The organizational dynamics enabling patient portal impacts upon organizational performance and patient health: a qualitative study of Kaiser Permanente.

Science.gov (United States)

Otte-Trojel, Terese; Rundall, Thomas G; de Bont, Antoinette; van de Klundert, Joris; Reed, Mary E

2015-12-16

Patient portals may lead to enhanced disease management, health plan retention, changes in channel utilization, and lower environmental waste. However, despite growing research on patient portals and their effects, our understanding of the organizational dynamics that explain how effects come about is limited. This paper uses qualitative methods to advance our understanding of the organizational dynamics that influence the impact of a patient portal on organizational performance and patient health. The study setting is Kaiser Permanente, the world's largest not-for-profit integrated delivery system, which has been using a portal for over ten years. We interviewed eighteen physician leaders and executives particularly knowledgeable about the portal to learn about how they believe the patient portal works and what organizational factors affect its workings. Our analytical framework centered on two research questions. (1) How does the patient portal impact care delivery to produce the documented effects?; and (2) What are the important organizational factors that influence the patient portal's development? We identify five ways in which the patient portal may impact care delivery to produce reported effects. First, the portal's ability to ease access to services improves some patients' satisfaction as well as changes the way patients seek care. Second, the transparency and activation of information enable some patients to better manage their care. Third, care management may also be improved through augmented patient-physician interaction. This augmented interaction may also increase the 'stickiness' of some patients to their providers. Forth, a similar effect may be triggered by a closer connection between Kaiser Permanente and patients, which may reduce the likelihood that patients will switch health plans. Finally, the portal may induce efficiencies in physician workflow and administrative tasks, stimulating certain operational savings and deeper involvement of

End-Stage Renal Disease Outcomes among the Kaiser Permanente Southern California Creatinine Safety Program (Creatinine SureNet): Opportunities to Reflect and Improve.

Science.gov (United States)

Sim, John J; Batech, Michael; Danforth, Kim N; Rutkowski, Mark P; Jacobsen, Steven J; Kanter, Michael H

2017-01-01

The Kaiser Permanente Southern California (KPSC) creatinine safety program (Creatinine SureNet) identifies and outreaches to thousands of people annually who may have had a missed diagnosis for chronic kidney disease (CKD). We sought to determine the value of this outpatient program and evaluate opportunities for improvement. Longitudinal cohort study (February 2010 through December 2015) of KPSC members captured into the creatinine safety program who were characterized using demographics, laboratory results, and different estimations of glomerular filtration rate. Age- and sex-adjusted rates of end-stage renal disease (ESRD) were compared with those in the overall KPSC population. Among 12,394 individuals, 83 (0.7%) reached ESRD. The age- and sex-adjusted relative risk of ESRD was 2.7 times higher compared with the KPSC general population during the same period (94.7 vs 35.4 per 100,000 person-years; p creatinine measurements, only 13% had a urine study performed (32% among patients with confirmed CKD). Our study found a higher incidence of ESRD among individuals captured into the KPSC creatinine safety program. If the Chronic Kidney Disease Epidemiology Collaboration equation were used, fewer people would have been captured while improving the accuracy for diagnosing CKD. Urine testing was low even among patients with confirmed CKD. Our findings demonstrate the importance of a creatinine safety net program in an integrated health system but also suggest opportunities to improve CKD care and screening.

75 FR 70689 - Kaiser Aluminum Fabricated Products, LLC; Kaiser Aluminum-Greenwood Forge Division; Currently...

Science.gov (United States)

2010-11-18

... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-70,376] Kaiser Aluminum Fabricated Products, LLC; Kaiser Aluminum- Greenwood Forge Division; Currently Known As Contech Forgings, LLC..., applicable to workers of Kaiser Aluminum Fabricated Products, LLC, Kaiser Aluminum-Greenwood Forge Division...

Genetic Ancestry Is not Associated with Breast Cancer Recurrence or Survival in U.S. Latina Women Enrolled in the Kaiser Permanente Pathways Study.

Science.gov (United States)

Engmann, Natalie J; Ergas, Isaac J; Yao, Song; Kwan, Marilyn L; Roh, Janise M; Ambrosone, Christine B; Kushi, Lawrence H; Fejerman, Laura

2017-09-01

Background: The U.S. Hispanic/Latino population is heterogeneous both socioculturally and by the proportion of European, Indigenous American, and African ancestry of the regions from which individuals originate. A previous study reported that genetic ancestry was associated with breast cancer survival among Latinas, independent of sociodemographic and tumor characteristics, suggesting that a genetic factor associated with ancestry may affect breast cancer survival. Methods: We evaluated the association of genetic ancestry with breast cancer outcomes among 506 Latina women with invasive breast cancer in the Pathways Study, a cohort study within Kaiser Permanente, an integrated health care delivery system. Proportional hazards models were used to assess the effect of ancestry on breast cancer recurrence (53 events), breast cancer-specific mortality (31 events) and all-cause mortality (54 events), with a mean follow-up time of 6 years. Results: Indigenous American ancestry was not associated with breast cancer recurrence [HR = 1.00 per 10% increase; 95% confidence interval (CI), 0.86-1.16], breast cancer mortality (HR = 0.95; 95% CI, 0.77-1.17), or all-cause mortality (HR = 0.93; 95% CI, 0.80-1.08). Adjustment for sociodemographic variables, tumor characteristics, and treatment did not alter the associations. Conclusions: Our results suggest that previously reported differences in breast cancer survival by genetic ancestry may be overcome by improving health care access and/or quality. Impact: Improving health care access and quality may reduce breast cancer disparities among U.S. Latinas. Cancer Epidemiol Biomarkers Prev; 26(9); 1466-9. ©2017 AACR . ©2017 American Association for Cancer Research.

Evaluation of a surveillance case definition for anogenital warts, Kaiser Permanente northwest.

Science.gov (United States)

Naleway, Allison L; Weinmann, Sheila; Crane, Brad; Gee, Julianne; Markowitz, Lauri E; Dunne, Eileen F

2014-08-01

Most studies of anogenital wart (AGW) epidemiology have used large clinical or administrative databases and unconfirmed case definitions based on combinations of diagnosis and procedure codes. We developed and validated an AGW case definition using a combination of diagnosis codes and other information available in the electronic medical record (provider type, laboratory testing). We calculated the positive predictive value (PPV) of this case definition compared with manual medical record review in a random sample of 250 cases. Using this case definition, we calculated the annual age- and sex-stratified prevalence of AGW among individuals 11 through 30 years of age from 2000 through 2005. We identified 2730 individuals who met the case definition. The PPV of the case definition was 82%, and the average annual prevalence was 4.16 per 1000. Prevalence of AGW was higher in females compared with males in every age group, with the exception of the 27- to 30-year-olds. Among females, prevalence peaked in the 19- to 22-year-olds, and among males, the peak was observed in 23- to 26-year-olds. The case definition developed in this study is the first to be validated with medical record review and has a good PPV for the detection of AGW. The prevalence rates observed in this study were higher than other published rates, but the age- and sex-specific patterns observed were consistent with previous reports.

Association between personal health record enrollment and patient loyalty.

Science.gov (United States)

Turley, Marianne; Garrido, Terhilda; Lowenthal, Alex; Zhou, Yi Yvonne

2012-07-01

To examine the association between patient loyalty, as measured by member retention in the health plan, and access to My Health Manager (MHM), Kaiser Permanente's PHR, which is linked to its electronic health record, KP HealthConnect. We conducted a retrospective cohort observational quality improvement project from the third quarter of 2005 to the fourth quarter of 2008 for approximately 394,000 Kaiser Permanente Northwest members. To control for self-selection bias, we used propensity scores to perform exact 1-to-1 matching without replacement between MHM users and nonusers. We estimated retention rates of the matched data and assessed the association between MHM use and retention versus voluntary termination. We also estimated odds ratios of significant variables impacting member retention. The probability of remaining a member or being involuntarily terminated versus voluntary termination was 96.7% for users (95% confidence interval [CI], 96.6%-96.7%) and 92.2% for nonusers (95% CI, 92.1%-92.4%; P loyalty, retention is critical to healthcare organizations.

Innovative partnerships to advance public health training in community-based academic residency programs

Directory of Open Access Journals (Sweden)

Lo JC

2017-10-01

Full Text Available Joan C Lo,1–3 Thomas E Baudendistel,2,3 Abhay Dandekar,3,4 Phuoc V Le,5 Stanton Siu,2,3 Bruce Blumberg6 1Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA; 2Department of Medicine, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA; 3Graduate Medical Education, Kaiser Permanente East Bay, Oakland, CA, USA; 4Department of Pediatrics, Kaiser Permanente Oakland Medical Center, Oakland, CA, USA; 5School of Public Health, University of California Berkeley, Berkeley, CA, USA; 6Graduate Medical Education, Kaiser Permanente Northern California, Oakland, CA, USA Abstract: Collaborative partnerships between community-based academic residency ­training programs and schools of public health, represent an innovative approach to training future physician leaders in population management and public health. In Kaiser Permanente Northern California, development of residency-Masters in Public Health (MPH tracks in the Internal Medicine Residency and the Pediatrics Residency programs, with MPH graduate studies completed at the University of California Berkeley School of Public Health, enables physicians to integrate clinical training with formal education in epidemiology, biostatistics, health policy, and disease prevention. These residency-MPH programs draw on more than 50 years of clinical education, public health training, and health services research – creating an environment that sparks inquiry and added value by developing skills in patient-centered care through the lens of population-based outcomes. Keywords: graduate medical education, public health, master’s degree, internal medicine, pediatrics, residency training

Measuring integrated care

DEFF Research Database (Denmark)

Strandberg-Larsen, Martin

2011-01-01

respond to these needs, patients and providers face the multiple challenges of today's healthcare environment. Decision makers, planners and managers need evidence based policy options and information on the scope of the integrated care challenges they are facing. The US managed care organization Kaiser...... differences were found in the perception of clinical integration in the two settings. More primary care clinicians in the Northern California region of Kaiser Permanente reported being part of a clinical integrated environment than did Danish general practitioners. By measuring the level of clinical...... and performance of the Danish healthcare system and the managed care organization Kaiser Permanente, California, US. 5) To compare primary care clinicians' perception of clinical integration in two healthcare systems: Kaiser Permanente, Northern California and the Danish healthcare system. Further to examine...

The permanental process

DEFF Research Database (Denmark)

McCullagh, Peter; Møller, Jesper

2006-01-01

We extend the boson process first to a large class of Cox processes and second to an even larger class of infinitely divisible point processes. Density and moment results are studied in detail. These results are obtained in closed form as weighted permanents, so the extension i called a permanental...... process. Temporal extensions and a particularly tractable case of the permanental process are also studied. Extensions of the fermion process along similar lines, leading to so-called determinantal processes, are discussed....

Frederik Kaiser (1808-1872) and the Modernisation of Dutch Astronomy

Science.gov (United States)

van der Heijden, Petra

Frederik Kaiser was the director of Leiden Observatory from 1837 until his death in 1872. Educated by his German-born uncle Johan Frederik Keyser (1766-1823), who was a proficient amateur astronomer, Kaiser proved to be a real observational talent. Despite the poor conditions in which he worked, his observations soon rivalled with the best in the world. Kaiser's contributions to astronomical practice include the foundation of a new, completely up-to-date observatory building in Leiden, and the introduction of statistics and precision measurements in daily practice at the observatory. Moreover he was the author of several bestselling books on popular astronomy. Kaiser had an extensive correspondence with colleagues all over Europe, mostly in Germany. Correpondents include Airy, Argelander, Von Auwers, Bessel, Encke, John Herschel, LeVerrier, Von Littrow, Schumacher, Otto W. Struve, as well as several geodesists and instrument makers. Preliminary research indicates that Frederik Kaiser played a crucial role in the revival of Dutch astronomy in the second half of the 19th century. This project aims at analysing and explaining Kaiser's activities in science, institutionalisation and popularisation, in the context of national and international developments in 19th-century astronomy and scientific culture.

Kaiser Family Foundation - Content Search

Data.gov (United States)

U.S. Department of Health & Human Services — Chartpacks, chartbooks, factsheets, reports, and slide presentations bring Kaiser Family Foundation information to life, and can be easily incorporated into your...

Incidence of Norovirus and Other Viral Pathogens That Cause Acute Gastroenteritis (AGE) among Kaiser Permanente Member Populations in the United States, 2012-2013.

Science.gov (United States)

Grytdal, Scott P; DeBess, Emilio; Lee, Lore E; Blythe, David; Ryan, Patricia; Biggs, Christianne; Cameron, Miriam; Schmidt, Mark; Parashar, Umesh D; Hall, Aron J

2016-01-01

Noroviruses and other viral pathogens are increasingly recognized as frequent causes of acute gastroenteritis (AGE). However, few laboratory-based data are available on the incidence of AGE caused by viral pathogens in the U.S. This study examined stool specimens submitted for routine clinical diagnostics from patients enrolled in Kaiser Permanente (KP) health plans in metro Portland, OR, and the Maryland, District of Columbia, and northern Virginia geographic areas to estimate the incidence of viral enteropathogens in these populations. Over a one-year study period, participating laboratories randomly selected stools submitted for routine clinical diagnostics for inclusion in the study along with accompanying demographic and clinical data. Selected stools were tested for norovirus, rotavirus, sapovirus, and astrovirus using standardized real-time RT-PCR protocols. Each KP site provided administrative data which were used in conjunction with previously published data on healthcare utilization to extrapolate pathogen detection rates into population-based incidence rates. A total of 1,099 specimens collected during August 2012 to September 2013 were included. Mean age of patients providing stool specimens was 46 years (range: 0-98 years). Noroviruses were the most common viral pathogen identified among patients with AGE (n = 63 specimens, 6% of specimens tested). In addition, 22 (2%) of specimens were positive for rotavirus; 19 (2%) were positive for sapovirus; and 7 (1%) were positive for astrovirus. Incidence of norovirus-associated outpatient visits was 5.6 per 1,000 person-years; incidence of norovirus disease in the community was estimated to be 69.5 per 1,000 person-years. Norovirus incidence was highest among children age (outpatient incidence = 25.6 per 1,000 person-years; community incidence = 152.2 per 1,000 person-years), followed by older adults aged >65 years (outpatient incidence = 7.8 per 1,000 person-years; community incidence = 75.8 per 1,000 person

Incidence of Norovirus and Other Viral Pathogens That Cause Acute Gastroenteritis (AGE among Kaiser Permanente Member Populations in the United States, 2012-2013.

Directory of Open Access Journals (Sweden)

Scott P Grytdal

Full Text Available Noroviruses and other viral pathogens are increasingly recognized as frequent causes of acute gastroenteritis (AGE. However, few laboratory-based data are available on the incidence of AGE caused by viral pathogens in the U.S. This study examined stool specimens submitted for routine clinical diagnostics from patients enrolled in Kaiser Permanente (KP health plans in metro Portland, OR, and the Maryland, District of Columbia, and northern Virginia geographic areas to estimate the incidence of viral enteropathogens in these populations. Over a one-year study period, participating laboratories randomly selected stools submitted for routine clinical diagnostics for inclusion in the study along with accompanying demographic and clinical data. Selected stools were tested for norovirus, rotavirus, sapovirus, and astrovirus using standardized real-time RT-PCR protocols. Each KP site provided administrative data which were used in conjunction with previously published data on healthcare utilization to extrapolate pathogen detection rates into population-based incidence rates. A total of 1,099 specimens collected during August 2012 to September 2013 were included. Mean age of patients providing stool specimens was 46 years (range: 0-98 years. Noroviruses were the most common viral pathogen identified among patients with AGE (n = 63 specimens, 6% of specimens tested. In addition, 22 (2% of specimens were positive for rotavirus; 19 (2% were positive for sapovirus; and 7 (1% were positive for astrovirus. Incidence of norovirus-associated outpatient visits was 5.6 per 1,000 person-years; incidence of norovirus disease in the community was estimated to be 69.5 per 1,000 person-years. Norovirus incidence was highest among children 65 years (outpatient incidence = 7.8 per 1,000 person-years; community incidence = 75.8 per 1,000 person-years. Outpatient incidence rates of rotavirus, sapovirus, and astrovirus were 2.0, 1.6, 0.6 per 1,000 person

Frederik Kaiser (1808-1872, een gekweld man met een missie

Directory of Open Access Journals (Sweden)

Huib Zuidervaart

2011-06-01

Full Text Available Frederik Kaiser (1808-1872, a tormented man with a missionThe Leiden astronomer Kaiser has been instrumental for the rise of Dutch astronomy in the late nineteenth-century. His career was impressive. In 1826, without any formal university education, he began at the Leiden Astronomical Observatory as an ordinary observer. Through his work in astronomy he obtained an honorary doctorate, which enabled him in 1838 to become director of the observatory. In 1844 he was appointed full professor and in the academic year 1857/1858 he even became Rector Magnificus of Leiden University. In 1860 he even saw the fulfillmentof his life-long dream: the opening of a brand new astronomical observatory. However, in spite of these obvious professional successes, Kaiser's personal life was full of melancholy. This paper investigates Kaiser's personality, using correspondence with his family, as well as testimonies written down by his students and other contemporaries. Among others, we demonstrate the way in which Kaiser used his personal network, as well as his fierce continuous – and often publicly expressed – complaining, as a successful strategy in establishing his new astronomical observatory.

Transforming and Sustaining the Care Environment

OpenAIRE

Goldfisher, Anne M.; Hounslow, Barbara; Blank, Judi

2014-01-01

Background: Caring Science Theory and Practices have been part of the Kaiser Permanente's Strategic Priority for Kaiser Permanente Northern Region since 2010. Their goal is to ensure the continued spread across the medical center of practices guided by the Caring Sciences framework that fosters caring-healing environments and that reinforce helping-trusting relationships between caregivers and between caregivers and patients. Methods: Gaining senior-level leader sponsorship is an essential el...

Incidence of Norovirus and Other Viral Pathogens That Cause Acute Gastroenteritis (AGE) among Kaiser Permanente Member Populations in the United States, 2012–2013

Science.gov (United States)

Grytdal, Scott P.; Biggs, Christianne; Cameron, Miriam; Schmidt, Mark; Parashar, Umesh D.; Hall, Aron J.

2016-01-01

Noroviruses and other viral pathogens are increasingly recognized as frequent causes of acute gastroenteritis (AGE). However, few laboratory-based data are available on the incidence of AGE caused by viral pathogens in the U.S. This study examined stool specimens submitted for routine clinical diagnostics from patients enrolled in Kaiser Permanente (KP) health plans in metro Portland, OR, and the Maryland, District of Columbia, and northern Virginia geographic areas to estimate the incidence of viral enteropathogens in these populations. Over a one-year study period, participating laboratories randomly selected stools submitted for routine clinical diagnostics for inclusion in the study along with accompanying demographic and clinical data. Selected stools were tested for norovirus, rotavirus, sapovirus, and astrovirus using standardized real-time RT-PCR protocols. Each KP site provided administrative data which were used in conjunction with previously published data on healthcare utilization to extrapolate pathogen detection rates into population-based incidence rates. A total of 1,099 specimens collected during August 2012 to September 2013 were included. Mean age of patients providing stool specimens was 46 years (range: 0–98 years). Noroviruses were the most common viral pathogen identified among patients with AGE (n = 63 specimens, 6% of specimens tested). In addition, 22 (2%) of specimens were positive for rotavirus; 19 (2%) were positive for sapovirus; and 7 (1%) were positive for astrovirus. Incidence of norovirus-associated outpatient visits was 5.6 per 1,000 person-years; incidence of norovirus disease in the community was estimated to be 69.5 per 1,000 person-years. Norovirus incidence was highest among children incidence = 25.6 per 1,000 person-years; community incidence = 152.2 per 1,000 person-years), followed by older adults aged >65 years (outpatient incidence = 7.8 per 1,000 person-years; community incidence = 75.8 per 1,000 person

Personal health record use and association with immunizations and well-child care visits recommendations.

Science.gov (United States)

Tom, Jeffrey O; Chen, Chuhe; Zhou, Yi Yvonne

2014-01-01

To determine the association of parental use of integrated personal health records (PHRs) with children's adherence to immunization and well-child care (WCC) visit recommendations. For the immunization and WCC visit measures, we retrospectively analyzed, respectively, 766 and 639 matched pairs at Kaiser Permanente (KP) Hawaii and 2795 and 2448 pairs at KP Northwest who were ≤ 31 days old at enrollment and continuously enrolled for 2 years between January 2007 and July 2011. The independent variable (≥ 1 PHR feature used vs none) was matched using propensity scores on parental and children characteristics. The dependent variables were 2 measures from the 2010 Healthcare Effectiveness Data and Information Set: combination 2 immunization (all immunizations vs immunizations only at KP Northwest (KP Hawaii: OR 1.1, 95% CI 0.8-1.4, P > .05; KP Northwest OR 1.2, 95% CI 1.0-1.3, P immunizations in only 1 region. Copyright © 2014 Mosby, Inc. All rights reserved.

Educação Permanente em Saúde no Brasil: educação ou gerenciamento permanente?

Directory of Open Access Journals (Sweden)

Cristiane Lopes Simão Lemos

2016-03-01

Full Text Available Resumo O objetivo do estudo foi analisar a concepção e os fundamentos da Educação Permanente em Saúde (EPS constante da Política Nacional de Educação Permanente em Saúde (PNEPS no Brasil. A metodologia baseou-se na análise de documentos do Ministério da Saúde e de artigos científicos relacionados. Constatou-se que a concepção da EPS na PNEPS transcende um significado pedagógico, respondendo a um processo de reestruturação dos serviços diante das novas demandas do modelo. Justamente no momento em que o trabalho se encontra cada vez mais instável e precarizado, o Ministério da Saúde apresenta um discurso sobre uma gestão inovadora, dando centralidade à questão da EPS. A ideia não é de educação permanente, mas de gerenciamento permanente. Ao contrário de um instrumento de transformação radical, a EPS converte-se em uma ideologia que seduz pela sua aparência de novidade pedagógica.

A new class of weight and WA systems of the Kravchenko-Kaiser functions

Science.gov (United States)

Kravchenko, V. F.; Pustovoit, V. I.; Churikov, D. V.

2014-05-01

A new class of weight and WA-systems of the Kravchenko-Kaiser functions which showed its efficiency in various physical applications is proposed and substantiated. This publication consists of three parts. In the first the Kravchenko-Kaiser weight functions are constructed on basis of the theory of atomic functions (AFs) and the Kaiser windows for the first time. In the second part new constructions of analytic WA-systems of the Kravchenko-Kaiser functions are costructed. In the third part their applications to problems of weight averaging of the difference frequency signals are considered. The numerical experiment and the physical analysis of the results for concrete physical models confirmed their efficiency. This class of functions can find wide physical applications in problems of digital signal processing, restoration of images, radar, radiometry, radio astronomy, remote sensing, etc.

Optimized Kaiser-Bessel Window Functions for Computed Tomography.

Science.gov (United States)

Nilchian, Masih; Ward, John Paul; Vonesch, Cedric; Unser, Michael

2015-11-01

Kaiser-Bessel window functions are frequently used to discretize tomographic problems because they have two desirable properties: 1) their short support leads to a low computational cost and 2) their rotational symmetry makes their imaging transform independent of the direction. In this paper, we aim at optimizing the parameters of these basis functions. We present a formalism based on the theory of approximation and point out the importance of the partition-of-unity condition. While we prove that, for compact-support functions, this condition is incompatible with isotropy, we show that minimizing the deviation from the partition of unity condition is highly beneficial. The numerical results confirm that the proposed tuning of the Kaiser-Bessel window functions yields the best performance.

The Kaiser Wilhelm Society under National Socialism

CERN Document Server

Sachse, Carola; Walker, Mark

2009-01-01

During the first part of the twentieth century, German science led the world. The most important scientific institution in Germany was the Kaiser Wilhelm Society, including institutes devoted to different fields of scientific research. These researchers were not burdened by teaching obligations and enjoyed excellent financial and material support. When the National Socialists came to power in Germany, all of German society, including science, was affected. The picture that previously dominated our understanding of science under National Socialism from the end of the Second World War to the recent past - a picture of leading Nazis ignorant and unappreciative of modern science and of scientists struggling to resist the Nazis - needs to be revised. This book surveys the history of Kaiser Wilhelm Institutes under Hitler, illustrating definitively the cooperation, if not collaboration, between scientists and National Socialists in order to further the goals of autarky, racial hygiene, war, and genocide.

Predicting the 6-month risk of severe hypoglycemia among adults with diabetes: Development and external validation of a prediction model.

Science.gov (United States)

Schroeder, Emily B; Xu, Stan; Goodrich, Glenn K; Nichols, Gregory A; O'Connor, Patrick J; Steiner, John F

2017-07-01

To develop and externally validate a prediction model for the 6-month risk of a severe hypoglycemic event among individuals with pharmacologically treated diabetes. The development cohort consisted of 31,674 Kaiser Permanente Colorado members with pharmacologically treated diabetes (2007-2015). The validation cohorts consisted of 38,764 Kaiser Permanente Northwest members and 12,035 HealthPartners members. Variables were chosen that would be available in electronic health records. We developed 16-variable and 6-variable models, using a Cox counting model process that allows for the inclusion of multiple 6-month observation periods per person. Across the three cohorts, there were 850,992 6-month observation periods, and 10,448 periods with at least one severe hypoglycemic event. The six-variable model contained age, diabetes type, HgbA1c, eGFR, history of a hypoglycemic event in the prior year, and insulin use. Both prediction models performed well, with good calibration and c-statistics of 0.84 and 0.81 for the 16-variable and 6-variable models, respectively. In the external validation cohorts, the c-statistics were 0.80-0.84. We developed and validated two prediction models for predicting the 6-month risk of hypoglycemia. The 16-variable model had slightly better performance than the 6-variable model, but in some practice settings, use of the simpler model may be preferred. Copyright © 2017 Elsevier Inc. All rights reserved.

Exposure to Mobile Source Air Pollution in Early-life and Childhood Asthma Incidence: The Kaiser Air Pollution and Pediatric Asthma Study.

Science.gov (United States)

Pennington, Audrey Flak; Strickland, Matthew J; Klein, Mitchel; Zhai, Xinxin; Bates, Josephine T; Drews-Botsch, Carolyn; Hansen, Craig; Russell, Armistead G; Tolbert, Paige E; Darrow, Lyndsey A

2018-01-01

Early-life exposure to traffic-related air pollution exacerbates childhood asthma, but it is unclear what role it plays in asthma development. The association between exposure to primary mobile source pollutants during pregnancy and during infancy and asthma incidence by ages 2 through 6 was examined in the Kaiser Air Pollution and Pediatric Asthma Study, a racially diverse birth cohort of 24,608 children born between 2000 and 2010 and insured by Kaiser Permanente Georgia. We estimated concentrations of mobile source fine particulate matter (PM2.5, µg/m), nitrogen oxides (NOX, ppb), and carbon monoxide (CO, ppm) at the maternal and child residence using a Research LINE source dispersion model for near-surface releases. Asthma was defined using diagnoses and medication dispensings from medical records. We used binomial generalized linear regression to model the impact of exposure continuously and by quintiles on asthma risk. Controlling for covariates and modeling log-transformed exposure, a 2.7-fold increase in first year of life PM2.5 was associated with an absolute 4.1% (95% confidence interval, 1.6%, 6.6%) increase in risk of asthma by age 5. Quintile analysis showed an increase in risk from the first to second quintile, but similar risk across quintiles 2-5. Risk differences increased with follow-up age. Results were similar for NOX and CO and for exposure during pregnancy and the first year of life owing to high correlation. Results provide limited evidence for an association of early-life mobile source air pollution with childhood asthma incidence with a steeper concentration-response relationship observed at lower levels of exposure.

Measuring integrated care.

Science.gov (United States)

Strandberg-Larsen, Martin

2011-02-01

The positive outcomes of coordination of healthcare services are to an increasing extent becoming clear. However the complexity of the field is an inhibiting factor for vigorously designed trial studies. Conceptual clarity and a consistent theoretical frame-work are thus needed. While researchers respond to these needs, patients and providers face the multiple challenges of today's healthcare environment. Decision makers, planners and managers need evidence based policy options and information on the scope of the integrated care challenges they are facing. The US managed care organization Kaiser Permanente has been put forward as an example for European healthcare systems to follow, although the evidence base is far from conclusive. The thesis has five objectives: 1) To contribute to the understanding of the concept of integration in healthcare systems and to identify measurement methods to capture the multi-dimensional aspects of integrated healthcare delivery. 2) To assess the level of integration of the Danish healthcare system. 3) To assess the use of joint health plans as a tool for coordination between the regional and local level in the Danish healthcare system. 4) To compare the inputs and performance of the Danish healthcare system and the managed care organization Kaiser Permanente, California, US. 5) To compare primary care clinicians' perception of clinical integration in two healthcare systems: Kaiser Permanente, Northern California and the Danish healthcare system. Further to examine the associations between specific organizational factors and clinical integration within each system. The literature was systematically searched to identify methods for measurement of integrated healthcare delivery. A national cross-sectional survey was conducted among major professional stake-holders at five different levels of the Danish healthcare system. The survey data were used to allow for analysis of the level of integration achieved. Data from the survey were

Properties and simulation of α-permanental random fields

DEFF Research Database (Denmark)

Møller, Jesper; Rubak, Ege Holger

An α-permanental random field is briefly speaking a model for a collection of random variables with positive associations, where α is a positive number and the probability generating function is given in terms of a covariance or more general function so that density and moment expressions are given...... by certain α-permanents. Though such models possess many appealing probabilistic properties, many statisticians seem unaware of  α-permanental random fields and their potential applications. The purpose of this paper is first to summarize useful probabilistic results using the simplest possible setting......, and second to study stochastic constructions and simulation techniques, which should provide a useful basis for discussing the statistical aspects in future work. The paper also discusses some examples of  α-permanental random fields....

75 FR 61246 - Kaiser Federal Financial Group, Inc., Covina, CA; Approval of Conversion Application

Science.gov (United States)

2010-10-04

... DEPARTMENT OF THE TREASURY Office of Thrift Supervision [AC-51: OTS No. H-4729] Kaiser Federal... September 28, 2010, the Office of Thrift Supervision approved the application of K-Fed Mutual Holding Company and Kaiser Federal Bank, Covina, California, to convert to the stock form of organization. Copies...

Medline Plus

Full Text Available ... Merriam, KS, 05/04/2012) Colorectal Cancer Laparoscopic Right Colectomy ... Incontinence Advanced Procedures in Male Incontinence: The Male Sling (Kaiser Permanente San Diego ...

La formación permanente del profesorado en entornos virtuales de aprendizaje

OpenAIRE

Sonia Mª SANTOVEÑA CASAL

2012-01-01

La educación permanente nos permite adaptarnos a las exigencias sociales y a las demandas de la sociedad del conocimiento. En este contexto se hace imprescindible una formación permanente con apoyo de entornos virtuales de aprendizaje de calidad. El objetivo principal de esta investigación es el estudio de la calidad de los cursos virtuales destinados a la formación del profesorado desde diferentes instituciones públicas. La muestra está formada por cuatro cursos de formación permanente desti...

Experimental study on the Kaiser effect of AE under multiaxial loading in granite

International Nuclear Information System (INIS)

Watanabe, Hidehiko; Hiroi, Takehiro

2012-01-01

Knowledge of the in-situ stresses is essential for underground excavation design, particularly in evaluating stability of excavation. Acoustic Emission method, which utilizes the Kaiser effect, is one of the simple methods for measuring in-situ stresses. Experiments on the Kaiser effect has been carried out under uniaxial compression and triaxial compression (σ 1 > σ 2 = σ 3 ), but has not been carried out under the three different principal stresses (σ 1 > σ 2 > σ 3 ). In this study, we performed two experiments on the Kaiser effect under multiaxial loading, using a hollow cylindrical granite specimen. The rapidly increasing point of cumulative AE event count was determined as the peak point of AE event count rate increment (AERI). The main results are summarized as follows. (1) In the case of the cyclic incremental σ 1 loading under σ 2 ≠σ 3 , the large peak point of AERI appeared just before the pre-stress level. And as more stresses prior to just before the peak point were estimated, the estimated error showed a tendency to increase. (2) In the case of re-loading under the lower σ 2 and σ 3 more than pre-loading, the estimated stresses using the three peak points of AERI corresponded to the pre-differential stresses (σ 1 -σ 2 ), (σ 1 -σ 3 ) and pre-axial stress σ 1 . The magnitudes of the three principal stresses were estimated under multiaxial loading from the Kaiser effect, using only one specimen. (author)

Intersection local times, loop soups and permanental Wick powers

CERN Document Server

Jan, Yves Le; Rosen, Jay

2017-01-01

Several stochastic processes related to transient Lévy processes with potential densities u(x,y)=u(y-x), that need not be symmetric nor bounded on the diagonal, are defined and studied. They are real valued processes on a space of measures \\mathcal{V} endowed with a metric d. Sufficient conditions are obtained for the continuity of these processes on (\\mathcal{V},d). The processes include n-fold self-intersection local times of transient Lévy processes and permanental chaoses, which are `loop soup n-fold self-intersection local times' constructed from the loop soup of the Lévy process. Loop soups are also used to define permanental Wick powers, which generalizes standard Wick powers, a class of n-th order Gaussian chaoses. Dynkin type isomorphism theorems are obtained that relate the various processes. Poisson chaos processes are defined and permanental Wick powers are shown to have a Poisson chaos decomposition. Additional properties of Poisson chaos processes are studied and a martingale extension is obt...

Um teste direto da teoria de renda permanente: o caso brasileiro

Directory of Open Access Journals (Sweden)

Fábio Augusto Reis Gomes

2012-01-01

Full Text Available O presente artigo busca averiguar se a teoria da renda permanente (TRP é capaz de explicar a evolução do consumo no Brasil através de um teste direto com base em revisões de consumo induzidas por inovações na renda. De acordo com a TRP, o consumo reage às mudanças na renda na medida em que a renda corrente contem informação sobre a renda permanente. Para mensurar esta relação, foi estimado um modelo ARIMA (p,1,q para a renda corrente e, como resultado, foi possível verificar se as revisões de consumo e renda permanente se assemelham. Por fim, a TRP foi rejeitada.

La educación permanente y las plataformas web en España

Directory of Open Access Journals (Sweden)

Medina, Beatriz

2014-04-01

Full Text Available La Educación Permanente en España, actualmente disfrutando de una etapa de consolidación, está haciéndose eco de las novedades educativas relacionadas con las Tecnologías de la Información y la Comunicación. En este sentido, realizamos un estudio con el objetivo de conocer la presencia de la Educación Permanente en internet y su oferta formativa, para lograrlo utilizamos la metodología comparada. Las distintas administraciones competentes ofrecen una variada oferta de recursos en plataformas web para hacer más accesible la Educación Permanente. Entre los principales hallazgos tenemos que todas las comunidades y ciudades autónomas del país poseen páginas o portales web dirigidos a las personas adultas que se encuentran en esta etapa del sistema educativo español, excepto Baleares; solo la comunidad autónoma Andalucía tiene un portal exclusivo para la Educación Permanente.

EDUCACIÓN PERMANENTE EN SERVICIO DE FORMACIÓN DE PROFESIONALES DE ENFERMERÍA

Directory of Open Access Journals (Sweden)

Rosa Gomes Ferreira

2015-12-01

Full Text Available A formação é um processo contínuo e deve estar presente no cotidiano de trabalho e para tal, surge a educação permanente, como pactuação teoria-prática. Nossos objetivos são o de descrever as práticas educativas em saúde, enfatizando a educação permanente e analisar os contrapontos e intersecções à efetividade da assistência, mediante a prática de educação permanente. Estudo qualitativo, descritivo, exploratório. O estudo aponta que a educação permanente emerge como ferramenta capaz de despertar desejo, no trabalhador, em discutir e refletir acerca da prática. No entanto, todas as práticas educativas, tal como a educação continuada, tem valor e penetrância no campo do trabalho.  DOI: http://dx.doi.org/10.12957/sustinere.2015.18127

Le tecnologie mobili dell’apprendimento permanente, il progetto MOTILL

Directory of Open Access Journals (Sweden)

Marco Arrigo

2013-03-01

Full Text Available In questo articolo vengono presentati alcuni dei risultati del progetto MOTILL. MOTILL, ovvero «Le Tecnologie Mobili nell’apprendimento permanente: buone pratiche», è un progetto finanziato dalla Comunità Europea, nell’ambito del National Lifelong Learning Strategies (NLLS. Il progetto, durato un anno e terminato a Marzo 2010, si è focalizzato sull’uso delle tecnologie mobili in contesti di lifelong learning (LLL. L’articolo sarà dedicato a una breve introduzione del progetto, dei suoi obiettivi e delle azioni portate avanti, e a un rapido riassunto dei principali risultati ottenuti, i quali sono stati resi disponibili online alla comunità scientifica e diffusi ai policy makers impegnati nei programmi di apprendimento permanente.

Las enfermedades neoplásicas como causa de la incapacidad permanente

OpenAIRE

Ares Camerino, A.; Sainz Vera, B.; Marchena Aparicio, J.C.; Soto Pino, M.L.

2008-01-01

El cáncer es la primera causa de mortalidad en hombres y la segunda en mujeres, tras las enfermedades cardiovasculares. Desde el punto de vista económico, los costes atribuibles a las enfermedades neoplásicas son principalmente indirectos (pérdida de productividad asociada a la mortalidad o a la incapacidad permanente). Analizando las incapacidades permanentes producidas en la Diputación Provincial de Cádiz en el período 1990-2005, que fueron un total de 208, se concluye, por orden de frecuen...

Treatment changes in patients with psoriasis on etanercept or adalimumab

DEFF Research Database (Denmark)

Lee, Erica B; Amin, Mina; Egeberg, Alexander

2018-01-01

PURPOSE: To determine the frequency of and reasons for treatment changes in patients with psoriasis. MATERIALS AND METHODS: A retrospective chart review of 140 patients with psoriasis treated with adalimumab or etanercept seen at Kaiser Permanente Los Angeles Medical Center between September 20, ...

TPMG Northern California appointments and advice call center.

