrition status and improved clinical outcomes as well as reductions in costs when patients were appropriately managed by a multispecialty NST vs individual caregivers. Despite this, there has been steady decline in the number of formal NST in recent years (65% of hospitals in 1995 to 42% in 2008) as hospitals and other healthcare organizations look for ways to cut costs. Given the importance of nutrition status on clinical outcomes and overall healthcare costs, a number of institutions have introduced and sustained strong nutrition training and support programs and teams, demonstrating both clinical and economic benefit. The benefits of NST, training and implementation strategies, and tips for justifying these clinically and economically beneficial groups to healthcare organizations and governing bodies are discussed in this review.

  10. Impact of Continuous Competition on Operations and Support Costs

    Science.gov (United States)

    2011-05-01

    private firms, not the government. Aircraft Net Cost Growth B737-400 0.76 B757-200ER 0.80 A310-300 0.98 A320 0.92 A330-300 0.86 DC10-30 0.83 MD...Analysis. (1989). Results of Navy Competition. Nolte, P., Quackenbush, et al. (2008). Sustainment key performance parameter and the RAM-C manual ...of Defense. (2009). Department of Defense reliability, availability, maintainability, and cost rationale report manual . Washington, DC: Department of

  11. Introducing Corporate Reputation Continuity To Support Organizational Resilience Against Crises

    National Research Council Canada - National Science Library

    Epaminondas Koronis; Stavros T Ponis

    2012-01-01

      As Corporate Reputation (CR) evolves into an important asset for organizations, crises, disasters and other supply chain disruptive events, stand as threats to the preservation of the reputation capital since they usually result...

  12. 京沪高速铁路大跨混凝土连续梁分段支架现浇施工技术%On-site Cast Construction Techniques for Segmental Support of Large-Span Continuous Concrete Beams on Beijing-Shanghai High Speed Railway

    Institute of Scientific and Technical Information of China (English)

    李志荣

    2011-01-01

    Based on the construction of continuous concrete beams of Hanzhuang canal bridge (60 + 100 + 60) m on Beijing-Shanghai high speed railway, the segmental support on-site cast plan and its construction organization design are illus- trated, and the support design solution, finite element mechanics analysis of the construction processes and technique re- quirement are explained in detail. Theory analysis indicates that the construction process is safe, reliable and controllable based on the FEM mechanics analysis. Successful construction of the bridge shows segmental support on site cast for con- crete continuous beam bridge techniques is feasible in technological and economical term. The method can be a reference for similar construction projects.%以京沪高速铁路韩庄运河特大桥混凝土连续梁桥的施工为例,阐述了支架法分段现浇施工方案及其施工组织设计,并详细介绍了支架设计方案、施工过程有限元力学分析及其技术要求。理论分析表明,施工过程安全可靠、可控。成功的实践进一步表明,采用支架法分段现浇施工技术完成混凝土连续梁桥的施工,技术可行,经济效果显著,施工方法可供同类型工程施工参考。

  13. Justifying the exotic Theta+ pentaquark

    CERN Document Server

    Diakonov, Dmitri

    2009-01-01

    The existence of a light S=+1 baryon resonance follows from Quantum Field Theory applied to baryons. This is illustrated in the Skyrme model (where Theta+ exists but is too strong) and in a new mean field approach where Theta+ arises as a consequence of three known resonances: Lambda(1405), N(1440) and N(1535).

  14. The Ends Justify the Memes

    OpenAIRE

    Miller, Ian D.; Cupchik, Gerald C.

    2016-01-01

    This talk presents an update on my research into memes.  It begins with an introduction to memes that is suitable for any audience.  It concludes with a detailed description of human research and simulation results that converge with one another.  I also present a short online study on email forwarding chains.

  15. About 'restriction', 'justified' and 'necessary'

    DEFF Research Database (Denmark)

    Werlauff, Erik

    2016-01-01

    The article is an academic fairy tale about why and how all national corporate tax protection legislation should undergo a 3-part test to ensure its consistency with EU law. Each Member State introduce a compulsory 3-step test for each new (corporate) tax provision. The test is simple: (1) Does...

  16. Are Vulnerability Disclosure Deadlines Justified?

    Energy Technology Data Exchange (ETDEWEB)

    Miles McQueen; Jason L. Wright; Lawrence Wellman

    2011-09-01

    Vulnerability research organizations Rapid7, Google Security team, and Zero Day Initiative recently imposed grace periods for public disclosure of vulnerabilities. The grace periods ranged from 45 to 182 days, after which disclosure might occur with or without an effective mitigation from the affected software vendor. At this time there is indirect evidence that the shorter grace periods of 45 and 60 days may not be practical. However, there is strong evidence that the recently announced Zero Day Initiative grace period of 182 days yields benefit in speeding up the patch creation process, and may be practical for many software products. Unfortunately, there is also evidence that the 182 day grace period results in more vulnerability announcements without an available patch.

  17. Are Fuel Price Hikes Justifiable?

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    China saw its third fuel price hike this year when the National Development and Reform Commission, China’s top price regulator, hiked gasoline and diesel retail prices up by 9 percent, effective on June 30. It is the second rally in a month after the country initiated a new fuel pricing scheme in May.

  18. Creating, Naming, and Justifying Fractions

    Science.gov (United States)

    Siebert, Daniel; Gaskin, Nicole

    2006-01-01

    For students to develop meaningful conceptions of fractions and fraction operations, they need to think of fractions in terms other than as just whole-number combinations. In this article, we suggest two powerful images for thinking about fractions that move beyond whole-number reasoning. (Contains 5 figures.)

  19. [Continuous lumbar plexus block sets in France. Our experience].

    Science.gov (United States)

    Lascurain, P; Breining, T; Labbani, L; Le Gourrier, L; Lupescu, R; Gaertner, E

    2003-12-01

    The undeniable postoperative analgesia brought by the lumbar plexus block among patients scheduled for major surgery of the hip or knee justifies, the setting of a catheter to allow a continues analgesia more durable. Having drawn aside the difficulties of the daily practice (in allusion to the number of blocks carried out per day) and anatomical variations, the failure of the perineural catheter setting is in direct relationship with the material used by the anaesthesiologists for neurostimulation. The presentation of a case report describes a failure of catheter introduction due to the canula in deep continuous blocks, and the advantages and disadvantages of the various sets of neurostimulation. The authors conclude that the sets with the "catheter through the needle" are to be recommended, particularly the stimulating Tuohy needle.

  20. Applications of a fast continuous wavelet transform

    Science.gov (United States)

    Dress, William B.

    1997-04-01

    A fast, continuous, wavelet transform, justified by appealing to Shannon's sampling theorem in frequency space, has been developed for use with continuous mother wavelets and sampled data sets. The method differs from the usual discrete-wavelet approach and from the standard treatment of the continuous-wavelet transform in that, here, the wavelet is sampled in the frequency domain. Since Shannon's sampling theorem lets us view the Fourier transform of the data set as representing the continuous function in frequency space, the continuous nature of the functions is kept up to the point of sampling the scale-translation lattice, so the scale-translation grid used to represent the wavelet transform is independent of the time-domain sampling of the signal under analysis. Although more computationally costly and not represented by an orthogonal basis, the inherent flexibility and shift invariance of the frequency-space wavelets are advantageous for certain applications. The method has been applied to forensic audio reconstruction, speaker recognition/identification, and the detection of micromotions of heavy vehicles associated with ballistocardiac impulses originating from occupants' heart beats. Audio reconstruction is aided by selection of desired regions in the 2D representation of the magnitude of the transformed signals. The inverse transform is applied to ridges and selected regions to reconstruct areas of interest, unencumbered by noise interference lying outside these regions. To separate micromotions imparted to a mass- spring system by an occupant's beating heart from gross mechanical motions due to wind and traffic vibrations, a continuous frequency-space wavelet, modeled on the frequency content of a canonical ballistocardiogram, was used to analyze time series taken from geophone measurements of vehicle micromotions. By using a family of mother wavelets, such as a set of Gaussian derivatives of various orders, different features may be extracted from voice

  1. Nocturnal continuous glucose monitoring

    DEFF Research Database (Denmark)

    Bay, Christiane; Kristensen, Peter Lommer; Pedersen-Bjergaard, Ulrik;

    2013-01-01

    Abstract Background: A reliable method to detect biochemical nocturnal hypoglycemia is highly needed, especially in patients with recurrent severe hypoglycemia. We evaluated reliability of nocturnal continuous glucose monitoring (CGM) in patients with type 1 diabetes at high risk of severe...

  2. Continuous-time signals

    CERN Document Server

    Shmaliy, Yuriy

    2006-01-01

    Gives a modern description of continuous-time deterministic signals Signal formation techniquesTime vs. frequency and frequency vs. time analysisCorrelation and energy analysisNarrowband signals and sampling.

  3. Continuous ethanol fermentors

    Energy Technology Data Exchange (ETDEWEB)

    1983-08-03

    A continuous EtOH fermentor was developed. In the 1st stage of the fermentor, EtOH fermentation medium is contacted with an EtOH-producing bacterium (e.g. Zymomonas mobilis) attached to a carrier material (e.g., vermiculite powder) and with brewers' bottom yeast in the 2nd stage. This system does not require any special cell separator for continuous operation.

  4. Continuous Time Model Estimation

    OpenAIRE

    Carl Chiarella; Shenhuai Gao

    2004-01-01

    This paper introduces an easy to follow method for continuous time model estimation. It serves as an introduction on how to convert a state space model from continuous time to discrete time, how to decompose a hybrid stochastic model into a trend model plus a noise model, how to estimate the trend model by simulation, and how to calculate standard errors from estimation of the noise model. It also discusses the numerical difficulties involved in discrete time models that bring about the unit ...

  5. Nutritional Support

    Science.gov (United States)

    Nutritional support is therapy for people who cannot get enough nourishment by eating or drinking. You may ... absorb nutrients through your digestive system You receive nutritional support through a needle or catheter placed in ...

  6. Continuous parallel coordinates.

    Science.gov (United States)

    Heinrich, Julian; Weiskopf, Daniel

    2009-01-01

    Typical scientific data is represented on a grid with appropriate interpolation or approximation schemes,defined on a continuous domain. The visualization of such data in parallel coordinates may reveal patterns latently contained in the data and thus can improve the understanding of multidimensional relations. In this paper, we adopt the concept of continuous scatterplots for the visualization of spatially continuous input data to derive a density model for parallel coordinates. Based on the point-line duality between scatterplots and parallel coordinates, we propose a mathematical model that maps density from a continuous scatterplot to parallel coordinates and present different algorithms for both numerical and analytical computation of the resulting density field. In addition, we show how the 2-D model can be used to successively construct continuous parallel coordinates with an arbitrary number of dimensions. Since continuous parallel coordinates interpolate data values within grid cells, a scalable and dense visualization is achieved, which will be demonstrated for typical multi-variate scientific data.

  7. A continuation multilevel Monte Carlo algorithm

    KAUST Repository

    Collier, Nathan

    2014-09-05

    We propose a novel Continuation Multi Level Monte Carlo (CMLMC) algorithm for weak approximation of stochastic models. The CMLMC algorithm solves the given approximation problem for a sequence of decreasing tolerances, ending when the required error tolerance is satisfied. CMLMC assumes discretization hierarchies that are defined a priori for each level and are geometrically refined across levels. The actual choice of computational work across levels is based on parametric models for the average cost per sample and the corresponding variance and weak error. These parameters are calibrated using Bayesian estimation, taking particular notice of the deepest levels of the discretization hierarchy, where only few realizations are available to produce the estimates. The resulting CMLMC estimator exhibits a non-trivial splitting between bias and statistical contributions. We also show the asymptotic normality of the statistical error in the MLMC estimator and justify in this way our error estimate that allows prescribing both required accuracy and confidence in the final result. Numerical results substantiate the above results and illustrate the corresponding computational savings in examples that are described in terms of differential equations either driven by random measures or with random coefficients. © 2014, Springer Science+Business Media Dordrecht.

  8. Topological Photonics for Continuous Media

    Science.gov (United States)

    Silveirinha, Mario

    Photonic crystals have revolutionized light-based technologies during the last three decades. Notably, it was recently discovered that the light propagation in photonic crystals may depend on some topological characteristics determined by the manner how the light states are mutually entangled. The usual topological classification of photonic crystals explores the fact that these structures are periodic. The periodicity is essential to ensure that the underlying wave vector space is a closed surface with no boundary. In this talk, we prove that it is possible calculate Chern invariants for a wide class of continuous bianisotropic electromagnetic media with no intrinsic periodicity. The nontrivial topology of the relevant continuous materials is linked with the emergence of edge states. Moreover, we will demonstrate that continuous photonic media with the time-reversal symmetry can be topologically characterized by a Z2 integer. This novel classification extends for the first time the theory of electronic topological insulators to a wide range of photonic platforms, and is expected to have an impact in the design of novel photonic systems that enable a topologically protected transport of optical energy. This work is supported in part by Fundacao para a Ciencia e a Tecnologia Grant Number PTDC/EEI-TEL/4543/2014.

  9. Simulation-Based Prediction of Equivalent Continuous Noises during Construction Processes.

    Science.gov (United States)

    Zhang, Hong; Pei, Yun

    2016-08-12

    Quantitative prediction of construction noise is crucial to evaluate construction plans to help make decisions to address noise levels. Considering limitations of existing methods for measuring or predicting the construction noise and particularly the equivalent continuous noise level over a period of time, this paper presents a discrete-event simulation method for predicting the construction noise in terms of equivalent continuous level. The noise-calculating models regarding synchronization, propagation and equivalent continuous level are presented. The simulation framework for modeling the noise-affected factors and calculating the equivalent continuous noise by incorporating the noise-calculating models into simulation strategy is proposed. An application study is presented to demonstrate and justify the proposed simulation method in predicting the equivalent continuous noise during construction. The study contributes to provision of a simulation methodology to quantitatively predict the equivalent continuous noise of construction by considering the relevant uncertainties, dynamics and interactions.