Science.gov (United States)

Conolly, Patricia; Levine, Leslie; Amaral, Debra J; Fireman, Bruce H; Driscoll, Tom

2005-08-01

Kaiser Permanente (KP) has been developing its use of call centers as a way to provide an expansive set of healthcare services to KP members efficiently and cost effectively. Since 1995, when The Permanente Medical Group (TPMG) began to consolidate primary care phone services into three physical call centers, the TPMG Appointments and Advice Call Center (AACC) has become the "front office" for primary care services across approximately 89% of Northern California. The AACC provides primary care phone service for approximately 3 million Kaiser Foundation Health Plan members in Northern California and responds to approximately 1 million calls per month across the three AACC sites. A database records each caller's identity as well as the day, time, and duration of each call; reason for calling; services provided to callers as a result of calls; and clinical outcomes of calls. We here summarize this information for the period 2000 through 2003.

‘God is groot en wij begrijpen Hem niet’: Kaisers populaire sterrenkunde en het einde van de fysiko-theologie

Directory of Open Access Journals (Sweden)

Frans van Lunteren

2011-06-01

Full Text Available Frederik Kaiser, popular astronomy, and the decline of natural theologyThroughout his remarkable career the Leiden astronomer Frederik Kaiser (1808-1872 struggled to revive Dutch astronomy, which at the time was rather moribund. His efforts comprised mobilizing public support through popularization. In spite of a lack of illustrations, his popular Starry Sky (1844 proved immensely successful with the general public. This work differed in many respects from earlier Dutch popular writings, and helped to establish the new genre of popular science. Kaiser enunciated his idiosyncratic views on popularization in a lecture which he later published as a brochure. Whereas his research reflects the shift from the dilettante to the professional scientist in being focussed on precision measurement, his popular work likewise testified to the transition from natural philosophy to modern science. Charged with the task of composing a natural theological work on astronomy, the deeply religious Kaiser, wriggled his way through the text. Feeling unable to advance the usual arguments, he finally found refuge in the book of Job: 'Behold, God is great and we know him not'. Arguably, the rise of popular science and the decline of natural theology were intimately connected.

Pathways: improving outcomes, not just 'cookbook medicine'.

Science.gov (United States)

O'Malley, S

1997-04-01

A Kaiser Permanente medical director cites four benefits to be derived from using clinical guidelines: better outcomes, faster patient recovery, reduced costs, and increased physician accountability. And, he notes, physicians are free to deviate from the guidelines--so long as they can justify their actions.

Review of HIV Pre exposure prophylaxis (PrEP) and example of HIV PrEP Toolkit

Science.gov (United States)

2017-08-28

at Initiation of Sexual Activity Correct & Consistent Condom Use Prevention of mother-to- child transmission July 16, 2012: FDA approves...Okulicz JF, Medicine 2016 PrEP Utilization in a Managed Care System (Kaiser Permanente) 1200 ~ 1045 1000 . 800 600 . 400 200 0 835 657 0

Site support program plan for ICF Kaiser Hanford Company, Revision 1

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-10-01

This document is the general administrative plan implemented by the Hanford Site contractor, ICF Kaiser Hanford Company. It describes the mission, administrative structure, projected staffing, to be provided by the contractor. The report breaks out the work responsibilities within the different units of the company, a baseline schedule for the different groups, and a cost summary for the different operating units.

Site support program plan for ICF Kaiser Hanford Company, Revision 1

International Nuclear Information System (INIS)

1995-10-01

This document is the general administrative plan implemented by the Hanford Site contractor, ICF Kaiser Hanford Company. It describes the mission, administrative structure, projected staffing, to be provided by the contractor. The report breaks out the work responsibilities within the different units of the company, a baseline schedule for the different groups, and a cost summary for the different operating units

EDUCAÇÃO PERMANENTE EM SAÚDE: Reflexões e desafios

OpenAIRE

Palhares Guimarães,Eliane Marina; Haueisen Martin,Sandra; Paolinelli Rabelo,Flávia Cristina

2010-01-01

Este trabalho é resultado de uma reflexão sobre o processo de educação permanente em saúde e na enfermagem. Tem como objetivo apresentar algumas perspectivas e tendências da educação em saúde e na enfermagem, com ênfase em educação permanente. Analisa a importância dos avanços tecnológicos e sua incorporação no processo de ensinar e de aprender. O texto é dividido em três partes, abordando inicialmente as mudanças organizacionais e, conseqüentemente, na educação, decorrentes da incorporação t...

Comparison of paper and electronic surveys for measuring patient-reported outcomes after anterior cruciate ligament reconstruction.

Science.gov (United States)

Bojcic, Jamie L; Sue, Valerie M; Huon, Tomy S; Maletis, Gregory B; Inacio, Maria C S

2014-01-01

This study compared response rates of paper and electronic versions of the Knee injury Osteoarthritis and Outcome Score questionnaire and examined the characteristics of patients who responded to each survey method. A total of 1486 patients registered by the Kaiser Permanente Anterior Cruciate Ligament Reconstruction Registry between 2005 and 2010 were included in this study. Response rates by survey modality for the overall cohort, by the specific time periods, and by age and sex at time of anterior cruciate ligament reconstruction were compared using χ(2) tests or the Fisher exact test when appropriate. Independent Student t tests were used to compare the Knee injury Osteoarthritis and Outcome Scores of survey respondents. The overall survey response rate was 42%. The 36% response rate in the electronic-survey group was significantly higher than the 22% response rate in the paper-survey group (p survey produced higher response rates, it is not sufficient alone to replace the traditional paper version among this Kaiser Permanente population.

Joint Venture Arrangement for RN to BSN: A Model of Synergy between Academia and Service.

Science.gov (United States)

Bargagliotti, L. Antoinette; And Others

1991-01-01

Joint venture among educational and practice institutions is well on its way toward becoming the norm in nursing education and practice. Kaiser Permanente and the University of San Francisco School of Nursing offer a venture that allows registered nurses to pursue a bachelor of science in nursing degree. (JOW)

Crack Identification in CFRP Laminated Beams Using Multi-Resolution Modal Teager–Kaiser Energy under Noisy Environments

Science.gov (United States)

Xu, Wei; Cao, Maosen; Ding, Keqin; Radzieński, Maciej; Ostachowicz, Wiesław

2017-01-01

Carbon fiber reinforced polymer laminates are increasingly used in the aerospace and civil engineering fields. Identifying cracks in carbon fiber reinforced polymer laminated beam components is of considerable significance for ensuring the integrity and safety of the whole structures. With the development of high-resolution measurement technologies, mode-shape-based crack identification in such laminated beam components has become an active research focus. Despite its sensitivity to cracks, however, this method is susceptible to noise. To address this deficiency, this study proposes a new concept of multi-resolution modal Teager–Kaiser energy, which is the Teager–Kaiser energy of a mode shape represented in multi-resolution, for identifying cracks in carbon fiber reinforced polymer laminated beams. The efficacy of this concept is analytically demonstrated by identifying cracks in Timoshenko beams with general boundary conditions; and its applicability is validated by diagnosing cracks in a carbon fiber reinforced polymer laminated beam, whose mode shapes are precisely acquired via non-contact measurement using a scanning laser vibrometer. The analytical and experimental results show that multi-resolution modal Teager–Kaiser energy is capable of designating the presence and location of cracks in these beams under noisy environments. This proposed method holds promise for developing crack identification systems for carbon fiber reinforced polymer laminates. PMID:28773016

Educação permanente em enfermagem em um hospital universitário

OpenAIRE

Jesus,Maria Cristina Pinto de; Figueiredo,Mariangela Aparecida Gonçalves; Santos,Sueli Maria dos Reis; Amaral,Arlete Maria Moreira do; Rocha,Letícia de Oliveira; Thiollent,Michel Jean Marie

2011-01-01

A educação permanente enfatiza a interdisciplinaridade da equipe de saúde, focaliza a prática como fonte do conhecimento e coloca o profissional para atuar ativamente no processo educativo. Este estudo objetivou identificar demandas e expectativas, fatores que interferem na qualificação de trabalhadores de enfermagem de um hospital universitário e propor práticas de capacitação na perspectiva da educação permanente. O processo investigativo fundamentado nos princípios da pesquisa-ação foi rea...

Restorative Integral Support (RIS) for Older Adults Experiencing Co-Occurring Disorders

Science.gov (United States)

Larkin, Heather; MacFarland, Nicole S.

2012-01-01

The Restorative Integral Support (RIS) model is a whole person response that assists people to overcome adversity. The Adverse Childhood Experiences (ACE) Study conducted by Kaiser Permanente and the Centers for Disease Control and Prevention shows the association between stressors in childhood and multiple later-life health and social problems.…

Flexibilidad laboral: ¿fin del trabajo permanente?

Directory of Open Access Journals (Sweden)

Carmen Añez Hernández

2016-05-01

Full Text Available Los trabajos transitorios o atípicos, siguen posicionándose y funcionando trastocando la protección del sistema de regulación y protección del trabajo permanente. De ahí, la importancia de reflexionar teóricamente sobre el tema. Para su desarrollo se plantean los siguientes objetivos: demostrar que la flexibilización laboral ha incidido en la ruptura de las relaciones laborales, caracterizar como la subcontratación laboral encubre dichas relaciones, analizar el despido laboral y sus consecuencias en los trabajadores. El artículo se desarrolló teóricamente, especialmente tomando como referencia autores como: Bravo (2010, Quintero (2010, González (2012 De La Garza (2007, Ugarte (2007, entre otros, lo cual permitió analizar la temática abordada. Los resultados reflejan que dicha estrategia está impulsando la agudización de las condiciones precarias de los derechos laborales, con lo cual se está ante un capitalismo irracional, que tiene como propósito que los trabajadores sufraguen los efectos de las pretensiones de los capitalistas por conseguir mayores tasas de ganancia y niveles más altos de productividad. En consecuencia, la flexibilización de las relaciones laborales está destinada a ocultar los derechos de los trabajadores, agudizar el despido laboral, y propiciar el fin de un trabajo permanente.

Los entornos personales de aprendizaje en el marco de la educación permanente

Directory of Open Access Journals (Sweden)

Elvira E. Navas

2013-01-01

Full Text Available En este trabajo se presenta un estudio documental sobre el surgimiento, evolución y estado actual de la utilización y desarrollo de los Entornos Personales de Aprendizaje (Personal Learning Environment, PLE en el marco de la Educación Permanente o Aprendizaje para Toda la vida (Lifelong Learning. En primer lugar, se hace una revisión del concepto de Educación Permanente desde la literatura de inicios de siglo XX. A continuación, se procede a estudiar el término PLE, desde sus orígenes hasta la interpretación actual. Se presentan experiencias tanto nacionales como internacionales donde se ejemplifica de forma práctica la utilización de PLE en la educación universitaria. Finalmente, se hace una reflexión de cierre sobre las proyecciones de futuro del uso de los PLE en el marco de la educación permanente.

Agenesia en dentición permanente

OpenAIRE

Beltrán Morera, Jazmín

2009-01-01

Objetivo Determinar la frecuencia de agenesia dental en dentición permanente.Materiales y Métodos Se incluyeron 112 pacientes que acudieron al servicio de imagenología de la Facultad de Odontología, Universidad Nacional Autónoma de México, de enero a julio del 2008, mayores de 13 años, sin extracciones dentales ni síndromes genéticos, a quienes se les tomó ortopantomografía. Se registraron variablessociodemográficas y antecedentes familiares de agenesia dental. Lainformación se procesó en SPS...

Diagnosing the Kaiser: Psychiatry, Wilhelm II and the Question of German War Guilt The William Bynum Prize Essay 2016.

Science.gov (United States)

Freis, David

2018-07-01

After his abdication in November 1918, the German emperor Wilhelm II continued to haunt the minds of his people. With the abolition of the lese-majesty laws in the new republic, many topics that were only discussed privately or obliquely before could now be broached openly. One of these topics was the mental state of the exiled Kaiser. Numerous psychiatrists, physicians and laypeople published their diagnoses of Wilhelm in high-circulation newspaper articles, pamphlets, and books shortly after the end of the war. Whether these diagnoses were accurate and whether the Kaiser really was mentally ill became the issue of a heated debate.This article situates these diagnoses of Wilhelm II in their political context. The authors of these diagnoses - none of whom had met or examined Wilhelm II in person - came from all political camps and they wrote with very different motives in mind. Diagnosing the exiled Kaiser as mentally ill was a kind of exorcism of the Hohenzollern rule, opening the way for either a socialist republic or the hoped-for rule of a new leader. But more importantly, it was a way to discuss and allocate political responsibility and culpability. Psychiatric diagnoses were used to exonerate both the Emperor (for whom the treaty of Versailles provided a tribunal as war criminal) and the German nation. They were also used to blame the Kaiser's entourage and groups that had allegedly manipulated the weak-willed monarch. Medical concepts became a vehicle for a debate on the key political questions in interwar Germany.

Experimental and numerical study of the Kaiser effect in cyclic Brazilian tests with disk rotation

CSIR Research Space (South Africa)

Lavrov, A

2002-04-01

Full Text Available Sensitivity of the Kaiser effect to the deviations of the directions of sigma(1)-principal stress experienced by rock in Successive loading cycles has an important impact on the application of this effect for stress measurements in rocks. The paper...

La incapacidad permanente y su impacto en el sistema español de Seguridad Social

Directory of Open Access Journals (Sweden)

César Luis Gómez Garcillán

Full Text Available Se analizan datos de incapacidad permanente de los últimos años en la seguridad social. Conclusiones: El desglose provincial muestra grandes diferencias a nivel territorial cuyo origen o motivación no se puede determinar actualmente en tanto no se dispone de dos parámetros básicos, el código de diagnóstico de la patología principal determinante de la incapacidad permanente y el código identificativo de la actividad laboral (profesión habitual del interesado que permitirían realizar un análisis fiable de la situación. Entre los factores que podrían incidir de alguna manera en la mayor o menor incidencia de la incapacidad permanente, podemos analizar dos grandes componentes, la población protegida y su composición a nivel de regímenes y la iniciativa en la incoación de los procedimientos. El grupo de provincias con una incidencia más elevada en incapacidad permanente acusa tasas de paro también más elevadas que el grupo con incidencia menor. La tendencia en el número de procedimientos de IP incoados resulta claramente a la baja con una caída de más del 9% en cinco años. El INSS desestima un porcentaje creciente de los mismos, la razón de ese comportamiento no reside en una valoración restrictiva o más exigente por parte de la gestora, sino porque se instruyen menos procesos de incapacidad permanente y porque va tomando mayor protagonismo en la iniciativa de incoación el procedimiento a instancia de parte, cuyo porcentaje de desestimación es el más elevado.

An update on the use of Atripla® in the treatment of HIV in the United States

Directory of Open Access Journals (Sweden)

Michael A Horberg

2010-06-01

Full Text Available Michael A Horberg1, Daniel B Klein21HIV Interregional Initiative, Kaiser Permanente, Oakland, California, USA; 2Department of Infectious Diseases, Kaiser Permanente Hayward Medical Center, Hayward, California, USAAbstract: Atripla® (Gilead Sciences Inc, Foster City, CA, USA and Bristol-Myers Squibb, New York City, NY, USA is a coformulated single pill composed of efavirenz, emtricitabine, and tenofovir disoproxil, intended as a once-daily potent combination antiretroviral therapeutic agent. Its efficacy is equivalent to the 3 component drugs taken in a combination as single medications. The coformulated antiretroviral regimen can be quite effective in patients whose human immunodeficiency virus is sensitive to all 3 components of Atripla. However, women at risk of pregnancy, already pregnant, or nursing mothers should not take Atripla, due to the teratogenic potential of the efavirenz moiety. Adverse effects are similar to those seen with the constituent medications, including potential central nervous system effects and renal toxicity. Since its US Food and Drug administration approval, prescriptions for Atripla have increased steadily.Keywords: tenofovir, efavirenz, emtricitabine, antiretroviral therapy

Evaluation of Rock Stress Estimation by the Kaiser effect

International Nuclear Information System (INIS)

Lehtonen, A.

2005-11-01

The knowledge of in situ stress is the key input parameter in many rock mechanics analyses. Information on stress allows the definition of boundary conditions for various modelling and engineering tasks. Presently, the estimation of stresses in bedrock is one of the most difficult, time-consuming and high-priced rock mechanical investigations. In addition, the methods used today have not evolved significantly in many years. This brings out a demand for novel, more economical and practical methods for stress estimation. In this study, one such method, Kaiser effect based on acoustic emission of core samples, has been evaluated. It can be described as a 'memory' in rock that is indicated by a change in acoustic emission emitted during uniaxial loading test. The most tempting feature of this method is the ability to estimate the in situ stress state from core specimens in laboratory conditions. This yields considerable cost savings compared to laborious borehole measurements. Kaiser effect has been studied in order to determine in situ stresses for decades without any major success. However, recent studies in Australia and China have been promising and made the estimation of stress tensor possible from differently oriented core samples. The aim of this work has been to develop a similar estimation method in Finland (including both equipment and data reduction), and to test it on samples obtained from Olkiluoto, Eurajoki. The developed measuring system proved to work well. The quality of obtained data varied, but they were still interpretable. The results obtained from these tests were compared with results of previous overcoring measurements, and they showed quite good correlation. Thus, the results were promising, but the method still needs further development and more testing before the final decision on its feasibility can be made. (orig.)

Consider outsourcing IT projects when cutting-edge technology, specialized focus are needed.

Science.gov (United States)

1999-05-01

Looking outside to meet information technology needs proves a smart way to avert extra staffing costs. Kaiser Permanente saves thousands each year by contracting out cutting-edge IT projects instead of hiring more full-time staff it doesn't need. Learn how the organization incorporates outsourcing and other temporary work methods into its IT staffing strategy.

Mineralogical control on thermal damage and the presence of a thermal Kaiser effect during temperature-cycling experiments

Science.gov (United States)

Browning, J.; Daoud, A.; Meredith, P. G.; Mitchell, T. M.

2017-12-01

Volcanic and geothermal systems are in part controlled by the mechanical and thermal stresses acting on them and so it is important to understand the response of volcanic rocks to thermo-mechanical loading. One such response is the well-known `Kaiser stress-memory' effect observed under cyclic mechanical loading. By contrast, the presence of an analogous `Kaiser temperature-memory effect' during cyclic thermal loading has received little attention. We have therefore explored the possibility of a Kaiser temperature-memory effect using three igneous rocks of different composition, grain size and origin; Slaufrudalur Granophyre (SGP), Nea Kameni Andesite (NKA) and Seljadalur Basalt (SB). We present results from a series of thermal stressing experiments in which acoustic emissions (AE) were recorded contemporaneously with changing temperature. Samples of each rock were subjected to both a single heating and cooling cycle to a maximum temperature of 900 °C and multiple heating/cooling cycles to peak temperatures of 350°C, 500°C, 700°C and 900 °C (all at a constant rate of 1°C/min on heating and a natural cooling rate of memory effect in SGP, but not in either NKA and SB. We further find that the vast majority of thermal crack damage is generated upon cooling in the finer grained materials (NKA and SB), but that substantial thermal crack damage is generated during heating in the coarser grained SGP. The total amount of crack damage generated due to heating or cooling is dependent on the mineral composition and, most importantly, the grain size and arrangement, as well as the maximum temperature to which the rock is exposed. Knowledge of thermal stress history and the presence of a Kaiser temperature-memory effect is potentially important in understanding magma chamber dynamics, where the cyclic nature of mechanical and thermal inflation and deflation can lead to sequential accumulation of damage, potentially leading to critical rupture.

Reply to Nicholson's comment on "Consistent calculation of aquatic gross production from oxygen triple isotope measurements" by Kaiser (2011

Directory of Open Access Journals (Sweden)

J. Kaiser

2012-08-01

Full Text Available The comment by Nicholson (2011a questions the "consistency" of the "definition" of the "biological end-member" used by Kaiser (2011a in the calculation of oxygen gross production. "Biological end-member" refers to the relative oxygen isotope ratio difference between photosynthetic oxygen and Air-O₂ (abbreviated ¹⁷δ_P and ¹⁸δ_P for ¹⁷O/¹⁶O and ¹⁸O/¹⁶O, respectively. The comment claims that this leads to an overestimate of the discrepancy between previous studies and that the resulting gross production rates are "30% too high". Nicholson recognises the improved accuracy of Kaiser's direct calculation ("dual-delta" method compared to previous approximate approaches based on ¹⁷O excess (¹⁷Δ and its simplicity compared to previous iterative calculation methods. Although he correctly points out that differences in the normalised gross production rate (g are largely due to different input parameters used in Kaiser's "base case" and previous studies, he does not acknowledge Kaiser's observation that iterative and dual-delta calculation methods give exactly the same g for the same input parameters (disregarding kinetic isotope fractionation during air-sea exchange. The comment is based on misunderstandings with respect to the "base case" ¹⁷δ_P and ¹⁸δ_P values. Since direct measurements of ¹⁷δ_P and ¹⁸δ_Pdo not exist or have been lost, Kaiser constructed the "base case" in a way that was consistent and compatible with literature data. Nicholson showed that an alternative reconstruction of ¹⁷δ_P gives g values closer to previous studies. However, unlike Nicholson, we refrain from interpreting either reconstruction as a benchmark for the accuracy of g. A number of publications over the last 12 months

Educação permanente: reflexão na prática da enfermagem hospitalar.

Directory of Open Access Journals (Sweden)

José Reginaldo PINTO

2015-08-01

Full Text Available Na prática hospitalar, a Educação Permanente é indispensável à formação dos trabalhadores, os quais necessitam ter conhecimentos renovados em sua prática profissional. Nesta perspectiva, buscou-se analisar por meio dessa pesquisa a percepção dos enfermeiros de um hospital de ensino acerca da educação permanente no ambiente hospitalar. Trata-se de uma pesquisa descritiva com abordagem qualitativa, realizada com nove enfermeiros coordenadores de setores, utilizando-se três grupos focais, constituído por três enfermeiros em cada grupo. A investigação ocorreu no Hospital do Coração do município de Sobral, Ceará. Utilizaram-se entrevistas que foram gravadas nas reuniões dos grupos. A análise de conteúdo de Bardin estruturou os achados encontrados. Esses resultados foram separados por unidades temáticas. Foram respeitados os princípios éticos de acordo com a resolução 466/12. A primeira unidade temática investigou o conhecimento dos sujeitos acerca da Educação Permanente, Continuada e em Serviço. Os primeiros achados identificaram divergências de opiniões dos participantes quando conceituaram a diferenciação entre as modalidades de educação em saúde. A segunda unidade resgatou a opinião dos sujeitos sobre as estratégias para implantar uma comissão de educação permanente no hospital. As falas dos participantes revelaram que a comissão deveria motivar os profissionais a continuarem se qualificando no serviço. Ainda indagaram que essas comissões deveria ter caráter multidisciplinar. A última unidade analisada referiu-se a forma de atuar das comissões de educação permanente. Os investigados assinalaram que elas deveriam proporcionar a melhoria do ensino aos profissionais aplicando as metodologias ativas.

del establecimiento permanente

Directory of Open Access Journals (Sweden)

V. Ma. Antonieta Martin Granados

2002-01-01

Full Text Available A pesar de que en México se han realizado adiciones a la legislación en materia civil y mercantil relacionadas con el uso de medios electrónicos como instrumentos para realizar actos jurídicos, éstas resultan insuficientes, pues nada se ha hecho en materia procesal, penal y laboral, entre otras. En este trabajo se presentan, en materia fiscal, algunas consideraciones acerca del concepto de establecimiento permanente tanto en la legislación mexicana como en el Convenio Modelo (CM de la Organización para la Cooperación y Desarrollo Económico (OCDE y se argumenta que a pesar de que la definición de la legislación mexicana es mucho más amplia que la que se encuentra en el mencionado convenio, el comercio electrónico presenta algunos retos para determinar el lugar en donde residen las partes involucradas, el lugar en donde se celebran las operaciones y se pagan o cobran, sobre todo tratándose de servicios o adquisición de bienes intangibles. Por último, se señala que en materia fiscal es necesario que las autoridades mexicanas permitan el uso de la factura electrónica

LA FORMACIÓN AMBIENTAL PERMANENTE DEL DIRECTIVO EDUCACIONAL DEL SIGLO XXI

Directory of Open Access Journals (Sweden)

Mavel Moré Estupiñán

2013-12-01

Full Text Available La situación ambiental actual impone nuevos retos a los sistemas educativos, entre ellos el de incorporar la educación ambiental para el desarrollo sostenible al proceso pedagógico en los diferentes subsistemas de educación. Para lograr este propósito, es decisivo el rol del directivo educacional, desde la implementación del sistema de dirección institucional. Por ello, la formación ambiental de este profesional constituye un imperativo y se declara como problema científico de la presente investigación, que se sustenta teórica y metodológicamente en los fundamentos de la formación ambiental permanente del directivo educacional y delimita como objetivo: proponer un Modelo para orientar hacia el desarrollo sostenible este proceso. Garantizan el cumplimiento del objetivo, el empleo de métodos teóricos, estadísticos y/o de procesamiento matemático y empíricos, de corte cuantitativo y cualitativo, que se articulan a partir de las técnicas de la investigación-acción-participativa. El Modelo constituye la contribución a la teoría pedagógica y son aportes de significación práctica los programas de las formas organizativas de la formación permanente. El criterio de la práctica, como resultado de la sistematización de una secuencia de ciclos, y las valoraciones de diferentes evaluadores confirman la pertinencia, relevancia y efectividad del Modelo de formación ambiental permanente del directivo educacional.

Using a High-Performance Planning Model to Increase Levels of Functional Effectiveness Within Professional Development.

Science.gov (United States)

Winter, Peggi

2016-01-01

Nursing professional practice models continue to shape how we practice nursing by putting families and members at the heart of everything we do. Faced with enormous challenges around healthcare reform, models create frameworks for practice by unifying, uniting, and guiding our nurses. The Kaiser Permanente Practice model was developed to ensure consistency for nursing practice across the continuum. Four key pillars support this practice model and the work of nursing: quality and safety, leadership, professional development, and research/evidence-based practice. These four pillars form the foundation that makes transformational practice possible and aligns nursing with Kaiser Permanente's mission. The purpose of this article is to discuss the pillar of professional development and the components of the Nursing Professional Development: Scope and Standards of Practice model (American Nurses Association & National Nursing Staff Development Organization, 2010) and place them in a five-level development framework. This process allowed us to identify the current organizational level of practice, prioritize each nursing professional development component, and design an operational strategy to move nursing professional development toward a level of high performance. This process is suggested for nursing professional development specialists.

Medical Device Plug-and-Play Interoperability Standards and Technology Leadership

Science.gov (United States)

2014-10-01

Kaiser Permanente, Johns Hopkins Medicine, the VA, FDA, NIST, TATRC, computer and information science groups at University of Pennsylvania...for sharing the findings from our TATRC work and from our NIH Quantum work relative to the gaps in existing standards and recommendations on how they...challenges facing the industry in areas such as interoperability, cybersecurity , data stewardship, and system reliability, and policies needed to accelerate

Postcataract endophthalmitis prophylaxis using irrigation, incision hydration, and eye pressurization with vancomycin

Directory of Open Access Journals (Sweden)

Schelonka LP

2015-07-01

Full Text Available Lee P Schelonka,1 Margaret A SaBell2 1Department of Opthalmology, Kaiser Permanente Lone Tree Medical Offices, Lone Tree, 2Department of Infection Control, Kaiser Permanente Lone Tree Medical Offices, Lone Tree, Denver, CO, USA Purpose: This study aimed to determine whether switching from balanced salt solution (BSS to vancomycin 20 g/mL BSS for incision hydration and eye pressurization reduces the rate of postcataract endophthalmitis.Methods: This was a patient safety/quality improvement project, including all patients undergoing cataract surgery at the Kaiser Permanente Colorado Ophthalmology Department from January 2002 to December 2014. Throughout the study, patients received vancomycin 20 µg/mL in the irrigating solution. During the baseline period from 2002 to 2005, surgeons pressurized eyes and hydrated incisions with plain BSS. During the intervention period from 2006 through 2014, surgeons switched from BSS to the vancomycin/BSS irrigating solution for eye pressurization and incision hydration.Results: A total of 57,263 cataract operations were performed by 24 surgeons at seven surgical centers: 12,400 in the baseline period and 44,863 in the intervention period. The rate of postcataract endophthalmitis declined significantly from 5/12,400 (rate: 0.4/1,000 in the baseline period to 1/44,863 (rate: 0.022/1,000 during the intervention period (odds ratio [OR]: 18.1, 95% confidence interval [CI]: 2.11–154.9; χ2=13.5, P=0.00024. Accounting for an estimated 2.05-fold risk reduction due to confounding variables, the risk reduction attributed to the intervention remained significant: (adjusted OR: 8.78, 95% CI: 1.73–44.5; χ2=10.06, P=0.0015. Since 2009, we have not experienced any cases of postcataract endophthalmitis after 32,753 operations.Conclusion: We experienced a significant reduction in postcataract endophthalmitis when we switched from BSS to the vancomycin/BSS irrigating solution for incision hydration and eye pressurization

The greatest challenges reported by long-term colorectal cancer survivors with stomas.

Science.gov (United States)

McMullen, Carmit K; Hornbrook, Mark C; Grant, Marcia; Baldwin, Carol M; Wendel, Christopher S; Mohler, M Jane; Altschuler, Andrea; Ramirez, Michelle; Krouse, Robert S

2008-04-01

This paper presents a qualitative analysis of the greatest challenges reported by long-term colorectal cancer survivors with ostomies. Surveys that included an open-ended question about challenges of living with an ostomy were administered at three Kaiser Permanente regions: Northern California, Northwest, and Hawaii. The study was coordinated at the Southern Arizona Veterans Affairs Health Care System in Tucson. The City of Hope Quality of Life Model for Ostomy Patients provided a framework for the study's design, measures, data collection, and data analysis. The study's findings may be generalized broadly to community settings across the United States. Results replicate those of previous research among veterans, California members of the United Ostomy Association, Koreans with ostomies, and colorectal cancer survivors with ostomies residing in the United Kingdom. The greatest challenges reported by 178 colorectal cancer survivors with ostomies confirmed the Institute of Medicine's findings that survivorship is a distinct, chronic phase of cancer care and that cancer's effects are broad and pervasive. The challenges reported by study participants should inform the design, testing and integration of targeted education, early interventions, and ongoing support services for colorectal cancer patients with ostomies.

Evaluación de la formación permanente del profesorado: enfoque de resultados || Evaluation of permanent teacher training: approach of results

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José Domínguez

2015-07-01

Full Text Available La evolución del sistema educativo ha provocado cambios significativos en la formación permanente del profesorado, por tanto, es necesario un diagnóstico de necesidades utilizando instrumentos y metodologías que informen de las demandas formativas profesionales. En este sentido, el objetivo principal del estudio se centra en aportar luz sobre las percepciones y expectativas del profesorado acerca de la formación permanente en la Comunidad Autónoma de Galicia. Para ello, se utilizó una metodología evaluativa centrada en el contexto, entrada, proceso y producto (diseño CIPP. Los resultados confirman que la evolución de la formación se viene incrementando en su oferta pero disminuyendo su eficacia. Además, se ha comprobado la necesidad de reestructurar la formación permanente, apostando por un modelo más global, con cobertura en todas las necesidades formativas del profesorado. El gran reto de la formación permanente del profesorado es la transferibilidad de la misma al contexto del aula, una cuestión sencilla pero muy difícil de evaluar. Mejorar la calidad educativa depende directamente de la eficiencia y excelencia en la formación docente, la cual debería someterse a un proceso de revisión y actualización permanente.

Análisis de series temporales en estaciones permanentes GPS

OpenAIRE

García Cañada, Laura

2016-01-01

En los ultimos años el número de estaciones permanentes GPS ha aumentado considerablemente para diferentes aplicaciones geodésicas y se comienza a disponer de series de coordenadas suficientemente largas como para poder aplicar ánalisis de series temporales. El principal objetivo de esta tesis es estudiar la influencia de la red de estaciones utilizada, marco de referencia y/o estrategia de procesado en las series temporales de coordenadas de estaciones CGPS y todos aquellos parámetros que se...

Análisis de series temporales en estaciones permanentes GPS

OpenAIRE

García Cañada, Laura

2015-01-01

En los ultimos años el número de estaciones permanentes GPS ha aumentado considerablemente para diferentes aplicaciones geodésicas y se comienza a disponer de series de coordenadas suficientemente largas como para poder aplicar ánalisis de series temporales. El principal objetivo de esta tesis es estudiar la influencia de la red de estaciones utilizada, marco de referencia y/o estrategia de procesado en las series temporales de coordenadas de estaciones CGPS y todos aquellos parámetros que s...

How dentists diagnose and treat defective restorations: evidence from the dental practice-based research network

DEFF Research Database (Denmark)

Gordan, Valeria V; Garvan, Cynthia W; Richman, Joshua S

2009-01-01

, Norway and Sweden. METHODS: A questionnaire was sent to all DPBRN practitioner-investigators who reported doing some restorative dentistry (n = 901). Questions included clinical case scenarios that used text and clinical photographs of defective restorations. Dentists were asked what type of treatment......OBJECTIVES: To (1) identify and quantify the types of treatment that dentists use to manage defective dental restorations and (2) identify characteristics that are associated with these dentists' decisions to replace existing restorations. The Dental Practice-Based Research Network (DPBRN) consists...... of dentists in outpatient practices from five regions: AL/MS: Alabama/Mississippi; FL/GA: Florida/Georgia; MN: dentists employed by HealthPartners and private practitioners in Minnesota; PDA: Permanente Dental Associates in cooperation with Kaiser Permanente's Center for Health Research and SK: Denmark...

Utilization and costs of home-based and community-based care within a social HMO: trends over an 18-year period

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Walter Leutz

2005-10-01

Full Text Available Purpose: Our objective was to describe the utilization and costs of services from 1985 to 2002 of a Social Health Maintenance Organization (SHMO demonstration project providing a benefit for home-based and community-based as well as short-term institutional (HCB care at Kaiser Permanente Northwest (KPNW, serving the Portland, Oregon area. The HCB care benefit was offered by KPNW as a supplement to Medicare's acute care medical benefits, which KPNW provides in an HMO model. KPNW receives a monthly per capita payment from Medicare to provide medical benefits, and Medicare beneficiaries who choose to join pay a supplemental premium that covers prescription drugs, HCB care benefits, and other services. A HCB care benefit of up to $12,000 per year in services was available to SHMO members meeting requirement for nursing home certification (NHC. Methods: We used aggregate data to track temporal changes in the period 1985 to 2002 on member eligibility, enrollment in HCB care plans, age, service utilization and co-payments. Trends in the overall costs and financing of the HCB care benefit were extracted from quarterly reports, management data, and finance data. Results: During the time period, 14,815 members enrolled in the SHMO and membership averaged 4,531. The proportion of SHMO members aged 85 or older grew from 12 to 25%; proportion meeting requirements for NHC rose from 4 to 27%; and proportion with HCB care plans rose from 4 to 18%. Costs for the HCB care benefit rose from $21 per SHMO member per month in 1985 to $95 in 2002. The HCB care costs were equivalent to 12% to 16% of Medicare reimbursement. The HCB program costs were covered by member premiums (which rose from $49 to $180 and co-payments from members with care plans. Over the 18-year period, spending shifted from nursing homes to a range of community services, e.g. personal care, homemaking, member reimbursement, lifeline, equipment, transportation, shift care, home nursing, adult day

Educación permanente y continua en una perspectiva de integridad del ser

Directory of Open Access Journals (Sweden)

Izabel Cristina Feijó de Andrade

2014-12-01

Full Text Available Este artículo buscó discutir las articulaciones y distinciones entre los conceptos de educación permanente y educación continua de modo que favorezca la perspectiva de integridad del ser, vínculo que requiere saberes hasta entonces poco privilegiados en las Universidades y que demandan el rescate de dimensiones basadas en la experiencia, la didáctica y la existencia del educador, tanto individual, comportamental, cultural, social y espiritual. Consideramos que las nociones de educación permanente y educación continua poseen elementos entrelazables que nos permiten desarrollar la capacidad de reaccionar críticamente por medio de una relación autoformativa. Las revisiones teóricas implementadas permitieron algunas consideraciones sobre los procesos formativos actuales y las prácticas de profesores rumbo a una Educación para la Integridad. Concluimos provisoriamente que las aproximaciones y distinciones entre EP y EC pueden proporcionar a los profesores la toma de conciencia de su vinculación todo/parte y del sentido de la vida.

Genetics as a modernization program: biological research at the Kaiser Wilhelm Institutes and the political economy of the Nazi State.

Science.gov (United States)

Gausemeier, Bernd

2010-01-01

During the Third Reich, the biological institutes of the Kaiser Wilhelm Society (KWG, Kaiser-Wilhelm-Gesellschaft) underwent a substantial reorganization and modernization. This paper discusses the development of projects in the fields of biochemical genetics, virus research, radiation genetics, and plant genetics that were initiated in those years. These cases exemplify, on the one hand, the political conditions for biological research in the Nazi state. They highlight how leading scientists advanced their projects by building close ties with politicians and science-funding organizations and companies. On the other hand, the study examines how the contents of research were shaped by, and how they contributed to, the aims and needs of the political economy of the Nazi system. This paper therefore aims not only to highlight basic aspects of scientific development under Nazism, but also to provide general insights into the structure of the Third Reich and the dynamics of its war economy.

Biobanking for research: a survey of patient population attitudes and understanding

OpenAIRE

Rahm, Alanna Kulchak; Wrenn, Michelle; Carroll, Nikki M.; Feigelson, Heather Spencer

2013-01-01

Population-based biobanks are a critical resource for genetic research. It is important to know what potential participants understand about the risks and benefits of providing samples in order to ensure adequate informed consent. Kaiser Permanente Colorado (KPCO) is currently planning a biobank where adult members would be asked to contribute an additional tube of blood during a routine blood draw. Adult KPCO members in clinic waiting rooms were asked to read an informational brochure and in...

Safe Routes to School Local School Project: A health evaluation at 10 low-income schools

OpenAIRE

Cooper, Jill F MSW; McMillan, Tracy MPH, PHD

2010-01-01

fe Routes to School National Partnership (Partnership) founded the Local School Project (Project) in 2008 to assist ten schools in lowincome communities to: 1) develop and evaluate a school-based SRTS program, 2) build local capacity to apply for state or federal SRTS funding, and 3) increase safe walking and bicycling to and from the school and in the community. The Centers for Disease Control and Prevention, Kaiser Permanente, and the Robert Wood Johnson Foundation provided funding for the ...

Valoración "in vitro" de las fuerzas de adhesión de un sistema adhesivo convencional y otro autograbante en esmalte de dientes temporales y permanentes

OpenAIRE

Herrera Martínez, Gilberto de Jesús

2012-01-01

El presente trabajo trata de aportar más información sobre un nuevo adhesivo autograbante a esmalte de dientes temporales y permanentes. El objetivo es valorar las fuerzas de adhesión en MPa de los sistemas adhesivos (convencional y autograbante),en el esmalte de dientes temporales y permanentes. Métodos: utilizando una muestra de 160 dientes (temporales y permanentes)a nivel de la estructura del esmalte, divididos en cuatro grupos, no tomándose en cuenta para el criterio de selección la p...

El establecimiento permanente en un contexto virtual

Directory of Open Access Journals (Sweden)

Andrés Mauricio Rengifo

2002-01-01

Full Text Available La inmediatez, la informalidad y la total irrelevancia de la localización, la distancia y los límites nacionales son ventajas innegables del comercio en Internet. Al mismo, tiempo, son características que plantean interrogantes para los Estados, quienes, conscientes de la importancia de controlar el volumen y la magnitud de las operaciones realizadas en red (al gravarlas directa o indirectamente pueden conseguir fuentes de ingreso para el mantenimiento de las estructuras y la financiación de gastos gubernamentales se cuestionan cuál debe ser el sujeto pasivo de las obligaciones tributarias en un mercado donde las empresas están deslocalizadas o aún, no existen físicamente. El presente artículo aporta a la resolución del problema tras un completo estudio del concepto de establecimiento Permanente de carácter virtual, elaborado por la Organización para la Cooperación y el Desarrollo Económico.

El establecimiento permanente en un contexto virtual

Directory of Open Access Journals (Sweden)

Andrés Mauricio Rengifo

2002-06-01

Full Text Available La inmediatez, la informalidad y la total irrelevancia de la localización, la distancia y los límites nacionales son ventajas innegables del comercio en Internet. Al mismo, tiempo, son características que plantean interrogantes para los Estados, quienes, conscientes de la importancia de controlar el volumen y la magnitud de las operaciones realizadas en red (al gravarlas directa o indirectamente pueden conseguir fuentes de ingreso para el mantenimiento de las estructuras y la financiación de gastos gubernamentales se cuestionan cuál debe ser el sujeto pasivo de las obligaciones tributarias en un mercado donde las empresas están deslocalizadas o aún, no existen físicamente. El presente artículo aporta a la resolución del problema tras un completo estudio del concepto de establecimiento Permanente de carácter virtual, elaborado por la Organización para la Cooperación y el Desarrollo Económico.

Using Population Dose to Evaluate Community-level Health Initiatives.

Science.gov (United States)

Harner, Lisa T; Kuo, Elena S; Cheadle, Allen; Rauzon, Suzanne; Schwartz, Pamela M; Parnell, Barbara; Kelly, Cheryl; Solomon, Loel

2018-05-01

Successful community-level health initiatives require implementing an effective portfolio of strategies and understanding their impact on population health. These factors are complicated by the heterogeneity of overlapping multicomponent strategies and availability of population-level data that align with the initiatives. To address these complexities, the population dose methodology was developed for planning and evaluating multicomponent community initiatives. Building on the population dose methodology previously developed, this paper operationalizes dose estimates of one initiative targeting youth physical activity as part of the Kaiser Permanente Community Health Initiative, a multicomponent community-level obesity prevention initiative. The technical details needed to operationalize the population dose method are explained, and the use of population dose as an interim proxy for population-level survey data is introduced. The alignment of the estimated impact from strategy-level data analysis using the dose methodology and the data from the population-level survey suggest that dose is useful for conducting real-time evaluation of multiple heterogeneous strategies, and as a viable proxy for existing population-level surveys when robust strategy-level evaluation data are collected. This article is part of a supplement entitled Building Thriving Communities Through Comprehensive Community Health Initiatives, which is sponsored by Kaiser Permanente, Community Health. Copyright © 2018 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Specialty pharmaceuticals care management in an integrated health care delivery system with electronic health records.

Science.gov (United States)

Monroe, C Douglas; Chin, Karen Y

2013-05-01

The specialty pharmaceuticals market is expanding more rapidly than the traditional pharmaceuticals market. Specialty pharmacy operations have evolved to deliver selected medications and associated clinical services. The growing role of specialty drugs requires new approaches to managing the use of these drugs. The focus, expectations, and emphasis in specialty drug management in an integrated health care delivery system such as Kaiser Permanente (KP) can vary as compared with more conventional health care systems. The KP Specialty Pharmacy (KP-SP) serves KP members across the United States. This descriptive account addresses the impetus for specialty drug management within KP, the use of tools such as an electronic health record (EHR) system and process management software, the KP-SP approach for specialty pharmacy services, and the emphasis on quality measurement of services provided. Kaiser Permanente's integrated system enables KP-SP pharmacists to coordinate the provision of specialty drugs while monitoring laboratory values, physician visits, and most other relevant elements of the patient's therapy. Process management software facilitates the counseling of patients, promotion of adherence, and interventions to resolve clinical, logistic, or pharmacy benefit issues. The integrated EHR affords KP-SP pharmacists advantages for care management that should become available to more health care systems with broadened adoption of EHRs. The KP-SP experience may help to establish models for clinical pharmacy services as health care systems and information systems become more integrated.

Prevalence of Childhood Obesity among Young Multiethnic Children from a Health Maintenance Organization in Hawaii.

Science.gov (United States)

Novotny, Rachel; Oshiro, Caryn Etsuko Shima; Wilkens, Lynne Ross

2013-02-01

Pacific Islander, Asian, and mixed-ethnicity children are not described in national nutrition and health surveys. Data on BMI values of 4608 5- to 8-year-old children available from Kaiser Permanente Hawaii electronic medical records in 2010 were analyzed for prevalence of overweight and obesity and for ethnic differences in BMI and risk for overweight and obesity, controlling for age, sex, neighborhood education level, and on a subset (n=2169) that further controlled for maternal education and maternal age. Kaiser Permanente data allow for reporting of multiple ethnicities. Data revealed that 33% of this child population was of mixed ethnic ancestry. Prevalence of overweight and obesity was 32.6% (12.9% overweight and 19.7% obese). However, Samoan children and children of Native Hawaiian, Filipino, and mixed ethnic ancestries had higher levels of overweight and obesity than whites or Asians. Higher neighborhood education level, higher maternal education level, and older maternal age were associated with decreased risk of overweight and obesity, except for children whose mothers were between 21 and 30 years old, who had a higher risk for obesity than those whose mothers were under 20 years of age (odds ratio=1.34). Populations of mixed ethnicities in the Pacific region deserve further study related to healthy body size and acculturation to environment and lifestyle.

Educação permanente em saúde e no trabalho de enfermagem: perspectiva de uma práxis transformadora.

OpenAIRE

da Silva, Luiz Anildo Anacleto; Centro de Educação Superior Norte da Universidade Federal de Santa Maria; Ferraz, Fabiane; Universidade Federal de Santa Catarina; Lino, Mônica Motta; Universidade Federal de Santa Catarina; Backes, Vânia Marli Schubert; Universidade Federal de Santa Catarina; Schmidt, Sandra Marcia Soares; Universidade Federal de Santa Maria

2011-01-01

Trata-se de uma reflexão teórica que tem por objetivo estimular os leitores a repensar o papel da educação permanente dos sujeitos-trabalhadores da saúde e de enfermagem na perspectiva do desenvolvimento individual e coletivo, por meio da práxis transformadora. Procurou-se fazer uma articulação reflexiva dos princípios da práxis transformadora apresentada pelo filósofo Adolfo Sánchez Vázquez com os preceitos de educação permanente em saúde e no trabalho de enfermagem. Tal articulação apresent...

A educação permanente da equipe de enfermagem para o cuidado nos serviços de saúde mental

OpenAIRE

Tavares,Cláudia Mara de Melo

2006-01-01

Estudio exploratório, cuyo objetivo fue analizar la necesidad de la educación permanente del equipo de enfermera para cuidar en los servicios de la salud mental. Fueron estudiadas treinta siete profesionales de enfermería mental. Como resultados, se verificó que él equipe de la enfermería demanda calificación de vasto espectro. Se concluye que la educación permanente del equipo del oficio de enfermera de la salud mental exige más allá de programas educativos establecidos en la def...

Shared familial transmission of autism spectrum and attention-deficit/hyperactivity disorders.

Science.gov (United States)

Musser, Erica D; Hawkey, Elizabeth; Kachan-Liu, Svetlana S; Lees, Paul; Roullet, Jean-Baptiste; Goddard, Katrina; Steiner, Robert D; Nigg, Joel T

2014-07-01

To determine whether familial transmission is shared between autism spectrum disorders and attention-deficit/hyperactivity disorder, we assessed the prevalence, rates of comorbidity, and familial transmission of both disorders in a large population-based sample of children during a recent 7 year period. Study participants included all children born to parents with the Kaiser Permanente Northwest (KPNW) Health Plan between 1 January 1998 and 31 December 2004 (n = 35,073). Children and mothers with physician-identified autism spectrum disorders (ASD) and/or attention-deficit/hyperactivity disorder (ADHD) were identified via electronic medical records maintained for all KPNW members. Among children aged 6-12 years, prevalence was 2.0% for ADHD and 0.8% for ASD; within those groups, 0.2% of the full sample (19% of the ASD sample and 9.6% of the ADHD sample) had co-occurring ASD and ADHD, when all children were included. When mothers had a diagnosis of ADHD, first born offspring were at 6-fold risk of ADHD alone (OR = 5.02, p disorders shares familial transmission with ADHD. ADHD and ASD have a partially overlapping diathesis. © 2014 The Authors. Journal of Child Psychology and Psychiatry. © 2014 Association for Child and Adolescent Mental Health.

Moving from tacit knowledge to evidence-based practice: the Kaiser Permanente community partners study.

Science.gov (United States)

Enguídanos, Susan M; Jamison, Paula M

2006-01-01

For several decades both medical and social work practices have failed to consistently include measures to determine the effectiveness of their care and practices. This is especially true of care management practices. With the growth and aging of our population, this is of particular concern when many of our resources for older adults are channeled into services such as geriatric care management. This article describes a randomized controlled trial that tested the effectiveness of four levels of geriatric care management. Results from this study did not support the tacit knowledge of the clinicians in terms of the effectiveness of their practices. This article describes the study methods and results, and how evidence from this study impacted subsequent service provided by geriatric care managers.

A systematic review of interventions conducted in clinical or community settings to improve dual-task postural control in older adults

OpenAIRE

Agmon M; Belza B; Nguyen HQ; Logsdon RG; Kelly VE

2014-01-01

Maayan Agmon,1 Basia Belza,2 Huong Q Nguyen,2,3 Rebecca G Logsdon,2 Valerie E Kelly41The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Studies, University of Haifa, Israel; 2School of Nursing, University of Washington, Seattle, WA, USA; 3Department of Research and Evaluation, Kaiser Permanente, CA, USA; 4School of Medicine, University of Washington, Seattle, WA, USABackground: Injury due to falls is a major problem among older adults. Decrements in dual-task postu...

[The Internet and shared decision-making between patients and healthcare providers].

Science.gov (United States)

Silber, Denise

2009-10-01

Insurance companies like Kaiser Permanente in the United States remunerate physicians for their email correspondence with patients, increasing the efficiency of office visits. A survey by the French National Board of Physicians regarding the computerization of medical practices in April 2009, confirms that both physicians and patients in France are very favorable to the development of these tools. When patients can manage and/or access their medical files and determine which providers can access them, they become a true partner.

Teager-Kaiser Energy and Higher-Order Operators in White-Light Interference Microscopy for Surface Shape Measurement

Directory of Open Access Journals (Sweden)

Abdel-Ouahab Boudraa

2005-10-01

Full Text Available In white-light interference microscopy, measurement of surface shape generally requires peak extraction of the fringe function envelope. In this paper the Teager-Kaiser energy and higher-order energy operators are proposed for efficient extraction of the fringe envelope. These energy operators are compared in terms of precision, robustness to noise, and subsampling. Flexible energy operators, depending on order and lag parameters, can be obtained. Results show that smoothing and interpolation of envelope approximation using spline model performs better than Gaussian-based approach.

Synthesis of nanodiamond derivatives carrying amino functions and quantification by a modified Kaiser test

Directory of Open Access Journals (Sweden)

Gerald Jarre

2014-11-01

Full Text Available Nanodiamonds functionalized with different organic moieties carrying terminal amino groups have been synthesized. These include conjugates generated by Diels–Alder reactions of ortho-quinodimethanes formed in situ from pyrazine and 5,6-dihydrocyclobuta[d]pyrimidine derivatives. For the quantification of primary amino groups a modified photometric assay based on the Kaiser test has been developed and validated for different types of aminated nanodiamond. The results correspond well to values obtained by thermogravimetry. The method represents an alternative wet-chemical quantification method in cases where other techniques like elemental analysis fail due to unfavourable combustion behaviour of the analyte or other impediments.

Prevalencia preoperatoria de la fibrilación auricular permanente en cirugía cardíaca

Directory of Open Access Journals (Sweden)

Fernando Hornero

2005-07-01

Conclusiones: La FA permanente se presenta en nuestro medio quirúrgico preoperatorio en el 13,6%, preferentemente asociada a enfermedad mitral. Los factores de riesgo cardiovasculares están presentes con similar prevalencia en los pacientes con FA que en el resto, excepto el tamaño auricular.

Type C investigation of electrical fabrication projects in ICF Kaiser shops

International Nuclear Information System (INIS)

Huckfeldt, R.A.

1995-06-01

A Type C Investigation Board was convened to investigate an electrical miswiring problem found during the operation of the electrical distribution trailer for the TWRS Rotary Mode Core Sampling Truck number-sign 2. The trailer was designed by WHC and fabricated ICF KH on site for use in the Characterization Program. This problem resulted in a serious safety hazard since the support truck frame/chassis became electrically energized. This final report provides results of the ''Type C Investigation, Electrical Fabrication Projects in ICF KH Shops, June, 1995.'' It contains the investigation scope, executive summary, relevant facts, analysis, conclusions and corrective actions. DOE Order 5484.1, ''Environmental Protection, Safety and Health Protection Information Reporting Requirements,'' was followed in preparation of this report. Because the incident was electrical in nature and involved both Westinghouse Hanford Company and ICF Kaiser Hanford organizations, the board included members from both contractors and members with considerable electrical expertise

Armouring facility? Nuclear-weapon and reactor reseach at the Kaiser-Wilhelm Institute for Physics; Eine Waffenschmiede? Kernwaffen- und Reaktorforschung am Kaiser-Wilhelm-Institut fuer Physik

Energy Technology Data Exchange (ETDEWEB)

Hachtmann, R. (ed.); Walker, M.

2005-07-01

The Kaiser Wilhelm Institute for Physics is best known as the place where Werner Heisenberg worked on nuclear weapons for Hitler. Although this is essentially true, there is more to the story. At the start of World War II this institute was taken over by the German Army Ordnance to be the central, but not exclusive site for a research project into the economic and military applications of nuclear fission. The Army physicist Kurt Diebner was installed in the institute as its commissarial director. Heisenberg was affiliated with the institute as an advisor at first, and became the director in 1942. Heisenberg and his colleagues, including in particular Karl-Heinz Hoecker, Carl Friedrich von Weizsaecker, and Karl Wirtz, worked on nuclear reactors and isotope separation with the clear knowledge that these were two different paths to atomic bombs [Atombomben]. However, they were clearly ambivalent about what they were doing. New documents recently returned from Russian archives shed new light on this work and the scientists' motivations. (orig.)

Formación permanente y distribución del profesorado de Educación Secundaria por comarcas y departamentos. El caso de Asturias

OpenAIRE

Paula GONZÁLEZ-VALLINAS; José Luis SAN FABIÁN MAROTO

2009-01-01

Este estudio se centra en la formación del profesorado y explora las relaciones existentes entre la formación permanente y diversas características del profesorado, las comarcas y departamentos de los IES en Asturias. Como resultado de una investigación basada en el análisis de datos secundarios cuantitativos del profesorado y municipios de Asturias se obtiene una radiografía de la formación permanente de su profesorado (modalidad y materia de formación). Se realizan análisis a nivel de depar...

Economic burden related to chemotherapy-related adverse events in patients with metastatic breast cancer in an integrated health care system

Directory of Open Access Journals (Sweden)

Rashid N

2016-10-01

Full Text Available Nazia Rashid,1 Han A Koh,2 Hilda C Baca,3 Kathy J Lin,1 Susan E Malecha,4 Anthony Masaquel5 1Drug Information Services, Kaiser Permanente, Downey, 2Southern California Permanente Medical Group, Kaiser Permanente, Bellflower, 3Pharmacy Analytical Services, Kaiser Permanente, Downey, 4US Medical Affairs, Genetech Inc., San Francisco, 5Health Economics and Outcomes, Genentech Inc., San Francisco, CA, USA Background: Breast cancer is treated with many different modalities, including chemotherapy that can be given as a single agent or in combination. Patients often experience adverse events from chemotherapy during the cycles of treatment which can lead to economic burden.Objective: The objective of this study was to evaluate costs related to chemotherapy-related adverse events in patients with metastatic breast cancer (mBC in an integrated health care delivery system.Methods: Patients with mBC newly initiated on chemotherapy were identified and the first infusion was defined as the index date. Patients were ≥18 years old at time of index date, had at least 6 months of health plan membership and drug eligibility prior to their index date. The chemotherapy adverse events were identified after the index date and during first line of chemotherapy. Episodes of care (EOC were created using healthcare visits. Chart review was conducted to establish whether the adverse events were related to chemotherapy. Costs were calculated for each visit, including medications related to the adverse events, and aggregated to calculate the total EOC cost.Results: A total of 1,682 patients with mBC were identified after applying study criteria; 54% of these patients had one or more adverse events related to chemotherapy. After applying the EOC method, there were a total of 5,475 episodes (4,185 single episodes [76.4%] and 1,290 multiple episodes [23.6%] related to chemotherapy-related adverse events. Within single episodes, hematological (1,387 EOC, 33

Estimation of spacial geo-stress components in rock samples by using the Kaiser effect of acoustic emission

International Nuclear Information System (INIS)

Kanagawa, Tadashi; Hayashi, Masao; Nakasa, Hiroyasu.

1976-01-01

The spacial remaining stress component of the rock core sample is experimentally obtained by using Kaiser effect of acoustic emission (AE), and the estimated ground pressure is compared with the natural ground pressure measured by the conventional over-coring method, in order to see the feasiblity of AE method. In this experiments of AE, 111 specimens were cut out in all directions of the rock cores (tuff) sampled from the place where the ground pressure was measured by the over-coring method, and the generation of AE caused by the load was measured. Whereby, the stress components in three directions are determined. As a result of comparison, t the AE method is proved to be effective enough to estimate the ground pressure of rock geo-dynamically. In the application of the Kaiser effect to the estimation of the geo-stress in rock samples, one of the most difficult problems is how to eliminate the obstruction of erroneous AE signals caused by the strong stress concentration at the end corners of the rock specimen. As the result of comparison, the values obtained by the AE method have a tendency of greater than the values obtained by the over-coring method. It is conceived that the AE method can easily detect the maximum stress value for geo historical long time, and that the stress concentration is apt to mix in AE method by boring. (Iwakiri, K.)

Otra aproximación a Carl Gangolf Kaiser (1837-1895), arquitecto de la corte del emperador Maximiliano

OpenAIRE

Drewes, Michael

2000-01-01

Michael Drewes ha estudiado el ambiente artístico que rodeó al que fuera segundo emperador de México, Maximiliano de Austria. En por lo menos dos artículos anteriores publicados en Anales del Instituto de Investigaciones Estéticas (números 59 y 63), se ocupó ya del arquitecto Carl Gangolf Kaiser, un artista que presentó diversos proyectos de construcción y remodelación para Maximiliano. Quizás por su juventud, los proyectos que entonces realizó este arquitecto para remodelar edificios tan imp...

Probabilidad de retención de segundos molares permanentes mandibulares (Estudio piloto

Directory of Open Access Journals (Sweden)

Paulo Sandoval Vidal

Full Text Available Objetivos: Determinar la frecuencia del segundo molar mandibular permanente (MM2 con probabilidad de impactación, en un grupo de pacientes de Ortodoncia de Temuco, Chile. Método: Estudio de corte transversal, con muestra por conveniencia. Se revisaron 2095 fichas de individuos de ambos sexos, con ausencia de patología sindrómica. Los datos recolectados se obtuvieron de radiografías panorámicas. Se midió el ángulo del segundo molar con respecto al plano oclusal, la invasión distal del primer molar y la distancia entre distal del primer molar y el borde anterior de la rama mandibular. Resultados: El promedio de edad de los pacientes relevados fue de 10 años. Se observó un 1,43% de probabilidad de retención de MM2 (n=30; en promedio y el plano el ángulo MM2 resultó de 27° el izquierdo y 26° el derecho; la invasión de MM2 en distal del primer molar resultó de 1,5 mm; el ángulo entre MM2 y el planos oclusal es de 123°; la distancia entre la cara distal del primer molar y el borde anterior de la rama mandibular fue 13 mm. Conclusiones: Existe una baja prevalencia de segundos molares mandibulares permanentes con probabilidad de impactación. La invasión a la cara distal del primer molar fue mayor en pacientes con riesgo de impactación

Achieving performance breakthroughs in an HMO business process through quality planning.

Science.gov (United States)

Hanan, K B

1993-01-01

Kaiser Permanente's Georgia Region commissioned a quality planning team to design a new process to improve payments to its suppliers and vendors. The result of the team's effort was a 73 percent reduction in cycle time. This team's experiences point to the advantages of process redesign as a quality planning model, as well as some general guidelines for its most effective use in teams. If quality planning project teams are carefully configured, sufficiently expert in the existing process, and properly supported by management, organizations can achieve potentially dramatic improvements in process performance using this approach.

La normativa de atribución de rentas a establecimientos permanentes en Colombia

OpenAIRE

Navarro Ibarrola, Aitor

2016-01-01

En el presente trabajo se analizan las reglas para la determinación de la renta de establecimientos permanentes situados en Colombia. A tal efecto, el autor lleva a cabo un estudio sobre la base de las pautas que la OCDE establece en la materia, ya que el sistema de conceptos propuesto por este organismo internacional se adoptó como referencia por parte del legislador colombiano a partir de 2012. En concreto, en el marco del concepto de entidad funcionalmente separada, se analiza el contenido...

Educação Permanente no cotidiano da Atenção Básica no Mato Grosso do Sul

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Jacinta de Fátima Franco Pereira Machado

Full Text Available O artigo analisou as ações de Educação Permanente em Saúde na Atenção Básica em Mato Grosso do Sul, Brasil, na perspectiva de 184 equipes participantes da primeira fase do Programa de Melhoria do Acesso e da Qualidade (PMAQ, de junho de 2012 a fevereiro de 2013. Entre as ações de Educação Permanente, os cursos presenciais foram mais prevalentes, seguidos por troca de experiência, teleducação, ensino à distância e tutoria/preceptoria, tanto na capital quanto no interior. As ações de planejamento e apoio à gestão foram mais prevalentes na capital. As ações de apoio da gestão estavam diretamente relacionadas com o planejamento e a organização do processo de trabalho.

1991 Pacific Northwest loads and resources study, Pacific Northwest economic and electricity use forecast

International Nuclear Information System (INIS)

1992-01-01

This publication provides detailed documentation of the load forecast scenarios and assumptions used in preparing BPA's 1991 Pacific Northwest Loads and Resources Study (the Study). This is one of two technical appendices to the Study; the other appendix details the utility-specific loads and resources used in the Study. The load forecasts and assumption were developed jointly by Bonneville Power Administration (BPA) and Northwest Power Planning Council (Council) staff. This forecast is also used in the Council's 1991 Northwest Conservation and Electric Power Plan (1991 Plan)

La incapacidad permanente en una empresa pública en el periodo 1995-2009 Permanent incapacity in a public company from 1995-2009

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José Carlos Marchena Aparicio

2011-09-01

Full Text Available Objetivos: La cuantificación de las relaciones entre salud, medio laboral y capacidad para el trabajo nos permite descifrar aspectos importantes de la incapacidad permanente. Este trabajo tiene como objetivo describir las características de la población trabajadora de la Diputación Provincial de Cádiz a la que se le concedió una incapacidad permanente en el periodo 1995-2009. Métodos: Se llevó a cabo un estudio descriptivo retrospectivo sobre el total de trabajadores/as con incapacidad permanente en el periodo descrito que considera las siguientes variables: sexo, edad, antigüedad, tipo de ocupación, causa de la incapacidad permanente, días de incapacidad temporal y número de incapacidades temporales concedidas en los 5 años previos, recogidas a través de archivos documentales. Resultados: El número de incapacidades permanentes concedidas ascendió a 192. Un 53,1% fueron mujeres; funcionarios el 59,9%; la edad de concesión fue de 54,06 años de media con 24,98 años de antigüedad en la empresa; el tipo de trabajo en el que más incapacidad permanente se concedieron es el manual, 44,8%; El tipo de patología más frecuente de incapacidad permanente fueron las enfermedades músculo-esqueléticas (29,7%, neoplasias (23,4% y trastornos mentales (18,8%, asociándose significativamente dicha variable con el sexo (p=0,006, el tipo de trabajo desempeñado (p=0,007, la edad de concesión (pObjectives: The quantifying relationship between health, working environment and work capacity allows us to unravel important aspects of permanent incapacity (PI. One of the objectives of this study is to describe working population characteristics of the Provincial Council of Cadiz who were granted permanent incapacity from 1995 to 2009. Method: A retrospective descriptive study was carried out amongst all the workers with PI in the period described with the following variables taken into account: gender, age, time working for the company, type of

Evaluation Techniques of Creating Coherence in Poems of Kaiser Aminpour Relying on the Theory of Halliday’s Linguistics

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Reza Sattari

2016-05-01

Full Text Available AbstractOne of the linguistics theories that are utilized in present age in the analysis of literary texts is the theory of Halliday’s linguistics which is called theory of systemic - functional linguistics. Halliday’s theory in the second half of the twentieth century, in contrast to the "generative linguistics" approach, which is based on formal language like a mental and individual phenomenon.    Hallidayan called the semantic, literal, syntax and logical relationship of words as coherence of a text and believes that the coherence of the text, includes all the semantic relations by which, every piece of speech or writing can serve as text. Hence, cohesion, referred to relations that relates all elements of a sentence to the elements of other sentences. From Hallidayan's  point of view, elements of coherence of a text are divided into two parts: grammatical and lexical. Grammatical cohesion includes factors such as referrals, replacements, removals and relevancy, and lexical coherence includes repetition and collocation in literary language.   Kaiser is one of the contemporary famous poets that have composed many poets in different molds of poetry. Kaiser Manipur's poems benefit the integration due to the poet's fluency in Persian and his familiarity with the vocabulary and grammatical and lexical capacities of Persian literature. In this research, we have studied the cohesion in Kaiser Manipur's poems from two views of lexical and grammatical by using Holidaying theory of coherence as well as the techniques that the poet has applied to reach the cohesion in his poems.    The method of research in the present paper is descriptive-analytical and all the information and data has been collected from the sources of library and electronic. In this paper, we first briefly discussed the Holidaying coherence theory, and then, with a special approach to this theory, the most important techniques that Kaiser Manipur has

Global warming: A Northwest perspective

Energy Technology Data Exchange (ETDEWEB)

Scott, M.J.; Counts, C.A. (eds.)

1990-02-01

The Northwest Power Planning Council convened a symposium in Olympia, Washington, on the subject of global climate change ( the greenhouse effect'') and its potential for affecting the Pacific Northwest. The symposium was organized in response to a need by the Power Council to understand global climate change and its potential impacts on resource planning and fish and wildlife planning for the region, as well as a need to understand national policy developing toward climate change and the Pacific Northwest's role in it. 40 figs., 15 tabs.

Un estudio de las concepciones docentes acerca de la formación permanente Um estudo das concepções docentes sobre a formação permanente A Survey of Teachers' Thoughts on Continuing Education

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Irene Marina Macera

2012-12-01

Full Text Available Este trabajo presenta las concepciones docentes acerca de su formación permanente. Se identificaron distintos puntos de análisis relacionados con la antigüedad en la profesión, intereses metodológicos, intereses de actualización de conocimientos, intereses de incorporación de nuevos saberes y, por último, el lugar que ocupa la formación en la subjetividad docente. En los inicios de la docencia, la formación permanente funciona y se concibe como un modo de mantenerse activos mientras se insertan en el mercado laboral. En cambio, para los docentes que ya tienen una trayectoria, esta se concibe como una fuga del trabajo, un recurso que en ocasiones le otorga sentido al trabajo, asumiendo de este modo un lugar subjetivo importante en el quehacer docente. Pero, cualquiera que sea la motivación, la adquisición de nuevos saberes es la razón más antigua que los docentes asumen para formarse.Este trabalho apresenta as concepções docentes sobre sua formação permanente. Identificaram-se diferentes pontos de análise relacionados com a antiguidade na profissão, interesses metodológicos, interesses de atualização de conhecimentos, interesses de incorporação de novos saberes e, por último, o lugar que a formação ocupa na subjetividade docente. No início da docência, a formação permanente funciona e se concebe como um modo de se manterem ativos enquanto se inserem no mercado de trabalho. Em compensação, para os docentes que já têm uma trajetória, esta se concebe como uma fuga do trabalho, um recurso que em ocasiões outorga sentido ao trabalho e assume, desse modo, um lugar subjetivo importante no fazer docente. Contudo, qualquer que seja a motivação, a aquisição de novos saberes é a razão mais antiga que os docentes assumem para se formar.This study delves into what teachers think about their own continuing education. Different points of analysis are identified with respect to seniority in the profession

Formación permanente del profesorado en Jalisco: evaluación y propuesta

OpenAIRE

Camacho Buenrostro, Benita

2016-01-01

Este trabajo tiene como objetivo realizar una evaluación del modelo de formación permanente para docentes de Educación Básica implementado en Jalisco durante el período 2007-2012. La investigación se ubica en el paradigma naturalista o interpretativo y busca lograr el objetivo a través del enfoque de la evaluación comprensiva. También utiliza métodos cualitativo y cuantitativo y se apoya en distintas técnicas: análisis de documentos, observación directa de este fenómeno, entrevistas a funcion...

Educação permanente no contexto da enfermagem e na saúde

OpenAIRE

Mancia,Joel Rolim; Cabral,Leila Chaves; Koerich,Magda Santos

2004-01-01

Neste trabalho os autores discutem a proposta atual de educação permanente do Ministério da Saúde, voltada para a formação de recursos humanos para o Sistema Único de Saúde. Traz um resgate da educação em geral e especificamente da educação de adultos, questão que afeta diretamente a enfermagem, visto que esta contribui com o maior contingente de trabalhadoras na área da saúde, constituindo-se em foco central das políticas públicas. Assim apresentam as principais controvérsias e apontam para ...

Melanoma in patients with chronic lymphocytic leukemia and non-Hodgkin lymphoma.

Science.gov (United States)

Famenini, Shannon; Martires, Kathryn J; Zhou, Hui; Xavier, Marin F; Wu, Jashin J

2015-01-01

The relationship between melanoma and chronic lymphocytic leukemia (CLL) or non-Hodgkin lymphoma (NHL) has been minimally investigated. The objective of this study was to examine the incidence of melanoma in patients with a history of CLL or NHL, and their associated mortality. Cohorts of Kaiser Permanente Southern California members with a history of CLL and NHL were identified. Age-adjusted incidence density rates of melanoma among patients with CLL or NHL were compared with rates of melanoma among the general population of Kaiser Permanente Southern California patients. The mortality of patients with melanoma was examined using Cox proportional hazards modeling. The age-adjusted incidence rate per 100,000 person-years for melanoma among patients with either CLL or NHL was 107 (95% confidence interval 84.4-129.6) versus 25.9 among the general population (95% confidence interval 84.4-129.6, P < .001). Patients with melanoma and a history of CLL or NHL had 2.46 greater odds of death compared with those without CLL or NHL (95% confidence interval 1.77-3.41). This study was retrospective in nature; the International Classification of Diseases, Ninth Revision codes used may contain diagnostic errors; and only overall survival was used in our analysis. Patients with a history of CLL or NHL have a higher incidence of melanoma. Patients with CLL or NHL who are subsequently given the diagnosis of melanoma have a higher mortality than patients with melanoma without a preceding diagnosis of CLL. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Rapid spread of complex change: a case study in inpatient palliative care

Directory of Open Access Journals (Sweden)

Filipski Marta I

2009-12-01

Full Text Available Abstract Background Based on positive findings from a randomized controlled trial, Kaiser Permanente's national executive leadership group set an expectation that all Kaiser Permanente and partner hospitals would implement a consultative model of interdisciplinary, inpatient-based palliative care (IPC. Within one year, the number of IPC consultations program-wide increased almost tenfold from baseline, and the number of teams nearly doubled. We report here results from a qualitative evaluation of the IPC initiative after a year of implementation; our purpose was to understand factors supporting or impeding the rapid and consistent spread of a complex program. Methods Quality improvement study using a case study design and qualitative analysis of in-depth semi-structured interviews with 36 national, regional, and local leaders. Results Compelling evidence of impacts on patient satisfaction and quality of care generated 'pull' among adopters, expressed as a remarkably high degree of conviction about the value of the model. Broad leadership agreement gave rise to sponsorship and support that permeated the organization. A robust social network promoted knowledge exchange and built on an existing network with a strong interest in palliative care. Resource constraints, pre-existing programs of a different model, and ambiguous accountability for implementation impeded spread. Conclusions A complex, hospital-based, interdisciplinary intervention in a large health care organization spread rapidly due to a synergy between organizational 'push' strategies and grassroots-level pull. The combination of push and pull may be especially important when the organizational context or the practice to be spread is complex.

A proposta da educação permanente em saúde na atualização da equipe de saúde em diabetes mellitus

OpenAIRE

Rodrigues,Andreia Cristinha Seabra; Vieira,Gisele de Lacerda Chaves; Torres,Heloisa de Carvalho

2010-01-01

O objetivo do estudo foi relatar a experiência da Educação Permanente em Saúde na atualização da equipe de saúde de uma Unidade Básica de Saúde para a atenção integral e humanizada às pessoas com diabetes tipo 2. A metodologia de escolha para a capacitação das equipes de saúde foi a Educação em Permanente em Saúde, por meio de oficinas educativas em diabetes com enfoque na problematização do processo educativo e profissional. Buscou-se, assim, construir um programa de educação em diabetes vis...

Ätiologie und Prävalenz permanenter kindlicher Hörstörungen in Deutschland

OpenAIRE

Spormann-Lagodzinski, ME; Nubel, K; König, O; Gross, M; Gross, M

2003-01-01

Permanente Hörstörungen bei Kindern haben in den letzten Jahren bezüglich Ätiologie und Prävalenz einen deutlichen Wandel erlebt. In den westlichen Industrienationen ist sie auf 1 bis 3 pro 1.000 Neugeborene gesunken. Nach Ergebnissen des Deutschen Zentralregisters für kindliche Hörstörungen (DZH) liegt die Prävalenz in Deutschland bei ca. 1,2:1.000. Von 6.200 ausgewerteten Datensätzen des DZH haben 36% aller permanenten Hörstörungen eine (vermutlich oder gesichert) genetische Ursache, 18% si...

1993 Pacific Northwest Loads and Resources Study.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1993-12-01

The Loads and Resources Study is presented in three documents: (1) this summary of Federal system and Pacific Northwest region loads and resources; (2) a technical appendix detailing forecasted Pacific Northwest economic trends and loads, and (3) a technical appendix detailing the loads and resources for each major Pacific Northwest generating utility. In this loads and resources study, resource availability is compared with a range of forecasted electricity consumption. The forecasted future electricity demands -- firm loads -- are subtracted from the projected capability of existing and {open_quotes}contracted for{close_quotes} resources to determine whether Bonneville Power Administration (BPA) and the region will be surplus or deficit. If resources are greater than loads in any particular year or month, there is a surplus of energy and/or capacity, which BPA can sell to increase revenues. Conversely, if firm loads exceed available resources, there is a deficit of energy and/or capacity, and additional conservation, contract purchases, or generating resources will be needed to meet load growth. The Pacific Northwest Loads and Resources Study analyzes the Pacific Northwest`s projected loads and available generating resources in two parts: (1) the loads and resources of the Federal system, for which BPA is the marketing agency; and (2) the larger Pacific Northwest regional power system, which includes loads and resource in addition to the Federal system. The loads and resources analysis in this study simulates the operation of the power system under the Pacific Northwest Coordination Agreement (PNCA) produced by the Pacific Northwest Coordinating Group. This study presents the Federal system and regional analyses for five load forecasts: high, medium-high, medium, medium-low, and low. This analysis projects the yearly average energy consumption and resource availability for Operating Years (OY) 1994--95 through 2003--04.

Tratamiento de un molar permanente inmaduro necrótico mediante pulpotomía

OpenAIRE

Boj Quesada, Juan Ramón; Cortés Lillo, Olga; Canalda Sahli, Carlos

1995-01-01

Se describe un caso que afecta al primer molar permanente inferior derecho, con tumefacción, fluctuación y fístula , con ápices no cerrados. El tratamiento de elección hubiese sido una técnica clásica de apicoformación con hidróxido de calcio. Pero por motivos de colaboración, se realizó una pulpotomía con hidróxido de calcio. Tras los controles radiológicos a los 3 meses, al año y al año y medio se comprobó que continuaba el desarrollo radicular y finalizaba el cierre apical.

Pacific Northwest Salmon Habitat Project Database

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — In the Pacific Northwest Salmon Habitat Project Database Across the Pacific Northwest, both public and private agents are working to improve riverine habitat for a...

A novel power harmonic analysis method based on Nuttall-Kaiser combination window double spectrum interpolated FFT algorithm

Science.gov (United States)

Jin, Tao; Chen, Yiyang; Flesch, Rodolfo C. C.

2017-11-01

Harmonics pose a great threat to safe and economical operation of power grids. Therefore, it is critical to detect harmonic parameters accurately to design harmonic compensation equipment. The fast Fourier transform (FFT) is widely used for electrical popular power harmonics analysis. However, the barrier effect produced by the algorithm itself and spectrum leakage caused by asynchronous sampling often affects the harmonic analysis accuracy. This paper examines a new approach for harmonic analysis based on deducing the modifier formulas of frequency, phase angle, and amplitude, utilizing the Nuttall-Kaiser window double spectrum line interpolation method, which overcomes the shortcomings in traditional FFT harmonic calculations. The proposed approach is verified numerically and experimentally to be accurate and reliable.

Irradiation of Northwest agricultural products

International Nuclear Information System (INIS)

Eakin, D.E.; Tingey, G.L.; Anderson, D.B.; Hungate, F.P.