  10. Simulation-Based Prediction of Equivalent Continuous Noises during Construction Processes

    Directory of Open Access Journals (Sweden)

    Hong Zhang

    2016-08-01

    Full Text Available Quantitative prediction of construction noise is crucial to evaluate construction plans to help make decisions to address noise levels. Considering limitations of existing methods for measuring or predicting the construction noise and particularly the equivalent continuous noise level over a period of time, this paper presents a discrete-event simulation method for predicting the construction noise in terms of equivalent continuous level. The noise-calculating models regarding synchronization, propagation and equivalent continuous level are presented. The simulation framework for modeling the noise-affected factors and calculating the equivalent continuous noise by incorporating the noise-calculating models into simulation strategy is proposed. An application study is presented to demonstrate and justify the proposed simulation method in predicting the equivalent continuous noise during construction. The study contributes to provision of a simulation methodology to quantitatively predict the equivalent continuous noise of construction by considering the relevant uncertainties, dynamics and interactions.

  11. Computing support for High Energy Physics

    Energy Technology Data Exchange (ETDEWEB)

    Avery, P.; Yelton, J. [Univ. of Florida, Gainesville, FL (United States)

    1996-12-01

    This computing proposal (Task S) is submitted separately but in support of the High Energy Experiment (CLEO, Fermilab, CMS) and Theory tasks. The authors have built a very strong computing base at Florida over the past 8 years. In fact, computing has been one of the main contributions to their experimental collaborations, involving not just computing capacity for running Monte Carlos and data reduction, but participation in many computing initiatives, industrial partnerships, computing committees and collaborations. These facts justify the submission of a separate computing proposal.

  12. Introduction to Continuous Optimization

    DEFF Research Database (Denmark)

    Andreasson, Niclas; Evgrafov, Anton; Patriksson, Michael

    optimal solutions for continuous optimization models. The main part of the mathematical material therefore concerns the analysis and linear algebra that underlie the workings of convexity and duality, and necessary/sufficient local/global optimality conditions for continuous optimization problems. Natural...... algorithms are then developed from these optimality conditions, and their most important convergence characteristics are analyzed. The book answers many more questions of the form “Why?” and “Why not?” than “How?”. We use only elementary mathematics in the development of the book, yet are rigorous throughout...

  13. Continuous Platform Development

    DEFF Research Database (Denmark)

    Nielsen, Ole Fiil

    low risks and investments but also with relatively fuzzy results. When looking for new platform projects, it is important to make sure that the company and market is ready for the introduction of platforms, and to make sure that people from marketing and sales, product development, and downstream......, but continuous product family evolution challenges this strategy. The concept of continuous platform development is based on the fact that platform development should not be a one-time experience but rather an ongoing process of developing new platforms and updating existing ones, so that product family...

  14. 2015 Workshop on Continuations

    DEFF Research Database (Denmark)

    his volume contains the papers presented at WoC 2015, the Workshop on Continuations held at ETAPS 2015. There were four submissions. Each of them was reviewed by, on the average, three PC members. The committee decided to accept three papers. The program also includes one invited talk. It also...... documents the depth, variety, and richness of continuations with four distilled tutorials. Thanks are due to the local organizers of ETAPS 2015 for the infras- tructure and to the general chairman of WoC 2015, Ugo de'Liguoro, for initiating this workshop and making it happen...

  15. Continuous Reinforced Concrete Beams

    DEFF Research Database (Denmark)

    Hoang, Cao Linh; Nielsen, Mogens Peter

    1996-01-01

    This report deals with stress and stiffness estimates of continuous reinforced concrete beams with different stiffnesses for negative and positive moments e.g. corresponding to different reinforcement areas in top and bottom. Such conditions are often met in practice.The moment distribution...

  16. Continuous Personal Improvement.

    Science.gov (United States)

    Emiliani, M. L.

    1998-01-01

    Suggests that continuous improvement tools used in the workplace can be applied to self-improvement. Explains the use of such techniques as one-piece flow, kanban, visual controls, and total productive maintenance. Points out misapplications of these tools and describes the use of fishbone diagrams to diagnose problems. (SK)

  17. Reparametrizations of Continuous Paths

    DEFF Research Database (Denmark)

    Fahrenberg, Uli; Raussen, Martin

    2007-01-01

    compare it to the distributive lattice of countable subsets of the unit interval. The results obtained are used to analyse the space of traces in a topological space, i.e., the space of continuous paths up to reparametrization equivalence. This space is shown to be homeomorphic to the space of regular...

  18. Promoting Continuing Education Programs.

    Science.gov (United States)

    Hendrickson, Gayle A.

    This handbook is intended for use by institutions in marketing their continuing education programs. A section on "Devising Your Strategy" looks at identifying a target audience, determining the marketing approach, and developing a marketing plan and promotional techniques. A discussion of media options looks at the advantages and…

  19. Continuous venovenous haemodialysis

    DEFF Research Database (Denmark)

    Bistrup, C; Pedersen, R S; Jensen, Dorte Møller

    1996-01-01

    . Standard solutions for peritoneal dialysis are administered in a single-pass manner countercurrent to the blood flow. To control the dialysate flow through the filter, two separate pumps designed for intravenous infusion are used. Anticoagulation is achieved by means of continuous heparin infusion...

  20. Continuing professional development

    NARCIS (Netherlands)

    Collin, K.; Heijden, van der B.I.J.M.; Lewis, P.

    2012-01-01

    Continuing professional development (CPD), when provided formally, is something that is easy to recognize but perhaps rather more difficult to define. Theoretical and empirical controversy surrounds the scope and understanding of the concept. Definition is made more elusive by the different conceptu

  1. Continuous Personal Improvement.

    Science.gov (United States)

    Emiliani, M. L.

    1998-01-01

    Suggests that continuous improvement tools used in the workplace can be applied to self-improvement. Explains the use of such techniques as one-piece flow, kanban, visual controls, and total productive maintenance. Points out misapplications of these tools and describes the use of fishbone diagrams to diagnose problems. (SK)

  2. Scrutiny Land: Scrutiny Land is the place where government needs to justify to a court its restrictions on the liberties of the people.

    Science.gov (United States)

    Barnett, Randy E

    2008-06-01

    Scrutiny Land is the place where government needs to justify to a court its restrictions on the liberties of the people. In the 1930s, the Supreme Court began limiting access to Scrutiny Land. While the New Deal Court merely shifted the burden to those challenging a law to show that a restriction of liberty is irrational, the Warren Court made the presumption of constitutionality effectively irrebuttable. After this, only one road to Scrutiny Land remained: showing that the liberty being restricted was a fundamental right. The Glucksberg Two-Step, however, limited the doctrine of fundamental rights to those (1) narrowly defined liberties that are (2) deeply rooted in tradition and history. In this Article, I explain how the ability to define accurately almost any liberty as broad or narrow improperly gives courts complete discretion to protect liberty or not as it chooses. I then describe an alternative that is suggested by the approach taken by the Court in Lawrence v. Texas: a general presumption of liberty. Not only is such an approach practical, it is also more consistent with the text and original meaning of the Constitution than is the Glucksburg Two-Step.

  3. Continuous coal processing method

    Science.gov (United States)

    Ryason, P. R.

    1980-06-01

    A coal pump is provided in which solid coal is heated in the barrel of an extruder under pressure to a temperature at which the coal assumes plastic properties. The coal is continuously extruded, without static zones, using, for example, screw extrusion preferably without venting through a reduced diameter die to form a dispersed spray. As a result, the dispersed coal may be continuously injected into vessels or combustors at any pressure up to the maximum pressure developed in the extrusion device. The coal may be premixed with other materials such as desulfurization aids or reducible metal ores so that reactions occur, during or after conversion to its plastic state. Alternatively, the coal may be processed and caused to react after extrusion, through the die, with, for example, liquid oxidizers, whereby a coal reactor is provided.

  4. Continuous Fiber Ceramic Composites

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-09-01

    Fiber-reinforced ceramic composites demonstrate the high-temperature stability of ceramics--with an increased fracture toughness resulting from the fiber reinforcement of the composite. The material optimization performed under the continuous fiber ceramic composites (CFCC) included a series of systematic optimizations. The overall goals were to define the processing window, to increase the robustinous of the process, to increase process yield while reducing costs, and to define the complexity of parts that could be fabricated.

  5. Safety Campaign Continues

    CERN Multimedia

    2002-01-01

    If you see this poster, stop and read it! This is the third poster produced by TIS Division as part of its information campaign on health and safety in the workplace. It provides statistics on occupational accidents at CERN. You will see that, as in the rest of Europe, falls, slips and trips continue to be the main cause of accident. So, eyes open and take care! For more information : http://safety.cern.ch/

  6. Developmental Continuity? Crawling, Cruising, and Walking

    Science.gov (United States)

    Adolph, Karen E.; Berger, Sarah E.; Leo, Andrew J.

    2011-01-01

    This research examined developmental continuity between "cruising" (moving sideways holding onto furniture for support) and walking. Because cruising and walking involve locomotion in an upright posture, researchers have assumed that cruising is functionally related to walking. Study 1 showed that most infants crawl and cruise concurrently prior…

  7. Software Tools Used for Continuous Assessment

    Directory of Open Access Journals (Sweden)

    Corina SBUGHEA

    2016-04-01

    Full Text Available he present paper addresses the subject of continuous evaluation and of the IT tools that support it. The approach starts from the main concepts and methods used in the teaching process, according to the assessment methodology and, then, it focuses on their implementation in the Wondershare QuizCreator software.

  8. On an elastic dissipation model as continuous approximation for discrete media

    Directory of Open Access Journals (Sweden)

    I. V. Andrianov

    2006-01-01

    Full Text Available Construction of an accurate continuous model for discrete media is an important topic in various fields of science. We deal with a 1D differential-difference equation governing the behavior of an n-mass oscillator with linear relaxation. It is known that a string-type approximation is justified for low part of frequency spectra of a continuous model, but for free and forced vibrations a solution of discrete and continuous models can be quite different. A difference operator makes analysis difficult due to its nonlocal form. Approximate equations can be obtained by replacing the difference operators via a local derivative operator. Although application of a model with derivative of more than second order improves the continuous model, a higher order of approximated differential equation seriously complicates a solution of continuous problem. It is known that accuracy of the approximation can dramatically increase using Padé approximations. In this paper, one- and two-point Padé approximations suitable for justify choice of structural damping models are used.

  9. Risk Factors Such as Male Sex, Smoking, Metabolic Syndrome, Obesity, and Fatty Liver Do Not Justify Screening Colonoscopies Before Age 45.

    Science.gov (United States)

    Jung, Yoon Suk; Yun, Kyung Eun; Chang, Yoosoo; Ryu, Seungho; Park, Dong Il

    2016-04-01

    Recently, many studies have reported that male sex, smoking, fatty liver, metabolic syndrome (MetS), and obesity are risk factors for colorectal neoplasia (CRN). However, current guidelines recommend that persons at average risk of colorectal cancer begin screening colonoscopy at age 50 years without consideration of those risk factors. To investigate an appropriate time to start screening colonoscopies in persons with risk factors for CRN. We performed a cross-sectional study on 27,894 Korean aged ≥30 years who underwent a first colonoscopy as part of a health screening program. To compare the efficacy of colonoscopic screening for the detection of advanced CRN among age groups with risk factors, we calculated the number needed to screen (NNS) to identify 1 patient with advanced CRN. The NNS for those 30-39 years old with all risk factors, male gender, smoking (≥10 pack-years), MetS, obesity, and fatty liver, was higher than that for ≥50-year-old female subjects (55.4 vs. 26.4). The NNS for those 40-44 years old with all risk factors (37.1) was also higher than that for ≥50-year-old female subjects. However, the NNS for those 45-49 years old with risk factors (16.9-22.9) was lower than that for ≥50-year-old women. The efficacy of colonoscopic screening in people 30-44 years old with multiple risk factors is lower than that in ≥50-year-old women. Risk factors such as male sex, smoking, MetS, obesity, and fatty liver do not justify starting screening colonoscopies before age 45.

  10. Supporting Info

    Data.gov (United States)

    U.S. Environmental Protection Agency — Supporting Information. This dataset is associated with the following publication: Washington , J., T. Jenkins, and E. Weber. Identification of Unsaturated and 2H...

  11. Supporting Info

    Data.gov (United States)

    U.S. Environmental Protection Agency — Supporting Info. This dataset is associated with the following publication: Washington , J., and T. Jenkins. Abiotic Hydrolysis of Fluorotelomer-Based Polymers as a...

  12. Supporting Information

    Data.gov (United States)

    U.S. Environmental Protection Agency — This is the supporting information for the journal article. This dataset is associated with the following publication: Rankin, K., S. Mabury, T. Jenkins, and J....

  13. Spectral Gap and Logarithmic Sobolev Constant for Continuous Spin Systems

    Institute of Scientific and Technical Information of China (English)

    Mu Fa CHEN

    2008-01-01

    The aim of this paper is to study the spectral gap and the logarithmic Sobolev constant for continuous spin systems. A simple but general result for estimating the spectral gap of finite dimensional systems is given by Theorem 1.1, in terms of the spectral gap for one-dimensional marginals. The study of this topic provides us a chance, and it is indeed another aim of the paper, to justify the power of the results obtained previously. The exact order in dimension one (Proposition 1.4), and then the precise leading order and the explicit positive regions of the spectral gap and the logarithmic Sobolev constant for two typical infinite-dimensional models are presented (Theorems 6.2 and 6.3). Since we are interested in explicit estimates, the computations become quite involved. A long section (Section 4) is devoted to the study of the spectral gap in dimension one.

  14. Continuous Integration in CFMGR

    CERN Document Server

    Frohlingsdorf, David

    2017-01-01

    Cfmgr is a managing tool for network devices. At the moment there is no way to automatically check the working behaviour of the tool, meaning that a lot of effort is spend into manually testing the tool after an update. During my stay at CERN I developed a black-box testing framework for Cfmgr according to Continuous Integration practices and successfully deployed the framework using Jenkins and Docker. This report discusses in detail how the framework works and how it can be configured, and equally gives a broad problem description and outlines future work directions.

  15. Ethanol by continuous fermentation

    Energy Technology Data Exchange (ETDEWEB)

    1985-01-01

    EtOH is produced by continuous fermentation of molasses. Thus, molasses diluted to 20/sup 0/ Brix was inoculated with bakers' yeast and fermented at 32/sup 0/. When the medium reached 4% EtOH, it was circulated through a centrifuge. The concentrated yeast was recycled to the fermentor and the supernatant was sent to a still. After distillation, the still residue was returned to the fermentor. When the initial charge was entirely fermented, 13 kg molasses of 40/sup 0/ Brix was added to the fermentor per hour, and the yield of EtOH was 1.7 kg/100 L-hour.

  16. Continuous system modeling

    Science.gov (United States)

    Cellier, Francois E.

    1991-01-01

    A comprehensive and systematic introduction is presented for the concepts associated with 'modeling', involving the transition from a physical system down to an abstract description of that system in the form of a set of differential and/or difference equations, and basing its treatment of modeling on the mathematics of dynamical systems. Attention is given to the principles of passive electrical circuit modeling, planar mechanical systems modeling, hierarchical modular modeling of continuous systems, and bond-graph modeling. Also discussed are modeling in equilibrium thermodynamics, population dynamics, and system dynamics, inductive reasoning, artificial neural networks, and automated model synthesis.

  17. KAIZEN CONTINUOUS IMPROVEMENT

    OpenAIRE

    Yenque D., Julio; Universidad Nacional Mayor de San Marcos; García P., Manuel; Universidad Nacional Mayor de San Marcos; Raez G., Luis; Universidad Nacional Mayor de San Marcos

    2014-01-01

    Many times we ask the question why Japanese companies are competitive?, Surely many of the answers to this mystery have support in the Kaizen. And the Kaizen is not a simple concept, it is a whole way of life that involves both managers and workers in the pursuit of progressive improvement of enterprises. In his book Kaizen, The Key to Japanese Competitive Advantage, Masaaki Imai explains in simple terms what is the essence of this philosophy: Kaizen means improvement means further progressiv...

  18. Decision support tools for evaluation and selection of technologies for soil remediation and disposal of halogenated waste

    Energy Technology Data Exchange (ETDEWEB)

    Khelifi, O.; Zinovyev, S.; Lodolo, A.; Vranes, S.; Miertus, S. [ICS-UNIDO, Trieste (Italy)

    2004-09-15

    One of the most justified demands in abating the pollution created by polychlorinated substances is the remediation of contaminated sites, mainly soil remediation, which is also the most complex technical task in removing pollution because of the necessity to process huge quantities of matrix and to account for numerous side factors. The commercial technologies are usually based on rather direct and simplified but also secure processes, which often approach remediation in a general way, where different types of pollutants can be decontaminated at the same time by each technology. A number of different soil remediation technologies are nowadays available and the continuous competition among environmental service companies and technology developers generates a further increase in the clean-up options. The demand for decision support tools that could help decision makers in selecting the most appropriate technology for the specific contaminated site has consequently increased. These decision support tools (DST) are designed to help decision makers (site owners, local community representatives, environmentalists, regulators, etc.) to assess available technologies and preliminarily select the preferred remedial options. The analysis for the identification of the most suitable options in the DST is based on technical, economic, environmental, and social criteria. These criteria are ranked by all parties involved in the decision process to determine their relative importance for a particular remediation project. The aim of the present paper is to present the new approach for building decision support tool to evaluate different technologies for remediation and disposal of halogenated waste.

  19. Mark IVA microprocessor support

    Science.gov (United States)

    Burford, A. L.

    1982-01-01

    The requirements and plans for the maintenance support of microprocessor-based controllers in the Deep Space Network Mark IVA System are discussed. Additional new interfaces and 16-bit processors have introduced problems not present in the Mark III System. The need for continuous training of maintenance personnel to maintain a level of expertise consistent with the sophistication of the required tools is also emphasized.

  20. Integrated Logistics Support Guide

    Science.gov (United States)

    1986-07-03

    achievable values of logis- for improved supportability tics and R&M parameters Technological Opportunities CONCEPT (LSA Task 204) EXPLORATION o Define...the award will be Manager identifies and defines what logis- based. In contrast, competitive proposals tics considerations should be addressed in...expandable? b. Software (1) Will diagnostic software changes be possible? (2) Will the organizacional structure allow for continuing software update? (3

  1. Continuous steel production and apparatus

    Science.gov (United States)

    Peaslee, Kent D.; Peter, Jorg J.; Robertson, David G. C.; Thomas, Brian G.; Zhang, Lifeng

    2009-11-17

    A process for continuous refining of steel via multiple distinct reaction vessels for melting, oxidation, reduction, and refining for delivery of steel continuously to, for example, a tundish of a continuous caster system, and associated apparatus.

  2. Continuous-variable quantum homomorphic signature

    Science.gov (United States)

    Li, Ke; Shang, Tao; Liu, Jian-wei

    2017-10-01

    Quantum cryptography is believed to be unconditionally secure because its security is ensured by physical laws rather than computational complexity. According to spectrum characteristic, quantum information can be classified into two categories, namely discrete variables and continuous variables. Continuous-variable quantum protocols have gained much attention for their ability to transmit more information with lower cost. To verify the identities of different data sources in a quantum network, we propose a continuous-variable quantum homomorphic signature scheme. It is based on continuous-variable entanglement swapping and provides additive and subtractive homomorphism. Security analysis shows the proposed scheme is secure against replay, forgery and repudiation. Even under nonideal conditions, it supports effective verification within a certain verification threshold.

  3. Supplemental grant to continue cooperative agreements with 10 predictor variables grantees and their research coordinating center. CSAP, SAMHSA, HHS. Supplement to support an additional year of intervention follow-up and data collection among the Predictor Variables by Developmental Stage grantees and their Research Coordinating Center.

    Science.gov (United States)

    1999-04-29

    This notice is to inform the public that an estimated $1.65 million will be available to support up to 11 supplemental awards to 10 existing Predictor Variables Study Sites and one existing Research Coordinating Center in FY 1999. The purpose of the award is to support enhancement of current programs and allow the collection and analyses of additional follow-up data for children currently included in these studies. CSAP will make the awards based on the recommendations of the initial review group and the CSAP National Advisory Council. Supplemental awards will be made in Fiscal Year 1999, by September 30, 1999. The studies funded under this supplement are projected to end September 30, 2000. Eligibility is limited to existing SAMHSA/CSAP's Predictor Variables by Developmental Stage study sites, and their Research Coordinating Center. All currently active Predictor Variables grantees are eligible to apply for supplemental funds under this GFA. Given the short implementation time frame and limited funds available for this activity, as well as existing research protocols that limit the scope of new activities that could be introduced at this point in the study, the existing Predictor Variables projects are the only projects that can effectively implement the required booster sessions and follow-up data collection activities. These studies have already demonstrated that they can make a positive impact on children within selected developmental parameters. It is important to document that this impact on these same children can be maintained as they enter the next developmental stages. The Research Coordinating Center has put considerable effort into developing cross-site rapport and collecting process data from the individual sites; an effort that would be redundant and not cost-effective if attempted by another entity at this point in the project. Additionally, it is important to the continuity of the study that the Research Coordinating Center be able to continue its

  4. Continuously adjustable Pulfrich spectacles

    Science.gov (United States)

    Jacobs, Ken; Karpf, Ron

    2011-03-01

    A number of Pulfrich 3-D movies and TV shows have been produced, but the standard implementation has inherent drawbacks. The movie and TV industries have correctly concluded that the standard Pulfrich 3-D implementation is not a useful 3-D technique. Continuously Adjustable Pulfrich Spectacles (CAPS) is a new implementation of the Pulfrich effect that allows any scene containing movement in a standard 2-D movie, which are most scenes, to be optionally viewed in 3-D using inexpensive viewing specs. Recent scientific results in the fields of human perception, optoelectronics, video compression and video format conversion are translated into a new implementation of Pulfrich 3- D. CAPS uses these results to continuously adjust to the movie so that the viewing spectacles always conform to the optical density that optimizes the Pulfrich stereoscopic illusion. CAPS instantly provides 3-D immersion to any moving scene in any 2-D movie. Without the glasses, the movie will appear as a normal 2-D image. CAPS work on any viewing device, and with any distribution medium. CAPS is appropriate for viewing Internet streamed movies in 3-D.

  5. Continuing medical education.

    Science.gov (United States)

    Todd, D

    1987-04-01

    With the rapid advances in medical science and increasing complexities of patient care, the need for continuing medical education (CME) is widely accepted by the profession. CME follows general and higher professional training, and should be a life long process. Teaching hospitals and postgraduate professional institutions play vital roles in organising, promoting, and monitoring this activity. CME directorates should be established. University authorities must recognise the important role of medical teachers in postgraduate and continuing medical education, and the staff establishment and terms of service should be held regularly. Medical libraries should have easy borrowing facilities. Self-assessment and audio-visual material are particularly helpful to the busy practitioner and inexpensive local or regional journals of quality can provide pertinent and up-to-date information. All charges for attending scientific meetings and educational material should be tax deductible or subsidized. The effectiveness of CME is difficult to assess and participation is almost impossible to enforce. Much depends on the standard of medical practice wanted by society. Recertification of general practitioners or specialists poses many problems. On the other hand, completion of self-assessment programmes, active participation at medical meetings, contributions to scientific literature, and membership of medical societies with built-in peer review could be monitored and regularly used to evaluate professional status.

  6. Landsat Data Continuity Mission

    Science.gov (United States)

    ,

    2012-01-01

    The Landsat Data Continuity Mission (LDCM) is a partnership formed between the National Aeronautics and Space Administration (NASA) and the U.S. Geological Survey (USGS) to place the next Landsat satellite in orbit in January 2013. The Landsat era that began in 1972 will become a nearly 41-year global land record with the successful launch and operation of the LDCM. The LDCM will continue the acquisition, archiving, and distribution of multispectral imagery affording global, synoptic, and repetitive coverage of the Earth's land surfaces at a scale where natural and human-induced changes can be detected, differentiated, characterized, and monitored over time. The mission objectives of the LDCM are to (1) collect and archive medium resolution (30-meter spatial resolution) multispectral image data affording seasonal coverage of the global landmasses for a period of no less than 5 years; (2) ensure that LDCM data are sufficiently consistent with data from the earlier Landsat missions in terms of acquisition geometry, calibration, coverage characteristics, spectral characteristics, output product quality, and data availability to permit studies of landcover and land-use change over time; and (3) distribute LDCM data products to the general public on a nondiscriminatory basis at no cost to the user.

  7. Quasi-continuous magnets

    Energy Technology Data Exchange (ETDEWEB)

    Sims, J.R. [Los Alamos National Lab., NM (United States); Naumovich, G.J.; Hoang, T.A.; Dent, P.C. [Everson Electric Co., Bethlehem, PA (United States)

    1996-05-01

    The National High Magnetic Field Laboratory is completing a quasi-continuous magnet which will sustain a constant field of 60 T for 100 ms in a 32-mm 77 K bore. This magnet consists of 9 mechanically independent, nested, liquid nitrogen-cooled coils which are individually reinforced by high-strength stainless steel outer shells. The coils were wound from rectangular large cross-section, high-strength, high-conductivity copper conductor insulated wtih polyimide and fiberglass tapes. After winding, the coils were inserted into closely fitted, stainless steel reinforcing shells and impregnated with epoxy resin. Design, analysis, material, fabrication and operational issues for this class of magnets are reviewed. Fabrication and quality assurance testing of the 60 T coil set are covered in detail. Future growth of and possible links from this technology to other magnet systems are discussed. Needed improvements in design, analysis, materials, and fabrication are outlined.

  8. [Continuous-infusion ketamine].

    Science.gov (United States)

    Mancini, P G; Caggese, G; Di Fabio, A; Di Nino, G F; Cocchi, V

    1980-08-01

    An investigation was made of the employment of ketamin as the sole anaesthetic in general surgery, using continuous infusion of a 1% solution for both induction and maintenance in 118 cases. ECG was monitored and arterial pressure was measured invasively. Central venous pressure was also determined in 10 cases. Changes in serum enzyme values during and after surgery were examined in 35 patients. Blood samples were withdrawn before induction, after the return to consciousness, and 24 hr after the operation. Side-effects were common, but slight. Five patients suffered from nightmares, but these were persons with marked imaginative activity and a melancholic nature. Cardiocirculatory function was satisfactory. In particular, peripheral perfusion was excellent in all cases.

  9. Knowledge and Continuous Innovation

    DEFF Research Database (Denmark)

    Boer, Harry; Caffyn, S.; Corso, M.

    1999-01-01

    proposes a model to describe and explain how companies can gain a substantive competitive advantage by extending their innovation efforts to other phases of the product life cycle and by facilitating knowledge transfer and learning both within the company and with other partner organisations. The model......Competition today is forcing companies to increase their effectiveness through exploiting synergy and learning in product innovation. Literature, however, is still mainly focused on how product development projects, seen largely as isolated efforts, should be organised and managed. This article...... is based on collaborative research by the authors, based on their involvement in the Euro-Australian co-operation project CIMA (Euro-Australian co-operation centre for Continuous Improvement and innovation MAnagement)....

  10. Spaces of continuous functions

    CERN Document Server

    Groenewegen, G L M

    2016-01-01

    The space C(X) of all continuous functions on a compact space X carries the structure of a normed vector space, an algebra and a lattice. On the one hand we study the relations between these structures and the topology of X, on the other hand we discuss a number of classical results according to which an algebra or a vector lattice can be represented as a C(X). Various applications of these theorems are given. Some attention is devoted to related theorems, e.g. the Stone Theorem for Boolean algebras and the Riesz Representation Theorem. The book is functional analytic in character. It does not presuppose much knowledge of functional analysis; it contains introductions into subjects such as the weak topology, vector lattices and (some) integration theory.

  11. Continuous Culture Microbioreactors

    DEFF Research Database (Denmark)

    Schäpper, Daniel

    . The advance of miniature online measuring techniques makes it possible to measure at least the basic culture variables such as dissolved oxygen (DO), cell density (OD) and pH continuously and without disturbing the cultivation. Online measurements are at this scale very susceptible to the presence of bubbles...... focus was put on the single-use aspect. This includes both being cheap in fabrication and in operation, and also requires the reactor to be sterilizable by industrial methods. It consists entirely of polydimethylsiloxane (PDMS) and contains two optical sensor spots for the measurement of DO and p.......2 mm height. The reactor chamber is a cylinder with 8 mm diameter and 2 mm height resulting in a culture volume of 100 L. The uidic connections are done by piercing the reactor side walls with needles|the PDMS will tightly enclose the needle to prevent leakage. The reactor chamber is sealed with a semi...