1985-01-01

Irradiation of food for disinfestation and preservation is increasing in importance because of increasing resrictions on various chemical treatments. Irradiation treatment is of particular interest in the Northwest because of a growing supply of agricultural products and the need to develop new export markets. Several products have, or could potentially have, significant export markets if stringent insect control procedures are developed and followed. Due to the recognized potential benefits of irradiation, Pacific Northwest Laboratory (PNL) is conducting this program to evaluate the benefits of using irradiation on Northwest agricultural products under the US Department of Energy (DOE) Defense Byproducts Production and Utilization Program. Commodities currently included in the program are cherries, apples, asparagus, spices, hay, and hides

Irradiation of Northwest agricultural products

International Nuclear Information System (INIS)

Eakin, D.E.; Tingey, G.L.

1985-02-01

Irradiation of food for disinfestation and preservation is increasing in importance because of increasing restrictions on various chemical treatments. Irradiation treatment is of particular interest in the Northwest because of a growing supply of agricultural products and the need to develop new export markets. Several products have, or could potentially have, significant export markets if stringent insect control procedures are developed and followed. Due to the recognized potential benefits of irradiation, Pacific Northwest Laboratory (PNL) is conducting this program to evaluate the benefits of using irradiation on Northwest agricultural products under the US Department of Energy (DOE) Defense Byproducts Production and Utilization Program. Commodities currently included in the program are cherries, apples, asparagus, spices, hay, and hides

Movements of permanent health education triggered by the training of facilitators Movimientos de la educación permanente en salud desencadenados a partir de la formación de facilitadores Movimentos da educação permanente em saúde, desencadeados a partir da formação de facilitadores

Directory of Open Access Journals (Sweden)

Cinira Magali Fortuna

2011-04-01

Full Text Available This study mapped the movements of Permanent Health Education in the region of Araraquara, São Paulo, Brazil, begun by the Permanent Health Education Facilitators program, promoted by the Ministry of Health and the National School of Public Health. This qualitative study was grounded on the theoretical framework of institutional and schizoanalysis. Data were collected from operative groups of individuals who finished the program. The results were grouped into two plans: micropolitics and organization. Micropolitics indicates the production of different concepts concerning permanent education and different ways to establish it. Autonomy and control and also a tenuous relationship between tutorship and autonomy were highlighted, in the plan of organization. In conclusion, the program was an important device that suffered captures/overcoding but also produced changes in practice.Se tuvo por objetivo cartografiar los movimientos de educación permanente en salud, en la región de Araraquara, Sao Paulo, Brasil, iniciados a partir del curso de Facilitadores de Educación Permanente en Salud, del Ministerio de la Salud y Escuela Nacional de Salud Pública. Es un estudio de abordaje cualitativo, sustentado por el referencial teórico del análisis institucional en la línea esquizoanalítica, siendo los datos recolectados mediante grupos operativos con alumnos terminando el referido curso. Los resultados fueron agrupados en dos planos: micropolítica y organización. Con relación a la micropolítica, apuntan que hubo producción de diferentes conceptos sobre educación permanente y diferentes formas de institucionalización de la misma. En el plano de la organización se destacan la autonomía y el control y también la tenue relación entre tutela y autonomía. Concluimos que el curso fue un importante dispositivo que sufrió capturas, pero también produjo cambios en las prácticas.Tem-se, aqui, por objetivo, cartografar os movimentos de educa

Armouring facility? Nuclear-weapon and reactor reseach at the Kaiser-Wilhelm Institute for Physics

International Nuclear Information System (INIS)

Hachtmann, R.; Walker, M.

2005-01-01

The Kaiser Wilhelm Institute for Physics is best known as the place where Werner Heisenberg worked on nuclear weapons for Hitler. Although this is essentially true, there is more to the story. At the start of World War II this institute was taken over by the German Army Ordnance to be the central, but not exclusive site for a research project into the economic and military applications of nuclear fission. The Army physicist Kurt Diebner was installed in the institute as its commissarial director. Heisenberg was affiliated with the institute as an advisor at first, and became the director in 1942. Heisenberg and his colleagues, including in particular Karl-Heinz Hoecker, Carl Friedrich von Weizsaecker, and Karl Wirtz, worked on nuclear reactors and isotope separation with the clear knowledge that these were two different paths to atomic bombs [Atombomben]. However, they were clearly ambivalent about what they were doing. New documents recently returned from Russian archives shed new light on this work and the scientists' motivations. (orig.)

Pacific Northwest regional assessment program

International Nuclear Information System (INIS)

Anon.

1976-01-01

The Pacific Northwest (comprised of the states of Alaska, Idaho, Montana, Oregon, Washington and Wyoming) can by several measures be regarded as a national warehouse of fossil energy resources. This condition coupled with an evolving national policy stressing utilization of fossil fuels in the near term prior to development of more advanced technologies for energy supply, could result in the imposition of major changes in the region's environmental, socioeconomic and possibly health status. The objective of the Pacific Northwest Regional Assessment Program is to establish and exercise an integrated analytical assessment program for evaluation of these potential changes that may result from various energy development or conservation scenarios. After consideration of a variety of approaches to integrated assessment at a regional level, Pacific Northwest Laboratories (PNL) has concluded that dynamic simulation techniques provide the best available approach to evaluating the issues pertinent to the Northwest. As a result, the PNW Regional Assessment Program has been structured in a framework involving ten sectors. Each of these sectors involve their own submodels that receive information either from outside the model as exogenous inputs or from other sector submodels

Multidimensional digital image representations using generalized Kaiser-Bessel window functions.

Science.gov (United States)

Lewitt, R M

1990-10-01

Inverse problems that require the solution of integral equations are inherent in a number of indirect imaging applications, such as computerized tomography. Numerical solutions based on discretization of the mathematical model of the imaging process, or on discretization of analytic formulas for iterative inversion of the integral equations, require a discrete representation of an underlying continuous image. This paper describes discrete image representations, in n-dimensional space, that are constructed by the superposition of shifted copies of a rotationally symmetric basis function. The basis function is constructed using a generalization of the Kaiser-Bessel window function of digital signal processing. The generalization of the window function involves going from one dimension to a rotationally symmetric function in n dimensions and going from the zero-order modified Bessel function of the standard window to a function involving the modified Bessel function of order m. Three methods are given for the construction, in n-dimensional space, of basis functions having a specified (finite) number of continuous derivatives, and formulas are derived for the Fourier transform, the x-ray transform, the gradient, and the Laplacian of these basis functions. Properties of the new image representations using these basis functions are discussed, primarily in the context of two-dimensional and three-dimensional image reconstruction from line-integral data by iterative inversion of the x-ray transform. Potential applications to three-dimensional image display are also mentioned.

Rectal Cancer Survivors' Participation in Productive Activities.

Science.gov (United States)

Hornbrook, Mark C; Grant, Marcia; Wendel, Christopher; Bulkley, Joanna E; Mcmullen, Carmit K; Altschuler, Andrea; Temple, Larissa Kf; Herrinton, Lisa J; Krouse, Robert S

2017-01-01

Rectal cancer and its treatment impair survivors' productivity. To assess determinants of market and nonmarket employment, job search, volunteering, and homemaking among survivors five years or longer after diagnosis. We mailed questionnaires to 1063 survivors who were members of Kaiser Permanente (Northern California, Northwest) during 2010 and 2011. Productive activities, functional health status, and bowel management at the time of the survey. Response rate was 60.5% (577/953). Higher comorbidity burdens were associated with lower productivity for men and women rectal cancer survivors. Productive survivors were younger and had lower disease stage and age at diagnosis, higher household income and educational attainment, and fewer comorbidity burdens and workplace adjustments than did nonproductive survivors (p < 0.05 each; 2-sided). Productive rectal cancer survivors were evenly split by sex. Staying productive is associated with better mental health for rectal cancer survivors. Rectal cancer survivors with multiple chronic conditions, higher disease stage, lower productive activities, and older age need better access to medical care and closer monitoring of the quality of their care, including self-care. To capture the full extent of the involvement of survivors in all types of productive activities, research should routinely include measures of employment, searching for employment, homemaking, and volunteering. Counting market and nonmarket productive activities is innovative and recognizes the continuum of contributions survivors make to families and society. Health care systems should routinely monitor rectal cancer survivors' medical care access, comorbidities, health-related quality of life, and productive activities.

A study of the prevalence of significant increases in serum creatinine following angiotension-converting enzyme inhibitor administration.

Science.gov (United States)

Thorp, M L; Ditmer, D G; Nash, M K; Wise, R; Jaderholm, P L; Smith, J D; Chan, W

2005-05-01

Angiontension-converting enzyme inhibitors (ACEIs) are beneficial in the treatment of diabetic and nondiabetic kidney disease, coronary artery disease and congestive heart failure. One adverse effect of ACEIs use is a rise in serum creatinine and potential renal failure. This paper attempts to quantify this risk and assess the need for pre- and post-ACEI serum creatinine measurements. A computerized search of Kaiser Permanente Northwest's electronic medical record was conducted to find patients over the age of 40 years taking lisinopril between July 1, 2000 and June 30, 2002. Patient demographic information and presence in diabetes and coronary artery disease registries was collected. A subsequent search for pre- and postlisinopril serum creatinine levels within 6 months of initial lisinopril prescription was conducted. Patients with prelisinopril creatinine 2.5 mg/dl underwent chart review to discern adverse events associated with the rise in serum creatinine. A total of 18,977 patients were prescribed lisinopril between July 1, 2000 and June 30, 2002. In all 13 166 patients had a pre- and postlisinopril creatinine checked. In all, 31 patients had a rise in creatinine from 2.5 mg/dl (0.2%). Possible contributors to rise in creatinine included congestive heart failure, dehydration and infection. No patients developed end-stage renal disease, although three died. In conclusion, end-stage renal disease is an unlikely outcome among patients prescribed lisinopril and is most likely associated with other events.

EDUCAÇÃO PERMANENTE NO CONTEXTO HOSPITALAR: A EXPERIÊNCIA QUE RESSIGNIFICA O CUIDADO EM ENFERMAGEM

OpenAIRE

Flores,Giovana Ely; Oliveira,Dora Lúcia Leidens de; Zocche,Denise Antunes de Azambuja

2016-01-01

Resumo O artigo aborda o processo de formação vivenciado por enfermeiras educadoras no contexto hospitalar, na perspectiva da educação permanente em saúde, com destaques para as experiências que constituíram esse processo, os sentidos dessa formação e as mudanças decorridas no desenvolvimento do cuidado de enfermagem com base nas aprendizagens significativas. Tratou-se de estudo qualitativo exploratório-descritivo, desenvolvido por meio de grupos focais com sete enfermeiras que atuavam no Pro...

7 CFR 319.8-13 - From Northwest Mexico.

Science.gov (United States)

2010-01-01

... 7 Agriculture 5 2010-01-01 2010-01-01 false From Northwest Mexico. 319.8-13 Section 319.8-13... for the Entry of Cotton and Covers from Mexico § 319.8-13 From Northwest Mexico. Contingent upon continued freedom of Northwest Mexico and of the West Coast of Mexico from infestations of the pink bollworm...

Systematic review of economic evaluation studies and budget impact on ambulatory monitoring of capillary glucose in type 2 diabetics.

Science.gov (United States)

Olry de Labry Lima, Antonio; Moya Garrido, María Natividad; Espín Balbino, Jaime

2014-04-01

Realise a review of studies of economic evaluation about the ambulatory monitoring of capillary glucose (AMGC) in diabetic type II persons. A review of the literature was conducted, in MedLine, various websites, referenced paper and provided by expert's persons. Five studies concluded that the AMGC was a cost-effective strategic, of this papers use Kaiser Permanente data base, its make that these studies could be considered a solely one study. The rest of the papers did not find difference in the AMGC use. The use of AMGC has an uncertainty efficiency. More studies are needed. Copyright © 2013 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

Environmental aspects of Kaiser S2 harvester utilization in mountain terrains

Directory of Open Access Journals (Sweden)

Jozef Slugeň

2012-01-01

Full Text Available This paper deals with evaluating the ecological impacts of Kaiser S2 harvester utilization in mountain terrains. The harvester was used in bark beetle calamity and secondary felling in mixed forest (spruce, fir, beech stand with average incline of 70%. Assisting its movement in these extreme conditions were two supporting bases, which were used to stabilize it in the stand. Our aim was to determine the damage to the trees, underwood and stand soil. The resulting damage of remaining stand was 6.19%, which is, considering the demanding terrain conditions and in comparison with the outcomes of other research, a relatively acceptable value. Damage to the underwood was not found, due to its insufficient height and low representation. Measurements of damage to the soil by its compression indicated that the heaviest damage was under the supporting bases, where a heavy surface damage was found by creation of holes up to 15 cm deep. This type of damage is not dangerous, because it does not create a continuous track dangerous in storm rainfall and subsequent soil erosion. Soil compression in the track and on unimpaired soil reached lower levels. All of the measurements of compression by static penetration were carried out only to the depth of 15 cm due to high soil skeleton. This also negatively affected the measurements, which had to be repeated in many cases.

Antecedentes históricos del proceso de formación permanente del maestro tutor y su sistematización

Directory of Open Access Journals (Sweden)

MSc. Nirma Pérez-Pelipiche

2016-02-01

Full Text Available El estudio histórico realizado permitió evidenciar que la formación permanente de los maestros tutores de los estudiantes de Licenciatura en Educación Primaria ha transitado desde de una concepción espontánea, ocasional y a veces improvisada, hacia una más organizada en la que se han asumido posiciones de constantes cambios a favor del proceso formativo universitario pedagógico. Sin embargo, aún persisten restricciones epistemológicas y praxiológicas que limitan su efectividad, siendo notorio en el contexto de la microuniversidad durante la práctica laboral de los estudiantes en formación. Los estudios revelan que si bien el maestro tutor se erige en una figura esencial del proceso formativo pedagógico, no siempre su preparación ha sido efectiva, por lo que se requiere de una dinámica contextualizada de formación permanente que propicie nuevos sistemas de relaciones, vías y actitudes que actualicen y renueven las formas de ejercer sus funciones formativas en correspondencia con la realidad educativa contemporánea.

Northwest Territories Power Corporation annual report 1991/92

International Nuclear Information System (INIS)

1992-06-01

The Northwest Territories Power Corporation is a crown corporation of the government of the Northwest Territories. The Corporation operates diesel and hydroelectric production facilities to provide utility services on a self-sustaining basis in the Northwest Territories. Total revenue for 1991/92 amounted to $92,872,000 with $84,954,000 coming from the sale of power. Financial statements are presented. 3 figs

Northwest Territories Power Corporation annual report 1992/93

International Nuclear Information System (INIS)

1993-06-01

The Northwest Territories Power Corporation is a crown corporation of the government of the Northwest Territories. The Corporation operates diesel and hydroelectric production facilities to provide utility services on a self-sustaining basis in the Northwest Territories. Total revenue for 1992/93 amounted to $98,327,000 with $90,274,000 coming from the sale of power. Financial statements are presented. 3 figs

Delimiting communities in the Pacific Northwest.

Science.gov (United States)

Ellen M. Donoghue

2003-01-01

The paper presents an approach for delimiting communities in the Northwest Forest Plan (NWFP) region of the Pacific Northwest that responds to the need to assess impacts and issues associated with broad-scale ecosystem management. Census block groups are aggregated to provide an alternative to more commonly used geographic delimitations of communities, specifically...

Educação permanente e qualidade da assistência à saúde: aprendizagem significativa no trabalho da enfermagem

Directory of Open Access Journals (Sweden)

Fernanda Maria do Carmo da Silveira Neves de Oliveira

2011-01-01

Full Text Available El objetivo de este artículo es analizar la educación permanente en la práctica de la enfermería. En la actualidad, existe preocupación por los cambios introducidos en la estructura de enseñanza y la aplicación de metodologías activas para capacitar profesionales de salud. En el artículo se reflexiona sobre aspectos cotidianos de la enfermería y la manera actual de suministrar o proporcionar información tecnocientífica al enfermero durante la práctica en el hospital, tratando de enriquecer la asistencia de enfermería mediante la educación permanente. Se describen las prácticas trasformadoras aplicadas por el enfermero asistencial como elemento facilitador del proceso enseñanza-aprendizaje. Se lleva a cabo una revisión amplia de las bases de datos informáticas. En consecuencia, la selección de los textos se basa en los criterios de inclusión y exclusión, y dio origen a 50 artículos científicos. En años recientes, la educación permanente se introdujo como un método en el área de la salud, convirtiéndose en un aspecto indispensable en las prácticas de formación, atención, gestión, formulación de políticas públicas y control social. Así se estableció la idea de cuidado total y se trasformaron e integraron los saberes y las prácticas en el ámbito real del público al que va dirigido. Se concluye que la motivación para actualizar permanentemente la práctica profesional del equipo de enfermería prevé la aplicación de un instrumento interdisciplinario de solubilidad que promueva la visibilidad de las acciones por los clientes y sus familias.

Parálisis facial permanente: corrección quirúrgica con la técnica de Labbé

Directory of Open Access Journals (Sweden)

Rubén Yangali

2008-12-01

Full Text Available La parálisis facial genera un gran déficit estético y funcional. Las diversas técnicas quirúrgicas han ido evolucionando, a fin de corregir este defecto de la forma más estructural y fisiológica posible. Consideramos que la mioplastia de alargamiento del temporal constituye actualmente la técnica de elección para corregir los casos de parálisis facial permanente.

Mediación de la cultura docente en los proyectos de formación permanente (Mediation of culture teaching in lifelong learning projects (Médiation de la culture de l'enseignant dans les projets de formation continue (Mediação da cultura docente nos projectos de formação permanente

Directory of Open Access Journals (Sweden)

Rosa Amaya-de Rebolledo

2010-12-01

Full Text Available ResumenLa formación permanente del docente juega un papel clave en el cambio educativo; sin embargo, su con- creción práctica representa un reto epistemológico y metodológico. La problemática ha sido abordada des- de diferentes ángulos, en los cuales la relación entre cultura docente y formación permanente no ha sido claramente desvelada. En este artículo, que constituye un avance en la investigación de tesis doctoral de la Facultad de Ciencias de la Educación de la Universidad de Carabobo, se analiza por qué la cultura docente necesita ser reconocida como una realidad dinámica, dialéctica y relacional que afecta la calidad de la for- mación permanente del docente venezolano.AbstractThe continuous training of the teacher plays a key role in educational change; however, to take it to the practice rep- resents an epistemological and meth- odological challenge. The problem has been approached from different angles, where the relation between culture of the teacher and continuous training has not been clearly discussed. In this article, which constitutes an advance in the investigation of doctoral thesis of the Faculty of Sciences of the Education of Carabobo's University, it is analyzed why the culture of the teacher needs to be recognized as a dynamic reality, dialectic and relational that affects the quality of the continuous training in Venezuelan.RésuméLa formation continue des enseignants joue un rôle essentiel dans le changement éducatif, cependant, sa concrétion prati- que représente un défi épistémologique et méthodologique. La problématique a été envisagée dès perspectives différen- tes, dans lesquelles la relation entre la culture de l'enseignant et la formation continue n'a pas encore été nettement dévoilée. Dans cet article, qui constitue une avance dans la recherche de thèse doctorale de la Faculté de Sciences de l'Éducation de l'Université de Carabobo, on

The Pacific northwest stream quality assessment

Science.gov (United States)

Van Metre, Peter C.; Morace, Jennifer L.; Sheibley, Rich W.

2015-01-01

In 2015, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) program is assessing stream quality in the Pacific Northwest. The goals of the Pacific Northwest Stream Quality Assessment (Pacific Northwest study) are to assess the quality of streams in the region by characterizing multiple water-quality factors that are stressors to aquatic life and to evaluate the relation between these stressors and biological communities. The effects of urbanization and agriculture on stream quality for the Puget Lowlands and Willamette Valley are the focus of this regional study. Findings will provide the public and policymakers with information regarding which human and environmental factors are the most critical in affecting stream quality and, thus, provide insights about possible approaches to protect or improve the health of streams in the region.

Las ciencias naturales me generan... emociones vinculadas a las ciencias en la formación docente permanente

OpenAIRE

Mengascini, Adriana

2017-01-01

Presentamos y discutimos resultados de una indagación realizada en el contexto de una propuesta de formación docente permanente, respecto de las emociones asociadas a las ciencias naturales, a su enseñanza y a la realización de trabajos experimentales entre docentes de primaria y secundaria de Argentina. Las emociones manifestadas hacia las ciencias fueron positivas (interés, atracción, motivación), aunque respecto de su enseñanza y la realización de actividades experimentales se expresaron a...

The effect of patient satisfaction with pharmacist consultation on medication adherence: an instrumental variable approach

Directory of Open Access Journals (Sweden)

Gu NY

2008-12-01

Full Text Available There are limited studies on quantifying the impact of patient satisfaction with pharmacist consultation on patient medication adherence. Objectives: The objective of this study is to evaluate the effect of patient satisfaction with pharmacist consultation services on medication adherence in a large managed care organization. Methods: We analyzed data from a patient satisfaction survey of 6,916 patients who had used pharmacist consultation services in Kaiser Permanente Southern California from 1993 to 1996. We compared treating patient satisfaction as exogenous, in a single-equation probit model, with a bivariate probit model where patient satisfaction was treated as endogenous. Different sets of instrumental variables were employed, including measures of patients' emotional well-being and patients' propensity to fill their prescriptions at a non-Kaiser Permanente (KP pharmacy. The Smith-Blundell test was used to test whether patient satisfaction was endogenous. Over-identification tests were used to test the validity of the instrumental variables. The Staiger-Stock weak instrument test was used to evaluate the explanatory power of the instrumental variables. Results: All tests indicated that the instrumental variables method was valid and the instrumental variables used have significant explanatory power. The single equation probit model indicated that the effect of patient satisfaction with pharmacist consultation was significant (p<0.010. However, the bivariate probit models revealed that the marginal effect of pharmacist consultation on medication adherence was significantly greater than the single equation probit. The effect increased from 7% to 30% (p<0.010 after controlling for endogeneity bias. Conclusion: After appropriate adjustment for endogeneity bias, patients satisfied with their pharmacy services are substantially more likely to adhere to their medication. The results have important policy implications given the increasing focus

One-Year Outcomes of an Integrated Multiple Sclerosis Disease Management Program.

Science.gov (United States)

Groeneweg, Marti; Forrester, Sara H; Arnold, Beth; Palazzo, Lorella; Zhu, Weiwei; Yoon, Paul; Scearce, Tim

2018-05-01

Multiple sclerosis (MS) is associated with high total health care cost, the majority of which is attributable to medications. Patients with MS are less likely to experience relapses, emergency department (ED) visits, and hospitalizations when they are adherent to disease-modifying treatments. Disease management programs are hypothesized to improve medication adherence thereby improving clinical and economic outcomes. To evaluate the clinical and economic effects of a specialty pharmacy and chronic disease management program for patients with MS from a health plan perspective. This study was a retrospective analysis using prescription drug claims, medical claims, and electronic medical record information (2013-2015) 1 year before and after enrollment in the disease management program for members with 24 months of continuous health plan coverage. Medication adherence was calculated using proportion of days covered (PDC). Relapse rate was defined as an MS outpatient visit associated with a corticosteroid dispense within 7 days of the visit or an MS hospitalization. Disease progression was assessed using the Modified Expanded Disability Status Scale (mEDSS). Resource use included outpatient visits, ED visits, and hospitalizations. Cost information was collected as health plan-paid amount and was reported in 2013 U.S. dollars. The analysis included 377 patients (mean age 55 years, 76.4% female). After enrollment in the program, 78.7% of the study group had a PDC of ≥ 0.80 compared with 70.0% before enrollment (P management for patients with MS can increase the proportion of patients adherent to medication. The increase in health plan spend on MS medications is not offset by savings in health care resource utilization. This study was funded by Kaiser Permanente Washington Health Research Institute and Kaiser Permanente Washington Pharmacy Administration. The authors have no disclosures to report.

Psychiatric and Medical Conditions in Transition-Aged Individuals With ASD.

Science.gov (United States)

Davignon, Meghan N; Qian, Yinge; Massolo, Maria; Croen, Lisa A

2018-04-01

Children with autism spectrum disorder (ASD) have a variety of medical and psychiatric conditions and an increased use of health care services. There is limited information about the prevalence of psychiatric and medical conditions in adolescents and young adults with ASD. Our objective was to describe the frequency of medical and psychiatric conditions in a large population of diverse, insured transition-aged individuals with ASD. Participants included Kaiser Permanente Northern California members who were enrolled from 2013 to 2015 and who were 14 to 25 years old. Individuals with ASD ( n = 4123) were compared with peers with attention-deficit/hyperactivity disorder ( n = 20 615), diabetes mellitus ( n = 2156), and typical controls with neither condition ( n = 20 615). Over one-third (34%) of individuals with ASD had a co-occurring psychiatric condition; the most commonly reported medical conditions included infections (42%), obesity (25%), neurologic conditions (18%), allergy and/or immunologic conditions (16%), musculoskeletal conditions (15%), and gastrointestinal (11%) conditions. After controlling for sex, age, race, and duration of Kaiser Permanente Northern California membership, most psychiatric conditions were significantly more common in the ASD group than in each comparison group, and most medical conditions were significantly more common in the ASD group than in the attention-deficit/hyperactivity disorder and typical control groups but were similar to or significantly less common than the diabetes mellitus group. Although more research is needed to identify factors contributing to this excess burden of disease, there is a pressing need for all clinicians to approach ASD as a chronic health condition requiring regular follow-up and routine screening and treatment of medical and psychiatric issues. Copyright © 2018 by the American Academy of Pediatrics.

Nurse Knowledge Exchange Plus: Human-Centered Implementation for Spread and Sustainability.

Science.gov (United States)

Lin, Mike; Heisler, Scott; Fahey, Linda; McGinnis, Juli; Whiffen, Teri L

2015-07-01

Kaiser Permanente implemented a new model of nursing communication at shift change-in the bedside nursing report known as the Nurse Knowledge Exchange (NKE) in 2004-but noted variations in its spread and sustainability across medical centers five years later. The six core elements of NKEplus were as follows: team rounding in the last hour before shift changes, pre-shift patient assignments that limit the number of departing nurses at shift change, unit support for uninterrupted bedside reporting, standardization for report and safety check formats, and collaboration with patients to update in-room care boards. In January 2011 Kaiser Permanente Southern California (KPSC; Pasadena) began implementing NKEplus in 125 nursing units across 14 hospitals, with the use of human-centered design principles: creating shared understanding of the need for change, minimum specifications, and customization by frontline staff. Champion teams on each nursing unit designed and pilot tested unit-specific versions of NKEplus for four to eight weeks. Implementation occurred in waves and proceeded from medical/surgical units to specialty units. Traditional performance improvement strategies of accountability, measurement, and management were also applied. By the end of 2012, 100% of the 64 medical/surgical units and 47 (77.0%) of the 61 specialty units in KPSC medical centers implemented NKEplus-as had all but 1 of the specialty units by May 2013. The mean KPSC score on the NKEplus nursing behavior bundle improved from 65.9% in 2010 to 71.3% in the first quarter of 2014. The mean KPSC Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) score for nurse communication improved from 73.1% in 2010 to 76.4% in the first quarter of 2014 (p < . 001). Human-centered implementation appeared to help spread a new model of nursing handoffs and change the culture of professional nursing practice related to shift change.

Achievements in emergency medical rescue service, North-West ...

African Journals Online (AJOL)

2006-08-28

Aug 28, 2006 ... In North-West province this process of provincialisation took place in ... Emergency Medical Rescue Service, Department of Health, North-West. Victor R .... recovery after CPR treatment should be started as soon as possible ...

Career ladder program for registered nurses in ambulatory care.

Science.gov (United States)

Nelson, Joan; Sassaman, Becky; Phillips, Alison

2008-01-01

RN ladder programs are designed to inspire and reward clinical excellence. Kaiser Permanente Colorado's (KPCO) career ladder program emerged as a result of a labor-management partnership. Career ladder point assignments are reflective of the organization's priorities and values. KPCO's career ladder point tool awards RNs for formal and continuing education, professional presentations, organizational experience and experience as an RN, certifications and active professional memberships, leadership activities, research and publications, and nursing-related volunteer work. Participation in the RN career ladder requires that the nurse achieve a self-determined, manager-approved, measurable goal that will improve patient care. Career ladder nurses at KPCO were significantly more involved in leadership and interdisciplinary activities, quality improvement projects, and preceptorship.

La formación del profesorado de Historia en Chile. La formación inicial y permanente de los educadores de la V región en el marco de la reforma educacional

OpenAIRE

Vásquez Lara, Nelson Lorenzo

2004-01-01

[spa] Objetivos Generales:A. Conocer las principales características que ha tenido la formación inicial de los Profesores de Historia, Geografía y Ciencias Sociales chilenos.B. Conocer las principales características que ha tenido la formación permanente de los profesores de Historia, Geografía y Ciencias Sociales chilenos.C. Averiguar la percepción que los profesores de historia chilenos tienen sobre el grado de utilidad de la formación inicial y permanente.D. Averiguar la percepción que lo...

Formación del profesorado de Historia en Chile. La formación inicial y permanente de los educadores de la V región en el marco de la reforma educacional, La

OpenAIRE

Vásquez Lara, Nelson Lorenzo

2004-01-01

Objetivos Generales:A. Conocer las principales características que ha tenido la formación inicial de los Profesores de Historia, Geografía y Ciencias Sociales chilenos.B. Conocer las principales características que ha tenido la formación permanente de los profesores de Historia, Geografía y Ciencias Sociales chilenos.C. Averiguar la percepción que los profesores de historia chilenos tienen sobre el grado de utilidad de la formación inicial y permanente.D. Averiguar la percepción que los prof...

MERCOSUR ambiental. El aporte del Laudo 1/2012 del Tribunal Permanente de Revisión

Directory of Open Access Journals (Sweden)

Alberto Cesar Moreira

2014-03-01

Full Text Available El trabajo reflexiona acerca de la dimensión ambiental del MERCOSUR, identificando los desarrollos institucionales y normativos más significativos e intentando desentrañar algunas de las causas que dificultan su consolidación. En ese orden de ideas, destaca la escasa utilización que los Estados han hecho del sistema de solución de controversias de este esquema y pone de resalto el aporte del laudo 1/2012 del Tribunal Permanente de Revisión, ya que al resolver sobre su competencia en razón de la materia, reconoce y acompaña a las distintas dimensiones que el MERCOSUR ha ido desarrollado, entre ellas la ambiental.

77 FR 73635 - Northwest Storage GP, LLC; Notice of Application

Science.gov (United States)

2012-12-11

...) 1254 to a proposed 346-megawatt (MW) power plant located within the north industrial area of the Port...] Northwest Storage GP, LLC; Notice of Application Take notice that on November 21, 2012, Northwest Storage GP, LLC. (Northwest) filed with the Federal Energy Regulatory Commission an application under section 7 of...

Heart rate calculation from ensemble brain wave using wavelet and Teager-Kaiser energy operator.

Science.gov (United States)

Srinivasan, Jayaraman; Adithya, V

2015-01-01

Electroencephalogram (EEG) signal artifacts are caused by various factors, such as, Electro-oculogram (EOG), Electromyogram (EMG), Electrocardiogram (ECG), movement artifact and line interference. The relatively high electrical energy cardiac activity causes EEG artifacts. In EEG signal processing the general approach is to remove the ECG signal. In this paper, we introduce an automated method to extract the ECG signal from EEG using wavelet and Teager-Kaiser energy operator for R-peak enhancement and detection. From the detected R-peaks the heart rate (HR) is calculated for clinical diagnosis. To check the efficiency of our method, we compare the HR calculated from ECG signal recorded in synchronous with EEG. The proposed method yields a mean error of 1.4% for the heart rate and 1.7% for mean R-R interval. The result illustrates that, proposed method can be used for ECG extraction from single channel EEG and used in clinical diagnosis like estimation for stress analysis, fatigue, and sleep stages classification studies as a multi-model system. In addition, this method eliminates the dependence of additional synchronous ECG in extraction of ECG from EEG signal process.

La aspiración de Brasil al asiento permanente en el Consejo de Seguridad de la Organización de las Naciones Unidas: un breve panorama

Directory of Open Access Journals (Sweden)

Renata de Melo Rosa

2009-12-01

Full Text Available Este artículo analiza la posición de Brasil frente a la aspiración de un asiento permanente al Consejo de Seguridad de las Naciones Unidas. Los esfuerzos entabulados por Brasil en el escenario internacional, los discursos del primer rango del gobierno, así como un protagonismo más acelerado frente a los vecinos latino-americanos confirman esta aspiración. Pero, Brasil aún enfrenta serios problemas internos de seguridad nacional y tendrá que enfrentar otros compañeros regionales también, aspirantes a un assiento de miembro permanente en el Consejo de Seguridad de la ONU, como Canadá, por ejemplo. La ocupación del assiento temporario en el bienio de 2010-2011 también es uno de los factores analizados en este trabajo.

CONTROL DE GESTIÓN: DIMENSIONES Y DIAGNÓSTICO PERMANENTE

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Maritza Hernández Torres

2003-04-01

Full Text Available

Los actuales entornos competitivos en los que se desarrolla la actividad empresarial, junto a la necesidad de responder de forma adecuada a los continuos cambios y constante incertidumbre a los que las organizaciones han de enfrentarse, conllevan una significativa modificación en lo que a la gestión empresarial se refiere, resultando esencial en este sentido, el papel del control de gestión, que como elemento del proceso de dirección, es el que más contribuye a mejorar las actuaciones de cualquier sistema. Las empresas deben tomar decisiones estratégicas adecuadas que permitan alcanzar alguna ventaja competitiva en la búsqueda de la excelencia empresarial a través de un proceso flexible de mejora continua. Para contribuir a tal propósito, en el presente trabajo se realizan algunas reflexiones acerca del control de gestión, abarcando desde el enfoque clásico hasta el moderno, su evolución y situación en las organizaciones cubanas; así como, el análisis de sus dimensiones soportado en un procedimiento para su permanente diagnóstico en correspondencia con las particularidades en que las diferentes empresas desarrollan su actividad.

Gestión de la formación permanente del docente: reflexión y propuesta

Directory of Open Access Journals (Sweden)

MSc. Silvia M. Sarmiento-Berrezueta

2015-11-01

Full Text Available La práctica educativa actual exige implementar un nuevo Modelode Gestión de la formación permanente de los docentes basado en los estándares de calidad. Este artículo se centra en cómo alcanzar la calidad de la gestión formativa profesional mediante una propuesta de autoformación y co-formación basada sobre la reflexión, valoración y motivación, normada desde el Código de Convivencia, que conlleva a aprender y desaprender en los colectivos de docentes de educación básica superior en el Ecuador.

Marginal thinning in Northwest Greenland during 2002-2011

DEFF Research Database (Denmark)

Khan, Shfaqat Abbas; Kjær, K. H.; Wahr, J. M.

2012-01-01

Many glaciers along the southeast and northwest coast of Greenland have accelerated, increasing the Greenland ice sheet's (GrIS) contribution to global sea-level rise. Here, we map elevation changes in northwest Greenland during 2003-2009 using high-resolution Ice, Cloud and land Elevation Satell...

Minería de datos en la encuesta permanente de hogares 2009, universidad nacional del litoral, argentina

OpenAIRE

Denis Lizazo Torres; Roberto Delfor Meyer; Verena Torres Cárdenas

2011-01-01

En este trabajo se aplicó por primera vez la Minería de Datos a la información generada por la Encuesta Permanente de Hogares del año 2009, del Observatorio Social de la Universi-dad del Litoral en Santa Fe, Argentina. El objetivo fue utilizar algoritmos de clasificación que poseen enfoques descriptivos, y es una de las tareas más utilizada en Minería de Datos para obtener nuevos conocimientos sobre la familia santafecina. La base de datos fue confeccio-nada con la información en el relevamie...

77 FR 20807 - Northwest Pipeline GP; Notice of Application

Science.gov (United States)

2012-04-06

... diameter pipelines away from an adjacent surface coal mine west of Kemmerer, Wyoming. Northwest also... directed to Pam Barnes, Manager Certificates and Tariffs, Northwest Pipeline GP, 295 Chipeta Way, Salt Lake...

7 CFR 1124.2 - Pacific Northwest marketing area.

Science.gov (United States)

2010-01-01

... 7 Agriculture 9 2010-01-01 2009-01-01 true Pacific Northwest marketing area. 1124.2 Section 1124.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE PACIFIC NORTHWEST MARKETING AREA Order...

The Impact of Telephonic Wellness Coaching on Weight Loss: A “Natural Experiments for Translation in Diabetes (NEXT-D)” Study

Science.gov (United States)

Schmittdiel, Julie A.; Adams, Sara R.; Goler, Nancy; Sanna, Rashel S.; Boccio, Mindy; Bellamy, David J.; Brown, Susan D.; Neugebauer, Romain S.; Ferrara, Assiamira

2016-01-01

Objective To evaluate the impact of a population-based telephonic wellness coaching program on weight loss. Methods Individual-level segmented regression analysis of interrupted time series data comparing the BMI trajectories in the 12 months before vs. the 12 months after initiating coaching among a cohort of Kaiser Permanente Northern California (KPNC) members (n=954) participating in The Permanente Medical Group (TPMG) Wellness Coaching program in 2011. The control group was a 20:1 propensity-score matched control group (n=19,080) matched with coaching participants based on baseline demographic and clinical characteristics. Results Wellness coaching participants had a significant upward trend in BMI in the 12 months before their first Wellness coaching session, and a significant downward trend in BMI in the 12 months after their first session equivalent to a clinically significant reduction of greater than one unit of baseline BMI (pcoaching has a positive impact on BMI reduction that is both statistically and clinically significant. Future research and quality improvement efforts should focus on disseminating Wellness coaching for weight loss in diabetes patients and those at risk for developing the disease. PMID:28124501

Nuevos retos para el profesorado de secundaria obligatoria: formación permanente para la atención a la diversidad en las aulas (New challenges for teachers of compulsory secondary: lifelong learning for attention to diversity in the classrooms (Nouveaux défis pour le professorat de secondaire obligatoire :formation permanente pour l’attention à la diversité dans la salle de classe (Novos desafios para os professores do ensino médio obrigatório: formação permanente para a atenção à diversidade na sala de aula

Directory of Open Access Journals (Sweden)

Mar Prats

2009-12-01

Full Text Available La llegada reciente de alumnos inmigrantes a los centros educativos en España ha enfrentado al profesorado a nuevos retos. El presente artículo pone de manifiesto cuáles son estos nuevos retos que afrontan los docentes de la etapa de Educación Secundaria Obligatoria, ESO, a partir de sus propias voces, para conocer las necesidades formativas derivadas de esta situación educativa, con el fin de hacer propuestas de formación permanente para los docentes, como apoyo institucional en la atención de la diversidad de alumnado que coexiste en las aulas. Utilizando como método el estudio de casos múltiples hemos analizado e interpretado la información que conduce a conclusiones prácticas, con muchas posibilidades de ser tenidas en cuenta para la formación permanente de los implicados.

La Educación Permanente en Bibliotecología y Archivología: relato de una experiencia universitaria en Uruguay (1994-2001

Directory of Open Access Journals (Sweden)

Edelweiss Zahn

2013-12-01

Full Text Available Se indica cómo han variado los roles de la información y la situación relativa de las unindades de información, la producción tecnológica de vías alternativas del almacenamiento documental, tales como las bilbiotecas virtuales o digitales, los archivos y museos electrónicos. El avance de la investigación y del conocimiento en cualquier disciplina, el crecimiento de expectativas y necesidades de formación y actualización por parte de los profesionales, nuevos requerimientos y desafíos en el ámbito laboral y social, y la implantación generalizada de nuevas tecnologías, se han conjugado para obligar a una reflexión profunda de las instituciones responsables de formación especializada. En las Universidades se plantean al menos tres niveles educativos: el grado, los posgrados, y la educación continua o permanente que involucre conocimientos teórico-prácticos y metodológicos, que contribuya a mejorar el desempeño y la jerarquía profesional en la línea de conocimientos "just in time", y que habilite a niveles superiores de conocimiento y a la investigación disciplinaria. Se define y caracteriza la eduación permanente como fenómeno educativo. Se relata el proceso de institucionalización de la Educación Permanente en la Universidad de la República y en la Escuela Universitaria de Bibliotecología y Ciencias Afines en particular. Se desarrollar criterios y políticas académicos, formas de financiación del programa, su evaluación y su proección a futuro. Se presentan datos estadísticos sobre cursos, profesores, y participantes en el período 1994-2001 en la EUBCA     

Searching for the optimal renal prescription. Fresenius, Kaiser Permanente team up to offer new options in dialysis care.

Science.gov (United States)

Neumann, M E

1999-01-01

The goals are simple: Improve well-being of the dialysis patient and reduce hospitalizations. The tools are diverse: Ultrapure dialysate. On-line blood monitoring. Biocompatible membranes. No reuse. Daily, in-center dialysis and possibly nocturnal dialysis at home. Reimbursement: Full-risk capitation, With Medicare and commercial payor rates varying on a patient-by-patient basis. Create an incubator with approximately 1,000 end-stage renal disease patients, treated at both capitated payment-exclusive dialysis units and mingled in at traditional fee-for-service clinics. Establish a team of nurses and renal care staff to direct the care plan, and put the program in place. After the first year, analyze the data and see if the end--hopefully, improved outcomes and resulting reduced hospitalizations--justifies the means--the higher cost for "optimal technologies."

Electricity: Cornerstone of the northwest economy

International Nuclear Information System (INIS)

Anon.

1988-01-01

The goal of this Northwest Power Plan is to preserve and enhance valuable assets by identifying the steps that need to be taken to ensure the lowest cost electrical energy future for the Pacific Northwest. With the 1980's the region entered a new age of electrical power, which poses five major new challenges for the region. (1) All new sources of power are much more expensive than the region's existing hydropower system. (2) The region's industries have divergent needs, and the dilemma is that new additions to the power system will raise costs and threaten the traditional industries. (3) The current surplus of electricity is expensive. Today's surplus is made up of coal and nuclear powered systems which are expensive. (4) The surplus is not evenly shared. High growth metropolitan served by investor-owned utilities with fewer resources compared to demand than the publicly-owned utilities. (5) The surplus could disappear quickly, with high growth the region would need new supplies in the next few years. A 25 year history of the Northwest electrical power development is given

Northwest Africa 8535 and Northwest Africa 10463: New Insights into the Angrite Parent Body

Science.gov (United States)

Santos, A. R.; Agee, C. B.; Shearer, C. K.; McCubbin, F. M.

2016-01-01

The angrite meteorites are valuable samples of igneous rocks formed early in Solar System history (approx.4.56 Ga, summarized in [1]). This small meteorite group (approx.24 individually named specimens) consists of rocks with somewhat exotic mineral compositions (e.g., high Ca olivine, Al-Ti-bearing diopside-hedenbergite, calcium silico-phosphates), resulting in exotic bulk rock compositions. These mineral assemblages remain fairly consistent among angrite samples, which suggests they formed due to similar processes from a single mantle source. There is still debate over the formation process for these rocks (see summary in [1]), and analysis of additional angrite samples may help to address this debate. Toward this end, we have begun to study two new angrites, Northwest Africa 8535, a dunite, and Northwest Africa 10463, a basaltic angrite.

La cátedra abierta y permanente de Ética

Directory of Open Access Journals (Sweden)

Ana María Caballero

2015-06-01

Full Text Available La Cátedra Abierta y Permanente de Ética se propuso como un espacio de discusión y reflexión ético-política para debatir las diferentes corrientes del pensamiento axiológico y político, que propicie la resignificación de las representaciones culturales y sociales de sentido que permitan desarrollar una mirada socio histórica sobre las relaciones entre educación, ética y cultura colombiana, de tal manera que los estudiantes de la Universidad Pedagógica Nacional asuman una conciencia clara de su función como actores sociales en la construcción de la sociedad civil, la democracia, la promoción y la defensa de los derechos humanos, el crecimiento económico y el desarrollo social. La formación de valores morales que fundamenten una ética cívica parte del conocimiento de la realidad nacional y global, de la autoconciencia de cada individuo que aspira a constituirse en un ser autónomo usando su pensamiento crítico y participando en la construcción de la democracia, como modelo de gobierno que garantiza las libertades individuales, propiciando espacios para la conquista de los ideales de libertad, equidad, solidaridad y tolerancia, que permitan la convivencia ciudadana y la construcción de la nacionalidad colombiana.

[The history of the Kaiser Wilhelm Society during the Third Reich. Interim reports of the president's commission of the Max Planck Society].

Science.gov (United States)

Weber, M M

2002-11-01

In 1997 the Max Planck Society set up a presidential commission to do research on the historical development of its precursor organization, the Kaiser Wilhelm Society (KWG), during the Third Reich. This paper presents some of the important results given in the interim reports of this commission that are relevant to psychiatry. It focuses on brain research, anthropology, psychiatric genetics, and the role of the well-known biochemist Adolf Butenandt. In general, the interim reports reflect the numerous links between the biomedical research of the KWG and the institutions of the National Socialist (Nazi) state. However, they do not yet allow a final historical assessment as to the complex situation of this field of research during National Socialism.

COMPETENCIAS EMPRENDEDORAS DEL ALUMNADO DE EDUCACIÓN PERMANENTE DE ADULTOS EN ANDALUCÍA. PERCEPCIÓN DEL PROFESORADO

Directory of Open Access Journals (Sweden)

José Ma. Fernández Batanero

2017-01-01

Full Text Available En el presente trabajo analizamos la percepción que tiene el profesorado de Educación Permanente de Personas Adultas en Andalucía (España acerca del grado de presencia de competencias emprendedoras en su alumnado. Para dar respuesta al objetivo planteado adoptamos un diseño de investigación de tipo descriptivo, donde el enfoque de recolección y análisis de datos se ha definido como mixto, en el que se integran técnicas cualitativas (entrevistas en profundidad y cuantitativas (cuestionario. Para la validación del cuestionario, se utilizó la técnica de juicio de expertos, seleccionados mediante el procedimiento de «Coeficiente de competencia experta» o «Coeficiente K». El análisis de la fiabilidad del cuestionario a través de la prueba de Cronbach fue de 0,957. El cuestionario ha sido respondido por 549 profesores y profesoras de Centros de Educación Permanente de Andalucía y se han realizado 23 entrevistas en profundidad a informantes claves (directores de centros y coordinadores de sección. Los resultados muestran con claridad la percepción, tanto del profesorado como de aquellos que ejercen el ejercicio de la dirección, que el alumnado de estos centros educativos no están lo suficientemente preparados para iniciar por su cuenta un proyecto empresarial, a pesar de cursar contenidos curriculares de cultura emprendedora. Consideran que aún no poseen las competencias emprendedoras necesarias para crear y gestionar eficazmente un proyecto empresarial, constituyendo la falta de creatividad uno de los mayores obstáculos para dicho fin. Así mismo, se desprende del estudio la escasa incidencia que ejercen los programas de cultura emprendedora que se desarrollan en este tipo de centros.

Sustaining the Northwest way of life

International Nuclear Information System (INIS)

1991-08-01

These Discussion Papers are from a number of organizations with a high stake in the future performance of the Bonneville Power Administration. Bonneville solicited papers from other organizations to assure a broaded-based discussion of the topics for the 1991 Programs in Perspective. PIP meetings will be held throughout the Northwest in September. PIP runs on a two-year cycle. The first year is aimed at discussion of broad, strategic issues. The second year evaluates specific program levels for all Bonneville programs and test them for affordability against financial constraints. This year's PIP focuses on strategic-issues discussion. It specifically asks for regional discussion to help put some flesh on the skeleton of Bonneville's own vision for its future: ''Best for the Northwest Through Teamwork B... P... A... The Most Competitive and Socially Responsible Power System in the Nation'' Specific topics are (1) achieving social responsibility and (2) conserving Northwest competitiveness. Bonneville executives chose this vision as a means of directing the organization into and beyond the 1990s. It guides the 3000 plus employees of the agency in their day-to-day operations. By asking for discussion of the terms ''Most Competitive'' and ''Socially Responsible'' in the 1991 PIP, Bonneville intends to better understand the diverse needs of its customers and constituents, and to become of even greater service to the Northwest. The papers are designed to help stimulate thought about the dimensions of the future direction of BPA. Bonneville intends that the real substance of PIP will occur in the meetings themselves. We hope that these papers will provoke new thinking, and that the interchange of views in the meetings will produce new approaches to the issues

Navigable windows of the Northwest Passage

Science.gov (United States)

Liu, Xing-he; Ma, Long; Wang, Jia-yue; Wang, Ye; Wang, Li-na

2017-09-01

Artic sea ice loss trends support a greater potential for Arctic shipping. The information of sea ice conditions is important for utilizing Arctic passages. Based on the shipping routes given by ;Arctic Marine Shipping Assessment 2009 Report;, the navigable windows of these routes and the constituent legs were calculated by using sea ice concentration product data from 2006 to 2015, by which a comprehensive knowledge of the sea ice condition of the Northwest Passage was achieved. The results showed that Route 4 (Lancaster Sound - Barrow Strait - Prince Regent Inlet and Bellot Strait - Franklin Strait - Larsen Sound - Victoria Strait - Queen Maud Gulf - Dease Strait - Coronation Gulf - Dolphin and Union Strait - Amundsen Gulf) had the best navigable expectation, Route 2 (Parry Channel - M'Clure Strait) had the worst, and the critical legs affecting the navigation of Northwest Passage were Viscount Melville Sound, Franklin Strait, Victoria Strait, Bellot Strait, M'Clure Strait and Prince of Wales Strait. The shortest navigable period of the routes of Northwest Passage was up to 69 days. The methods used and the results of the study can help the selection and evaluation of Arctic commercial routes.

Caries dental aguda del primer molar permanente en niños de 12 años

Directory of Open Access Journals (Sweden)

Daniel Enrique Reyes Romagosa

Full Text Available Introducción: el primer molar permanente es considerado la llave de la oclusión dentaria, la presencia de caries en éste es elevada, lo que dificulta el logro de las metas trazadas por organizaciones de salud a nivel mundial en este grupo de edad. Objetivo: determinar el comportamiento de la caries dental aguda en primer molar permanente en una población de 12 años de edad atendida en la Clínica Estomatológica Santa Cruz de la Parroquia Goaigoaza. Métodos: se realizó un estudio descriptivo transversal en la Clínica Estomatológica Santa Cruz. Parroquia Goaigoaza, municipio Puerto Cabello, estado Carabobo, en el período comprendido entre abril del 2009 a abril 2010. Se seleccionaron 97 pacientes de 12 años de edad los que constituyeron el universo y la muestra. Acudieron a la consulta por dolor debido a la presencia de caries dental aguda. Se registraron las variables: edad, sexo, grado clínico de la caries dental, estímulos externos que provocaron dolor, la cara dental y la arcada dentaria más afectadas. La información fue recogida mediante interrogatorio y examen clínico. Resultados: el sexo masculino representó el 63,9 %. La caries dental de 3er grado estuvo presente en un 68 %. Los estímulos externos que provocaron dolor fueron: el frío presente en 75,2 % y los alimentos dulces en 69,1 % en ambos sexos. El primer molar inferior derecho resultó más afectado (46,4 % que el izquierdo (36,1 %, así como la arcada dentaria inferior (25,8 % y la cara oclusal (64,9 %. Conclusiones: predominaron el sexo masculino y la caries dental aguda de 3er grado. El frío y los alimentos dulces fueron los estímulos externos más frecuentes. Los más afectados resultaron el primer molar inferior derecho, la cara oclusal y la arcada dentaria inferior.

Las Lesson Study en Andalucía: un modelo de formación permanente

Directory of Open Access Journals (Sweden)

Rosa M.ª Caparrós Vida

2015-01-01

Full Text Available El presente artículo ofrece los resultados de un estudio de casos desarrollado en el marco de un proyecto de investigación I+D de la Universidad de Málaga a través de una de las modalidades de formación permanente ofertadas por un Centro de Formación del Profesorado, bajo la demanda de un grupo de docentes de una escuela de la comarca de la Axarquía en Málaga. Las Lesson Study se convierten en el eje del estudio de los procesos de comprensión y reconstrucción del conocimiento práctico de una maestra de 1º de primaria sobre la enseñanza y el aprendizaje de la lectura y escritura, encontrando evidencias significativas sobre cómo esta estrategia metodológica y de investigación contribuye a la reconstrucción del mismo.

Sustaining the Northwest Way of Life.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration. Customer Services.

1991-08-01

These Discussion Papers are from a number of organizations with a high stake in the future performance of the Bonneville Power Administration. Bonneville solicited papers from other organizations to assure a broaded-based discussion of the topics for the 1991 Programs in Perspective. PIP meetings will be held throughout the Northwest in September. PIP runs on a two-year cycle. The first year is aimed at discussion of broad, strategic issues. The second year evaluates specific program levels for all Bonneville programs and test them for affordability against financial constraints. This year's PIP focuses on strategic-issues discussion. It specifically asks for regional discussion to help put some flesh on the skeleton of Bonneville's own vision for its future: Best for the Northwest Through Teamwork B... P... A... The Most Competitive and Socially Responsible Power System in the Nation'' Specific topics are (1) achieving social responsibility and (2) conserving Northwest competitiveness. Bonneville executives chose this vision as a means of directing the organization into and beyond the 1990s. It guides the 3000 plus employees of the agency in their day-to-day operations. By asking for discussion of the terms Most Competitive'' and Socially Responsible'' in the 1991 PIP, Bonneville intends to better understand the diverse needs of its customers and constituents, and to become of even greater service to the Northwest. The papers are designed to help stimulate thought about the dimensions of the future direction of BPA. Bonneville intends that the real substance of PIP will occur in the meetings themselves. We hope that these papers will provoke new thinking, and that the interchange of views in the meetings will produce new approaches to the issues.

75 FR 48986 - Northwest Area Water Supply Project, North Dakota

Science.gov (United States)

2010-08-12

... DEPARTMENT OF THE INTERIOR Bureau of Reclamation Northwest Area Water Supply Project, North Dakota... Area Water Supply Project (NAWS Project), a Federal reclamation project, located in North Dakota. A... CONTACT: Alicia Waters, Northwest Area Water Supply Project EIS, Bureau of Reclamation, Dakotas Area...

75 FR 49518 - Northwest Area Water Supply Project, North Dakota

Science.gov (United States)

2010-08-13

... DEPARTMENT OF THE INTERIOR Bureau of Reclamation Northwest Area Water Supply Project, North Dakota... Area Water Supply Project (NAWS Project), a Federal reclamation project, located in North Dakota. A... CONTACT: Alicia Waters, Northwest Area Water Supply Project EIS, Bureau of Reclamation, Dakotas Area...

Non-timber forest products of the North-West District of Guyana

OpenAIRE

Andel, T.R. van

2000-01-01

This thesis describes the use of non-timber forest products (NTFPs) by indigenous peoples of northwest Guyana. Part I contains a general analysis of NTFP harvesting in northwest Guyana Part II is an illustrated field guide of the useful plants encountered. Chapter 1: introduction Chapter 2: floristic composition and vegetation structure of well-drained mixed forest and 20- and 60-year old secondary forests. Previous forest inventories predicted a general low diversity for the North-West Distr...

Permanent education in health. An instrument to enhance interpersonal relations in nursing work La educación permanente en salud. Instrumento potenciador de las relaciones interpersonales del trabajo en enfermería Educação permanente em saúde. Instrumento potencializador das relações interpessoais no trabalho da enfermagem

Directory of Open Access Journals (Sweden)

Juliane Portella Ribeiro

2012-08-01

Full Text Available This is a reflexive study about the need to adopt Permanent Education in Health, as an instrument capable of transforming interpersonal relations in nursing work, as it values and respect collective construction with a view to the qualification of care. Privileging specialization programs only, with a focus on work techniques, on educative processes, as a training strategy for health services, ends up reinforcing the fragmentation of care, teams and the work process. In conclusion, Permanent Education in Health serves not only as teaching and learning practice to update and transform practices, but also influences team relations, transforming joint action processes and, at the same time, implying each subject-worker involved in health practices.Se trata de un estudio reflexivo sobre la necesidad de adoptar la Educación Permanente en Salud, como un instrumento capaz de transformar las relaciones interpersonales en el trabajo de la enfermería, ya que valora y respeta la construcción colectiva para la calificación de la atención. Privilegiar sólo la especialización con direccionalidad en la técnica del trabajo en los procesos educativos, como estrategia de capacitación para los servicios de salud, acaba por reforzar la fragmentación del cuidado, de los equipos y del proceso de trabajo. Se concluye que la Educación Permanente en Salud, además de servir como práctica de enseñanza y aprendizaje para la actualización y transformación de las prácticas, actúa en las relaciones del equipo, transformando los procesos de acción conjunta y, al mismo tiempo, implicando cada sujeto-trabajador involucrado en las prácticas de salud.Se trata de um estudo reflexivo sobre a necessidade de adotar a Educação Permanente em Saúde, como um instrumento capaz de transformar as relações interpessoais no trabalho da enfermaria, já que, valoriza e respeita a construção coletiva, para a qualificação do atendimento. Privilegiar só a especializa

EL DESARROLLO PROFESIONAL MEDIANTE LA FORMACION PERMANENTE DE LOS PROFESORES CUBANOS DE MATEMÁTICA Y CIENCIAS PARA TRABAJAR EN PAISES DE HABLA INGLESA

Directory of Open Access Journals (Sweden)

Noelio Vázquez Vargas

2014-12-01

Full Text Available Este artículo trata sobre el desarrollo profesional. Se presenta un estudio histórico sobre la enseñanza del inglés con fines específicos (IFE durante la formación permanente de los profesores cubanos de Matemática y Ciencias, además, se presentan las competencias básicas de los profesores de estas asignaturas, teniendo en cuenta el criterio de diferentes autores.

Manual dexterity aptitude testing: a soap carving study.

Science.gov (United States)

Tang, Christopher G; Hilsinger, Raymond L; Cruz, Raul M; Schloegel, Luke J; Byl, Fred M; Rasgon, Barry M

2014-03-01

Currently there are few validated metrics for predicting surgical skill among otolaryngology residency applicants. To determine whether manual dexterity aptitude testing in the form of soap carving during otolaryngology residency interviews at Kaiser Permanente Medical Center Oakland predicts surgical skill at the time of graduation from otolaryngology residency programs. This study was conducted to determine how applicants with the best and worst soap carvings compared at the time of graduation with respect to various metrics including visuospatial ability and manual dexterity. Over the last 25 years, applicants to the residency program at Kaiser Permanente Oakland were required to carve soap during their residency interview. The 3 best and 3 worst soap carvings from 1990 through 2006 were determined. Of the individuals who carved those soaps, 62 qualified for the study and matriculated into otolaryngology residency programs. Surveys were sent to the 62 individuals' residency programs to evaluate those individuals on a 5-point Likert scale in various categories as well as to rank those individuals as being in the top 50% or bottom 50% of their graduating class. All else being equal, we hypothesized that applicants who had the manual dexterity and visuospatial skills to accurately carve a bar of soap would more likely possess the skills necessary to become a good surgeon. There was no difference between individuals with the best soap carvings and those with the worst soap carvings in all categories: cognitive knowledge, visuospatial ability, manual dexterity, decision making, and overall score (P > .10 for all categories). There was a 95% response rate, with 35 of 37 residency programs responding and 59 of 62 surveys returned. Manual dexterity aptitude testing in the form of soap carving does not appear to correlate with surgical skill at the time of graduation. Further studies need to be conducted to determine the role of manual dexterity and visuospatial

Cohort profile: Study of Transition, Outcomes and Gender (STRONG) to assess health status of transgender people.

Science.gov (United States)

Quinn, Virginia P; Nash, Rebecca; Hunkeler, Enid; Contreras, Richard; Cromwell, Lee; Becerra-Culqui, Tracy A; Getahun, Darios; Giammattei, Shawn; Lash, Timothy L; Millman, Andrea; Robinson, Brandi; Roblin, Douglas; Silverberg, Michael J; Slovis, Jennifer; Tangpricha, Vin; Tolsma, Dennis; Valentine, Cadence; Ward, Kevin; Winter, Savannah; Goodman, Michael

2017-12-27

The Study of Transition, Outcomes and Gender (STRONG) was initiated to assess the health status of transgender people in general and following gender-affirming treatments at Kaiser Permanente health plans in Georgia, Northern California and Southern California. The objectives of this communication are to describe methods of cohort ascertainment and data collection and to characterise the study population. A stepwise methodology involving computerised searches of electronic medical records and free-text validation of eligibility and gender identity was used to identify a cohort of 6456 members with first evidence of transgender status (index date) between 2006 and 2014. The cohort included 3475 (54%) transfeminine (TF), 2892 (45%) transmasculine (TM) and 89 (1%) members whose natal sex and gender identity remained undetermined from the records. The cohort was matched to 127 608 enrollees with no transgender evidence (63 825 women and 63 783 men) on year of birth, race/ethnicity, study site and membership year of the index date. Cohort follow-up extends through the end of 2016. About 58% of TF and 52% of TM cohort members received hormonal therapy at Kaiser Permanente. Chest surgery was more common among TM participants (12% vs 0.3%). The proportions of transgender participants who underwent genital reconstruction surgeries were similar (4%-5%) in the two transgender groups. Results indicate that there are sufficient numbers of events in the TF and TM cohorts to further examine mental health status, cardiovascular events, diabetes, HIV and most common cancers. STRONG is well positioned to fill existing knowledge gaps through comparisons of transgender and reference populations and through analyses of health status before and after gender affirmation treatment. Analyses will include incidence of cardiovascular disease, mental health, HIV and diabetes, as well as changes in laboratory-based endpoints (eg, polycythemia and bone density), overall and in relation to

Does the diagnosis of breast or ovarian cancer trigger referral to genetic counseling?

Science.gov (United States)

Powell, C Bethan; Littell, Ramey; Hoodfar, Elizabeth; Sinclair, Fiona; Pressman, Alice

2013-03-01

Kaiser Permanente Northern California is a large integrated health care delivery system in the United States that has guidelines for referring women with newly diagnosed BRCA1-and BRCA2-associated cancers for genetic counseling. This study assesses adherence to genetic counseling referral guidelines within this health system. Chart review was performed to identify patients with cancer who met the following pathology-based Kaiser Permanente Northern California guidelines for referral for genetic counseling: invasive breast cancer, younger than age 40; nonmucinous epithelial ovarian, fallopian tube, or peritoneal cancer, younger than age 60; women with synchronous or metachronous primary cancers of the breast and ovaries; and male breast cancer. We assessed compliance with referral guidelines. An electronic notice was sent to the managing physician of patients with newly diagnosed cancer to assess the feasibility of this intervention. A total of 340 patients were identified with breast cancer at younger than age 40 or with ovarian, peritoneal, or tubal cancer between January and June, 2008. Upon chart review, 105 of these patients met pathology-based criteria for referral to genetic counseling, of whom 47 (45%) were referred within the 2-year study period. Of the 67 subjects with breast cancer, 40 subjects (60%) were referred. In contrast, only 7 (21%) of 33 patients with ovarian cancer were referred (P < 0.001). A pilot study was performed to test the feasibility of notifying managing oncologists with an electronic letter alerting them of eligibility for genetic referral of patients with new diagnosis (n = 21). In the 3 to 6 months after this notification, 12 of these 21 patients were referred for counseling including 5 of 7 patients with a diagnosis of ovarian cancer. There is a missed opportunity for referring patients to genetic counseling, especially among patients with ovarian cancer. A pilot study suggests that alerting treating physicians is a feasible

Early Colorectal Cancer Detected by Machine Learning Model Using Gender, Age, and Complete Blood Count Data.

Science.gov (United States)

Hornbrook, Mark C; Goshen, Ran; Choman, Eran; O'Keeffe-Rosetti, Maureen; Kinar, Yaron; Liles, Elizabeth G; Rust, Kristal C

2017-10-01

Machine learning tools identify patients with blood counts indicating greater likelihood of colorectal cancer and warranting colonoscopy referral. To validate a machine learning colorectal cancer detection model on a US community-based insured adult population. Eligible colorectal cancer cases (439 females, 461 males) with complete blood counts before diagnosis were identified from Kaiser Permanente Northwest Region's Tumor Registry. Control patients (n = 9108) were randomly selected from KPNW's population who had no cancers, received at ≥1 blood count, had continuous enrollment from 180 days prior to the blood count through 24 months after the count, and were aged 40-89. For each control, one blood count was randomly selected as the pseudo-colorectal cancer diagnosis date for matching to cases, and assigned a "calendar year" based on the count date. For each calendar year, 18 controls were randomly selected to match the general enrollment's 10-year age groups and lengths of continuous enrollment. Prediction performance was evaluated by area under the curve, specificity, and odds ratios. Area under the receiver operating characteristics curve for detecting colorectal cancer was 0.80 ± 0.01. At 99% specificity, the odds ratio for association of a high-risk detection score with colorectal cancer was 34.7 (95% CI 28.9-40.4). The detection model had the highest accuracy in identifying right-sided colorectal cancers. ColonFlag ® identifies individuals with tenfold higher risk of undiagnosed colorectal cancer at curable stages (0/I/II), flags colorectal tumors 180-360 days prior to usual clinical diagnosis, and is more accurate at identifying right-sided (compared to left-sided) colorectal cancers.

Fórum Permanente da Agenda 21 Paraná: seus vínculos com o processo de mobilização social

Directory of Open Access Journals (Sweden)

Myrian Del Vecchio De Lima

2016-12-01

Full Text Available Este artigo utiliza a construção dos vínculos entre públicos envolvidos, proposta por Márcio Simeone Henriques (2004, para analisar a ocorrência de um processo de mobilização social, conforme entendimento teórico do sociólogo Bernardo Toro. O trabalho realiza esta proposta especificamente em relação às ações desenvolvidas pelo Fórum Permanente da Agenda 21 no Paraná. O objetivo é observar, por meio dos critérios dos vínculos, as ações de caráter mobilizador com relação a questões socioambientais empreendidas por esse coletivo, a partir do entendimento dos dois autores citados. Para tanto, o texto reflete sobre a compreensão do conceito central em questão, a mobilização social, e o papel da comunicação nesse processo. Após uma breve apresentação do Fórum Permanente da Agenda 21, verifica-se por meio de análise de conteúdo se há, no interior deste coletivo, vínculos que permitam atos de comunicação propícios à mobilização social em torno das diretrizes socioambientais propostas pela Agenda para orientar as políticas públicas.DOI: http://dx.doi.org/10.21882/ruc.v4i7.655 Recebido: 19/09/2016 Publicado: 07/12/2016

Política de Educação Permanente em Saúde: análise de sua implementação

Directory of Open Access Journals (Sweden)

Katerine Gonçalves Moraes

2015-12-01

Full Text Available Introdução: A política nacional de educação permanente em saúde define novas diretrizes para a gestão democrática na área da educação na saúde, tais como: a gestão participativa, o protagonismo dos trabalhadores e usuários e o fortalecimento do controle social. Objetivo: Analisar o processo de implementação da Política de Educação Permanente em Saúde no Distrito Federal, Brasil. Métodos: Estudo de caso utilizando a teoria da política pública foi realizado no Distrito Federal, envolvendo 24 participantes chave responsáveis pela gestão e implementação dessa política. Resultados: Os achados apontam para um modelo centralizado de gestão com pouca participação de outros segmentos da sociedade civil, obstáculos de financiamento devido a questões burocráticas e desvalorização dos espaços de execução da política. Conclusão: Pode-se concluir que as mudanças políticas e de gestão não têm sido realizadas com a amplitude necessária para a construção coletiva do conhecimento nos serviços de saúde.

The historical development of modern virus research in Germany, especially in the Kaiser-Wilhelm-/Max-Planck-Society, 1936--1954.

Science.gov (United States)

Butenandt, A

1977-01-01

This is lecture on the historical development of modern virus research in Germany to introduce a symposium dedicated to Prof. Werner Schäfer, Tübingen, on the occasion of his 65th birthday. The author was set the task of relating from his memories the beginning of modern virus research in Germany. This research has, since 1936, essentially taken place in the Kaiser-Wilhelm/Max-Planck-Society and in 1954 led to the founding of the Max-Planck-Institute for Virus Research in Tübingen, an institute which to the present day owes its scientific reputation in considerable part to the activity of Werner Schäfer. Since the author personally experienced and participated in the Institute's development from 1936-1954, his remarks are predominantly influenced by personal recollections, which have been sharpended by a renewed study of old records in the 'Library and Archive of the History of the Max-Planck-Gesellschaft', Berlin-Dahlem.

Hacia un espacio europeo de aprendizaje para toda la vida. Evolución y desarrollo de la Educación Permanente en la Unión Europea.

Directory of Open Access Journals (Sweden)

Fernando López Noguero

2008-01-01

Full Text Available En sus inicios, la Unión Europea (UE concedió una mínima importancia a la educación en el marco de los derechos y las políticas sociales europeas, aumentando su peso paulatinamente, como comprobaremos en la propia evolución de la Educación Permanente en la UE, desarrollo que hemos dividido en cuatro etapas fundamentales. Así, desde la proclamación del Año Europeo de la Educación y la Formación Permanentes en 1996, en el que se fomentó en el seno de la UE el concepto de aprendizaje durante toda la vida, la Educación Permanente ha cambiado radicalmente en Europa hacia una nueva realidad que se ha dado en llamar “Espacio Europeo de Aprendizaje para toda la vida”, que analizamos en profundidad a través del análisis de la legislación y programas educativos existentes en la UE. ------------------------------------------------------------------------ In its early years, the European Union (EU granted a minimal importance to education in the framework of rights and social policies in Europe, increasing its weight gradually, as we Hill check on the evolution of Continuing Education in EU development which we have divided into tour Basic stages. So we will check how, since the proclamation of the European Year of Education and Training Standing in 1996, which fostered within the EU the concept of lifelong learning, Continuing Education has changed dramatically in Europe towards a new reality that has been termed a “European Area Learning for Life” which analyzed in depth through the analysis of legislation and educational programs existing in the EU.

1998 Pacific Northwest Loads and Resources Study: The White Book

International Nuclear Information System (INIS)

1998-01-01

The Pacific Northwest Loads and Resources Study (White Book) is published annually by BPA and establishes the planning basis for supplying electricity to customers. It serves a dual purpose. First, the White Book presents projections of regional and Federal system load and resource capabilities, along with relevant definitions and explanations. Second, the White Book serves as a benchmark for annual BPA determinations made pursuant to the 1981 regional power sales contracts. Specifically, BPA uses the information in the White Book for determining the notice required when customers request to increase or decrease the amount of power purchased from BPA. The White Book compiles information obtained from several formalized resource planning reports and data submittals, including those from the Northwest Power Planning Council (Council) and the Pacific Northwest Utilities Conference Committee (PNUCC). The White Book is not an operational planning guide, nor is it used for inventory planning to determine BPA revenues. Operation of the Federal Columbia River Power System (FCRPS) is based on a set of criteria different from that used for resource planning decisions. Operational planning is dependent upon real-time or near-term knowledge of system conditions, including expectations of river flows and runoff, market opportunities, availability of reservoir storage, energy exchanges, and other factors affecting the dynamics of operating a power system. The 1998 White Book is presented in two documents: (1) this summary of Federal system and Pacific Northwest region loads and resources; and (2) a technical appendix detailing the loads and resources for each major Pacific Northwest generating utility. This analysis updates the December 1997 Pacific Northwest Loads and Resources Study

1998 Pacific Northwest Loads and Resources Study: The White Book.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1998-12-01

The Pacific Northwest Loads and Resources Study (White Book) is published annually by BPA and establishes the planning basis for supplying electricity to customers. It serves a dual purpose. First, the White Book presents projections of regional and Federal system load and resource capabilities, along with relevant definitions and explanations. Second, the White Book serves as a benchmark for annual BPA determinations made pursuant to the 1981 regional power sales contracts. Specifically, BPA uses the information in the White Book for determining the notice required when customers request to increase or decrease the amount of power purchased from BPA. The White Book compiles information obtained from several formalized resource planning reports and data submittals, including those from the Northwest Power Planning Council (Council) and the Pacific Northwest Utilities Conference Committee (PNUCC). The White Book is not an operational planning guide, nor is it used for inventory planning to determine BPA revenues. Operation of the Federal Columbia River Power System (FCRPS) is based on a set of criteria different from that used for resource planning decisions. Operational planning is dependent upon real-time or near-term knowledge of system conditions, including expectations of river flows and runoff, market opportunities, availability of reservoir storage, energy exchanges, and other factors affecting the dynamics of operating a power system. The 1998 White Book is presented in two documents: (1) this summary of Federal system and Pacific Northwest region loads and resources; and (2) a technical appendix detailing the loads and resources for each major Pacific Northwest generating utility. This analysis updates the December 1997 Pacific Northwest Loads and Resources Study.

2014 Hypertension Guideline: Recommendation for a Change in Goal Systolic Blood Pressure

Science.gov (United States)

Handler, Joel

2015-01-01

The 2014 Kaiser Permanente Care Management Institute National Hypertension Guideline was developed to assist primary care physicians and other health care professionals in the outpatient treatment of uncomplicated hypertension in adult men and nonpregnant women aged 18 years and older. The new guideline reflects general acceptance, with minor modifications, of the “Evidence-Based Guideline” report by the panel members appointed to the National Heart, Lung, and Blood Institute 8th Joint National Committee. A major practice change is the recommendation for goal systolic blood pressure less than 150 mmHg in patients aged 60 years and older who are treated for hypertension in the absence of diabetes or chronic kidney disease. This article describes the reasons for, evidence for, and consequences of the change, and is followed by the National Guidelines handout. PMID:26057683

Sustaining engagement and partnership: model of enhancing cultural capital among nonaffiliated IRB members.

Science.gov (United States)

Hung, Yvonne; Ayala, Armida; Morales, Francisco; Frierman-Hunt, Gina; Moreno, Alva; Nwachuku, Ijeoma

2013-07-01

Although federal regulations require the presence of at least one nonaffiliated member on the roster of an institutional review board (IRB), little research exists about how to foster their participation and satisfaction. Guided by principles of justice and diversity, the Kaiser Permanente Southern California IRB adapted the sociological concept of "cultural capital" to develop training and support with its nonaffiliated IRB members. Using in-depth qualitative interviews with four past and current nonaffiliated IRB members, we describe how our initial and ongoing activities enhanced their ability to analyze, communicate, and complete the ethical review of research. This case study is situated in the gaps of existing research about nonaffiliated IRB members by providing insights into how to sustain their engagement while protecting the rights of research volunteers, particularly from vulnerable communities.

A Pelagic Paleocene Seouence in the Biga Peninsula Northwest Turkey

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M. Burak YIKILMAZ

2002-06-01

Full Text Available A sequence of pelagic limestone, calciturbidite, debris flow, greywacke, basalt and limestone blocks. up to several hundred metres across, occur west of the town of Biga in northwest Turkey. The pelagic limestones in this sequence, named as the Ballıkaya formation, comprise pelagic foraminifera of Palaeocene age. Neritic limestone of Mid-Eocene age lies unconformably over the Ballıkaya formation. The age and the sedimentary environment of the Ballıkaya formation indicate the presence of a tectonically active deep-sea environment in northwest Turkey during the Palaeocene, and constrain the main Alpide deformation in northwest Turkey to the Late Palaeocene - Early Eocene interval.

Educação permanente: instrumento de trabalho do enfermeiro na instituição de longa permanência

OpenAIRE

Silva, Bárbara Tarouco da; Barlem, Edison Luiz Devos; Lunardi, Valeria Lerch; Santos, Silvana Sidney Costa

2008-01-01

A questão educacional na enfermagem é ampla, podendo referir-se à educação formal em cursos técnicos, de graduação e de pós-graduação, ou à educação em saúde voltada aos treinamentos em serviço. Ante a problemática do envelhecimento populacional, as características da sociedade moderna e o uso crescente de Instituições de Longa Permanência (ILPs) como residência dos idosos, a proposta deste texto reflexivo é enfatizar a relevância e necessidade da educação permanente para os trabalhadores que...

Evaluación de la formación permanente del profesorado en la República Dominicana : el caso del Infocam

OpenAIRE

Ayala de la Cruz, María Esperanza

2016-01-01

El presente estudio estuvo orientado a describir y valorar la calidad del sistema de formación, relacionándolo con la aplicación de las políticas educativas y de formación permanente o continua del profesorado en la República Dominicana. Su conexión con las necesidades e intereses de los docentes, su incidencia en el desarrollo personal, profesional, y de desempeño. Teniendo como intención estratégica generar y aportar líneas para avanzar hacia un sistema de evaluación de la formación...