  12. LHC support post

    CERN Multimedia

    1995-01-01

    LHC support post prototype, which dates in 1995, in a long development period which started in the early ’90s and continued until the end of the decade. The wires next to the support post are probably wires from strain gauges, which are employed to measure the stress level in the material when the support is mechanically loaded. These supports are mechanically optimized to withstand a weight of up to 100Kn (10 tons) while being as thin as possible to minimize conduction heat to magnets. This is the reason why the stress measurement was extensively done in the prototyping phase. About support posts: The high magnetic fields needed for the LHC can only be reached using superconductors. At very low temperatures, superconductors have no electrical resistance and therefore no power loss. The LHC will be the largest superconducting installation ever built and, at 1.9 degrees above absolute zero (300 degrees below room temperature), one of the the coldest objects in the universe! The magnet supports have to brid...

  13. Supporting ATLAS

    CERN Multimedia

    maximilien brice

    2003-01-01

    Eighteen feet made of stainless steel will support the barrel ATLAS detector in the cavern at Point 1. In total, the ATLAS feet system will carry approximately 6000 tons, and will give the same inclination to the detector as the LHC accelerator.

  14. Improvement of Information Support to Socialisation of Budget Relations

    Directory of Open Access Journals (Sweden)

    Hvasaliia Diana S.

    2014-02-01

    Full Text Available The article considers new approaches to assessment of social direction of expenditures and social security of population, which allow conduct of a complex assessment of the social state of the society. It justifies urgency of improvement of a methodical approach to information support of realisation of budget relations by means of development of the system of ratios of assessment of social direction of expenditures and social security of population with the use of elements of cluster and integral analysis for interpretation of the obtained data. The article offers a model of results of cluster and integral analysis of the state of the social sphere, which takes into account all author’s ratios that allows diagnostics of the state of the social sphere and conduct leading impact on justified indicators and, thereby, achieve improvement of the state of the social sphere under conditions of a limited social budget.

  15. White paper on continuous bioprocessing. May 20-21, 2014 Continuous Manufacturing Symposium.

    Science.gov (United States)

    Konstantinov, Konstantin B; Cooney, Charles L

    2015-03-01

    There is a growing interest in realizing the benefits of continuous processing in biologics manufacturing, which is reflected by the significant number of industrial and academic researchers who are actively involved in the development of continuous bioprocessing systems. These efforts are further encouraged by guidance expressed in recent US FDA conference presentations. The advantages of continuous manufacturing include sustained operation with consistent product quality, reduced equipment size, high-volumetric productivity, streamlined process flow, low-process cycle times, and reduced capital and operating cost. This technology, however, poses challenges, which need to be addressed before routine implementation is considered. This paper, which is based on the available literature and input from a large number of reviewers, is intended to provide a consensus of the opportunities, technical needs, and strategic directions for continuous bioprocessing. The discussion is supported by several examples illustrating various architectures of continuous bioprocessing systems.

  16. Entanglement Continuous Unitary Transformations

    CERN Document Server

    Sahin, S; Orus, R

    2016-01-01

    Continuous unitary transformations are a powerful tool to extract valuable information out of quantum many-body Hamiltonians, in which the so-called flow equation transforms the Hamiltonian to a diagonal or block-diagonal form in second quantization. Yet, one of their main challenges is how to approximate the infinitely-many coupled differential equations that are produced throughout this flow. Here we show that tensor networks offer a natural and non-perturbative truncation scheme in terms of entanglement. The corresponding scheme is called "entanglement-CUT" or eCUT. It can be used to extract the low-energy physics of quantum many-body Hamiltonians, including quasiparticle energy gaps. We provide the general idea behind eCUT and explain its implementation for finite 1d systems using the formalism of matrix product operators, and we present proof-of-principle results for the spin-1/2 1d quantum Ising model in a transverse field. Entanglement-CUTs can also be generalized to higher dimensions and to the thermo...

  17. Continuous home oxygen therapy.

    Science.gov (United States)

    Ortega Ruiz, Francisco; Díaz Lobato, Salvador; Galdiz Iturri, Juan Bautista; García Rio, Francisco; Güell Rous, Rosa; Morante Velez, Fátima; Puente Maestu, Luis; Tàrrega Camarasa, Julia

    2014-05-01

    Oxygen therapy is defined as the therapeutic use of oxygen and consists of administering oxygen at higher concentrations than those found in room air, with the aim of treating or preventing hypoxia. This therapeutic intervention has been shown to increase survival in patients with chronic obstructive pulmonary disease (COPD) and respiratory failure. Although this concept has been extended by analogy to chronic respiratory failure caused by respiratory and non-respiratory diseases, continuous oxygen therapy has not been shown to be effective in other disorders. Oxygen therapy has not been shown to improve survival in patients with COPD and moderate hypoxaemia, nor is there consensus regarding its use during nocturnal desaturations in COPD or desaturations caused by effort. The choice of the oxygen source must be made on the basis of criteria such as technical issues, patient comfort and adaptability and cost. Flow must be adjusted to achieve appropriate transcutaneous oxyhaemoglobin saturation correction. Copyright © 2013 SEPAR. Published by Elsevier Espana. All rights reserved.

  18. Entanglement continuous unitary transformations

    Science.gov (United States)

    Sahin, Serkan; Schmidt, Kai Phillip; Orús, Román

    2017-01-01

    Continuous unitary transformations are a powerful tool to extract valuable information out of quantum many-body Hamiltonians, in which the so-called flow equation transforms the Hamiltonian to a diagonal or block-diagonal form in second quantization. Yet, one of their main challenges is how to approximate the infinitely-many coupled differential equations that are produced throughout this flow. Here we show that tensor networks offer a natural and non-perturbative truncation scheme in terms of entanglement. The corresponding scheme is called “entanglement-CUT” or eCUT. It can be used to extract the low-energy physics of quantum many-body Hamiltonians, including quasiparticle energy gaps. We provide the general idea behind eCUT and explain its implementation for finite 1d systems using the formalism of matrix product operators. We also present proof-of-principle results for the spin-(1/2) 1d quantum Ising model and the 3-state quantum Potts model in a transverse field. Entanglement-CUTs can also be generalized to higher dimensions and to the thermodynamic limit.

  19. Developing a Forensic Continuous Audit Model

    Directory of Open Access Journals (Sweden)

    Grover S. Kearns

    2011-06-01

    Full Text Available Despite increased attention to internal controls and risk assessment, traditional audit approaches do not seem to be highly effective in uncovering the majority of frauds. Less than 20 percent of all occupational frauds are uncovered by auditors. Forensic accounting has recognized the need for automated approaches to fraud analysis yet research has not examined the benefits of forensic continuous auditing as a method to detect and deter corporate fraud. The purpose of this paper is to show how such an approach is possible. A model is presented that supports the acceptance of forensic continuous auditing by auditors and management as an effective tool to support the audit function, meet management’s regulatory objectives, and to combat fraud. An approach to developing such a system is presented.

  20. Intergenerational Continuity and Discontinuity in Harsh Parenting

    Science.gov (United States)

    Conger, Rand D.; Schofield, Thomas J.; Neppl, Tricia K.

    2012-01-01

    SYNOPSIS The Family Transitions Project began in 1989 to see how rural families in Iowa were coping with the severe economic downturn in agriculture at that time. In this report we show that cohort members who were treated harshly by their parents tended to emulate these behaviors with their children. However, if they co-parented with a partner who demonstrated a warm and supportive parenting style, intergenerational continuity was disrupted. PMID:22754400

  1. Mastering the Journey to Continuous Compliance

    Directory of Open Access Journals (Sweden)

    Kimberly Hanna

    2016-06-01

    Full Text Available The accreditation process of a nursing program requires self-assessment, peer evaluation, and identifying areas of improvement. In 2008, the Commission on Collegiate Nursing Education (CCNE began offering a 10-year accreditation with a Continuous Improvement Progress Report (CIPR at the fifth year. This article focuses on an in-depth analysis of a system in which the school of nursing utilized an ad hoc committee to complete the CIPR. Reports generated by the ad hoc committee concluded that need for improvement was warranted related to policy review. An action plan for continuous compliance generated implementation of policy software and the creation of an academic support specialist position. An ad hoc committee completed the CIPR rather than paying faculty overload hours; policy was an exemplar. Faculty development, team performance, and accountability resulted in a plan for continual compliance that can be adopted in other nursing schools to meet CCNE accreditation.

  2. Modelling the Role of Human Resource Management in Continuous Improvement

    DEFF Research Database (Denmark)

    Jørgensen, Frances; Hyland, Paul; Kofoed, Lise B.

    2006-01-01

    Although it is widely acknowledged that both Human Resource Management (HRM) and Continuous Improvement have the potential to positively influencing organizational performance, very little attention has been given to how certain HRM practices may support CI, and consequently, a company...

  3. Toward a Freedom to Learn in Continuing Professional Education.

    Science.gov (United States)

    Boyer, Cheryl

    1986-01-01

    A hybrid of professional continuing education and Carl Rogers's humanistic philosophy supporting freedom in learning is proposed, and the five principles of the philosophy are examined for their potential for transfer to professional education. (MSE)

  4. Comment les enfants justifient-ils ce qu’ils savent faire ? Le concept de milieu géométrique dans l’approche piagétienne de la formation des raisons

    Directory of Open Access Journals (Sweden)

    IOANNA BERTHOUD-PAPANDROPOULOU

    2008-01-01

    Full Text Available The relation between know-how and know to justify his/her action is explored within the Piagetian constructivist theoretical frame, particularly within the issue of Reasons. Reasons are considered as a reconstitution of the activity, contributing to its understanding by the subject. Thirty four children aged three to nine have been faced with a double task: determine the middle of geometric figures and then justify the chosen location. Results show that while determination is correctly performed at all ages by efficient perceptive evaluation, the justification undergoes a development leading from illustrative, to argumentative and finally to properly founding reasons from the age of eight years on. The relationship between action and reason is discussed on a cognitive, a social and an educational level.

  5. Periodic review and continuous ordering

    OpenAIRE

    Prak, Dennis R.J.; Teunter, Ruud; Riezebos, Jan

    2014-01-01

    There exist many inventory control studies that consider either continuous review & continuous ordering, or periodic review & periodic ordering. Mixtures of the two are hardly ever studied. However, the model with periodic review and continuous ordering is highly relevant in practice, as information on the actual inventory level is not always up to date while making ordering decisions. This paper will therefore consider this case of periodic review and continuous ordering. Assuming zero fixed...

  6. Periodic review and continuous ordering

    NARCIS (Netherlands)

    Prak, Dennis; Teunter, Ruud; Riezebos, Jan

    2015-01-01

    Many inventory control studies consider either continuous review and continuous ordering, or periodic review and periodic ordering. Mixtures of the two are hardly ever studied. However, the model with periodic review and continuous ordering is highly relevant in practice, as information on the actua

  7. Periodic review and continuous ordering

    NARCIS (Netherlands)

    Prak, Dennis R.J.; Teunter, Ruud; Riezebos, Jan

    2014-01-01

    There exist many inventory control studies that consider either continuous review & continuous ordering, or periodic review & periodic ordering. Mixtures of the two are hardly ever studied. However, the model with periodic review and continuous ordering is highly relevant in practice, as information

  8. Periodic review and continuous ordering

    NARCIS (Netherlands)

    Prak, Dennis R.J.; Teunter, Ruud; Riezebos, Jan

    2014-01-01

    There exist many inventory control studies that consider either continuous review & continuous ordering, or periodic review & periodic ordering. Mixtures of the two are hardly ever studied. However, the model with periodic review and continuous ordering is highly relevant in practice, as information

  9. Periodic review and continuous ordering

    NARCIS (Netherlands)

    Prak, Dennis; Teunter, Ruud; Riezebos, Jan

    2015-01-01

    Many inventory control studies consider either continuous review and continuous ordering, or periodic review and periodic ordering. Mixtures of the two are hardly ever studied. However, the model with periodic review and continuous ordering is highly relevant in practice, as information on the

  10. Coded continuous wave meteor radar

    OpenAIRE

    2015-01-01

    The concept of coded continuous wave meteor radar is introduced. The radar uses a continuously transmitted pseudo-random waveform, which has several advantages: coding avoids range aliased echoes, which are often seen with commonly used pulsed specular meteor radars (SMRs); continuous transmissions maximize pulse compression gain, allowing operation with significantly lower peak transmit power; the temporal resolution can be changed after ...

  11. Exoplanets: The Hunt Continues!

    Science.gov (United States)

    2001-04-01

    Swiss Telescope at La Silla Very Successful Summary The intensive and exciting hunt for planets around other stars ( "exoplanets" ) is continuing with great success in both hemispheres. Today, an international team of astronomers from the Geneva Observatory and other research institutes [1] is announcing the discovery of no less than eleven new, planetary companions to solar-type stars, HD 8574, HD 28185, HD 50554, HD 74156, HD 80606, HD 82943, HD 106252, HD 141937, HD 178911B, HD 141937, among which two new multi-planet systems . The masses of these new objects range from slightly less than to about 10 times the mass of the planet Jupiter [2]. The new detections are based on measured velocity changes of the stars [3], performed with the CORALIE spectrometer on the Swiss 1.2-m Leonard Euler telescope at the ESO La Silla Observatory , as well as with instruments on telescopes at the Haute-Provence Observatory and on the Keck telescopes on Mauna Kea (Hawaii, USA). Some of the new planets are unusual: * a two-planet system (around the star HD 82943) in which one orbital period is nearly exactly twice as long as the other - cases like this (refered to as "orbital resonance") are well known in our own solar system; * another two-planet system (HD 74156), with a Jupiter-like planet and a more massive planet further out; * a planet with the most elongated orbit detected so far (HD 80606), moving between 5 and 127 million kilometers from the central star; * a giant planet moving in an orbit around its Sun-like central star that is very similar to the one of the Earth and whose potential satellites (in theory, at least) might be "habitable". At this moment, there are 63 know exoplanet candidates with minimum masses below 10 Jupiter masses, and 67 known objects with minimum masses below 17 Jupiter masses. The present team of astronomers has detected about half of these. PR Photo 13a/01 : Radial-velocity measurements of HD 82943, a two-planet system . PR Photo 13b/01 : Radial

  12. Can Houle's Typology of Professionals Predict Participation in Continuing Education?

    Science.gov (United States)

    Cervero, Ronald M.; Yang, Baiyin

    1994-01-01

    Cluster analysis of responses from 551 veterinarians (63%) participating in continuing professional education supported Houle's typology of professionals as innovators, pacesetters, middle majority, or laggards, in terms of their attitude toward and previous participation in continuing education, expectations of significant others, and personal…

  13. Supporting ATLAS

    CERN Multimedia

    2003-01-01

    Eighteen feet made of stainless steel will support the barrel ATLAS detector in the cavern at Point 1. In total, the ATLAS feet system will carry approximately 6000 tons, and will give the same inclination to the detector as the LHC accelerator. The installation of the feet is scheduled to finish during January 2004 with an installation precision at the 1 mm level despite their height of 5.3 metres. The manufacture was carried out in Russia (Company Izhorskiye Zavody in St. Petersburg), as part of a Russian and JINR Dubna in-kind contribution to ATLAS. Involved in the installation is a team from IHEP-Protvino (Russia), the ATLAS technical co-ordination team at CERN, and the CERN survey team. In all, about 15 people are involved. After the feet are in place, the barrel toroid magnet and the barrel calorimeters will be installed. This will keep the ATLAS team busy for the entire year 2004.

  14. 49 CFR 193.2609 - Support systems.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Support systems. 193.2609 Section 193.2609 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY...: FEDERAL SAFETY STANDARDS Maintenance § 193.2609 Support systems. Each support system or foundation of each...

  15. Continuous downstream processing of biopharmaceuticals.

    Science.gov (United States)

    Jungbauer, Alois

    2013-08-01

    Continuous manufacturing has been applied in many different industries but has been pursued reluctantly in biotechnology where the batchwise process is still the standard. A shift to continuous operation can improve productivity of a process and substantially reduce the footprint. Continuous operation also allows robust purification of labile biomolecules. A full set of unit operations is available to design continuous downstream processing of biopharmaceuticals. Chromatography, the central unit operation, is most advanced in respect to continuous operation. Here, the problem of 'batch' definition has been solved. This has also paved the way for implementation of continuous downstream processing from a regulatory viewpoint. Economic pressure, flexibility, and parametric release considerations will be the driving force to implement continuous manufacturing strategies in future.

  16. Results of the Ticlid or Plavix Post-Stents (TOPPS) trial: do they justify the switch from ticlopidine to clopidogrel after coronary stent placement?

    Science.gov (United States)

    Berger, Peter B

    2000-01-01

    In the Ticlid or Plavix Post-Stents (TOPPS) trial, 1016 patients undergoing successful coronary stent placement were randomized to receive aspirin and either ticlopidine or clopidogrel. In this trial, the dosages and regimens of ticlopidine and clopidogrel resembled more closely those used in most catheterization laboratories than did the two previous randomized trials comparing ticlopidine and clopidogrel. The results of the TOPPS trial support the current practice of substituting ticlopidine for clopidogrel in stent patients.

  17. Results of the Ticlid or Plavix Post-Stents (TOPPS trial: do they justify the switch from ticlopidine to clopidogrel after coronary stent placement?

    Directory of Open Access Journals (Sweden)

    Berger Peter B

    2000-10-01

    Full Text Available Abstract In the Ticlid or Plavix Post-Stents (TOPPS trial, 1016 patients undergoing successful coronary stent placement were randomized to receive aspirin and either ticlopidine or clopidogrel. In this trial, the dosages and regimens of ticlopidine and clopidogrel resembled more closely those used in most catheterization laboratories than did the two previous randomized trials comparing ticlopidine and clopidogrel. The results of the TOPPS trial support the current practice of substituting ticlopidine for clopidogrel in stent patients.

  18. Introducing the Dimensional Continuous Space-Time Theory

    Science.gov (United States)

    Martini, Luiz Cesar

    2013-04-01

    This article is an introduction to a new theory. The name of the theory is justified by the dimensional description of the continuous space-time of the matter, energy and empty space, that gathers all the real things that exists in the universe. The theory presents itself as the consolidation of the classical, quantum and relativity theories. A basic equation that describes the formation of the Universe, relating time, space, matter, energy and movement, is deduced. The four fundamentals physics constants, light speed in empty space, gravitational constant, Boltzmann's constant and Planck's constant and also the fundamentals particles mass, the electrical charges, the energies, the empty space and time are also obtained from this basic equation. This theory provides a new vision of the Big-Bang and how the galaxies, stars, black holes and planets were formed. Based on it, is possible to have a perfect comprehension of the duality between wave-particle, which is an intrinsic characteristic of the matter and energy. It will be possible to comprehend the formation of orbitals and get the equationing of atomics orbits. It presents a singular comprehension of the mass relativity, length and time. It is demonstrated that the continuous space-time is tridimensional, inelastic and temporally instantaneous, eliminating the possibility of spatial fold, slot space, worm hole, time travels and parallel universes. It is shown that many concepts, like dark matter and strong forces, that hypothetically keep the cohesion of the atomics nucleons, are without sense.

  19. Continuous verification using multimodal biometrics.

    Science.gov (United States)

    Sim, Terence; Zhang, Sheng; Janakiraman, Rajkumar; Kumar, Sandeep

    2007-04-01

    Conventional verification systems, such as those controlling access to a secure room, do not usually require the user to reauthenticate himself for continued access to the protected resource. This may not be sufficient for high-security environments in which the protected resource needs to be continuously monitored for unauthorized use. In such cases, continuous verification is needed. In this paper, we present the theory, architecture, implementation, and performance of a multimodal biometrics verification system that continuously verifies the presence of a logged-in user. Two modalities are currently used--face and fingerprint--but our theory can be readily extended to include more modalities. We show that continuous verification imposes additional requirements on multimodal fusion when compared to conventional verification systems. We also argue that the usual performance metrics of false accept and false reject rates are insufficient yardsticks for continuous verification and propose new metrics against which we benchmark our system.

  20. CONTINUITY OF DYNAMIC-SYSTEMS - THE CONTINUOUS-TIME CASE

    NARCIS (Netherlands)

    NIEUWENHUIS, JW; WILLEMS, JC

    1992-01-01

    The purpose of this paper is to study continuity of the parametrization of continuous-time linear time-invariant differential systems having a finite-dimensional state space. We show that convergence of the behavior of such systems corresponds to convergence of the coefficients of a set of associate

  1. Refractory pediatric cardiogenic shock: A case for mechanical support

    Directory of Open Access Journals (Sweden)

    Anil Sachdev

    2016-01-01

    Full Text Available Acute left ventricular dysfunction in children justifies aggressive treatment because of the high potential for complete recovery. The options for providing mechanical support to the failing heart in a child include extracorporeal membrane oxygenation, left ventricular assist devices, and the use of the intra-aortic balloon pump (IABP. The IABP is a commonly used method of temporary circulatory support in adults. However, despite the availability of pediatric size balloons, the usage of IABP for temporary circulatory support in children has not been widespread. Current case report, first from India in pediatric age group, aims to aware the pediatric intensivist about the role of IABP in providing temporary mechanical cardiovascular support in managing patients with refractory low cardiac output state.

  2. Continuous positive airway pressure therapy: new generations.

    LENUS (Irish Health Repository)

    Garvey, John F

    2012-02-01

    Continuous positive airway pressure (CPAP) is the treatment of choice for obstructive sleep apnoea syndrome (OSAS). However, CPAP is not tolerated by all patients with OSAS and alternative modes of pressure delivery have been developed to overcome pressure intolerance, thereby improving patient comfort and adherence. Auto-adjustable positive airway pressure (APAP) devices may be utilised for the long-term management of OSAS and may also assist in the initial diagnosis of OSAS and titration of conventional CPAP therapy. Newer modalities such as C-Flex and A-Flex also show promise as treatment options in the future. However, the evidence supporting the use of these alternative modalities remains scant, in particular with regard to long-term cardiovascular outcomes. In addition, not all APAP devices use the same technological algorithms and data supporting individual APAP devices cannot be extrapolated to support all. Further studies are required to validate the roles of APAP, C-Flex and A-Flex. In the interim, standard CPAP therapy should continue as the mainstay of OSAS management.

  3. Continuous positive airway pressure therapy: new generations.

    LENUS (Irish Health Repository)

    Garvey, John F

    2010-02-01

    Continuous positive airway pressure (CPAP) is the treatment of choice for obstructive sleep apnoea syndrome (OSAS). However, CPAP is not tolerated by all patients with OSAS and alternative modes of pressure delivery have been developed to overcome pressure intolerance, thereby improving patient comfort and adherence. Auto-adjustable positive airway pressure (APAP) devices may be utilised for the long-term management of OSAS and may also assist in the initial diagnosis of OSAS and titration of conventional CPAP therapy. Newer modalities such as C-Flex and A-Flex also show promise as treatment options in the future. However, the evidence supporting the use of these alternative modalities remains scant, in particular with regard to long-term cardiovascular outcomes. In addition, not all APAP devices use the same technological algorithms and data supporting individual APAP devices cannot be extrapolated to support all. Further studies are required to validate the roles of APAP, C-Flex and A-Flex. In the interim, standard CPAP therapy should continue as the mainstay of OSAS management.

  4. Social support, caregiving, and aging.

    Science.gov (United States)

    Chappell, Neena L; Funk, Laura M

    2011-09-01

    This article reviews the international English-language literature on social support and caregiving in gerontology since the early 1990s. The literature has grown, but consensus on the terms' meaning and measurement is lacking. Interest is ongoing in practical help, in benefits of social support, and in demands and negative outcomes for caregivers, with growing but less emphasis on more theoretical questions, on negative outcomes from the receipt of support, and on positive consequences of providing care. Nevertheless, social support is duly recognized as a social determinant of health and receiving attention at policy levels - both are significant shifts from two decades ago and add to the interest this area will receive from researchers in coming decades. There remain many unanswered questions regarding the changing societal context, but it is clear that the social support of others - throughout our lives including old age - will continue in the future, albeit in ever-changing forms.

  5. Oxidation catalysts on alkaline earth supports

    Science.gov (United States)

    Mohajeri, Nahid

    2017-03-21

    An oxidation catalyst includes a support including particles of an alkaline earth salt, and first particles including a palladium compound on the support. The oxidation catalyst can also include precious metal group (PMG) metal particles in addition to the first particles intermixed together on the support. A gas permeable polymer that provides a continuous phase can completely encapsulate the particles and the support. The oxidation catalyst may be used as a gas sensor, where the first particles are chemochromic particles.

  6. Oxidation catalysts on alkaline earth supports

    Energy Technology Data Exchange (ETDEWEB)

    Mohajeri, Nahid

    2017-03-21

    An oxidation catalyst includes a support including particles of an alkaline earth salt, and first particles including a palladium compound on the support. The oxidation catalyst can also include precious metal group (PMG) metal particles in addition to the first particles intermixed together on the support. A gas permeable polymer that provides a continuous phase can completely encapsulate the particles and the support. The oxidation catalyst may be used as a gas sensor, where the first particles are chemochromic particles.

  7. Layerless fabrication with continuous liquid interface production.

    Science.gov (United States)

    Janusziewicz, Rima; Tumbleston, John R; Quintanilla, Adam L; Mecham, Sue J; DeSimone, Joseph M

    2016-10-18

    Despite the increasing popularity of 3D printing, also known as additive manufacturing (AM), the technique has not developed beyond the realm of rapid prototyping. This confinement of the field can be attributed to the inherent flaws of layer-by-layer printing and, in particular, anisotropic mechanical properties that depend on print direction, visible by the staircasing surface finish effect. Continuous liquid interface production (CLIP) is an alternative approach to AM that capitalizes on the fundamental principle of oxygen-inhibited photopolymerization to generate a continual liquid interface of uncured resin between the growing part and the exposure window. This interface eliminates the necessity of an iterative layer-by-layer process, allowing for continuous production. Herein we report the advantages of continuous production, specifically the fabrication of layerless parts. These advantages enable the fabrication of large overhangs without the use of supports, reduction of the staircasing effect without compromising fabrication time, and isotropic mechanical properties. Combined, these advantages result in multiple indicators of layerless and monolithic fabrication using CLIP technology.

  8. Continue Service Improvement at CERN Computing Centre

    Science.gov (United States)

    Barroso Lopez, M.; Everaerts, L.; Meinhard, H.; Baehler, P.; Haimyr, N.; Guijarro, J. M.

    2014-06-01

    Using the framework of ITIL best practises, the service managers within CERN-IT have engaged into a continuous improvement process, mainly focusing on service operation. This implies an explicit effort to understand and improve all service management aspects in order to increase efficiency and effectiveness. We will present the requirements, how they were addressed and share our experiences. We will describe how we measure, report and use the data to continually improve both the processes and the services being provided. The focus is not the tool or the process, but the results of the continuous improvement effort from a large team of IT experts providing services to thousands of users, supported by the tool and its local team. This is not an initiative to address user concerns in the way the services are managed but rather an on-going working habit of continually reviewing, analysing and improving the service management processes and the services themselves, having in mind the currently agreed service levels and whose results also improve the experience of the users about the current services.

  9. Layerless fabrication with continuous liquid interface production

    Science.gov (United States)

    Janusziewicz, Rima; Tumbleston, John R.; Quintanilla, Adam L.; Mecham, Sue J.; DeSimone, Joseph M.

    2016-01-01

    Despite the increasing popularity of 3D printing, also known as additive manufacturing (AM), the technique has not developed beyond the realm of rapid prototyping. This confinement of the field can be attributed to the inherent flaws of layer-by-layer printing and, in particular, anisotropic mechanical properties that depend on print direction, visible by the staircasing surface finish effect. Continuous liquid interface production (CLIP) is an alternative approach to AM that capitalizes on the fundamental principle of oxygen-inhibited photopolymerization to generate a continual liquid interface of uncured resin between the growing part and the exposure window. This interface eliminates the necessity of an iterative layer-by-layer process, allowing for continuous production. Herein we report the advantages of continuous production, specifically the fabrication of layerless parts. These advantages enable the fabrication of large overhangs without the use of supports, reduction of the staircasing effect without compromising fabrication time, and isotropic mechanical properties. Combined, these advantages result in multiple indicators of layerless and monolithic fabrication using CLIP technology. PMID:27671641

  10. Using the Qur’an to Justify Terrorist Violence: Analysing Selective Application of the Qur’an in English-Language Militant Islamist Discourse

    Directory of Open Access Journals (Sweden)

    Donald Holbrook

    2010-11-01

    Full Text Available Selective Qur'anic referencing comprises a core element of radical Islamist discourse endorsing militancy. These are often embedded in wider religious deliberations which also cite numerous Hadith and other religious sources to support a given argument. This article seeks to analyse and document the way in which specific verses of the Qur'an are used to legitimise justifications put forward for violence and targeting in a selected corpus of English- language extremist Islamist material. The article concludes that application of the teachings of the Qur'an is altered and tailored in major militant Islamist treatises to match their political narrative, thus violating strict Salafistic demands for literal application of the Qur'an's message.