The organizational dynamics enabling patient portal impacts upon organizational performance and patient health: A qualitative study of Kaiser Permanente

NARCIS (Netherlands)

E.T. Otte-Trojel (Eva Terese); T.G. Rundall (Thomas); A.A. de Bont (Antoinette); J.J. van de Klundert (Joris); M.E. Reed (Mary E.)

2015-01-01

textabstractBackground: Patient portals may lead to enhanced disease management, health plan retention, changes in channel utilization, and lower environmental waste. However, despite growing research on patient portals and their effects, our understanding of the organizational dynamics that explain

Solar 78 Northwest conference proceedings

Energy Technology Data Exchange (ETDEWEB)

None

1978-01-01

Thirty eight papers are included. One was abstracted previously. Separate entries were prepared for thirty-seven. Also included are the conference evaluation summary, Pacific Northwest Solar Energy Association organization information, lists of commercial and non-commercial exhibitors, speakers and stearing committee members, and attendees. (MHR)

Suspended sediment entrainment estimation in unsteady turbulent flows by means of a stochastic meted; Computo de la incorporacion de sedimento en suspension en flujos turbulentos no permanentes utilizando un enfoque estocastico

Energy Technology Data Exchange (ETDEWEB)

Rodriguez, Jose Fernando; Garcia, Marcelo Horacio [Universidad de Illinois (United States); Admiraal, David Mark [Universidad de Nebraska en Lincoln (United States)

2001-06-01

bibliografia, pero todas ellas han sido derivadas para condiciones de flujo permanente y uniforme. La bondad de estas relaciones para predecir tasas de incorporacion en flujos no permanentes no ha sido demostrada y tampoco se ha intentado desarrollar una formulacion general que sea aplicable tanto en condiciones permanentes como no permanentes. El enfoque tradicional relacionada la incorporacion de sedimento con el esfuerzo de corte asociado con la friccion de grano en una forma deterministica, proveyendo solo una relacion entre valores medios. Una alternativa es considerar el esfuerzo de corte y la incorporacion como magnitudes estocasticas turbulentas y expresarlas en terminos de sus funciones de densidad de probabilidad (PDF). De esta manera se pueden obtener estadisticos de la incorporacion a partir de las PDF del esfuerzo de corte tanto en situaciones de flujos permanentes como no permanentes, dado que el efecto de la impermanencia esta implicito en el PDF. Esta nueva metodologia fue usada para estimar la incorporacion de sedimento debido al paso de embarcaciones en los rios Mississippi e Illinois. Al usar una expansion en cumulantes de bajo orden para describir la PDF del esfuerzo de corte y una version generalizada de la relacion de incorporacion de Garcia y Parker, se obtuvo una expresion para el promedio de la incorporacion, en funcion del promedio, varianza, asimetria y kurtosis del esfuerzo de corte. Los resultados se comparan satisfactoriamente con valores mencionados en la literatura.

1991 Pacific Northwest Loads and Resources Study, Technical Appendix: Volume 1.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1992-03-01

This publication provides detailed documentation of the load forecast scenarios and assumptions used in preparing BPA's 1991 Pacific Northwest Loads and Resources Study (the Study). This is one of two technical appendices to the Study; the other appendix details the utility-specific loads and resources used in the Study. The load forecasts and assumption were developed jointly by Bonneville Power Administration (BPA) and Northwest Power Planning Council (Council) staff. This forecast is also used in the Council's 1991 Northwest Conservation and Electric Power Plan (1991 Plan).

Demonstration of shield-type longwall supports at York Canyon Mine of Kaiser Steel Corporation. Final technical report A

Energy Technology Data Exchange (ETDEWEB)

Lawrence, R.G.; King, R.

1980-04-01

This report represents work on a program that was originated by the USBM of the Department of the Interior and was transferred to the Department of Energy on October 1, 1977. A demonstration with the Government funded Hemscheidt 320 HSL caliper type shield supports was conducted at three longwall panels of Kaiser Steel Corporation's York Canyon Mine. The purpose of this longwall demonstration was to provide the US coal industry with information on all aspects of shield longwall mining in high seams. The demonstration provided a working model for the coal industry and during the project, 350 people from the industry, schools, and government agencies visited the demonstration. They were provided with a first hand knowledge of a working shield longwall. The demonstration showed that the control of large coal lumps may be a problem in the mining of coal seam thicker than 8 feet. Mining with shield type supports provided good working conditions and a safe working environment. The shield requires very little maintenance and has a high mechanical availability.

A three-dimensional `Kaiser damage-memory' effect through true-triaxial loading

Science.gov (United States)

Meredith, P. G.; Browning, J.; Harland, S. R.; Healy, D.; Stuart, C.; Mitchell, T. M.

2017-12-01

Microcrack damage leading to failure in rocks evolves in response to differential loading. The vast majority of experimental studies investigate damage evolution, the `Kaiser damage-memory' effect, and rock failure using conventional triaxial stress states (σ1 > σ2 = σ3). Such stress states develop a crack population that displays cylindrical transverse isotropy. However, in nature the stress state is in general truly triaxial (σ1 > σ2 > σ3) and experiments that utilise such loading conditions can generate crack populations that display planar transverse isotropy which in turn influences properties such as permeability and strength. We investigate the evolution of crack damage under both conventional and true triaxial stress conditions using results from measurements made on cubic samples of sandstone deformed in three orthogonal directions with independently controlled stress paths. We have measured, simultaneously with stress and strain, the changes in ultrasonic compressional and shear wave velocities in the three principal directions, together with the bulk acoustic emission (AE) output. Changes in acoustic wave velocities are associated with both elastic closure and opening of pre-existing cracks, and the inelastic formation of new cracks. By contrast, AE is only associated with the inelastic growth of new crack damage and as such, we use the onset of AE to determine the initiation of new crack damage. By mapping these damage onsets under both conventional triaxial and true triaxial sequential cyclic loading, we have shown that `damage envelopes' evolve dynamically and can be pushed closer to the failure envelope. Whether a stress state has been `visited' before is key to determining and understanding damage states. Crack damage populations can be generated with multiple orientations depending on the arrangement of loading directions and hence principal stress directions. The sequential cyclic loading tests show that further damage in any one population

Minería de datos en la encuesta permanente de hogares 2009, universidad nacional del litoral, argentina

Directory of Open Access Journals (Sweden)

Denis Lizazo Torres

2011-04-01

Full Text Available En este trabajo se aplicó por primera vez la Minería de Datos a la información generada por la Encuesta Permanente de Hogares del año 2009, del Observatorio Social de la Universi-dad del Litoral en Santa Fe, Argentina. El objetivo fue utilizar algoritmos de clasificación que poseen enfoques descriptivos, y es una de las tareas más utilizada en Minería de Datos para obtener nuevos conocimientos sobre la familia santafecina. La base de datos fue confeccio-nada con la información en el relevamiento de 2009, denominado Onda 2009, y se procesó con el software de minería de datos Weka 3.6.2. Los algoritmos de clasificación que mejores resultados aportaron fueron: ZeroR, Ridor y J48, pertenecientes a los grupos de Reglas y Árboles de Decisión, siendo el algoritmo de clasificación J48 el que mejor clasifica a la En-cuesta Permanente de Hogares 2009 del Observatorio Social de la Universidad Nacional del Litoral. In this work it was applied the Data Mining for the first time, to the information generated by the Permanent Survey of Homes of the year 2009, of the Social Observatory of the University of the Litoral in Santa Fe, Argentina. The objective was to use classification algorithms that possess descriptive focuses and it is one of the tasks more used in Data Mining, to obtain new knowledge on the family of Santa Fe. The database was made with the information of the Permanent Survey of Homes of the year 2009 and it was processed with the software of data mining Weka 3.6.2. The classification algorithms that better results contributed were: ZeroR, Ridor and J48, belonging to the groups of Rules and Trees of Decision, being the classifica-tion algorithm J48 the one that better it classifies to the Permanent Survey of Homes 2009, of the Social Observatory of the National University of the Litoral.

Climate change and health effects in Northwest Alaska

Directory of Open Access Journals (Sweden)

Michael Brubaker

2011-10-01

Full Text Available This article provides examples of adverse health effects, including weather-related injury, food insecurity, mental health issues, and water infrastructure damage, and the responses to these effects that are currently being applied in two Northwest Alaska communities.In Northwest Alaska, warming is resulting in a broad range of unusual weather and environmental conditions, including delayed freeze-up, earlier breakup, storm surge, coastal erosion, and thawing permafrost. These are just some of the climate impacts that are driving concerns about weather-related injury, the spread of disease, mental health issues, infrastructure damage, and food and water security. Local leaders are challenged to identify appropriate adaptation strategies to address climate impacts and related health effects.The tribal health system is combining local observations, traditional knowledge, and western science to perform community-specific climate change health impact assessments. Local leaders are applying this information to develop adaptation responses.The Alaska Native Tribal Health Consortium will describe relationships between climate impacts and health effects and provide examples of community-scaled adaptation actions currently being applied in Northwest Alaska.Climate change is increasing vulnerability to injury, disease, mental stress, food insecurity, and water insecurity. Northwest communities are applying adaptation approaches that are both specific and appropriate.The health impact assessment process is effective in raising awareness, encouraging discussion, engaging partners, and implementing adaptation planning. With community-specific information, local leaders are applying health protective adaptation measures.

THE NATURAL MOVEMENT OF POPULATION IN THE NORTH-WEST REGION OF ROMANIA

Directory of Open Access Journals (Sweden)

MANUELA-DORA ORBOI

2009-05-01

Full Text Available From the perspective of human development indicators during the past 15 years, Region North-West has undergone a series of negative processes, which are the most significant demographic decline due to negative natural growth and increased migration of people, especially those assets. Region North-West faces a negative demographic trend, with life expectancy of 71.38 years, the national average (72.22 years with high external migration, especially of highly qualified workforce. Analysis of employment trends of population in Region North-West shows a downward trend and projections for the development for years emphasized the decrease in employment. Estimates on the evolution of the population in Region North-West during 2005-2013 reveals a total population decreased by 4.2%.

Paducah Gaseous Diffusion Plant Northwest Plume interceptor system evaluation

International Nuclear Information System (INIS)

Laase, A.D.; Clausen, J.L.

1998-01-01

The Paducah Gaseous Diffusion Plant (PGDP) recently installed an interceptor system consisting of four wells, evenly divided between two well fields, to contain the Northwest Plume. As stated in the Northwest Plume Record of Decision (ROD), groundwater will be pumped at a rate to reduce further contamination and initiate control of the northwest contaminant plume. The objective of this evaluation was to determine the optimum (minimal) well field pumping rates required for plume hotspot containment. Plume hotspot, as defined in the Northwest Plume ROD and throughout this report, is that portion of the plume with trichloroethene (TCE) concentrations greater than 1,000 microg/L. An existing 3-dimensional groundwater model was modified and used to perform capture zone analyses of the north and south interceptor system well fields. Model results suggest that the plume hotspot is not contained at the system design pumping rate of 100 gallons per minute (gal/min) per well field. Rather, the modeling determined that north and south well field pumping rates of 400 and 150 gal/min, respectively, are necessary for plume hotspot containment. The difference between the design and optimal pumping rates required for containment can be attributed to the discovery of a highly transmissive zone in the vicinity of the two well fields

1993 Pacific Northwest Loads and Resources Study, Technical Appendix: Volume 2, Book 1, Energy.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1993-12-01

The 1993 Pacific Northwest Loads and Resources Study establishes the Bonneville Power Administration`s (BPA) planning basis for supplying electricity to BPA customers. The Loads and Resources Study is presented in three documents: (1) this technical appendix detailing loads and resources for each major Pacific and Northwest generating utility, (2) a summary of Federal system and Pacific Northwest region loads and resources, and (3) a technical appendix detailing forecasted Pacific Northwest economic trends and loads. This analysis updates the 1992 Pacific Northwest Loads and Resources Study Technical Appendix published in December 1992. This technical appendix provides utility-specific information that BPA uses in its long-range planning. It incorporates the following for each utility (1) Electrical demand firm loads; (2) Generating resources; and (3) Contracts both inside and outside the region. This document should be used in combination with the 1993 Pacific Northwest Loads and Resources Study, published in December 1993, because much of the information in that document is not duplicated here.

Biopoder e UPPs: alteridade na experiência do policiamento permanente em comunidades cariocas

Directory of Open Access Journals (Sweden)

Thiago Benedito Livramento Melicio

2012-12-01

Full Text Available O artigo visa refletir sobre a experiência do efetivo policial permanente em dois conjuntos de comunidades cariocas, inserido no escopo das Unidades de Polícia Pacificadora (UPP. Foram realizados dois estudos exploratórios, em agosto e dezembro de 2010. Na esteira do conceito foucaultiano de biopoder, discute-se a UPP como rede de relações de poder que a compõe e a legitima, pensando-se o local em que se instala, a política de Estado a que responde, os atores com que opera e as produções históricas das relações entre Estado e territórios populares. O campo de análise constitui-se, assim, nas práticas e saberes localizados no cotidiano e nos efeitos produzidos com a presença do policial na paisagem da favela. Se novas regras são trazidas com as UPPs, novas identificações são mobilizadas e as modulações de conjunto abrem lacunas, o governo de si não se produz sozinho, mas combina-se com diversidades na gestão da vida.

40 CFR 81.115 - Northwest Nevada Intrastate Air Quality Control Region.

Science.gov (United States)

2010-07-01

... Quality Control Region. 81.115 Section 81.115 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Air Quality Control Regions § 81.115 Northwest Nevada Intrastate Air Quality Control Region. The Northwest Nevada Intrastate Air Quality Control Region consists of the territorial area encompassed by the...

Benefits of donkeys in rural and urban areas in northwest Nigeria

NARCIS (Netherlands)

Hassan, M.R.; Steenstra, F.A.; Udo, H.M.J.

2013-01-01

The objective of this study is to explore the benefits of donkeys for rural and urban smallholder farmers in northwest Nigeria. We visited 112 smallholder donkey farmers located in rural and urban areas from four states in northwest Nigeriathrough four focus group meetings, interviews with

Non-timber forest products of the North-West District of Guyana

NARCIS (Netherlands)

Andel, T.R. van

2000-01-01

This thesis describes the use of non-timber forest products (NTFPs) by indigenous peoples of northwest Guyana. Part I contains a general analysis of NTFP harvesting in northwest Guyana Part II is an illustrated field guide of the useful plants encountered. Chapter 1: introduction Chapter

ANÁLISE DA CORRELAÇÃO ENTRE AS VARIÁVEIS DE DENSIFICAÇÃO DO COMPACTADOR GIRATÓRIO SUPERPAVE E A RESISTÊNCIA À DEFORMAÇÃO PERMANENTE EM MISTURAS ASFÁLTICAS CONVENCIONAIS E COM UTILIZAÇÃO DE RESÍDUOS

Directory of Open Access Journals (Sweden)

Felipe Coutinho Onofre

2011-09-01

Full Text Available

Quando se comparam as metodologias de dosagem Superpave e Marshall de misturas asfálticas, uma das vantagens da primeira é a obtenção do gráfico de compactação. Tem sido verificado para misturas densas e contínuas do tipo Concreto Asfáltico (CA que determinadas áreas observadas nesse gráfico podem diferenciar estas misturas quanto à trabalhabilidade e à resistência à deformação permanente. No presente estudo, os parâmetros Compaction Densification Index (CDI e Traffic Densification Index (TDI foram utilizados como indicadores da compactabilidade. Desenvolveu-se um estudo de correlação entre estas variáveis e a resistência à deformação permanente de misturas asfálticas. Foram avaliadas três misturas asfálticas contendo: (i apenas agregados graníticos, (ii 50% de agregados graníticos e 50% de escória de aciaria e (iii 50% de agregados graníticos e 50% de Resíduo de Construção e Demolição (RCD. As variáveis escolhidas para determinação da resistência à deformação permanente foram o ensaio uniaxial de carga repetida (amostras compactadas para dois percentuais de Volume de vazios e o ensaio com um simulador de tráfego do tipo LCPC. Foi utilizado também o Processamento Digital de Imagens (PDI para a determinação da esfericidade dos agregados estudados, propriedade que influencia na resistência à deformação permanente. Os resultados indicam que as variáveis CDI e TDI podem ser usadas como parâmetros de estudo para prever a resistência à deformação permanente, mesmo para misturas com utilização de resíduos. A caracterização pela técnica do PDI mostrou que o agregado de origem granítica possui uma forma menos próxima a uma esfera em relação aos res

DYNAMICS ECONOMIC DISPARITIES IN NORTH-WEST REGION OF ROMANIA

Directory of Open Access Journals (Sweden)

Florea Adrian

2011-07-01

Full Text Available Even though over the years has enjoyed wide media coverage, with highlighted aspects, discrepancies and inequalities of economic potential between different regions of the world, or even parts of the same countries always remained topical. Difficulties arising from these differences were always felt, extremely painful by humans. Analyzing distinctly, participation of each county to the GDP of the Northwest Region and the composition of all indicators, we can identify significant discrepancies between counties, regions and municipalities. This is one of the reasons that led us trying to identify the causes that generated the current situation. From the perspective of the contribution of each county in the Northwest Region to Region's domestic product composition, the first place is taken by Cluj county 32.3%, followed by Bihor with 24.3%, Maramures, with 14.9% Satu-Mare, 12.1%, Bistrita-Nasaud, 9.1% and 7.2% Salaj. Consulting of the Regional Operational Programme 2007-2013 indicates that the poorest areas in the Northwest Region are in Maramures and Bistrita-Nasaud. An important part of the active population of North-West Region was employed in public enterprises and an increase of unemployment in the counties of Salaj, Satu Mare and Maramures became predictable, imminent amid restructuring of public enterprises with losses. Studies of employed population by sectors of the economy, shows a high rate of population employed in services in the counties of Cluj and Bihor and high employment in agriculture on other four counties. In a modern market economy, services are most concentrated labors, and how the workforce is distributed in the Northwest region also shows an imbalance. How Northwest Region is participating in international economic cycle has major effects on the population's living standards. Relevant for the inter-district disparities analysis is the human and agents behavior analysis and the savings and loan relationships. How people

Educação Permanente em Saúde e Manoel de Barros: uma Aproximação Desformadora

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Eluana Borges Leitão de Figueiredo

Full Text Available RESUMO Trata-se de uma reflexão que promove diálogo entre pressupostos da Educação Permanente em Saúde (EPS e proposições desformadoras do poeta Manoel de Barros, com o objetivo de contribuir para a transvisão da formação e do trabalho em saúde. Optou-se por desvelar tal aproximação com base nos versos do poema “As lições de RQ”, que funcionaram como plataforma para os saltos reflexivos. A discussão encontrou respaldo principal em Paulo Freire e Adolfo Sanchez Vázquez, uma vez que caminhou na perspectiva de uma práxis revolucionária, transformadora e libertadora.

Ações de educação permanente dos enfermeiros facilitadores de um núcleo de educação em enfermagem

OpenAIRE

Lavich, Claudia Rosane Perico; Gomes Terra, Marlene; Lemos Mello, Amanda; Raddatz, Michele; Arnemann, Cristiane Trivisiol

2017-01-01

Objetivo: Identificar ações desenvolvidas por enfermeiros facilitadores de um Núcleo de Educação Permanente de um Hospital de Ensino.Método: Estudo de caso único com abordagem qualitativa, realizado com oito enfermeiros de um hospital no Estado do Rio Grande do Sul. A produção dos dados foi por meio de análise documental, observação sistemática e grupo focal, realizada de abril a setembro de 2013.Resultados: O estudo aponta para as seguintes categorias: estratégias potentes para promover açõe...

Sediment Evaluation Framework for the Pacific Northwest

Science.gov (United States)

The Sediment Evaluation Framework provides a regional framework for assessment, characterization and management of sediments in the Pacific Northwest to determine suitability for unconfined in-water disposal.

The public view of Pacific Northwest forests

International Nuclear Information System (INIS)

West, P.R.

1991-01-01

There are diverse communities that make up the public in the Pacific Northwest, all with differing views on the forest. To the media, the public are those indirect stakeholders, or average citizens, who have become keenly aware of the importance of environmental issues, including the implications for global change. Linkages between the forests, deforestation, global climate change, and overall environmental sustainability have been widely publicized, though less frequently analyzed in depth. Consequently, the state of Northwest forests has become a vital public interest. The need for an overall margin of global environmental security, and a concern over unsuspected consequences of all economic activity (including forestry) have created a community of interest among the urban population. In part, this is a spillover effect from promoting individual environmental responsibility and the conserver ethic into issues beyond the city boundary. In the Northwest, this often translates as a deep concern over forest management issues and strong conviction that changes are needed. At the same time, and largely as a direct response, the socioeconomic interests of rural forest communities have become a high-profile issue, raising debate over local empowerment and local forest stewardship models. The consequences of this complex and rapidly evolving public view of the forests are critical to forest managers and policymakers. 12 refs

The ecological system and the regionalization of landscape reconstruction in northwest of China

Directory of Open Access Journals (Sweden)

Peicheng LI,Guoyuan DU,Qilei LI,Jinfeng WANG,Feimin ZHENG

2014-12-01

Full Text Available The northwest of China is a vast area with abundant resources and significant potential for development. However, the ecological system is extremely vulnerable to damage and must be managed carefully. Thus, the Chinese government is strengthening research on improvement and reconstruction of the ecological system and landscape in northwest of China while moving forward with large-scale development in west China. The disadvantages and vulnerabilities in the northwest area in China are presented. It is suggested that the reconstruction of landscape should be conducted by step by step regionalization across the various ecological systems in the 3.04 million km2 northwest area of China. The first level regionalization results of reconstruction of landscape are discussed.

Program Contacts for Northwest Indiana Area (Indiana)

Science.gov (United States)

Northwest Indiana Area (Indiana) of the Urban Waters Federal Partnership (UWFP) reconnects urban communities with their waterways by improving coordination among federal agencies and collaborating with community-led efforts.

Personal reminiscences of the Kaiser Wilhelm Institute, Berlin, 1937/38 and of the nuclear project in Canada, 1944/56

International Nuclear Information System (INIS)

Cook, L.G.

1989-01-01

Part 1 of this talk deals with reminiscences from the Kaiser Wilhelm Institute in Berlin during the period 1937-1938. Topics include the course of experimental events and the continuing search for interpretations that would stand up, the guiding influence of the work of Irene Curie and Pvale Savic on the experimental work of Hahn and Strassmann, the influence and effects of Nazi political pressures within the Institute, the shadows of war, and how uranium fission finally got itself discovered. Part 2 gives reminiscences from the Nuclear Project in Canada from 1944 to 1956 as an extension of the pre-war work in Paris - both in concept and in personnel - created by British effort, the powerful changing US influences, the shift to British direction and a goal, the world's first high power heavy water moderated reactor for the production of massive quantities of synthetic radioactive materials, extraction processes including those for plutonium, the shift to Canadian direction and goals, a heavy water moderated electricity production system, and a postscript

Inmunización y militarización del cuerpo social en Colombia: el Estado en emergencia permanente

Directory of Open Access Journals (Sweden)

Juan Pablo Aranguren Romero

2015-12-01

Full Text Available En este artículo analizo cómo las estrategias de guerra contrainsurgente emprendidas en Colombia durante las décadas de los sesenta y los setenta recrean un dispositivo inmunitario en donde la nación es entendida como un cuerpo social amenazado e infectado por ideologías comunistas y en donde su seguridad y protección contra los actos violentos, suponen la administración de la violencia. Sostengo que este dispositivo inmunitario, opera bajo una lógica autodestructiva y una noción de amenaza deslocalizada que incentivó la militarización de la sociedad, la gestión del miedo y el sostenimiento de un Estado en emergencia permanente. Hechos que, a su vez, permitieron la apelación a la excepcionalidad constitucional como forma de gobierno normalizada.

Northwest Atlantic Regional Climatology (NCEI Accession 0155889)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — To provide an improved oceanographic foundation and reference for multi-disciplinary studies of the Northwest Atlantic Ocean, NCEI Regional Climatology Team...

The Northwest Passage Dispute

DEFF Research Database (Denmark)

Burke, Danita Catherine

2018-01-01

This is an article written for the Oxford Research Group "Sustainable Security" series. It gives an overview of the dispute of the Northwest Passage and discusses factors which will contribute to the evolution of the dispute in the 21st century. This short contribution summarizes and adds to the ...... to the research recently published by the author through Palgrave Macmillan, Danita Catherine Burke, 2018, International Disputes and Cultural Ideas in the Canadian Arctic...

The mediating sex-specific effect of psychological distress on the relationship between adverse childhood experiences and current smoking among adults.

Science.gov (United States)

Strine, Tara W; Edwards, Valerie J; Dube, Shanta R; Wagenfeld, Morton; Dhingra, Satvinder; Prehn, Angela Witt; Rasmussen, Sandra; McKnight-Eily, Lela; Croft, Janet B

2012-07-13

Research suggests that ACEs have a long-term impact on the behavioral, emotional, and cognitive development of children. These disruptions can lead to adoption of unhealthy coping behaviors throughout the lifespan. The present study sought to examine psychological distress as a potential mediator of sex-specific associations between adverse childhood experiences (ACEs) and adult smoking. Data from 7,210 Kaiser-Permanente members in San Diego California collected between April and October 1997 were used. Among women, psychological distress mediated a significant portion of the association between ACEs and smoking (21% for emotional abuse, 16% for physical abuse, 15% for physical neglect, 10% for parental separation or divorce). Among men, the associations between ACEs and smoking were not significant. These findings suggest that for women, current smoking cessation strategies may benefit from understanding the potential role of childhood trauma.

Identifying organisational principles and management practices important to the quality of health care services for chronic conditions

DEFF Research Database (Denmark)

Frølich, Anne

2012-01-01

are limited, it is necessary to identify efficient methods to improve the quality of care. Comparing health care systems is a well-known method for identifying new knowledge regarding, for instance, organisational methods and principles. Kaiser Permanente (KP), an integrated health care delivery system...... in the U.S., is recognized as providing high-quality chronic care; to some extent, this is due to KP's implementation of the chronic care model (CCM). This model recommends a range of evidence-based management practices that support the implementation of evidence-based medicine. However, it is not clear...... which management practices in the CCM are most efficient and in what combinations. In addition, financial incentives and public reporting of performance are often considered effective at improving the quality of health care services, but this has not yet been definitively proved....

Study on site selection of cold chain logistics in northwest territories

Science.gov (United States)

Liu, Yubin; Ren, Zongwei

2017-08-01

In this research, we mainly studied the Site selection problem of cold chain logistics in northwest of China. In the first place, we counted the demands of cold chain products in northwest territories, and then classified it into the Site selection problem in five provinces in northwest territories(Xinjiang, Qinghai, Gansu, Ningxia, Shanxi); Next, we used the Center of gravity Method to select initial location; Finally, we established the location of distribution by using Analytic Hierarchy Process (AHP)and fuzzy comprehensive evaluation method. Comparing with the traditional method, this method not only considered the cost of transportation and distance, but also deliberated the physical condition, social environment and economics condition which associated with Site selection problem.

Recycling of beverage containers in the Northwest Territories

Energy Technology Data Exchange (ETDEWEB)

1987-02-01

This study researched existing recycling systems, presented pertinent data on the beverage and transportation industries, and evaluated the potential of recycling beverage bottles and cans in the Northwest Territories. The study first describes the history and existing concepts of recycling, provides a general description of recycling methods with advantages and disadvantages, and highlights particular approaches taken by other provinces. Markets for the Northwest Territories are also discussed, including the potential of recoverable material, anticipated recovery rates, transportation to markets, and present recycling operations. Three strategies are identified for the southwest, northwest, and the eastern Region. Recycling is preferred for aluminium cans, glass beer bottles, plastic bottles, and glass wine and liquor bottles in that order. The report recommends a limited program for aluminium cans and beer bottles to begin immediately. Beer bottles should be refilled either in Alberta or the Northwestern Territories and aluminium cans should be compacted and shipped to recycling markets in southern Canada or the United States. The program should first be implemented in areas serviced by Alberta and accessible by truck or barge from Hay River. A program implementation plan is also included. 8 refs., 2 figs., 14 tabs.

REFORMAS EDUCATIVAS Y FORMACIÓN PERMANENTE DEL PROFESORADO EN LA ÚLTIMA OBRA DE JULIA VARELA: MEMORIA Y OLVIDO

Directory of Open Access Journals (Sweden)

Alberto Luís Gómez

2009-01-01

Full Text Available En este artículo se analizan la complejidad del proceso de construcción de los Centros de Profesores y el papel desempeñado por una diversidad de instancias y personas que, desde distintos puntos de vista, defendieron su articulación dentro del más amplio campo de la formación permanente del profesorado español entre 1983 y 1990. Habiendo tomado como punto de partida de nuestras reflexiones el último libro de Julia Varela ¿Las reformas educativas a debate (1982-2006¿ defendemos tanto su interés como la asimetría existente entre la relevancia política de esta obra y su debilidad historiográfica.

Políticas y prácticas en la formación permanente del profesorado en TIC en Cataluña

OpenAIRE

Adriana Ornellas; Joan\\u2010Anton Sánchez; Leticia Fraga Colman; Laura Domingo

2015-01-01

En este artículo presentamos los resultados que emergen de una de las dimensiones investigadas en el proyecto “Políticas y prácticas en torno a las TIC en la enseñanza obligatoria: Implicaciones para la innovación y la mejora” (Ministerio de Ciencia e Innovación. SEJ2007-­‐67562). Nos centramos aquí en uno de los factores determinantes del éxito o fracaso de las políticas destinadas a transformar las prácticas educativas a partir de la integración de las TIC: la formación inicial y permanente...

Políticas y prácticas en la formación permanente del profesorado en TIC en Cataluña

Directory of Open Access Journals (Sweden)

Adriana Ornellas

2015-01-01

Full Text Available En este artículo presentamos los resultados que emergen de una de las dimensiones investigadas en el proyecto “Políticas y prácticas en torno a las TIC en la enseñanza obligatoria: Implicaciones para la innovación y la mejora” (Ministerio de Ciencia e Innovación. SEJ2007-­‐67562. Nos centramos aquí en uno de los factores determinantes del éxito o fracaso de las políticas destinadas a transformar las prácticas educativas a partir de la integración de las TIC: la formación inicial y permanente del profesorado.

More comprehensive discussion of CRC screening associated with higher screening.

Science.gov (United States)

Mosen, David M; Feldstein, Adrianne C; Perrin, Nancy A; Rosales, A Gabriella; Smith, David H; Liles, Elizabeth G; Schneider, Jennifer L; Meyers, Ronald E; Elston-Lafata, Jennifer

2013-04-01

Examine association of comprehensiveness of colorectal cancer (CRC) screening discussion by primary care physicians (PCPs) with completion of CRC screening. Observational study in Kaiser Permanente Northwest, a group-model health maintenance organization. A total of 883 participants overdue for CRC screening received an automated telephone call (ATC) between April and June 2009 encouraging CRC screening. Between January and March 2010, participants completed a survey on PCPs' discussion of CRC screening and patient beliefs regarding screening. receipt of CRC screening (assessed by electronic medical record [EMR], 9 months after ATC). Primary independent variable: comprehensiveness of CRC screening discussion by PCPs (7-item scale). Secondary independent variables: perceived benefits of screening (4-item scale assessing respondents' agreement with benefits of timely screening) and primary care utilization (EMR; 9 months after ATC). The independent association of variables with CRC screening was assessed with logistic regression. Average scores for comprehensiveness of CRC discussion and perceived benefits were 0.4 (range 0-1) and 4.0 (range 1-5), respectively. A total of 28.2% (n = 249) completed screening, 84% of whom had survey assessments after their screening date. Of screeners, 95.2% completed the fecal immunochemical test. More comprehensive discussion of CRC screening was associated with increased screening (odds ratio [OR] = 1.51, 95% confidence interval [CI] = 1.03-2.21). Higher perceived benefits (OR = 1.46, 95% CI = 1.13-1.90) and 1 or more PCP visits (OR = 5.82, 95% CI = 3.87-8.74) were also associated with increased screening. More comprehensive discussion of CRC screening was independently associated with increased CRC screening. Primary care utilization was even more strongly associated with CRC screening, irrespective of discussion of CRC screening.

Prevalence and incidence of urinary tract and genital infections among patients with and without type 2 diabetes.

Science.gov (United States)

Nichols, Gregory A; Brodovicz, Kimberly G; Kimes, Teresa M; Déruaz-Luyet, Anouk; Bartels, Dorothee B

2017-11-01

Epidemiological data on genitourinary infections (GUIs) comparing patients with and without type 2 diabetes (T2DM) is scant. We aimed to estimate the incidence of urinary tract infections (UTIs), genital infections (GIs), or any GUI in total and stratified by history of GUI and sex. We identified 39,295 patients in the Kaiser Permanente Northwest health plan with T2DM and an equal number of age and sex matched patients without diabetes. The cohort was followed for up to 9years (2006-2014). We calculated incidence rates and corresponding 95% confidence intervals (CI) of any GUI, UTIs and GIs adjusting for age, sex, race, BMI, presence of chronic kidney disease, annual number of outpatient visits, and diuretic use. Adjusted incidence of any GUI was 97.2/1000person-years (p-y) (95% CI 95.5-98.8) among the T2DM cohort vs. 79.7/1000 p-y (78.3-81.2) among those without diabetes. T2DM was associated with an adjusted 25% increased risk of UTI (rate ratio 1.25, 95% CI 1.22-1.29), a 26% increased risk of GI (1.26, 1.22-1.31) and a 22% increased risk of any GUI (1.22, 1.19-1.25). Incidence rates were lower among those with no GUI history, but the relative risks were similar. Women in both groups had higher incidence rates of GUIs than men. T2DM was associated with increased risks of any GUI, UTIs and GIs. Incidence rates of UTIs were higher than rates of GIs, but the relative risk of GIs was essentially identical. A similar pattern was observed when stratifying by sex. RESEARCH QUESTIONS. Copyright © 2017 Elsevier Inc. All rights reserved.

TENDENCIATEMPORALDE LAINCAPACIDAD LABORAL PERMANENTE EN ESPAÑA (1992-2010

Directory of Open Access Journals (Sweden)

Xavier Duran

2012-01-01

Full Text Available Fundamentos: La incapacidad permanente (IP es un problema de salud laboral en el que intervienen factores laborales, sanitarios o legales, los cuales han variado en España a lo largo de los últimos años. El objetivo del presente estudio es describir la tendencia temporal de la IP en España desde 1992 a 2010 por gravedad de la incapacidad y diferentes variables sociodemográficas y de afiliación a la seguridad social. Métodos: A partir de los datos de la Seguridad Social sobre afiliación y altas de IP en España se describió la tendencia temporal de la incidencia anual de la IP en el periodo comprendido entre 1992 y 2010. Para valorar las tendencias se estimó el porcentaje de cambio anual (PCA y el intervalo de confianza al 95% mediante un modelo de regresión binomial negativa. Resultados: La tendencia de la incidencia de IP se subdividió en tres periodos. El primero (1992 a 1997 presentó una incidencia aproximadamente constante de 75 casos por 10.000 trabajadores (PCA1= -0,1; IC 95%:-1,6 a 1,4. Seguidamente las tasas descendieron durante un período de tres años (PCA2:-12,1%; IC 95%:-13,9 a -10,4, situándose alrededor de 50 nuevos casos por 10.000 trabajadores en el año 2000. A partir de este año la incidencia de IP se mantuvo aproximadamente constante hasta el año 2010 (PCA3=0,4; IC 95%:-0,2 a 1,0. Conclusiones: Apesar del incremento de trabajadores afiliados a la seguridad social en el periodo estudiado, la incidencia de IP se mantiene bastante estable, con un descenso entre 1997 y 2000 que se podría atribuir a las medidas de evaluación y seguimiento de las IP adoptados en 1995.

Self-Management Support to People with Type 2 Diabetes - A comparative study of Kaiser Permanente and the Danish Healthcare System

DEFF Research Database (Denmark)

Schiøtz, Michaela Louise; Strandberg-Larsen, Martin; Frølich, Anne

2012-01-01

En væsentlig del af kronikeromsorgen i et sundhedsvæsen er også at understøtte egenomsorgen. Egenomsorg omfatter fx, at patienten kender til, hvad der kan optimere behandlingsindsatsen, herunder ændring af livsstil, kendskab til sundhedsvæsenets tilbud, og at deltage aktivt i at koordinere og sik...

Final Scientific/Technical Report Carbon Capture and Storage Training Northwest - CCSTNW

Energy Technology Data Exchange (ETDEWEB)

Workman, James

2013-09-30

This report details the activities of the Carbon Capture and Storage Training Northwest (CCSTNW) program 2009 to 2013. The CCSTNW created, implemented, and provided Carbon Capture and Storage (CCS) training over the period of the program. With the assistance of an expert advisory board, CCSTNW created curriculum and conducted three short courses, more than three lectures, two symposiums, and a final conference. The program was conducted in five phases; 1) organization, gap analysis, and form advisory board; 2) develop list serves, website, and tech alerts; 3) training needs survey; 4) conduct lectures, courses, symposiums, and a conference; 5) evaluation surveys and course evaluations. This program was conducted jointly by Environmental Outreach and Stewardship Alliance (dba. Northwest Environmental Training Center – NWETC) and Pacific Northwest National Laboratories (PNNL).

Cognitive styles of Forest Service scientists and managers in the Pacific Northwest.

Science.gov (United States)

Andrew B. Carey

1997-01-01

Preferences of executives, foresters, and biologists of the Pacific Northwest Research Station and executives, District Rangers, foresters, engineers, and biologists of the Pacific Northwest Region, National Forest System (USDA Forest Service), were compared for various thinking styles. Herrmann brain dominance profiles from 230 scientists and managers were drawn from...

78 FR 50088 - Notice of Availability of the Northwest Colorado Greater Sage-Grouse Draft Resource Management...

Science.gov (United States)

2013-08-16

... Availability of the Northwest Colorado Greater Sage- Grouse Draft Resource Management Plan Amendment and Draft... Land Management (BLM) has prepared a Northwest Colorado Greater Sage-Grouse Draft Resource Management.../or mailings. ADDRESSES: You may submit comments related to the Northwest Colorado Greater Sage-Grouse...

Indians of Yukon and Northwest Territories.

Science.gov (United States)

Department of Indian Affairs and Northern Development, Ottawa (Ontario).

A report is presented of the 7 American Indian tribes (Chipewyan, Yellowknife, Slave, Dogrib, Hare, Nahani, and Kutchin) of the Yukon and Northwest Territories. Described is each tribe's history, foodgathering methods, clothing, work distribution practices, social organization, and religion. A brief history of formal education among the tribes…

Characterising weak layers that accommodate submarine landslides on the Northwest African continental slope

Science.gov (United States)

Urlaub, M.; Krastel, S.; Geersen, J.; Schwenk, T.