  11. Business and Continuity of Operations

    Science.gov (United States)

    Tosh, Pritish K.; Feldman, Henry; Christian, Michael D.; Devereaux, Asha V.; Kissoon, Niranjan; Christian, Michael D.; Devereaux, Asha V.; Dichter, Jeffrey R.; Kissoon, Niranjan; Rubinson, Lewis; Amundson, Dennis; Anderson, Michael R.; Balk, Robert; Barfield, Wanda D.; Bartz, Martha; Benditt, Josh; Beninati, William; Berkowitz, Kenneth A.; Daugherty Biddison, Lee; Braner, Dana; Branson, Richard D; Burkle, Frederick M.; Cairns, Bruce A.; Carr, Brendan G.; Courtney, Brooke; DeDecker, Lisa D.; De Jong, Marla J.; Dominguez-Cherit, Guillermo; Dries, David; Einav, Sharon; Erstad, Brian L.; Etienne, Mill; Fagbuyi, Daniel B.; Fang, Ray; Feldman, Henry; Garzon, Hernando; Geiling, James; Gomersall, Charles D.; Grissom, Colin K.; Hanfling, Dan; Hick, John L.; Hodge, James G.; Hupert, Nathaniel; Ingbar, David; Kanter, Robert K.; King, Mary A.; Kuhnley, Robert N.; Lawler, James; Leung, Sharon; Levy, Deborah A.; Lim, Matthew L.; Livinski, Alicia; Luyckx, Valerie; Marcozzi, David; Medina, Justine; Miramontes, David A.; Mutter, Ryan; Niven, Alexander S.; Penn, Matthew S.; Pepe, Paul E.; Powell, Tia; Prezant, David; Reed, Mary Jane; Rich, Preston; Rodriquez, Dario; Roxland, Beth E.; Sarani, Babak; Shah, Umair A.; Skippen, Peter; Sprung, Charles L.; Subbarao, Italo; Talmor, Daniel; Toner, Eric S.; Tosh, Pritish K.; Upperman, Jeffrey S.; Uyeki, Timothy M.; Weireter, Leonard J.; West, T. Eoin; Wilgis, John; Ornelas, Joe; McBride, Deborah; Reid, David; Baez, Amado; Baldisseri, Marie; Blumenstock, James S.; Cooper, Art; Ellender, Tim; Helminiak, Clare; Jimenez, Edgar; Krug, Steve; Lamana, Joe; Masur, Henry; Mathivha, L. Rudo; Osterholm, Michael T.; Reynolds, H. Neal; Sandrock, Christian; Sprecher, Armand; Tillyard, Andrew; White, Douglas; Wise, Robert; Yeskey, Kevin

    2014-01-01

    BACKGROUND: During disasters, supply chain vulnerabilities, such as power, transportation, and communication, may affect the delivery of medications and medical supplies and hamper the ability to deliver critical care services. Disasters also have the potential to disrupt information technology (IT) in health-care systems, resulting in interruptions in patient care, particularly critical care, and other health-care business functions. The suggestions in this article are important for all of those involved in a large-scale pandemic or disaster with multiple critically ill or injured patients, including front-line clinicians, hospital administrators, and public health or government officials. METHODS: The Business and Continuity of Operations Panel followed the American College of Chest Physicians (CHEST) Guidelines Oversight Committee’s methodology in developing key questions regarding medication and supply shortages and the impact disasters may have on healthcare IT. Task force members met in person to develop the 13 key questions believed to be most relevant for Business and Continuity of Operations. A systematic literature review was then performed for relevant articles and documents, reports, and gray literature reported since 2007. No studies of sufficient quality were identified upon which to make evidence-based recommendations. Therefore, the panel developed expert opinion-based suggestions using a modified Delphi process. RESULTS: Eighteen suggestions addressing mitigation strategies for supply chain vulnerabilities including medications and IT were generated. Suggestions offered to hospitals and health system leadership regarding medication and supply shortages include: (1) purchase key medications and supplies from more than one supplier, (2) substituted medications or supplies should ideally be similar to those already used by an institution’s providers, (3) inventories should be tracked electronically to monitor medication/supply levels, (4) consider

  12. Continuous Media Tasks Scheduling Algorithm

    Directory of Open Access Journals (Sweden)

    Myungryun Yoo

    2016-03-01

    Full Text Available In this paper the authors propose modified proportional share scheduling algorithm considering the characteristics of continuous media such as its continuity and time dependency. Proposed scheduling algorithm shows graceful degradation of performance in overloaded situation and decreases the number of context switching. Proposed scheduling algorithm is evaluated using several numerical tests under various conditions, especially overloaded situation.

  13. Continuous supersonic plasma wind tunnel

    DEFF Research Database (Denmark)

    Andersen, S.A.; Jensen, Vagn Orla; Nielsen, P.

    1968-01-01

    The B field configuration of a Q-device has been modified into a magnetic Laval nozzle. Continuous supersonic plasma flow is observed with M≈3......The B field configuration of a Q-device has been modified into a magnetic Laval nozzle. Continuous supersonic plasma flow is observed with M≈3...

  14. Continuing Education: Facing the Issues.

    Science.gov (United States)

    Broadbent, Marianne

    1986-01-01

    Examines a number of issues facing the Australian library and information services community in the area of continuing education, including recommendations of the Library Association of Australia, the cost of continuing education activities, the role and responsibility of schools of library and information studies, and notions of coordination.…

  15. Rational Exponentials and Continued Fractions

    Science.gov (United States)

    Denny, J. K.

    2012-01-01

    Using continued fraction expansions, we can approximate constants, such as pi and e, using an appropriate integer n raised to the power x[superscript 1/x], x a suitable rational. We review continued fractions and give an algorithm for producing these approximations.

  16. Continuous Competence Development Model for Teacher Teams

    DEFF Research Database (Denmark)

    Weitze, Charlotte Lærke

    2014-01-01

    "This paper presents the development of the IT‐Pedagogical Think Tank for Teacher Teams (ITP4T), a continuous competence development model. The model was co‐designed following a design‐based research approach with teachers from VUC Storstrøm’s (VUC) Global Classroom (GC), an innovative hybrid...... synchronous videoconference concept (Weitze & Ørngreen 2014). The ITP4T model responds to the needs and challenges that the teachers and the organization in VUC’s GC are experiencing in the new technological teaching environment. Ultimately, it aims to create a new practise for teachers, enabling them...... to create their own continuous competence development. This article describes how and why the different components of the model were developed in response to the teachers’ challenges. Such challenges included lack of time, competence and support from the educational organisation to innovate learning design...

  17. Completely Continuous and Weakly Completely Continuous Abstract Segal Algebras

    Indian Academy of Sciences (India)

    Fatemeh Abtahi

    2013-11-01

    Let $\\mathcal{A}$ be a Banach algebra. It is obtained a necessary and sufficient condition for the complete continuity and also weak complete continuity of symmetric abstract Segal algebras with respect to $\\mathcal{A}$, under the condition of the existence of an approximate identity for $\\mathcal{B}$, bounded in $\\mathcal{A}$. In addition, a necessary condition for the weak complete continuity of $\\mathcal{A}$ is given. Moreover, the applications of these results about some group algebras on locally compact groups are obtained.

  18. Continued professional competence and portfolios.

    Science.gov (United States)

    Byrne, Michelle; Delarose, Teresa; King, Cecil A; Leske, Jane; Sapnas, Kathryn G; Schroeter, Kathryn

    2007-01-01

    It is traditionally assumed that licensure of healthcare professionals means that they are minimally competent. Many nursing specialty organizations offer examinations and other processes for certification, suggesting that certification is associated with continued competency. Can standardized examination for certification and continuing education for recertification ensure continued competency? Continuing education and testing provide a limited picture of an individual's knowledge and/or skill acquisition in a limited area at one point in time. However, portfolios promote critical thinking, self-assessment, and individual accountability. A portfolio is a portable mechanism for evaluating competencies that may otherwise be difficult to assess. This article summarizes some of the literature addressing portfolios, including aspects of portfolio development process, the value of portfolios versus continuing education for competency assessment, evidence associated with portfolio usage, and suggestions for organizing nursing portfolios.

  19. Continuous cofinal maps on ultrafilters

    CERN Document Server

    Dobrinen, Natasha

    2011-01-01

    An ultrafilter $\\mathcal{U}$ on a countable base {\\em has continuous Tukey reductions} if whenever an ultrafilter $\\mathcal{V}$ is Tukey reducible to $\\mathcal{U}$, then every monotone cofinal map $f:\\mathcal{U}\\ra\\mathcal{V}$ is continuous when restricted to some cofinal subset of $\\mathcal{U}$. In the first part of the paper, we give mild conditions under which the property of having continuous Tukey reductions is inherited under Tukey reducibility. In particular, if $\\mathcal{U}$ is Tukey reducible to a p-point then $\\mathcal{U}$ has continuous Tukey reductions. In the second part, we show that any countable iteration of Fubini products of p-points has Tukey reductions which are continuous with respect to its topological Ramsey space of $\\vec{\\mathcal{U}}$-trees.

  20. [Paid sickness absence during pregnancy--a justifiable social right for pregnant women or an unneeded social right leading to misuse?].

    Science.gov (United States)

    Rabinerson, David; Gabbay-Benziv, Rinat; Gabbai-Benziv, Rinat; Rasooly, Iris

    2014-01-01

    It is commonly accepted that pregnancy incurs an extra burden on the pregnant woman--both physically and mentally. Therefore, many Western countries have adopted social plans to enable pregnant women to leave their workplace without losing their income. This social right is only approved if there is a medical reason to believe that continued work might have an adverse effect on the mother or the fetus. In Israel, such a social benefit also exists. Data shows that the annual demand for this allowance is constantly increasing, while no improvement is found in preterm deliveries, or infant and maternal mortality. These facts raise the question of whether there is a justification to go on with the current policy regarding paid sickness absence during pregnancy. Furthermore, population analysis of pregnant women who require this social right in Israel may lead to a conclusion regarding its misuse. Misuse of social rights by pregnant women may, in turn, lead potential employers to refrain from hiring women in their reproductive age.

  1. [Is conservative treatment of partial or complete anterior cruciate ligament rupture still justified? An analysis of the recent literature and a recommendation for arriving at a decision].

    Science.gov (United States)

    Rauch, G; Wirth, T; Dörner, P; Griss, P

    1991-01-01

    In a review of the recent literature after conservative treatment of the complete anterior cruciate ligament (acl) rupture good results were found in an average (av) of 56% (12-80%) of all cases. In comparison the conservative treatment of partial tears showed in 84% (60-100%) of all cases good results. 79% (32-100%) of the patients with complete acl ruptures and 90% (66-100%) of the cases with partial acl tears were able to continue their sport activities. Secondary acl replacement or meniscus surgery were later necessary in 20% and 14% of the cases (av) with complete acl ruptures and in only 6% and 5% (av) of the cases with partial tears. Most of the patients who were operated later were young and ambitiously engaged in sports. The results of the mostly retrospective studies display a high variability. For this reason it is necessary to perform more prospective, controlled and randomized studies to verify the preventive effect of an early operative treatment to protect the joint form osteoarthritis and progressive instability. Arthrocopy is essential for all cases of acute hemartrosis. Partial acl tears are predominantly treated conservatively, while complete acl ruptures should be treated following an individual decision regimen. A tree for decision making of the treatment of acute acl-injuries is proposed.

  2. [For a coordination of the supportive care for people affected by severe illnesses: proposition of organization in the public and private health care centres].

    Science.gov (United States)

    Krakowski, Ivan; Boureau, François; Bugat, Roland; Chassignol, Laurent; Colombat, Philippe; Copel, Laure; d'Hérouville, Daniel; Filbet, Marylène; Laurent, Bernard; Memran, Nadine; Meynadier, Jacques; Parmentier, Gérard; Poulain, Philippe; Saltel, Pierre; Serin, Daniel; Wagner, Jean-Philippe

    2004-05-01

    The concept of continuous and global care is acknowledged today by all as inherent to modern medicine. A working group gathered to propose models for the coordination of supportive care for all severe illnesses in the various private and public health care centres. The supportive care are defined as: "all care and supports necessary for ill people, at the same time as specific treatments, along all severe illnesses". This definition is inspired by that of "supportive care" given in 1990 by the MASCC (Multinational Association for Supportive Care in Cancer): "The total medical, nursing and psychosocial help which the patients need besides the specific treatment". It integrates as much the field of cure with possible after-effects as that of palliative care, the definition of which is clarified (initial and terminal palliative phases). Such a coordination is justified by the pluridisciplinarity and hyperspecialisation of the professionals, by a poor communication between the teams, by the administrative difficulties encountered by the teams participating in the supportive care. The working group insists on the fact that the supportive care is not a new speciality. He proposes the creation of units. departments or pole of responsibility of supportive care with a "basic coordination" involving the activities of chronic pain, palliative care, psycho-oncology, and social care. This coordination can be extended, according to the "history" and missions of health care centres. Service done with the implementation of a "unique counter" for the patients and the teams is an important point. The structure has to comply with the terms and conditions of contract (Consultation, Unit or Centre of chronic pain, structures of palliative care, of psycho-oncology, of nutrition, of social care). A common technical organization is one of the interests. The structure has to set up strong links with the private practitioners, the networks, the home medical care (HAD) and the nurses

  3. BOREAS TE-2 Continuous Wood Respiration Data

    Science.gov (United States)

    Hall, Forrest G. (Editor); Papagno, Andrea (Editor); Ryan, Michael G.; Lavigne, Michael

    2000-01-01

    The BOREAS TE-2 team collected several data sets in support of its efforts to characterize and interpret information on the respiration of the foliage, roots, and wood of boreal vegetation. This data set contains measurements of wood respiration measured continuously (about once per hour) in the NSA during the growing season of 1994. The data are stored in tabular ASCII files. The data files are available on a CD-ROM (see document number 20010000884), or from the Oak Ridge National Laboratory (ORNL) Distributed Active Archive Center (DAAC).

  4. A QUEST for sustainable continuing professional development

    DEFF Research Database (Denmark)

    Nielsen, Birgitte Lund

    2017-01-01

    on a large-scale, long-term Danish CPD project for which all the activities were created with these consensus criteria in mind. The overall purpose has been to develop a sustainable model for CPD that acknowledges teachers’ situated learning in professional learning communities (PLCs), supports bottom...... organized by the local PLC, and individual enactments in the teachers’ own classrooms. This “rhythm” has now been institutionalized, and even though the project has come to an end, there is still networking across schools and PLC activities continue in all five municipalities. In order to assess...... experiencing changes in collaboration and classroom practice. Furthermore there seems to be a delayed correlation between schools with the most sustained PLC activities and student outcomes. Factors supporting sustainability are discussed, these include scaffolding the teachers’ collaborative inquiries...

  5. Male circumcision for protection against HIV infection in sub-Saharan Africa: the evidence in favour justifies the implementation now in progress.

    Science.gov (United States)

    Wamai, Richard G; Morris, Brian J; Bailey, Robert C; Klausner, Jeffrey D; Boedicker, Mackenzie N

    2015-01-01

    This article responds to a recent 'controversy study' in Global Public Health by de Camargo et al. directed at three randomised controlled trials (RCTs) of male circumcision (MC) for HIV prevention. These trials were conducted in three countries in sub-Saharan Africa (SSA) and published in 2005 and 2007. The RCTs confirmed observational data that had accumulated over the preceding two decades showing that MC reduces by 60% the risk of HIV infection in heterosexual men. Based on the RCT results, MC was adopted by global and national HIV policy-makers as an additional intervention for HIV prevention. Voluntary medical MC (VMMC) is now being implemented in 14 SSA countries. Thus referring to MC for HIV prevention as 'debate' and viewing MC through a lens of controversy seems mistaken. In their criticism, de Camargo et al. misrepresent and misinterpret current science supporting MC for HIV prevention, omit previous denunciations of arguments similar to theirs, and ignore evidence from ongoing scientific research. Here we point out the flaws in three areas de Camargo et al. find contentious. In doing so, we direct readers to growing evidence of MC as an efficacious, safe, acceptable, relatively low-cost one-off biomedical intervention for HIV prevention.

  6. Why two arguments from probability fail and one argument from Thomson's analogy of the violinist succeeds in justifying embryo destruction in some situations.

    Science.gov (United States)

    Deckers, J

    2007-03-01

    The scope of embryo research in the UK has been expanded by the Human Fertilisation and Embryology (Research Purposes) Regulations 2001. Two advisory bodies--the Chief Medical Officer's Expert Group and the House of Lords' Select Committee--presented various arguments in favour of embryo research. One of these is the view that, just as lottery tickets have relatively little value before the draw because of the low probability of their being the winning ticket, early embryos have relatively little value because of the presumed low probability that they will mature into more developed embryos. This (first) argument from probability is questioned in this paper, as well as the contention that allowing embryo destruction is incompatible with the view that embryos have full moral status. Although I challenge Savulescu's view that early embryos should be entered into a lottery in which they are subjected to the probability of being destroyed (the second argument from probability), a revised version of Thomson's analogy of the famous violinist defies the view that the position that the embryo has full moral status is incompatible with qualified support for embryo destruction.

  7. Are we justified in suggesting change to caffeine, alcohol, and carbonated drink intake in lower urinary tract disease? Report from the ICI-RS 2015.

    Science.gov (United States)

    Robinson, Dudley; Hanna-Mitchell, Ann; Rantell, Angie; Thiagamoorthy, Gans; Cardozo, Linda

    2017-04-01

    There is increasing evidence that diet may have a significant role in the development of lower urinary tract symptoms. While fluid intake is known to affect lower urinary tract function the effects of alcohol, caffeine, carbonated drinks, and artificial sweeteners are less well understood and evidence from epidemiological studies is mixed and sometimes contradictory. The aim of this paper is to appraise the available evidence on the effect of caffeine, alcohol, and carbonated drinks on lower urinary tract function and dysfunction in addition to suggesting proposals for further research. Literature review based on a systematic search strategy using the terms "fluid intake," "caffeine," "alcohol," "carbonated" and "urinary incontinence," "detrusor overactivity," "Overactive Bladder," "OAB." In addition to fluid intake, there is some evidence to support a role of caffeine, alcohol, and carbonated beverages in the pathogenesis of OAB and lower urinary tract dysfunction. Although some findings are contradictory, others clearly show an association between the ingestion of caffeine, carbonated drinks, and alcohol with symptom severity. CONCLUSIONS Given the available evidence lifestyle interventions and fluid modification may have an important role in the primary prevention of lower urinary tract symptoms. However, more research is needed to determine the precise role of caffeine, carbonated drinks, and alcohol in the pathogenesis and management of these symptoms. The purpose of this paper is to stimulate that research. Neurourol. Urodynam. 36:876-881, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  8. Protein design using continuous rotamers.

    Directory of Open Access Journals (Sweden)

    Pablo Gainza

    2012-01-01

    Full Text Available Optimizing amino acid conformation and identity is a central problem in computational protein design. Protein design algorithms must allow realistic protein flexibility to occur during this optimization, or they may fail to find the best sequence with the lowest energy. Most design algorithms implement side-chain flexibility by allowing the side chains to move between a small set of discrete, low-energy states, which we call rigid rotamers. In this work we show that allowing continuous side-chain flexibility (which we call continuous rotamers greatly improves protein flexibility modeling. We present a large-scale study that compares the sequences and best energy conformations in 69 protein-core redesigns using a rigid-rotamer model versus a continuous-rotamer model. We show that in nearly all of our redesigns the sequence found by the continuous-rotamer model is different and has a lower energy than the one found by the rigid-rotamer model. Moreover, the sequences found by the continuous-rotamer model are more similar to the native sequences. We then show that the seemingly easy solution of sampling more rigid rotamers within the continuous region is not a practical alternative to a continuous-rotamer model: at computationally feasible resolutions, using more rigid rotamers was never better than a continuous-rotamer model and almost always resulted in higher energies. Finally, we present a new protein design algorithm based on the dead-end elimination (DEE algorithm, which we call iMinDEE, that makes the use of continuous rotamers feasible in larger systems. iMinDEE guarantees finding the optimal answer while pruning the search space with close to the same efficiency of DEE.Software is available under the Lesser GNU Public License v3. Contact the authors for source code.

  9. Intermittent redesign of continuous controllers

    Science.gov (United States)

    Gawthrop, Peter J.; Wang, Liuping

    2010-08-01

    The reverse-engineering idea developed by Maciejowski in the context of model-based predictive control is applied to the redesign of continuous-time compensators as intermittent controllers. Not only does this give a way of designing constrained input and state versions of continuous-time compensators but also provides a method for turning continuous-time compensators into event-driven versions. The procedure is illustrated by three examples: an event-driven PID controller relevant to the human balance control problem, a constrained version of the classical mechanical vibration absorber of den Hartog and an event driven and constrained vibration absorber.

  10. Continuous cofinal maps on ultrafilters

    OpenAIRE

    Dobrinen, Natasha

    2011-01-01

    An ultrafilter $\\mathcal{U}$ on a countable base {\\em has continuous Tukey reductions} if whenever an ultrafilter $\\mathcal{V}$ is Tukey reducible to $\\mathcal{U}$, then every monotone cofinal map $f:\\mathcal{U}\\ra\\mathcal{V}$ is continuous when restricted to some cofinal subset of $\\mathcal{U}$. In the first part of the paper, we give mild conditions under which the property of having continuous Tukey reductions is inherited under Tukey reducibility. In particular, if $\\mathcal{U}$ is Tukey ...

  11. Improvements to the CONTINUE feature in transient analysis

    Science.gov (United States)

    Pamidi, P. R.

    1989-01-01

    The CONTINUE feature in transient analysis as implemented in the standard release of COSMIC/NASTRAN has inherent errors associated with it. As a consequence, the results obtained by a CONTINUEd restart run do not, in general, match the results that would be obtained in a single run without the CONTINUE feature. These inherent errors were eliminated by improvements to the restart logic that were developed by RPK Corporation and that are available on all RPK-supported versions of COSMIC/NASTRAN. These improvements ensure that the results of a CONTINUEd transient analysis run are the same as those of a non-CONTINUEd run. In addition, the CONTINUE feature was extended to transient analysis involving uncoupled modal equations. The improvements and enhancement were illustrated by examples.

  12. EFFECTS OF PHASE CONTINUITY ON RHEOLOGY OF TWO-PHASE ROCKS:A CONTINUUM MECHANICL MODEL

    Institute of Scientific and Technical Information of China (English)

    JI Shao-cheng

    2001-01-01

    Based on continuum mechanics,we have developed a model for semi-quantitative estimating effects of phase continuity on flow strength of two-phase rocks including partially melted or crystallized rocks.Calculations of the bulk flow strength of composite rocks as functions of the volume fraction,geometrical shape and continuity of the constitutive phases involve in numerically solving two non-linear equations and thus are easy to be performed.The model has been justified by a good agreement between the predicted and measured results on diabase (64% clinopyroxene and 36% plagioclase) in the range of experimental temperatures and strain-rates.It is believed that the present model could provide an approximate estimate for the rheological evolution of magmatic rocks during their life cycle of melting-crystallization-deformation.

  13. Improvement of Information and Analytical Support of Strategic Marketing Management of Confectioneries

    OpenAIRE

    Yanevych Mykhaylo M.

    2013-01-01

    The article develops and offers to introduce a mechanism of information and analytical support of strategic marketing management of confectioneries, which consists of seven components of various hierarchical levels: macro-marketing and micro-marketing environments, trade, infrastructure, consumer, resource and production and organisational components. A confectionery can justify an optimal marketing strategy within this mechanism, due to consideration of the state of external environment and ...

  14. Support of a Problem-Based Learning Curriculum by Basic Science Faculty

    OpenAIRE

    Anderson, William L.; Glew, Robert H.

    2002-01-01

    Although published reports describe benefits to students of learning in a problem-based, student-centered environment, questions have persisted about the excessive faculty time commitments associated with the implementation of PBL pedagogy. The argument has been put forward that the excessive faculty costs of such a curriculum cannot be justified based upon the potential benefits to students. However, the magnitude of the faculty time commitment to a PBL curriculum to support the aforemention...

  15. Method to Select Technical Terms for Glossaries in Support of Joint Task Force Operations

    Science.gov (United States)

    2012-01-01

    goals. While the present method underpins a capability that serves only one specific group, the foundation of the method explained here justifies...material that supports the bilingual work. Thus, physicians want to see medical terms, attorneys want to see legal terms, and Soldiers want to see...prepared for one document in particular, the first text in Stanford Law School’s Afghan Legal Education Project (ALEP), An Introduction to the Law of

  16. Designing Visual Decision Making Support with the Help of Eye-tracking

    DEFF Research Database (Denmark)

    Weber, Barbara; Gulden, Jens; Burattin, Andrea

    2017-01-01

    Data visualizations are helpful tools to cognitively access large amounts of data and make complex relationships in data understandable. This paper shows how results from neuro-physiological measurements, more specifically eye-tracking, can support justified design decisions about improving...... of representative analytical questions from the domain of process model behavior analysis. We present initial findings on one out of three visualization types we have examined, which is the Rhythm-Eye visualization...

  17. Thermodynamics with Continuous Information Flow

    National Research Council Canada - National Science Library

    Horowitz, Jordan M; Esposito, Massimiliano

    2014-01-01

    .... We show that many important results previously derived for nonautonomous Maxwell demons can be recovered from our formalism and use a cycle decomposition to analyze the continuous information flow...

  18. Continuous Delivery and Quality Monitoring

    CERN Document Server

    CERN. Geneva

    2016-01-01

    After introducing Continuous Delivery, I will switch the topic and try to answer the question how much should we invest in quality and how to do it efficiently. My observations reveal that software quality is often considered as the slo...

  19. Competitive Strategy in Continuing Education.

    Science.gov (United States)

    Baden, Clifford

    1987-01-01

    Reviews strategic variables available to those planning continuing education marketing programs. Discusses generic competitive strategies: (1) overall cost leadership, (2) differentiation, and (3) specialization. Mentions several potential problems. (CH)

  20. Competitive Strategy in Continuing Education.

    Science.gov (United States)

    Baden, Clifford

    1987-01-01

    Reviews strategic variables available to those planning continuing education marketing programs. Discusses generic competitive strategies: (1) overall cost leadership, (2) differentiation, and (3) specialization. Mentions several potential problems. (CH)

  1. The Engineering Societies & Continuing Education.

    Science.gov (United States)

    Professional Engineer, 1979

    1979-01-01

    Gives a description of what the major engineering societies (ASCE, ASME, AICHE, and IEEE) are doing in the area of continuing education. The description includes the short courses, their costs, duration, type and scope of the content. (GA)

  2. The Engineering Societies & Continuing Education.

    Science.gov (United States)

    Professional Engineer, 1979

    1979-01-01

    Gives a description of what the major engineering societies (ASCE, ASME, AICHE, and IEEE) are doing in the area of continuing education. The description includes the short courses, their costs, duration, type and scope of the content. (GA)

  3. Asymmetric reactions in continuous flow

    Directory of Open Access Journals (Sweden)

    Xiao Yin Mak

    2009-04-01

    Full Text Available An overview of asymmetric synthesis in continuous flow and microreactors is presented in this review. Applications of homogeneous and heterogeneous asymmetric catalysis as well as biocatalysis in flow are discussed.

  4. Continuous smearing of Wilson Loops

    CERN Document Server

    Lohmayer, Robert

    2011-01-01

    Continuum smearing was introduced in section 4.1 of JHEP03, 064 (2006) as a meaningful continuum analogue of the well known set of lattice techniques by the same name. Here we apply continuous smearing in continuous space-time to Wilson loops in order to clarify what it does in the context of field theory and also in the context of the loop calculus of the Makeenko-Migdal equation.

  5. Continuous-Energy Data Checks

    Energy Technology Data Exchange (ETDEWEB)

    Haeck, Wim [Radioprotection and Nuclear Safety Institute, Fontenay-aux-Roses (France); Conlin, Jeremy Lloyd [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); McCartney, Austin Paul [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Parsons, Donald Kent [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-05-25

    The purpose of this report is to provide an overview of all Quality Assurance tests that have to be performed on a nuclear data set to be transformed into an ACE formatted nuclear data file. The ACE file is capable of containing different types of data such as continuous energy neutron data, thermal scattering data, etc. Within this report, we will limit ourselves to continuous energy neutron data.