2017-12-01

Numerous studies invoke weak layers to explain the occurrence of large submarine landslides (>100 km³), in particular those on very gentle slopes (translational, such that failure takes place along bedding-parallel surfaces at different stratigraphic depths. This suggests that failure occurs along weak layers, which are deposited repeatedly over time. Using high resolution seismic reflection data we trace several failure surfaces of the Cap Blanc Slide complex offshore Northwest Africa to ODP-Site 658. Core-seismic integration shows that the failure surfaces coincide with diatom oozes that are topped by clay. Along Northwest Africa diatom-rich sediments are typically deposited at the end of glacial periods. In the seismic data these oozes show up as distinct high amplitude reflectors due to their characteristic low densities. Similar high-amplitude reflectors embedded into low-reflective seismic units are commonly observed in shallow sediments (<100 m below seafloor) along the entire Northwest African continental slope. The failure surfaces of at least three large landslides coincide with such reflectors. As the most recent Pleistocene glacial periods likely influenced sediment deposition along the entire Northwest African margin in a similar manner we hypothesize that diatom oozes play a critical role for the generation of submarine landslides off Northwest Africa as well as globally within subtropical regions. An initiative to drill the Northwest African continental slope with IODP is ongoing, within which this hypothesis shall be tested.

Foraging strategy of little auks during chick rearing in northwest Greenland

DEFF Research Database (Denmark)

Mosbech, Anders; Møller, Eva Friis; Johansen, Kasper Lambert

of the ongoing warming of the Arctic. Here we present the first results from GPS tracking of breeding little auks in northwest Greenland, involving data from four different breeding colonies. We examine time budgets, foraging trip patterns and habitat preferences at foraging areas, including comparison......Foraging strategy of little auks during chick rearing in northwest Greenland Anders Mosbech, Kasper Johansen, Eva Friis Møller & Peter Lyngs Department of Biology and Arctic Center, Aarhus University, Denmark An estimated 80 % of the global little auk population breeds in the coastal landscape...... bordering the north water polynya in high Arctic northwest Greenland, and from this main breeding area very little is known on foraging behavior. Little auks are feeding on lipid-rich copepods associated with cold artic waters, and are potentially important for monitoring and assessing the impact...

Regional climate change for the Pacific Northwest

International Nuclear Information System (INIS)

McBean, G.A.; Thomas, G.

1991-01-01

The Pacific Northwest climate is dominated by topography and the Pacific Ocean; the forests have become adapted to the present climate. Within short distances there are large changes in precipitation and temperature, with resultant changes in ecosystems. As the atmospheric concentrations of greenhouse gases increase, global climate is expected to warm and precipitation to increase. Global climate model simulations show enhanced warming at high northern latitudes. For the Pacific Northwest, models show 2-6 degree C warming and increased precipitation in the winter for doubled atmospheric CO 2 concentration. However, the regional details of these models are presently not very reliable. The results and limitations of present global climate models are reviewed. The roles of the oceans, clouds, and other feedback mechanisms are described along with some of the possible impacts of climate change on forest resources. 24 refs., 2 figs., 1 tab

Path of Social Construction in Northwest Sichuan Plateau Pastoral Area

Institute of Scientific and Technical Information of China (English)

2012-01-01

On the basis of main contents of social construction and key points of construction,this paper analyzes features of conditions of northwest Sichuan plateau pastoral area.The social construction at current stage mainly includes social cause in narrow sense,and social management at meso-level.The northwest Sichuan plateau pastoral area is faced with the best policy and development opportunity.However,there are still many weak aspects.Firstly,social structure is not coordinated with economic structure.Secondly,social construction ability of grass-roots government is weak.Thirdly,the ability to respond to public demands is low.Fourthly,there is a big gap in availability of basic public service.Finally,it presents path selection for social construction of northwest Sichuan plateau pastoral area:strengthen social construction ability of grass-roots government;promote social construction with livelihood projects as key projects;boost social construction taking advantage of ecological construction;develop basic public service with the aid of external forces;intensify evaluation system for supervision of social construction works.

Changes in School Food Preparation Methods Result in Healthier Cafeteria Lunches in Elementary Schools.

Science.gov (United States)

Behrens, Timothy K; Liebert, Mina L; Peterson, Hannah J; Howard Smith, Jennifer; Sutliffe, Jay T; Day, Aubrey; Mack, Jodi

2018-05-01

The purpose of this study is to examine the impact of a districtwide food best practices and preparation changes in elementary schools lunches, implemented as part of the LiveWell@School childhood obesity program, funded by LiveWell Colorado/Kaiser Permanente Community Health Initiative. Longitudinal study examining how school changes in best practices for food preparation impacted the types of side items offered from 2009 to 2015 in elementary school cafeterias in a high-need school district in southern Colorado. Specifically, this study examined changes in side items (fruits, vegetables, potatoes, breads, and desserts). In Phase 1 (2009-2010), baseline data were collected. During Phase 2 (2010-2011), breaded and processed foods (e.g., frozen nuggets, pre-packaged pizza) were removed and school chefs were trained on scratch cooking methods. Phase 3 (2011-2012) saw an increased use of fresh/frozen fruits and vegetables after a new commodity order. During Phase 4 (2013-2015), chef consulting and training took place. The frequency of side offerings was tracked across phases. Analyses were completed in Fall 2016. Because of limited sample sizes, data from Phases 2 to 4 (intervention phases) were combined for potatoes and desserts. Descriptive statistics were calculated. After adjusting for length of time for each phase, Pearson chi-square tests were conducted to examine changes in offerings of side items by phase. Fresh fruit offerings increased and canned fruit decreased in Phases 1-4 (p=0.001). A significant difference was observed for vegetables (p=0.001), with raw and steamed vegetables increasing and canned vegetables decreasing from Phase 1 to 4. Fresh potatoes (low in sodium) increased and fried potatoes (high in sodium) decreased from Phase 1 to Phases 2-4 (p=0.001). Breads were eliminated entirely in Phase 2, and dessert changes were not significant (p=0.927). This approach to promoting healthier lunch sides is a promising paradigm for improving elementary

Estrategias del Teatro del Oprimido para la formación permanente del profesorado

Directory of Open Access Journals (Sweden)

Tomás Motos-Teruel

2012-01-01

Full Text Available Este artículo relata una experiencia y su valoración de formación permanente del profesorado basada en el aprendizaje vivencial utilizando como estrategia metodológica el Teatro del Oprimido (TO para estimular y favorecer la reflexión sobre la práctica educativa. Sus objetivos básicos fueron dar a conocer la formulación teórica y la metodología del TO y hacer la transferencia de las estrategias metodológicas vivenciadas a la práctica docente. El estudio se ha planteado desde una óptica cualitativa con el estudio de caso único. Y como resultados más destacables hay que reseñar el interés y la percepción de la utilidad personal y profesional del TO como instrumento de reflexión sobre la acción y generador de clima positivo. El Teatro del Oprimido es una formulación teórica y un método estético cuya teoría y praxis están inspiradas en la Pedagogía del Oprimido de Paulo Freire, utiliza las técnicas dramáticas como un instrumento eficaz para la comprensión y la búsqueda de alternativas a problemas sociales, interpersonales e individuales.

EDUCAÇÃO PERMANENTE EM ENFERMAGEM E A INTERFACE COM A OUVIDORIA HOSPITALAR

Directory of Open Access Journals (Sweden)

Raquel Costa Rodrigues de Souza

2010-01-01

Full Text Available Se trata de un estudio descriptivo-exploratorio, con enfoque cualitativo, cuyo objetivo fue investigar las demandas de los usuarios del servicio de Defensoría del Pueblo relacionadas con la asistencia de enfermería y discutir su contribución para la educación permanente. La investigación se desarrolló en hospital público federal, con notoriedad en realización de procedimientos diagnósticos y terapéuticos de alta complejidad en Ortopedia. La recolección de datos se basó en la técnica de análisis documental, incluyendo la gestión de informaciones y materiales, de las demandas de los usuarios que figuran en los registros de la Oficina de Defensoría del Pueblo, relativos al año 2009, (total de 3.895 declaraciones. Hemos clasificado las declaraciones recibidas- en este estudio- según la naturaleza de la comunicación: elogio, pedido de información, queja, sugerencia y denuncia. Hemos considerado la importancia del Servicio de Defensoría del Pueblo para mejorar la actuación de enfermería, teniendo en cuenta las contribuciones extraídas del contexto de las demandas y que la relación interdisciplinar permite percibir y evaluar las necesidades evidenciadas.

Evaluation of possible means to stop production of nuclear power in northwest Russia

International Nuclear Information System (INIS)

Skaugen, Aud K.

2007-08-01

This note illuminates the status and some elements in the Russian efforts on use of nuclear power, with special emphasis on northwest Russia. In addition the report describes an evaluation of the possibilities of Norwegian influence on the nuclear power in northwest Russia and Kola Peninsula

Implications of climate change for Pacific Northwest forest management

International Nuclear Information System (INIS)

Wall, G.

1991-01-01

A Canada/USA symposium was held to identify potential consequences of global climate change to Pacific Northwest forests; to identify the future role and relative contribution of those forests in the balance of carbon, moisture, and energy exchange of the atmosphere; and to develop recommendations for Pacific Northwest forest management strategies and policy options for responding to global climate change. Papers were presented on such topics as regional climatic change, forest responses and processes, public policy on forests and climatic change, sequestration of atmospheric carbon, forest management, and forest adaptation to climatic change. Separate abstracts have been prepared for 14 papers from this symposium

Solar Energy for Pacific Northwest Buildings.

Science.gov (United States)

Reynolds, John S.

Data presented in this report indicate that solar space and water heating are possible in the Pacific Northwest. The first section of the report contains solar records from several stations in the region illustrating space heating needs that could be met, on an average daily basis, by solar energy. The data are summarized, and some preliminary…

Use of Electronic Health Records and Administrative Data for Public Health Surveillance of Eye Health and Vision-Related Conditions

Science.gov (United States)

Elliott, Amanda; Davidson, Arthur; Lum, Flora; Chiang, Michael; Saaddine, Jinan B; Zhang, Xinzhi; Crews, John E.; Chou, Chiu-Fang

2014-01-01

Purpose To discuss the current trend toward greater use of electronic health records and how these records could enhance public health surveillance of eye health and vision-related conditions. Methods We describe three currently available sources of electronic health data (Kaiser Permanente, the Veterans Health Administration, and the Centers for Medicare & Medicaid Services) and how these sources can contribute to a comprehensive vision and eye health surveillance system. Results Each of the three sources of electronic health data can contribute meaningfully to a comprehensive vision and eye health surveillance system, but none currently provide all the information required. The use of electronic health records for vision and eye health surveillance has both advantages and disadvantages. Conclusions Electronic health records may provide additional information needed to create a comprehensive vision and eye health surveillance system. Recommendations for incorporating electronic health records into such a system are presented. PMID:23158225

The mediating sex-specific effect of psychological distress on the relationship between adverse childhood experiences and current smoking among adults

Directory of Open Access Journals (Sweden)

Strine Tara W

2012-07-01

Full Text Available Abstract Background Research suggests that ACEs have a long-term impact on the behavioral, emotional, and cognitive development of children. These disruptions can lead to adoption of unhealthy coping behaviors throughout the lifespan. The present study sought to examine psychological distress as a potential mediator of sex-specific associations between adverse childhood experiences (ACEs and adult smoking. Method Data from 7,210 Kaiser-Permanente members in San Diego California collected between April and October 1997 were used. Results Among women, psychological distress mediated a significant portion of the association between ACEs and smoking (21% for emotional abuse, 16% for physical abuse, 15% for physical neglect, 10% for parental separation or divorce. Among men, the associations between ACEs and smoking were not significant. Conclusions These findings suggest that for women, current smoking cessation strategies may benefit from understanding the potential role of childhood trauma.

Outcomes in Treatment for Intradural Spinal Cord Ependymomas

International Nuclear Information System (INIS)

Volpp, P. Brian; Han, Khanh; Kagan, A. Robert; Tome, Michael

2007-01-01

Purpose: Spinal cord ependymomas are rare tumors, accounting for <2% of all primary central nervous system tumors. This study assessed the treatment outcomes for patients diagnosed with spinal cord ependymomas within the Southern California Kaiser Permanente system. Methods and Materials: We studied 23 patients treated with surgery with or without external beam radiotherapy (EBRT). The local and distant control rates and overall survival rates were determined. Results: The overall local control, overall recurrence, and 9-year overall survival rate was 96%, 17.4%, and 63.9%, respectively. Conclusions: The results of our study indicate that en bloc gross total resection should be the initial treatment, with radiotherapy reserved primarily for postoperative cases with unfavorable characteristics such as residual tumor, anaplastic histologic features, or piecemeal resection. Excellent local control and overall survival rates can be achieved using modern microsurgical techniques, with or without local radiotherapy

Percepção da educação permanente, continuada e em serviço para enfermeiros de um hospital de ensino La percepción de la educación permanente, continuada y en servicio para el enfermero del hospital de enseñanza The perception of permanent, continuous, in service education for nurses in a school hospital

Directory of Open Access Journals (Sweden)

Amarílis Schiavon Paschoal

2007-09-01

Full Text Available Este estudo tem como objetivo discutir a concepção de educação permanente, continuada e em serviço junto a enfermeiros de um hospital de ensino. É uma pesquisa de natureza qualitativa, na qual a coleta dos dados foi realizada pela técnica do grupo focal, durante seis sessões gravadas em áudio e vídeo. Participaram deste estudo nove enfermeiros de um hospital de ensino. Para analisar os dados, utilizou-se a técnica do discurso do sujeito coletivo, que consiste na organização e tabulação de dados qualitativos de natureza verbal obtidos por meio de depoimentos, da qual resultou um único discurso. A pesquisa demonstrou que os enfermeiros diferenciaram os termos educação permanente, continuada e em serviço, construindo conceitos próprios, ressaltando a importância da diferenciação para definir o tipo de ação a ser tomada diante da necessidade educativa apresentada.Este estudio tiene como objetivo la discusión de la concepción de los términos de la educación permanente, continuada y en servicio con enfermeros del hospital de enseñanza. Es una investigación de naturaleza cualitativa, en que fueron recogidos los datos a través de la técnica del grupo focal, durante seis sesiones grabadas en audio y video. Participaron de este estudio nueve enfermeros de un hospital de enseñanza. Para analizar los datos fue utilizada la técnica del discurso del sujeto colectivo, que consiste en la organización y tabulación de datos cualitativos de naturaleza verbal obtenidos por medio de deposiciones, que resultó de un único discurso. La investigación demostró que los enfermeros diferenciaron los términos educación permanente, continuada y en servicio, construyendo conceptos propios, resaltando la importancia de la diferenciación para definir el tipo de acción a ser tomada delante de la necesidad educativa representada.This study is aimed at discussing the conception of permanent, continuous, in service education among nurses

The intertwining paths of the density managment and riparian buffer study and the Northwest Forest Plan

Science.gov (United States)

Kenneth J. Ruzicka; Deanna H. Olson; Klaus J. Puettmann

2013-01-01

Initiated simultaneously, the Density Management and Riparian Buff er Study of western Oregon and the Northwest Forest Plan have had intertwining paths related to federal forest management and policy changes in the Pacifi c Northwest over the last 15 to 20 years. We briefl y discuss the development of the Northwest Forest Plan and how it changed the way forest policy...

Defectos del esmalte, caries en dentición primaria, fuentes de fluoruro y su relación con caries en dientes permanentes Enamel defects, caries in primary dentition and fluoride sources: relationship with caries in permanent teeth

Directory of Open Access Journals (Sweden)

Ana Alicia Vallejos-Sánchez

2007-06-01

Full Text Available Objetivo: Explorar la relación entre la presencia de defectos del esmalte (DE, la experiencia de caries en la dentición temporal, y la exposición a diversas fuentes de fluoruros, con la presencia de caries en la dentición permanente de niños con dentición mixta. Material y métodos: Se realizó un estudio transversal en 713 sujetos de 6-9 años de edad de 4 escuelas de Campeche, México, mediante un cuestionario dirigido a las madres, y un examen clínico bucal a los niños. La variable dependiente fue la prevalencia de caries en la dentición permanente. Resultados: El promedio de dientes temporales cariados, extraídos y obturados (ceod y dientes permanentes cariados, perdidos y obturados (CPOD fue de 2,48 (2,82 (ceod > 0 = 58,9% y 0,40 (0,98 (CPOD > 0 = 18,2%, respectivamente. El índice SiC (índice de caries significativa, calculado en la dentición temporal fue de 5,85 para los niños de 6 años de edad. En el análisis de regresión logística multivariado permanecieron significativas, después de ajustar por variables de exposición a fluoruros, la mayor edad (odds ratio [OR] = 2,99, el ceod > 0 (OR = 5,46, la menor escolaridad de la madre (OR = 1,57 y una interacción entre sexo y defectos del esmalte. Conclusiones: Las caries en la dentición temporal y permanente fueron relativamente menores que las observaciones publicadas por otros estudios en México. Los resultados confirmaron que la caries en la dentición temporal se asoció fuertemente con la caries en la dentición permanente. No hubo una relación significativa entre las fuentes de fluoruro y la caries dental en la dentición permanente.Objective: To examine the relationship between the presence of enamel defects, dental caries in primary teeth, and exposure to various fluoride technologies and the presence of dental caries in permanent teeth in children with mixed dentition. Materials and methods: A cross-sectional study was conducted in 713 children aged 6-9 years old

Patterns of admixture and population structure in native populations of Northwest North America.

Directory of Open Access Journals (Sweden)

Paul Verdu

2014-08-01

Full Text Available The initial contact of European populations with indigenous populations of the Americas produced diverse admixture processes across North, Central, and South America. Recent studies have examined the genetic structure of indigenous populations of Latin America and the Caribbean and their admixed descendants, reporting on the genomic impact of the history of admixture with colonizing populations of European and African ancestry. However, relatively little genomic research has been conducted on admixture in indigenous North American populations. In this study, we analyze genomic data at 475,109 single-nucleotide polymorphisms sampled in indigenous peoples of the Pacific Northwest in British Columbia and Southeast Alaska, populations with a well-documented history of contact with European and Asian traders, fishermen, and contract laborers. We find that the indigenous populations of the Pacific Northwest have higher gene diversity than Latin American indigenous populations. Among the Pacific Northwest populations, interior groups provide more evidence for East Asian admixture, whereas coastal groups have higher levels of European admixture. In contrast with many Latin American indigenous populations, the variance of admixture is high in each of the Pacific Northwest indigenous populations, as expected for recent and ongoing admixture processes. The results reveal some similarities but notable differences between admixture patterns in the Pacific Northwest and those in Latin America, contributing to a more detailed understanding of the genomic consequences of European colonization events throughout the Americas.

Watershed restoration, jobs-in-the woods, and community assistance: Redwood National Park and the Northwest Forest Plan.

Science.gov (United States)

Christopher E. DeForest

1999-01-01

There are many parallels between the 1978 legislation to expand Redwood National Park and the Northwest Forest Plan, which together with the Northwest Economic Adjustment Initiative formed the 1993 Pacific Northwest Initiative. In both situations, the Federal Government sought to promote retraining for displaced workers, to undertake watershed assessment and...

Métodos para determinação de parâmetros de máquinas síncronas de ímãs permanentes

OpenAIRE

Guilherme Homrich

2016-01-01

A teoria de duplo eixo é geralmente utilizada para modelar e caracterizar máquinas síncronas de polos salientes. O conhecimento das indutâncias de eixo direto e eixo em quadratura são fundamentais para o desenvolvimento destes modelos e para o projeto de controladores destas máquinas. No entanto, métodos tradicionais para determinação destas indutâncias através de ensaios tornam-se impraticáveis em máquinas síncronas de ímãs permanentes pela impossibilidade de controlar a corrente de campo. R...

Inventory of North-West European algae initiatives

NARCIS (Netherlands)

Spruijt, J.

2015-01-01

In 2012 an inventory of North-West European (NWE) algae initiatives was carried out to get an impression of the market and research activities on algae production and refinery, especially for bioenergy purposes. A questionnaire was developed that would provide the EnAlgae project with information on

SCIENCE, POLITICS, AND PACIFIC NORTHWEST SALMON RECOVERY

Science.gov (United States)

Throughout the Pacific Northwest, since 1850, all wild salmon runs have declined and some have disappeared. Billions of dollars have been spent in a so-far failed attempt to reverse the long-term decline. Each year, hundreds of millions of dollars continue to be spent in variou...

The realities of doing business in the Northwest Territories

International Nuclear Information System (INIS)

Gullberg, E.

2000-01-01

The practical and legal issues regarding business operations in the Northwest Territories were discussed for the benefit of any enterprise wishing to conduct business in the territory. The non-renewable resources in the North are greatly responsible for the economic development in the Northwest Territories. Yellowknife was established in 1930's to service the gold mines and is now the service centre for Canada's only diamond mine located in the tundra one hour by air from Yellowknife. Other major oil and gas discoveries include Norman Wells along the Mackenzie River and the Beaufort Delta Region. In addition, new oil and gas has been discovered near Fort Liard. There is no legislation governing businesses operating in the oil and gas industry specifically, but several Acts exist where general applications would apply. This paper described the demographics of the territory and the types of government. Band councils play a significant role in local government. Much of the land in the Northwest Territories is the subject of land claims or has been transferred to indigenous people as part of settled land claims. A socio-economic agreement signed in 1996 ensures a certain percentage of northern suppliers, northern resident employees and aboriginal employees in both the construction and operation of the BHP mine. An even more demanding agreement was signed for the Diavik Diamond mine in 1999. The registration and licensing requirements that the government of the Northwest Territories imposes on businesses were described with emphasis on the Business Corporations Act, the Business License Act and the Worker's Compensation Act. Employee issues were also discussed as they relate to the Canada Labour Code, the Employment Standards Regulation, Fair Practices Act, and the Payroll Tax Act. Other regulatory requirements which would apply to the oil and gas industry include the Safety Act, the Motor Vehicles Act

Canyons off northwest Puerto Rico

International Nuclear Information System (INIS)

Gardner, W.D.; Glover, L.K.; Hollister, C.D.

1980-01-01

The Nuclear-Research Submarine NR-1 was used to study morphoplogy, sediment, and sediment-water interactions off the northwest coast of Puerto Rico. New detailed bathymetry from the surface-support ship, USS Portland, shows several submarine canyons in the area, some of them unreported previously. The north coast canyons, Arecibo, Tiberones and Quebradillas, are primarily erosional features although no recent turbidity-current evidence is seen. The canyons are presently filling with river-transported sediments. (orig./ME)

Evaluation of electrical power alternatives for the Pacific Northwest

Energy Technology Data Exchange (ETDEWEB)

1977-09-01

This study evaluates the concept of implementation of large-scale energy conservation to reduce end-use demand for electrical energy as an alternative to the need for continued construction of new power plants to meet projected energy requirements for the Pacific Northwest. In particular, the numerical accuracy, economic feasibility, and institutional impact of a conservation-oriented scenario developed by the Natural Resources Defense Council, Inc., is assessed, relative to the energy forecast prepared by the Pacific Northwest Utilities Conference Commission. The results of this study are presented in four detailed sections following an introductory and summary section: Reconstruction and Numerical Evaluation of Alternative Scenario; Economic Analysis; Institutional Impact; and Impact of New National Energy Policy.

Executive summary: Climate change in the northwest: Implications for our landscapes, waters, and communities

Science.gov (United States)

Dalton, Meghan M.; Bethel, Jeffrey; Capalbo, Susan M.; Cuhaciyan, J.E.; Eigenbrode, Sanford D.; Glick, Patty; Houston, Laurie L.; Littell, Jeremy S.; Lynn, Kathy; Mote, Philip W.; Raymondi, Rick R.; Reeder, W. Spencer; Shafer, Sarah L.; Snover, Amy K.

2013-01-01

Climate Change in the Northwest: Implications for Our Landscapes, Waters, and Communities is aimed at assessing the state of knowledge about key climate impacts and consequences to various sectors and communities in the northwest United States. It draws on a wealth of peer-reviewed literature, earlier state-level assessment reports conducted for Washington (2009) and Oregon (2010), as well as a risk-framing workshop. As an assessment, it aims to be representative (though not exhaustive) of the key climate change issues as reflected in the growing body of Northwest climate change science, impacts, and adaptation literature now available. This report will serve as an updated resource for scientists, stakeholders, decision makers, students, and community members interested in understanding and preparing for climate change impacts on Oregon, Washington, and Idaho. This more detailed, foundational report is intended to support the key findings presented in the Northwest chapter of the Third National Climate Assessment.

La aspiración de Brasil al asiento permanente en el Consejo de Seguridad de la Organización de las Naciones Unidas: un breve panorama

OpenAIRE

Renata de Melo Rosa; Ana Carolina Gomes Lira Linhares

2009-01-01

Este artículo analiza la posición de Brasil frente a la aspiración de un asiento permanente al Consejo de Seguridad de las Naciones Unidas. Los esfuerzos entabulados por Brasil en el escenario internacional, los discursos del primer rango del gobierno, así como un protagonismo más acelerado frente a los vecinos latino-americanos confirman esta aspiración. Pero, Brasil aún enfrenta serios problemas internos de seguridad nacional y tendrá que enfrentar otros compañeros regionales también, aspir...

Remediation System Evaluation, Northwest Pipe and Casing Site

Science.gov (United States)

The Northwest Pipe and Casing Site is located in Clackamas, Oregon, approximately 20 miles southeastof Portland. The site consists of approximately 53 acres, and has historically been divided into two parcels(Parcel A to the north and Parcel B to the..

Highlights of science contributions to implementing the Northwest Forest Plan—1994 to 1998.

Science.gov (United States)

Nancy M. Diaz; Richard W. Haynes

2002-01-01

During 5 years of research (1994-98) in support of the Northwest Forest Plan (NWFP), Pacific Northwest Research Station scientists and their collaborators have made significant progress in both validating some of the NWFP’s major assumptions and providing research that sets the stage for further evolution of the plan. Studies have provided new information in the areas...

Estudo comparativo entre ensino presencial e a distância para educação permanente de profissionais auxiliares e técnicos de enfermagem

OpenAIRE

Silva, Adriane das Neves

2014-01-01

As mudanças ocorridas no mundo do trabalho têm exigido do profissional atualização constante de saberes que possibilitem o desenvolvimento de atitude crítico-reflexiva. Este estudo buscou analisar a aplicabilidade das tecnologias da informação e da comunicação na Educação Permanente dos profissionais auxiliares e técnicos de Enfermagem em um hospital público municipal. É um estudo do tipo ensaio clínico, que lançou mão de técnicas quantitativas e qualitativas através de um experimento que oco...

A TWO CENTURY HISTORY OF PACIFIC NORTHWEST SALMON: LESSONS LEARNED FOR ACHIEVING A SUSTAINABLE FUTURE

Science.gov (United States)

Achieving ecological sustainability is a daunting challenge. In the Pacific Northwest one of the most highly visible public policy debates concerns the future of salmon populations. Throughout the Pacific Northwest, many wild salmon stocks have declined and some have disappeare...

Pacific Northwest Laboratory monthly activities report, April 1965

Energy Technology Data Exchange (ETDEWEB)

1965-05-14

This report discusses research at the Pacific Northwest Laboratory on topics relating to hanford production reactors. The topic deal with: reactor and material technology; reactor physics and instruments; chemistry; biology and medicine; applied mathematics; radiation protection; and test reactor and engineering services.

Fire ecology of Scots pine in Northwest Europe

NARCIS (Netherlands)

Hille, M.G.

2006-01-01

Keywords: biodiversity, fire ecology, fuel modelling, succession, tree regenerationIn this thesis the ecological consequences of forest fire are studied in North-west European Scots pine {Pinus sylvestris) forests. The focus is on post-fire succession, and the factors and mechanisms that influence

Necesidades y motivaciones de los estudiantes de educación permanente en España. El caso del Centro de Educación Permanente Valle del Guadiato en Córdoba

Directory of Open Access Journals (Sweden)

Beatriz del V. Medina F

2013-05-01

Full Text Available El objetivo de la investigación en la que está basado el artículo fue identificar las necesidades y las motivaciones de los estudiantes del Centro de Educación Permanente (CEPER Valle del Guadiato de Córdoba, España. Se parte de diferentes teorías para su fundamentación, como las aportadas por Maslow (2005, McClelland (1989, García Aretio (1988, Paz (1984, Palladino (1981, entre otros. Se utilizó la metodología comparada cuyas unidades de comparación se corresponden con las unidades espaciales, que en este estudio son los municipios: Belmez, Espiel, Fuente Obejuna, Peñarroya-Pueblonuevo, Villanueva del Rey y Villaviciosa de Córdoba. Para la recogida de datos se utiliza el estudio documental, el cuestionario escrito y la observación cualitativa. El universo poblacional del CEPER Valle del Guadiato lo conformaron 606 personas adultas del período escolar 2011-2012 (592 estudiantes, 14 maestros, siendo la muestra de 265 personas (251 estudiantes, 14 maestros. Entre las principales conclusiones destacan que las necesidades sociales, laborales y personales de los estudiantes del Centro objeto de estudio se derivan básicamente del deseo de aprender, del deseo de superación personal, y del interés por el tema. Las motivaciones giran en torno a la oportunidad de ocupar sus tiempos libres, a la posibilidad de tener mejores oportunidades de encontrar trabajo, y al apoyo de la familia.

Necesidades y motivaciones de los estudiantes de educación permanente en España. El caso del Centro de Educación Permanente Valle del Guadiato en Córdoba

Directory of Open Access Journals (Sweden)

Beatriz del V. Medina F

2013-01-01

Full Text Available El objetivo de la investigación en la que está basado el artículo fue identifi-car las necesidades y las motivaciones de los estudiantes del Centro de Educación Permanente (CEPER Valle del Guadiato de Córdoba, España. Se parte de dife-rentes teorías para su fundamentación, como las aportadas por Maslow (2005,McClelland (1989, García Aretio (1988, Paz (1984, Palladino (1981, entre otros. Se utilizó la metodología comparada cuyas unidades de comparación se co-rresponden con las unidades espaciales, que en este estudio son los municipios: Belmez, Espiel, Fuente Obejuna, Peñarroya-Pueblo nuevo, Villanueva del Rey y Villaviciosa de Córdoba. Para la recogida de datos se utiliza el estudio documental, el cuestionario escrito y la observación cualitativa. El universo poblacional del “CEPER Valle del Guadiato” lo conformaron 606 personas adultas del período escolar 2011-2012 (592 estudiantes, 14 maestros, siendo la muestra de 265 personas (251 estudiantes, 14 maestros. Entre las principales conclusiones destacan que las necesidades sociales, laborales y personales de los estudiantes del Centro objeto de estudio se derivan básicamente del deseo de aprender, del deseo de superación personal, y del interés por el tema. Las motivaciones giran en torno a la oportunidad de ocupar sus tiempos libres, a la posibilidad de tener mejores oportunidades de encontrar trabajo, y al apoyo de la familia.

Collaborative environmental assessment in the Northwest Territories, Canada

International Nuclear Information System (INIS)

Armitage, Derek R.

2005-01-01

Recent trends in environmental assessment theory and practice indicate a growing concern with collaboration and learning. Although there are few examples of the institutional, organizational, and socio-political forms and processes required to foster this collaboration and learning, the establishment of an environmental planning, management, and assessment regime in Canada's Northwest Territories offers useful insights. Consequently, this paper identifies and examines the institutional, organizational, and socio-political conditions that have encouraged more collaborative forms of environmental assessment practice in the Northwest Territories. Key issues highlighted include: (1) the development of decentralized regulatory organizations more responsive to changing circumstances; (2) strategies for more effective communication and participation of community interests; (3) efforts to build a collaborative vision of economic and social development through region-specific land use plans; (4) the integration of knowledge frameworks; and (5) a concern with the capacity required to encourage effective intervention in the assessment process

Pacific Northwest National Laboratory Annual Site Environmental Report for Calendar Year 2013

Energy Technology Data Exchange (ETDEWEB)

Duncan, Joanne P. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Sackschewsky, Michael R. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Tilden, Harold T. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Barnett, J. Matthew [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Su-Coker, Jennifer [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Ballinger, Marcel Y. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Fritz, Brad G. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Stoetzel, Gregory A. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Lowry, Kami L. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Moon, Thomas W. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Becker, James M. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Mendez, Keith M. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Raney, Elizabeth A. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Chamness, Michele A. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States); Larson, Kyle B. [Pacific Northwest National Laboratory (PNNL), Richland, WA (United States)

2014-09-30

Pacific Northwest National Laboratory (PNNL), one of the U.S. Department of Energy (DOE) Office of Science’s 10 national laboratories, provides innovative science and technology development in the areas of energy and the environment, fundamental and computational science, and national security. DOE’s Pacific Northwest Site Office (PNSO) is responsible for oversight of PNNL at its Campus in Richland, Washington, as well as its facilities in Sequim, Seattle, and North Bonneville, Washington, and Corvallis and Portland, Oregon.

Association between clinical parameters and the presence of active caries lesions in first permanent molars Associação entre parâmetros clínicos e a presença de lesões ativas de cárie em primeiros molares permanentes

Directory of Open Access Journals (Sweden)

Juliana Maria Quaglio

2006-12-01

Full Text Available The aim of the present study was to evaluate the association between clinical parameters and the presence of active caries lesions on the occlusal surface of first permanent molars. Forty eight children (5.8-13.8 years-old with at least one first permanent molar present were selected. The clinical parameters evaluated were gender, age, DMF-T and dmf-t, presence of active white spots in other teeth, general plaque index, tooth's dental arch (upper or lower, tooth's side (right or left, presence of visible plaque and eruption degree of the first permanent molars. The first permanent molars were evaluated through visual inspection by two examiners in order to assess the presence of active or inactive caries lesions on the occlusal surface. Univariate and multivariate analyses for determination of the association between clinical parameters and the presence of active caries lesions in these teeth were performed. The presence of active white spots in other teeth was associated with the presence of active caries lesions in the first permanent molars, in both univariate and multivariate analyses (Odds ratio = 8.8 and 1.9, respectively. The presence of abundant visible plaque on the occlusal surface of the first permanent molars (Odds ratio = 3.5 in the univariate analysis, and 3.9 in the multivariate one also presented a significant association. In conclusion, the presence of active white spots in other teeth and the presence of considerable visible plaque were associated with the presence of active caries lesions on the occlusal surfaces of first permanent molars.O objetivo do presente trabalho foi avaliar a associação entre parâmetros clínicos e presença de lesões ativas de cárie sobre a superfície oclusal de primeiros molares permanentes. Quarenta e oito crianças (5,8-13,8 anos com pelo menos um primeiro molar permanente foram selecionadas. Os parâmetros clínicos avaliados foram sexo, idade, CPO-D e ceo-d, presença de manchas brancas

A Comprehensive Approach to Bi-National Regional Energy Planning in the Pacific Northwest

Energy Technology Data Exchange (ETDEWEB)

Matt Morrison

2007-12-31

The Pacific NorthWest Economic Region, a statutory organization chartered by the Northwest states of Alaska, Washington, Idaho, Montana, and Oregon, and the western Canadian provinces of British Columbia, Alberta, and the Yukon through its Energy Working Group launched a bi-national energy planning initiative designed to create a Pacific Northwest energy planning council of regional public/private stakeholders from both Canada and the US. There is an urgent need to deal with the comprehensive energy picture now before our hoped for economic recovery results in energy price spikes which are likely to happen because the current supply will not meet predicted demand. Also recent events of August 14th have shown that our bi-national energy grid system is intricately interdependent, and additional planning for future capacity is desperately needed.

Use of electronic health records and administrative data for public health surveillance of eye health and vision-related conditions in the United States.

Science.gov (United States)

Elliott, Amanda F; Davidson, Arthur; Lum, Flora; Chiang, Michael F; Saaddine, Jinan B; Zhang, Xinzhi; Crews, John E; Chou, Chiu-Fang

2012-12-01

To discuss the current trend toward greater use of electronic health records and how these records could enhance public health surveillance of eye health and vision-related conditions. Perspective, comparing systems. We describe 3 currently available sources of electronic health data (Kaiser Permanente, the Veterans Health Administration, and the Centers for Medicare & Medicaid Services) and how these sources can contribute to a comprehensive vision and eye health surveillance system. Each of the 3 sources of electronic health data can contribute meaningfully to a comprehensive vision and eye health surveillance system, but none currently provide all the information required. The use of electronic health records for vision and eye health surveillance has both advantages and disadvantages. Electronic health records may provide additional information needed to create a comprehensive vision and eye health surveillance system. Recommendations for incorporating electronic health records into such a system are presented. Copyright © 2012 Elsevier Inc. All rights reserved.

Obesity during childhood and adolescence increases susceptibility to multiple sclerosis after accounting for established genetic and environmental risk factors.

Science.gov (United States)

Gianfrancesco, Milena A; Acuna, Brigid; Shen, Ling; Briggs, Farren B S; Quach, Hong; Bellesis, Kalliope H; Bernstein, Allan; Hedstrom, Anna K; Kockum, Ingrid; Alfredsson, Lars; Olsson, Tomas; Schaefer, Catherine; Barcellos, Lisa F

2014-01-01

To investigate the association between obesity and multiple sclerosis (MS) while accounting for established genetic and environmental risk factors. Participants included members of Kaiser Permanente Medical Care Plan, Northern California Region (KPNC) (1235 MS cases and 697 controls). Logistic regression models were used to estimate odds ratios (ORs) with 95% confidence intervals (95% CI). Body mass index (BMI) or body size was the primary predictor of each model. Both incident and prevalent MS cases were studied. In analyses stratified by gender, being overweight at ages 10 and 20 were associated with MS in females (pchildhood and adolescence obesity confer increased risk of MS in females beyond established heritable and environmental risk factors. Strong evidence for a dose-effect of BMI in 20s and MS was observed. The magnitude of BMI association with MS is as large as other known MS risk factors. Copyright © 2014 Asian Oceanian Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.