  6. Leaders' use of moral justifications increases policy support.

    Science.gov (United States)

    Van Zant, Alex B; Moore, Don A

    2015-06-01

    Leaders must choose how to justify their organization's actions to stakeholders. We differentiate moral frames, or justifications based on moral values, from pragmatic frames, or justifications based on practical costs and benefits. In Experiments 1a and 1b, we found that moral policy frames elicited more support than pragmatic frames across a variety of scenarios. This effect was mediated by the perception that leaders who offer moral justifications possess relatively greater moral character. In Experiment 2, we found that perceptions of a leader's private motives had a stronger influence on policy support than did the leader's public stance. Experiment 3 demonstrated that, irrespective of how a policy was framed, people were most supportive of a policy championed by a leader high in moral character. In Experiment 4, we documented an additional benefit of moral policy frames: They allow leaders to mitigate the moral outrage generated by reneging on a policy.

  7. The Benefits of Using Semi-continuous and Continuous Models to Analyze Binge Eating Data: A Monte Carlo Investigation

    Science.gov (United States)

    Grotzinger, Andrew; Hildebrandt, Tom; Yu, Jessica

    2016-01-01

    Objective Change in binge eating is typically a primary outcome for interventions targeting individuals with eating pathology. A range of statistical models exist to handle these types of frequency distributions, but little empirical evidence exists to guide the appropriate choice of statistical model. Method Monte Carlo simulations were used to investigate the utility of semi-continuous models relative to continuous models in various situations relevant to binge eating treatment studies. Results Semi-continuous models yielded more accurate estimates of the population, while continuous models were higher powered when higher levels of missing data were present. Discussion The present findings generally support the use of semi-continuous models applied to binge eating data, with total sample sizes of roughly 200 being adequately powered to detect moderate treatment effects. However, models with a significant amount of missing data yielded more favorable power estimates for continuous models. PMID:25195793

  8. An index method for continuous moving objects

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hui-bin; XIE Kun-qing; MA Xiu-jun; XU dan; YANG Bao-gang

    2004-01-01

    There are current, historical and future information about continuously moving spatio-temporal objects. And there are correspondingly spatio-temporal indexes for current, past and future querying. Among the various types of spatio-temporal access methods, no one can support historical and future information querying. The Time Parameterized R-tree(TPR-tree) employs the idea of parametric bounding rectangles in the R-tree. It can effectively support predictive querying to continuously moving objects.Unfortunately, TPR-tree can not used to historical querying. This paper presents a partial-persistence method in order to extend TPR-tree for querying past information of moving objects. In this method, several TPR-trees will be created for more effectively predictive querying, because TPR-tree has a time horizon limit for predictive querying.Further more, a B-tree will be used to index time dimension. Since the partial-persistence method brings about huge storage space using, this paper also discusses some methods on how to reduce storage space. Finally, this paper presents an extensive experimental study for the proposed method and gives some interesting directions for future work.

  9. Business continuity 2014: From traditional to integrated Business Continuity Management.

    Science.gov (United States)

    Ee, Henry

    As global change continues to generate new challenges and potential threats to businesses, traditional business continuity management (BCM) slowly reveals its limitations and weak points to ensuring 'business resiliency' today. Consequently, BCM professionals also face the challenge of re-evaluating traditional concepts and introducing new strategies and industry best practices. This paper points to why traditional BCM is no longer sufficient in terms of enabling businesses to survive in today's high-risk environment. It also looks into some of the misconceptions about BCM and other stumbling blocks to establishing effective BCM today. Most importantly, however, this paper provides tips based on the Business Continuity Institute's (BCI) Good Practices Guideline (GPG) and the latest international BCM standard ISO 22301 on how to overcome the issues and challenges presented.

  10. Continuous Approximations of a Class of Piecewise Continuous Systems

    Science.gov (United States)

    Danca, Marius-F.

    In this paper, we provide a rigorous mathematical foundation for continuous approximations of a class of systems with piecewise continuous functions. By using techniques from the theory of differential inclusions, the underlying piecewise functions can be locally or globally approximated. The approximation results can be used to model piecewise continuous-time dynamical systems of integer or fractional-order. In this way, by overcoming the lack of numerical methods for differential equations of fractional-order with discontinuous right-hand side, unattainable procedures for systems modeled by this kind of equations, such as chaos control, synchronization, anticontrol and many others, can be easily implemented. Several examples are presented and three comparative applications are studied.

  11. A decomposition method based on a model of continuous change.

    Science.gov (United States)

    Horiuchi, Shiro; Wilmoth, John R; Pletcher, Scott D

    2008-11-01

    A demographic measure is often expressed as a deterministic or stochastic function of multiple variables (covariates), and a general problem (the decomposition problem) is to assess contributions of individual covariates to a difference in the demographic measure (dependent variable) between two populations. We propose a method of decomposition analysis based on an assumption that covariates change continuously along an actual or hypothetical dimension. This assumption leads to a general model that logically justifies the additivity of covariate effects and the elimination of interaction terms, even if the dependent variable itself is a nonadditive function. A comparison with earlier methods illustrates other practical advantages of the method: in addition to an absence of residuals or interaction terms, the method can easily handle a large number of covariates and does not require a logically meaningful ordering of covariates. Two empirical examples show that the method can be applied flexibly to a wide variety of decomposition problems. This study also suggests that when data are available at multiple time points over a long interval, it is more accurate to compute an aggregated decomposition based on multiple subintervals than to compute a single decomposition for the entire study period.

  12. Effectiveness of continuing medical education.

    Science.gov (United States)

    Marinopoulos, Spyridon S; Dorman, Todd; Ratanawongsa, Neda; Wilson, Lisa M; Ashar, Bimal H; Magaziner, Jeffrey L; Miller, Redonda G; Thomas, Patricia A; Prokopowicz, Gregory P; Qayyum, Rehan; Bass, Eric B

    2007-01-01

    OBJECTIVES Despite the broad range of continuing medical education (CME) offerings aimed at educating practicing physicians through the provision of up-to-date clinical information, physicians commonly overuse, under-use, and misuse therapeutic and diagnostic interventions. It has been suggested that the ineffective nature of CME either accounts for the discrepancy between evidence and practice or at a minimum contributes to this gap. Understanding what CME tools and techniques are most effective in disseminating and retaining medical knowledge is critical to improving CME and thus diminishing the gap between evidence and practice. The purpose of this review was to comprehensively and systematically synthesize evidence regarding the effectiveness of CME and differing instructional designs in terms of knowledge, attitudes, skills, practice behavior, and clinical practice outcomes. REVIEW METHODS We formulated specific questions with input from external experts and representatives of the Agency for Healthcare Research and Quality (AHRQ) and the American College of Chest Physicians (ACCP) which nominated this topic. We systematically searched the literature using specific eligibility criteria, hand searching of selected journals, and electronic databases including: MEDLINE, EMBASE, the Cochrane Database of Systematic Reviews, The Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Database of Abstracts of Reviews of Effects (DARE), PsycINFO, and the Educational Resource Information Center (ERIC). Two independent reviewers conducted title scans, abstract reviews, and then full article reviews to identify eligible articles. Each eligible article underwent double review for data abstraction and assessment of study quality. RESULTS Of the 68,000 citations identified by literature searching, 136 articles and 9 systematic reviews ultimately met our eligibility criteria. The overall quality of the literature was low and consequently firm conclusions were

  13. Coded continuous wave meteor radar

    Science.gov (United States)

    Vierinen, Juha; Chau, Jorge L.; Pfeffer, Nico; Clahsen, Matthias; Stober, Gunter

    2016-03-01

    The concept of a coded continuous wave specular meteor radar (SMR) is described. The radar uses a continuously transmitted pseudorandom phase-modulated waveform, which has several advantages compared to conventional pulsed SMRs. The coding avoids range and Doppler aliasing, which are in some cases problematic with pulsed radars. Continuous transmissions maximize pulse compression gain, allowing operation at lower peak power than a pulsed system. With continuous coding, the temporal and spectral resolution are not dependent on the transmit waveform and they can be fairly flexibly changed after performing a measurement. The low signal-to-noise ratio before pulse compression, combined with independent pseudorandom transmit waveforms, allows multiple geographically separated transmitters to be used in the same frequency band simultaneously without significantly interfering with each other. Because the same frequency band can be used by multiple transmitters, the same interferometric receiver antennas can be used to receive multiple transmitters at the same time. The principles of the signal processing are discussed, in addition to discussion of several practical ways to increase computation speed, and how to optimally detect meteor echoes. Measurements from a campaign performed with a coded continuous wave SMR are shown and compared with two standard pulsed SMR measurements. The type of meteor radar described in this paper would be suited for use in a large-scale multi-static network of meteor radar transmitters and receivers. Such a system would be useful for increasing the number of meteor detections to obtain improved meteor radar data products.

  14. Supported ionic liquid-phase (SILP) catalysis

    DEFF Research Database (Denmark)

    Riisager, Anders; Fehrmann, Rasmus; Wasserscheid, P.

    2005-01-01

    The concept of supported ionic liquid-phase (SILP) catalysis has been demonstrated for gas- and liquid-phase continuous fixed-bed reactions using rhodium phosphine catalyzed hydroformylation of propene and 1-octene as examples. The nature of the support had important influence on both the catalytic...

  15. Protocol adherence for continuously titrated interventions in randomized trials: an overview of the current methodology and case study.

    Science.gov (United States)

    Lauzier, F; Adhikari, N K; Seely, A; Koo, K K Y; Belley-Côté, E P; Burns, K E A; Cook, D J; D'Aragon, F; Rochwerg, B; Kho, M E; Oczkowksi, S J W; Duan, E H; Meade, M O; Day, A G; Lamontagne, F

    2017-07-17

    The standard definition for protocol adherence is the proportion of all scheduled doses that are delivered. In clinical research, this definition has several limitations when evaluating protocol adherence in trials that study interventions requiring continuous titration. Building upon a specific case study, we analyzed a recent trial of a continuously titrated intervention to assess the impact of different definitions of protocol deviations on the interpretation of protocol adherence. The OVATION pilot trial was an open-label randomized controlled trial of higher (75-80 mmHg) versus lower (60-65 mmHg) mean arterial pressure (MAP) targets for vasopressor therapy in shock. In this trial, potential protocol deviations were defined as MAP values outside the targeted range for >4 consecutive hours during vasopressor therapy without synchronous and consistent adjustments of vasopressor doses. An adjudication committee reviewed each potential deviation to determine if it was clinically-justified or not. There are four reasons for this contextual measurement and reporting of protocol adherence. First, between-arm separation is a robust measure of adherence to complex protocols. Second, adherence assessed by protocol deviations varies in function of the definition of deviations and the frequency of measurements. Third, distinguishing clinically-justified vs. not clinically-justified protocol deviations acknowledges clinically sensible bedside decision-making and offers a clear terminology before the trial begins. Finally, multiple metrics exist to report protocol deviations, which provides different information but complementary information on protocol adherence. In trials of interventions requiring continuous titration, metrics used for defining protocol deviations have a considerable impact on the interpretation of protocol adherence. Definitions for protocol deviations should be prespecified and correlated with between-arm separation, if it can be measured.

  16. REFINABLE DISTRIBUTIONS SUPPORTED ON SELF-AFFINE TILES

    Institute of Scientific and Technical Information of China (English)

    DaiXinrong

    2002-01-01

    In this paper,some conditions which assure the compactly supported refinable distributions supported on a self-affine tile to be Lebesgue-Stieltjes measures or absolutely continuous measures with respect to Lebesgue-Stieltjes measures are given.

  17. A Dynamic Continuation-Passing Style for Dynamic Delimited Continuations

    DEFF Research Database (Denmark)

    Biernacki, Dariusz; Danvy, Olivier; Millikin, Kevin Scott

    2005-01-01

    -passing style.' We show that the new machine operates more efficiently than the definitional one and that the notion of computation induced by the corresponding evaluator takes the form of a monad. We also present new examples and a new simulation of dynamic delimited continuations in terms of static ones....

  18. Formal Verification of Continuous Systems

    DEFF Research Database (Denmark)

    Sloth, Christoffer

    2012-01-01

    and the verification procedures should be algorithmically synthesizable. Autonomous control plays an important role in many safety-critical systems. This implies that a malfunction in the control system can have catastrophic consequences, e.g., in space applications where a design flaw can result in large economic...... losses. Furthermore, a malfunction in the control system of a surgical robot may cause death of patients. The previous examples involve complex systems that are required to operate according to complex specifications. The systems cannot be formally verified by modern verification techniques, due......The purpose of this thesis is to develop a method for verifying timed temporal properties of continuous dynamical systems, and to develop a method for verifying the safety of an interconnection of continuous systems. The methods must be scalable in the number of continuous variables...

  19. Distributed synthesis in continuous time

    DEFF Research Database (Denmark)

    Hermanns, Holger; Krčál, Jan; Vester, Steen

    2016-01-01

    . Indeed, the explicit continuous time enables players to communicate their states by delaying synchronisation (which is unrestricted for non-urgent models). In general, the problems are undecidable already for two players in the quantitative case and three players in the qualitative case. The qualitative......We introduce a formalism modelling communication of distributed agents strictly in continuous-time. Within this framework, we study the problem of synthesising local strategies for individual agents such that a specified set of goal states is reached, or reached with at least a given probability....... The flow of time is modelled explicitly based on continuous-time randomness, with two natural implications: First, the non-determinism stemming from interleaving disappears. Second, when we restrict to a subclass of non-urgent models, the quantitative value problem for two players can be solved in EXPTIME...

  20. Discrete and Continuous Linearizable Equations

    CERN Document Server

    Lafortune, S; Ramani, A

    1998-01-01

    We study the projective systems in both continuous and discrete settings. These systems are linearizable by construction and thus, obviously, integrable. We show that in the continuous case it is possible to eliminate all variables but one and reduce the system to a single differential equation. This equation is of the form of those singled-out by Painlevé in his quest for integrable forms. In the discrete case, we extend previous results of ours showing that, again by elimination of variables, the general projective system can be written as a mapping for a single variable. We show that this mapping is a member of the family of multilinear systems (which is not integrable in general). The continuous limit of multilinear mappings is also discussed.