Northwest Region Clean Energy Application Center

Energy Technology Data Exchange (ETDEWEB)

Sjoding, David [Washington State Univ., Pullman, WA (United States)

2013-09-30

The main objective of the Northwest Clean Energy Application Center (NW CEAC) is to promote and support implementation of clean energy technologies. These technologies include combined heat and power (CHP), district energy, waste heat recovery with a primary focus on waste heat to power, and other related clean energy systems such as stationary fuel cell CHP systems. The northwest states include AK, ID, MT, OR, and WA. The key aim/outcome of the Center is to promote and support implementation of clean energy projects. Implemented projects result in a number of benefits including increased energy efficiency, renewable energy development (when using opportunity fuels), reduced carbon emissions, improved facility economics helping to preserve jobs, and reduced criteria pollutants calculated on an output-based emissions basis. Specific objectives performed by the NW CEAC fall within the following five broad promotion and support categories: 1) Center management and planning including database support; 2) Education and Outreach including plan development, website, target market workshops, and education/outreach materials development 3) Identification and provision of screening assessments & feasibility studies as funded by the facility or occasionally further support of Potential High Impact Projects; 4) Project implementation assistance/trouble shooting; and 5) Development of a supportive clean energy policy and initiative/financing framework.

FY 1999 Annual Self-Evaluation Report of the Pacific Northwest National Laboratory

Energy Technology Data Exchange (ETDEWEB)

Randy R. LaBarge

1999-11-05

This is a report of the Pacific Northwest National Laboratory's (Pacific Northwest's) FY1999 Annual Self-Evaluation Report. This report summarizes our progress toward accomplishment of the critical outcomes, objectives, and performance indicators as delineated in the FY1999 Performance Evaluation & Fee Agreement. It also summarizes our analysis of the results of Pacific Northwest's Division and Directorate annual self-assessments, and the implementation of our key operational improvement initiatives. Together, these provide an indication of how well we have used our Integrated Assessment processes to identify and plan improvements for FY2000. As you review the report you will find areas of significantly positive progress; you will also note areas where I believe the Laboratory could make improvements. Overall, however, I believe you will be quite pleased to note that we have maintained, or exceeded, the high standards of performance we have set for the Laboratory.

Progress and prospects of climate change impacts on hydrology in the arid region of northwest China.

Science.gov (United States)

Chen, Yaning; Li, Zhi; Fan, Yuting; Wang, Huaijun; Deng, Haijun

2015-05-01

The arid region of Northwest China, located in the central Asia, responds sensitively to global climate change. Based on the newest research results, this paper analyzes the impacts of climate change on hydrology and the water cycle in the arid region of Northwest China. The analysis results show that: (1) In the northwest arid region, temperature and precipitation experienced "sharply" increasing in the past 50 years. The precipitation trend changed in 1987, and since then has been in a state of high volatility, during the 21st century, the increasing rate of precipitation was diminished. Temperature experienced a "sharply" increase in 1997; however, this sharp increasing trend has turned to an apparent hiatus since the 21st century. The dramatic rise in winter temperatures in the northwest arid region is an important reason for the rise in the average annual temperature, and substantial increases in extreme winter minimum temperature play an important role in the rising average winter temperature; (2) There was a significant turning point in the change of pan evaporation in the northwest arid area in 1993, i.e., in which a significant decline reversed to a significant upward trend. In the 21st century, the negative effects of global warming and increasing levels of evaporation on the ecology of the northwest arid region have been highlighted; (3) Glacier change has a significant impact on hydrology in the northwest arid area, and glacier inflection points have appeared in some rivers. The melting water supply of the Tarim River Basin possesses a large portion of water supplies (about 50%). In the future, the amount of surface water will probably remain at a high state of fluctuation. Copyright © 2015 Elsevier Inc. All rights reserved.

Building an infrastructure project performance in the North-West ...

African Journals Online (AJOL)

projects are numerous, and it is believed that the inputs and views of as many participants ... all companies listed. ..... Inadequate contingency allowance by the contractor; .... facing small contractors in the North-West Province of South Africa.

Early hominins in north-west Europe: A punctuated long chronology?

Science.gov (United States)

Hosfield, Rob; Cole, James

2018-06-01

In light of changing views regarding the identity and evolutionary positions of Europe's Lower Palaeolithic hominins, a re-consideration of the hominin occupation of north-west Europe from c. 1 million years ago (mya) to c. 400 thousand years ago (kya) is timely. A change in the scale and character of the overall European Palaeolithic record around c. 800-600 kya has been well documented and argued over since the mid-1990s. Hominin expansion into the European north-west, potentially from southern Europe, Africa or south-western Asia, has been linked to the introduction of a new lithic technology in the form of the biface. We evaluate three potential drivers for this northern range expansion: changing palaeo-climatic conditions, the emergence of an essentially modern human life history, and greater hominin behavioural plasticity. Our evaluation suggests no major changes in these three factors during the c. 800-600 kya period other than enhanced behavioural plasticity suggested by the appearance of the biface. We offer here a model of hominin occupation for north-west Europe termed the 'punctuated long chronology' and suggest that the major changes in the European Lower Palaeolithic record that occur at a species-wide level may post-date, rather than precede, the Anglian Glaciation (marine isotope stage (MIS) 12).

ARSENIC ADSORPTION AND REDUCTION IN IRON-RICH SOILS NEARBY LANDFILLS IN NORTHWEST FLORIDA

Directory of Open Access Journals (Sweden)

Hongqin Xue

2016-01-01

Full Text Available In Florida, soils are mainly composed of Myakka, an acid soil characterized by a subsurface accumulation of humus and Al(III and Fe(III oxides. Downgradient of the landfills in Northwest Florida, elevated levels of iron and arsenic observations had been made in the groundwater from monitoring wells, which was attributed to the geomicrobial iron and arsenic reduction. There is thus an immediate research need for a better understanding of the reduction reactions that are responsible for the mobilization of iron and arsenic in the subsurface soil nearby landfills. Owing to the high Fe(III oxide content, As(V adsorption reactions with Fe(III oxide surfaces are particularly important, which may control As(V reduction. This research focused on the investigation of the biogeochemical processes of the subsurface soil nearby landfills of Northwest Florida. Arsenic and iron reduction was studied in batch reactors and quantified based on Monod-type microbial kinetic growth simulations. As(V adsorption in iron-rich Northwest Floridian soils was further investigated to explain the reduction observations. It was demonstrated in this research that solubilization of arsenic in the subsurface soil nearby landfills in Northwest Florida would likely occur under conditions favoring Fe(III dissimilatory reduction.

Timber resource of Wisconsin's Northwest Survey Unit, 1983.

Science.gov (United States)

W. Brad Smith

1984-01-01

The fourth inventory of the timber resource of the Northwest Wisconsin Survey Unit shows a 1.8% decline in commercial forest area and a 36% gain in growing-stock volume between 1968 and 1983. Presented are highlights and statistics on area, volume, growth, mortality, removals, utilization, and biomass.

Pacific Northwest National Laboratory institutional plan FY 1997--2002

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-10-01

Pacific Northwest National Laboratory`s core mission is to deliver environmental science and technology in the service of the nation and humanity. Through basic research fundamental knowledge is created of natural, engineered, and social systems that is the basis for both effective environmental technology and sound public policy. Legacy environmental problems are solved by delivering technologies that remedy existing environmental hazards, today`s environmental needs are addressed with technologies that prevent pollution and minimize waste, and the technical foundation is being laid for tomorrow`s inherently clean energy and industrial processes. Pacific Northwest National Laboratory also applies its capabilities to meet selected national security, energy, and human health needs; strengthen the US economy; and support the education of future scientists and engineers. Brief summaries are given of the various tasks being carried out under these broad categories.

A Origem Histórica do Conceito de Área de Preservação Permanente no Brasil

Directory of Open Access Journals (Sweden)

Glaucus Vinicius Biasetto Ribeiro

2011-01-01

Full Text Available A nossa atualidade vem sendo marcada por uma crescente preocupação com as questões ligadas ao meio ambiente e com a preservação do nosso planeta. De uma maneira geral o aquecimento global, a influência antrópica, a degradação de ambientes naturais, os processos ecológicos, a biodiversidade, a sustentabilidade, bem como a cidadania ambiental tem se tornado temas de discussão nas diversas esferas de convívio social.Dentro da história brasileira podemos identificar uma série de regramentos de caráter ambiental considerando-se como marco a Lei 4.771 de 15 de setembro de 1965, que instituiu o novo Código Florestal Brasileiro. Ao longo do presente artigo procuraremos investigar a origem da conceituação das áreas de preservação permanentes, tema alvo de grandes discussões na atualidade, tal qual surgiu e foi inserida na legislação brasileira, procurando recuperar esse aspecto específico da história do Brasil.

75 FR 5353 - Energy Northwest; Notice of Receipt and Availability of Application for Renewal of Columbia...

Science.gov (United States)

2010-02-02

... NUCLEAR REGULATORY COMMISSION [NRC-2010-0029; Docket No. 50-397] Energy Northwest; Notice of Receipt and Availability of Application for Renewal of Columbia Generating Station Facility Operating... Commission) has received an application, dated January 19, 2010, from Energy Northwest (EN), filed pursuant...

Teacher Certification: The Problem in the Pacific Northwest.

Science.gov (United States)

Leonard, Leo D.

1985-01-01

Teacher certification procedures in the Pacific Northwest are used to illustrate the kinds of problems facing the nation in terms of teacher certification and program accreditation. Proposals for change include: cooperation between public schools and universities; five year programs; and use of research to study the teacher education process. (DF)

Photographic atlas of fish otoliths of the Northwest Atlantic Ocean

National Research Council Canada - National Science Library

Campana, Steven E

2004-01-01

This photographic atlas presents light and (or) scanning electron micrographs of 580 pairs of sagittal otoliths representing 288 species, 97 families, and 27 orders of fish from the northwest Atlantic...

Statistical evaluation of Pacific Northwest Residential Energy Consumption Survey weather data

Energy Technology Data Exchange (ETDEWEB)

Tawil, J.J.

1986-02-01

This report addresses an issue relating to energy consumption and conservation in the residential sector. BPA has obtained two meteorological data bases for use with its 1983 Pacific Northwest Residential Energy Survey (PNWRES). One data base consists of temperature data from weather stations; these have been aggregated to form a second data base that covers the National Oceanographic and Atmospheric Administration (NOAA) climatic divisions. At BPA's request, Pacific Northwest Laboratory has produced a household energy use model for both electricity and natural gas in order to determine whether the statistically estimated parameters of the model significantly differ when the two different meteorological data bases are used.

Pacific Northwest regional AGU meeting

Science.gov (United States)

Hyndman, Roy

The 27th Annual Pacific Northwest Regional American Geophysical Union Meeting, held September 25 and 26, 1980, was hosted by the Pacific Geoscience Centre at the Institute of Ocean Sciences, near Victoria, British Columbia. A total of 79 papers was presented to the 150 registrants in six general sessions: seismology; electromagnetic induction; general geophysics; volcanology; hydrology; and oceanography, and in three special symposia: ‘The Queen Charlotte-Fairweather fault system and other active faults of the Pacific Northwest’ ‘Coastal circulation in the northeast Pacific’ and ‘Studies of the eruption of Mount St. Helens.’

Urbanization Process Monitoring in Northwest China based on DMSP/OLS Nighttime Light Data

Science.gov (United States)

Wang, K.; Bai, L. Y.; Feng, J. Z.

2017-02-01

In recent years, the DMSP/OLS nighttime light data have been widely applied to various fields such as monitoring and evaluation of urbanization, estimation of social economy, economical environment and health effects, hazards analysis, and fisheries research. The general urbanized level in China has rapidly developed since the 1990s, and the cities in northwest China, which were important population centres of the ancient silk road, have also been developed in a high speed thanks to China’s national strategy of Western Development. Given the Xinjiang autonomous region as a core area of One Belt and One Road, it is very necessary to study the urbanization processes and changes of its urban system and the whole northwest region of China. In this paper, we extracted built-up areas of the cities in northwest China in 1992, 1997, 2002, 2007, and 2012, evaluated urban expansion and spatial pattern through appropriate indexes, and also quantitatively analyzed the urbanized level of each city. The results showed that the cities in northwest China generally presented high strong and rapid expansion, but there were some large differences among cities. Urban expansion forms alternate with exterior expansion and interior filling, in general, the cities externally expandedafter 2002 and internally filledbefore 2002, meanwhile, there were a high positive correlation between urban built-up areas and population growth in Xinjiang autonomous.

2007 Northwest Florida Water Manangement District(NWFWMD) Lidar: Gadsden County

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — LIDAR-derived binary (.las) files containing points classified as bare-earth and canopy (first return) were produced for the 2007 Northwest Florida Water Management...

2007 Northwest Florida Water Management District (NWFWMD) Lidar: Holmes County

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — LIDAR-derived binary (.las) files containing points classified as bare-earth and canopy (first return) were produced for the 2007/2008 Northwest Florida Water...

Comparative analysis of hospital energy use: pacific northwest and scandinavia.

Science.gov (United States)

Burpee, Heather; McDade, Erin

2014-01-01

This study aimed to establish the potential for significant energy reduction in hospitals in the United States by providing evidence of Scandinavian operational precedents with high Interior Environmental Quality (IEQ) and substantially lower energy profiles than comparable U.S. facilities. These facilities set important precedents for design teams seeking operational examples for achieving aggressive energy and interior environmental quality goals. This examination of operational hospitals is intended to offer hospital owners, designers, and building managers a strong case and concrete framework for strategies to achieve exceptionally high performing buildings. Energy efficient hospitals have the potential to significantly impact the U.S.'s overall energy profile, and key stakeholders in the hospital industry need specific, operationally grounded precedents in order to successfully implement informed energy reduction strategies. This study is an outgrowth of previous research evaluating high quality, low energy hospitals that serve as examples for new high performance hospital design, construction, and operation. Through extensive interviews, numerous site visits, the development of case studies, and data collection, this team has established thorough qualitative and quantitative analyses of several contemporary hospitals in Scandinavia and the Pacific Northwest. Many Scandinavian hospitals demonstrate a low energy profile, and when analyzed in comparison with U.S. hospitals, such Scandinavian precedents help define the framework required to make significant changes in the U.S. hospital building industry. Eight hospitals, four Scandinavian and four Pacific Northwest, were quantitatively compared using the Environmental Protection Agency's Portfolio Manager, allowing researchers to answer specific questions about the impact of energy source and architectural and mechanical strategies on energy efficiency in operational hospitals. Specific architectural, mechanical

Deformación permanente de materiales granulares en pavimentos flexibles: estado del conocimiento Permanent strain of granular materials in flexible pavements: state of the art

Directory of Open Access Journals (Sweden)

Hugo Alexánder Rondón

2009-01-01

Full Text Available Diversos estudios han sido desarrollados en el área de los pavimentos para comprender el comportamiento elastoplástico que experimentan materiales granulares bajo carga cíclica. Este es el segundo de dos artículos que presentan el estado del conocimiento de investigaciones desarrolladas en esta área. Basado en una amplia revisión bibliográfica, este artículo da cuenta de la forma como ha sido estudiado el fenómeno de deformación permanente en materiales granulares empleados para conformar capas de base y sub-base de estructuras de pavimentos flexibles. Además, se exponen y se discuten los factores que afectan la resistencia a la deformación permanente y la evolución de las ecuaciones matemáticas desarrolladas para predecir la deformación que experimentan estos materiales bajo carga cíclica. Un estado del conocimiento sobre el comportamiento resiliente de estos materiales es presentado en el primer artículo (Rondón y Reyes, 2007.Several studies have been conducted in pavement field for trying to understand the elastoplastic behavior experienced by granular materials under a cyclic load. This is the second out of two articles which show state-of-the-art of researches conducted in this field. Based on a wide literature review, this article accounts for the way how permanent strain phenomenon has been studied in granular materials used for creating base and sub-base layers of flexible pavement structures. Besides, this article displays and discusses factors which affect resistance to permanent strain and evolution of mathematical equations developed for predicting that strain experienced by these materials under a cyclic load. A state-of-the-art about resilient behavior of these materials has been presented in the first article (Rondón and Reyes, 2007.

Studies of physical-chemical properties of phosphorites of the northwest part of the Dzhanatas field

Energy Technology Data Exchange (ETDEWEB)

Tyumebayev, O T; Bashayeva, L A; Galuzo, V N; Koldobskaya, K V; Ospanov, Ye S; Zhantasov, K T

1983-01-01

The Karatau basin includes dozens of phosphorite fields which are distinguished both in chemical composition and in mineralogy. The main factors which influence the technological properties of the ores are chemical-mineralogical composition and structural-textural features of the phosphorites. Changes are examined in the physical chemical properties during thermal treatment of phosphorite of the Dzhanats field, northwest section. It was established as a result of the studies that the sample of phosphorite of Dzhanatas of the northwest section contains 3 main components: phosphate substance, silica and carbonates. Of the mineral admixtures, oxides and hydroxides of iron, alumosilicates, mica and organic substance are present. In the dominance of a certain mineral, the northwest section belongs to the silicon-phosphatecarbonate type.

Gestão participativa na educação permanente em saúde: olhar das enfermeiras Gestión participativa en la educación permanente en salud: visión de las enfermeras Participative management in permanent health education: view of the nurses

Directory of Open Access Journals (Sweden)

Adriane Calvetti de Medeiros

2010-02-01

Full Text Available Este estudo de abordagem qualitativa teve como objetivo conhecer as estratégias de gestão, com base na Educação Permanente em Saúde (EPS. Os participantes da pesquisa foram seis enfermeiras assistenciais de uma unidade de terapia intensiva de um hospital universitário do Estado do Rio Grande do Sul. Utilizou-se como instrumento de coleta de dados o Método de Círculo de Cultura de Freire. Os dados foram coletados nos meses de junho a agosto/2007. Os resultados apontam para o planejamento participativo e tomada de decisão como estratégias da EPS que promovem a autonomia, a valorização, a competência técnica e a construção do trabalho em equipe, em seu próprio percurso de aprendizagem.Este estudio de abordaje cualitativa tuvo como objetivo conocer las estrategias de gestión, con base en la Educación Permanente en Salud (EPS. Los participantes de la investigación fueron seis enfermeras asistenciales de una unidad de terapia intensiva de un hospital universitario del Estado de Rio Grande do Sul. Se utilizó como instrumento de recollección de datos el Método de Círculo de Cultura de Freire. Los dados fueran recogidos en los meses de junio a agosto/2007. Los resultados apuntan para la planificación participativo y toma de decisión como estrategias de la EPS que promueven la autonomía, la valorización, la competencia técnica y la construcción del trabajo en equipo, en su propio recorrido de aprendizajeThis study is of qualitative approach, and aimed at knowing the management strategies, on the basis of the Permanent Education in Health (PEH. The participants of the research had been six nurses of an intensive care unit from an university hospital in the State of Rio Grande do Sul, Brazil. The Method Circle of Culture of Freire was used like as instrument for collection of data. The data were collected in the period from June to august, 2007. Results point out participative planning and decision making as strategies of the

Earliest occupation of north-west Europe: A coastal perspective

NARCIS (Netherlands)

Cohen, K.M.; MacDonald, K.; Joordens, J.C.A.; Roebroeks, W.; Gibbard, P.L.

2012-01-01

Recent discoveries from Pakefield and Happisburgh (Britain) have provided clear evidence for an unexpectedly early hominin occupation of north-west Europe. The sites, found in the deposits of interglacial rivers and estuaries on the southern rim of the ancient North Sea coast, span the older and

Predicting Waves in the Pacific Northwest of the US

Science.gov (United States)

Ozkan-Haller, H. T.; Oskamp, J. A.; Garcia, G.; Kassem, S.; McNutt, J.

2010-12-01

The Pacific Northwest region of the US is characterized by an energetic deep water wave climate with large swell and sea waves that can approach from multiple directions. As these waves propagate from the open ocean over the continental shelf towards shore, they are affected by the underwater topography (or bathymetry) of the shelf. The US West Coast shelf is characterized by complicated bathymetry with numerous canyons and large banks. Such features can at places focus wave energy and at others divert waves away. As a result the wave field near the coast (in 10-50m water depth) varies significantly along the coast. Although a comprehensive prediction and validation effort for waves exists for the California shoreline, it is currently lacking for the Pacific Northwest shorelines. Herein, we present comprehensive long-term wave model simulations for several regions within the Oregon coastline, show validation of the results with existing nearshore observations, and discuss the dominant dynamics responsible for the observed wave transformation.

Will climate change affect biodiversity in pacific northwest forests

International Nuclear Information System (INIS)

Henderson, S.; Rosenbaum, B.J.

1992-01-01

Global climate change could have significant consequences for biological diversity in Pacific Northwest (PNW) forested ecosystems, particularly in areas already threatened by anthropogenic activities and the resultant habitat modification and fragmentation. The forests of the Pacific Northwest have a high biological diversity, not only in terms of tree species, but also in terms of herbs, bryophytes and hepatophytes, algae, fungi, protist, bacteria, and many groups of vertebrates and invertebrates. Global circulation and vegetation model projections of global climate change effects on PNW forests include reductions in species diversity in low elevation forests as well as elevational and latitudinal shifts in species ranges. As species are most likely to be stressed at the edges of their ranges, plant and animal species with low mobility, or those that are prevented from migrating by lack of habitat corridors, may become regionally extinct. Endangered species with limited distribution may be especially vulnerable to shifts in habitat conditions

Política de formação e educação permanente em saúde no brasil: bases legais e referências teóricas

Directory of Open Access Journals (Sweden)

Renata Lúcia Gigante

Full Text Available Resumo Este artigo teve como objetivo discutir as inter-relações dos relatórios das Conferências Nacionais de Saúde com as propostas apresentadas em documentos oficiais do Sistema Único de Saúde referentes à formação e desenvolvimento de recursos humanos, buscando relacioná-los à incorporação de novos referenciais pedagógicos pautados pelas metodologias ativas de ensino-aprendizagem. O estudo aqui apresentado foi do tipo exploratório, referente à pesquisa na literatura das áreas de saúde e educação, no período de 1941 – realização da 1a Conferência Nacional de Saúde – até 2007, quando foi publicada a portaria n. 1.996 GM/MS. Essa portaria definiu novas diretrizes e estratégias para a implementação da Política Nacional de Educação Permanente em Saúde, com o objetivo de evidenciar a importância da formação de recursos humanos para a consolidação do Sistema Único de Saúde. Verificou-se que há correlação entre as reivindicações que emergem de necessidades sociais identificadas na construção do Sistema Único de Saúde e as propostas inscritas nas legislações pertinentes. Destaca-se que o sucesso de projetos de educação permanente depende de profunda imbricação entre processos educativos e de intervenção institucional, que contemplem a complexidade dos modos de fazer saúde.

BOUND PERIODICAL HOLDINGS BATTELLE - NORTHWEST LIBRARY

Energy Technology Data Exchange (ETDEWEB)

None

1967-05-01

This report lists the bound periodicals in the Technical Library at the Pacific Northwest Laboratory, operated by Battelle Memorial Institute. It was prepared from a computer program and is arranged in two parts. Part one is an alphabetical list of journals by title; part two is an arrangement of the journals by subject. The list headings are self-explanatory, with the exception of the title code, which is necessary in the machine processing. The listing is complete through June, 1966 and updates an earlier publication issued in March, 1965.

Non-communicable diseases among prison inmates in North-West ...

African Journals Online (AJOL)

Background: There is paucity of data on prevalence of non-communicable diseases in prison inmates. The aim of the study was to determine the prevalence and pattern of non-communicable diseases in inmates of Sokoto Central Prison, North-West Nigeria. Methodology: Cross-sectional descriptive study was carried out.

The feasibility of matching on a propensity score for acupuncture in a prospective cohort study of patients with chronic pain

Directory of Open Access Journals (Sweden)

Eric S. Johnson

2017-03-01

Full Text Available Abstract Background Propensity scores are typically applied in retrospective cohort studies. We describe the feasibility of matching on a propensity score derived from a retrospective cohort and subsequently applied in a prospective cohort study of patients with chronic musculoskeletal pain before the start of acupuncture or usual care treatment and enrollment in a comparative effectiveness study that required patient reported pain outcomes. Methods We assembled a retrospective cohort study using data from 2010 to develop a propensity score for acupuncture versus usual care based on electronic healthcare record and administrative data (e.g., pharmacy from an integrated health plan, Kaiser Permanente Northwest. The propensity score’s probabilities allowed us to match acupuncture-referred and non-referred patients prospectively in 2013-14 after a routine outpatient visit for pain. Among the matched patients, we collected patient-reported pain before treatment and during follow-up to assess the comparative effectiveness of acupuncture. We assessed balance in patient characteristics with the post-matching c-statistic and standardized differences. Results Based on the propensity score and other characteristics (e.g., patient-reported pain, we were able to match all 173 acupuncture-referred patients to 350 non-referred (usual care patients. We observed a residual imbalance (based on the standardized differences for some characteristics that contributed to the score; for example, age, -0.283, and the Charlson comorbidity score, -0.264, had the largest standardized differences. The overall balance of the propensity score appeared more favorable according to the post-matching c-statistic, 0.503. Conclusion The propensity score matching was feasible statistically and logistically and allowed approximate balance on patient characteristics, some of which will require adjustment in the comparative effectiveness regression model. By transporting propensity

Pacific Northwest Laboratory facilities radionuclide inventory assessment CY 1992-1993

International Nuclear Information System (INIS)

Sula, M.J.; Jette, S.J.

1994-09-01

Assessments for evaluating compliance with airborne radionuclide emission monitoring requirements in the National Emission Standards for Hazardous Air Pollutants (NESHAPs - U.S. Code of Federal Regulations, Title 40 Part 61, Subparts H and I) were performed for 33 buildings at the U.S. Department of Energy's (DOE) Pacific Northwest Laboratory on the Hanford Site, and for five buildings owned and operated by Battelle, Pacific Northwest Laboratories in Richland, Washington. The assessments were performed using building radionuclide inventory data obtained in 1992 and 1993. Results of the assessments are summarized in Table S.1 for DOE-PNL buildings and in Table S.2 for Battelle-owned buildings. Based on the radionuclide inventory assessments, four DOE-PNL buildings (one with two emission points) require continuous sampling for radionuclides per 40 CFR 61. None of the Battelle-owned buildings require continuous emission sampling

Northwest Boreal Landscape Conservation Cooperative strategic plan 2015 - 2025

Science.gov (United States)

Markon, Carl; Schroff, Eric

2016-01-01

The Northwest Boreal Landscape Conservation Cooperative (NWB LCC) is a voluntary, diverse, self-directed management-science partnership, informing and promoting integrated science, sustainable natural and cultural resource management, and conservation to address impacts of climate change and other stressors within and across ecosystems. The NWB LCC area includes parts of Alaska, Yukon, Northwest Territories, and British Columbia. Our partnership reflects both the broad geographic scope and an extensive array of active and engaged participants including resource management organizations, government representatives, policy makers, Tribes and First Nations, industry leaders, researchers, non-governmental organizations, and research/education institutions. Bringing together diverse partners will help assure the northwest boreal is a functioning, sustainable landscape. We live in an era of profound conservation challenges, including the loss and fragmentation of habitats, genetic isolation, invasive species, and unnatural wildfire. The effects of rapidly changing climate are already evident on the landscape. In these circumstances, it is imperative that natural resource management agencies, science providers, Tribes, First Nations, conservation organizations, and other stakeholders work together to understand the drivers and impacts of landscape change and to determine how best to address those challenges. Further, it is essential that the public and communities receive clear communication about the vision and activities of the NWB LCC. Open public access to NWB LCC activities and products will promote acceptance and support of the science that guides potential changes in management action and conservation strategy. This strategic plan provides a great opportunity for the NWB LCC to share our approach and intentions to the LCC members, collaborators, communities, and the public at large.

Planning for prescribed burning in the inland northwest.

Science.gov (United States)

Robert E. Martin; John D. Dell

1978-01-01

Fire has historically played a role in forests and ranges of the inland Northwest. This guide has been prepared to help managers understand the role of fire and the potential uses of fire and to plan for fire use in managing these lands. Sections deal with these topics, and steps in planning a prescribed burn are outlined. A sample burning situation illustrates the...

Historias de vida de mujeres afincadas de forma permanente en situación de exclusión social

Directory of Open Access Journals (Sweden)

Gabriela Moriana Mateo

2016-07-01

Full Text Available Este artículo presenta parte de los resultados de un trabajo de campo etnográfico realizado en distintos centros de Servicios Sociales Especializados para mujeres de la Generalitat Valenciana. Su objetivo es conocer los tipos de violencia y los factores de exclusión social que subyacen en las historias de vida de las mujeres institucionalizadas. La metodología de investigación utilizada ha sido de índole cualitativa. Se ha realizado observación participante y entrevistas tanto informales como biográficas que, junto con documentos personales e informes sociales, han permitido elaborar 15 historias de vida. Aunque en esta aproximación tan sólo se analizan las cuatro afincadas en la situación de exclusión social de forma permanente. Respecto a los resultados, cabe señalar que en las trayectorias vitales analizadas subyacen distintos factores de exclusión social que afectan tanto a los hombres como a las mujeres, pero también importantes factores específicos de género, como la violencia contra las mujeres intrafamiliar y de género.

Labrets: Piercing and Stretching on the Northwest Coast and in Amazonia

Directory of Open Access Journals (Sweden)

Jenny Reddish

2014-05-01

Full Text Available This article examines the practice of piercing and stretching the lip in order to accommodate a labret in two regions: the North American Northwest Coast (with historical examples from Tlingit and Haida groups and lowland South America (utilizing ethnographic writings on Suya and Kayapo communities. Drawing on the recent ‘sensorial turn’ within anthropology, I suggest an approach which goes beyond considerations of the symbolism of body ornaments and analyses how the infliction of pain they involve can be manipulated to serve social ends at a local level. Also discussed is the use of labrets within global ‘mediascapes’ (Appadurai 1996 by Kayapo and Northwest Coast groups in the context of self-representation and the politicization of ‘culture’ (Wright 1998.

Las redes sociales en los procesos de adaptación a cambios permanentes de hábitat* Un estudio con habitantes de la Depresión Momposina (Norte de Colombia)

OpenAIRE

Gabriel Garrido Escudero; Camilo Madariaga

2001-01-01

En este artículo se describen las redes sociales durante los procesos de adaptación a los permanentes cambios que viven los pobladores de la Depresión Momposina en La Travesía, corregimiento de Mompox (Colombia). La información se recogió en una muestra de 262 personas, mediante la triangulación se compararon los resultados cuantitativos y los cuantitativos y se contrastó la información desde diversas estrategias para describir de mejor forma los fenómenos estudiados. Con ba...

Educação permanente: uma ferramenta para o desenvolvimento docente na graduação

Directory of Open Access Journals (Sweden)

Carlos Alberto Lazarini

Full Text Available OBJETIVO: Descrever a percepção dos docentes tutores e dos docentes da Unidade de Prática Profissional (UPP da primeira série dos cursos de Medicina e Enfermagem da Famema quanto à relevância de participar do programa de Educação Permanente (EP. MÉTODOS: Estudo exploratório com questionário semiestruturado. Empregou-se a técnica de análise temática do Discurso do Sujeito Coletivo. RESULTADOS: A quase totalidade dos sujeitos considerou a atividade de EP como relevante. Os docentes da UPP apontaram ótimo espaço para aprendizagem, troca de experiências e reflexão sobre a prática. As ideias centrais dos tutores foram bom espaço de discussão e reflexão, porém um momento mal aproveitado. CONSIDERAÇÕES: Para os docentes da UPP, a proposta da EP (reflexão sobre a prática vem sendo atingida, mas não tem respondido às expectativas e ao entendimento dos tutores. Dada a importância do desenvolvimento docente para a sustentação de um currículo inovador, é necessário problematizar os sentidos implícitos nesta fala em busca de uma EP mais responsiva aos tutores

Air Pollution over North-West Bay of Bengal in the Early Post-Monsoon Season Based on NASA MERRAero Data

Science.gov (United States)

Kishcha, Pavel; DaSilva, Arlindo M.; Starobinets, Boris; Alpert, Pinhas

2013-01-01

The MERRA Aerosol Reanalysis (MERRAero) has been recently developed at NASA's Global Modeling Assimilation Office (GMAO). This reanalysis is based on a version of the GEOS-5 model radiatively coupled with GOCART aerosols, and it includes assimilation of bias-corrected Aerosol Optical Thickness (AOT) from the MODIS sensor on both Terra and Aqua satellites. Our main finding is that, in October, in the absence of aerosol sources in north-west Bay of Bengal (BoB), MERRAero showed increasing AOT trends over north-west BoB exceeding those over the east of the Ganges basin. The Ganges basin is characterized by significant population growth accompanied by developing industry, agriculture, and increasing transportation: this has resulted in declining air quality. MERRAero data for the period 2002-2009 was used to study AOT trends over north-west Bay of Bengal (BoB) in the early post-monsoon season. This season is characterized by aerosol transport from the Ganges basin to north-west BoB by prevailing winds; and still significant rainfall of over 150 mmmonth. Different aerosol components showed strong increasing AOT trends over north-west BoB. The following factors contributed to the increasing AOT trend over the area in question in October: an increasing number of days when prevailing winds blew from land to sea, resulting in a drier environment and an increase in air pollution over north-west BoB; wind convergence was observed over north-west BoB causing the accumulation of aerosol particles over that region, when prevailing winds blew from land to sea. MERRAero aerosol reanalysis can be used on a global scale.

Propuesta de un plan permanente de relaciones públicas para educar adolescentes sobre los riesgos que existen en las redes sociales

Directory of Open Access Journals (Sweden)

Gina Gilbert Toral

2014-06-01

redes sociales, utilizadas como un medio de comunicación altamente efectivo; hoy en día existe un notorio cambio en la manera en que los adolescentes se relacionan e interactúan entre sí, se evidencia que los niños a temprana edad adquieren dominio sobre las redes sociales y el internet en general, por lo que están expuestos a peligros de tipo psicológico, tales como: ciberbullying, sexting, grooming y morphing. Por lo antes expuesto, y con el fin de incidir de manera positiva en los adolescentes, el presente trabajo de investigación propone la creación de un plan permanente de relaciones públicas, que entre otras actividades conlleva: charlas de psicología, talleres de concientización, la elaboración de un código de conducta online que minimice los riesgos, y finalmente el desarrollo de campañas en internet y medios tradicionales.

Reporting on a Talk I Gave Some Months Ago, the Headline in "La Opinion," Los Angeles' Premier Spanish Language Newspaper, Declared the City's School System "en crisis permanente." No One Wrote in to Disagree. The Claremont Letter. Volume 3, Issue 1

Science.gov (United States)

Kerchner, Charles T.

2008-01-01

Reporting on a talk the author gave some months ago, the headline in "La Opinion," Los Angeles' premier Spanish language newspaper, declared the city's school system "en crisis permanente." No one wrote in to disagree. Indeed, at the end of "Learning from L.A.: Institutional Change in American Public Education" (Harvard Education Press) the author…

Study on the Influence of Informal institution on Rural Legal Construction in Northwest Ethnic Minority Region

Institute of Scientific and Technical Information of China (English)

Junlin; DU

2015-01-01

The Informal institution in Northwest Ethnic Minority Region has dual effects on rural legal construction. In the process of rural legal construction,it can make up for the defects of formal institution to reduce the cost of legal construction,and increase benefit. It also has negative influence on social function,and can’t be conducive to the social stability,development and harmony. Civil law is to be more valued,thus avoiding and hampering the implementation of national laws and even covering the operation of national laws,so it is impossible to achieve rule of law. The coordinated development of Informal institution and socio-economic development in Northwest Ethnic Minority Region will contribute to stable and harmonious social development in Northwest Region.

Watershed analysis on federal lands of the Pacific northwest

Science.gov (United States)

Leslie M. Reid; Robert R. Ziemer; Michael J. Furniss

1994-01-01

Abstract - Watershed analysis-the evaluation of processes that affect ecosystems and resources in a watershed-is now being carried out by Federal land-management and regulatory agencies on Federal lands of the Pacific Northwest. Methods used differ from those of other implementations of watershed analysis because objectives and opportunities differ. In particular,...

Pacific Northwest ampersand Alaska Regional Bioenergy Program. 1992--1993 yearbook with 1994 activities

International Nuclear Information System (INIS)

1994-04-01

The U.S. Department of Energy administers five Regional Bioenergy Programs to encourage regionally specific application of biomass and municipal waste-to-energy technologies to local needs, opportunities and potentials. The Pacific Northwest and Alaska region has taken up a number of applied research and technology projects, and supported and guided its five participating state energy programs. This report describes the Pacific Northwest and Alaska Regional Bioenergy Program, and related projects of the state energy agencies, and summarizes the results of technical studies. It also considers future efforts of this regional program to meet its challenging assignment

Effectiveness monitoring for the aquatic and riparian component of the Northwest Forest Plan: conceptual framework and options.

Science.gov (United States)

Gordon H. Reeves; David B. Hohler; David P. Larsen; David E. Busch; Kim Kratz; Keith Reynolds; Karl F. Stein; Thomas Atzet; Polly Hays; Michael. Tehan

2004-01-01

An Aquatic and Riparian Effectiveness Monitoring Plan (AREMP) for the Northwest Forest Plan is intended to characterize the ecological condition of watersheds and aquatic ecosystems. So to determine the effectiveness of the Northwest Forest Plan to meet relevant objectives, this report presents the conceptual foundation of options for use in pilot testing and...

Northwest Territories Power Corporation annual report 1999/2000

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-05-01

The Northwest Territories Power Corp. is a crown corporation with the responsibility to generate, transform, transmit, distribute, deliver, sell and supply electrical and heat energy throughout the Northwest Territories on a safe, economic and reliable basis. The Corporation distributes electricity directly to the consumer in most of the 52 communities it serves. It also supplies electricity on a wholesale basis to two distributing utilities which retail electricity to customers in Yellowknife and Hay River, Northwest Territories. The Corporation consists of 48 separate power systems and serves a population of 67,000 with a total load of about 90 megawatts. This report presented highlights of the 1999 safety program which included vehicle safety, safe oil transfer and contractor safety. In addition, the report highlighted the restoring of power to Sanikiluaq after the plant was destroyed by fire. Emergency measures were put into effect and power was restored in record time. In 2000, the Corporation received approval for the renewal of three Snare hydro dam licenses. In addition, new plant construction in Clyde River and Paulatuk began in the summer of 1999. The $5 million program to replace the existing cable splices on the 140 km Snare transmission line was also completed. This report also included the company's balance sheets which presented the financial position of the Corporation and the results of its operations and the changes in cash flow for the year. The net income for 1999/2000 would have been $12.1 million, the highest net income in the Corporation's history, if not for the spending of $0.4 million on its Y2K plan, and an allowance of $1 million restructuring costs to allow the Nunavut Territory to operate and manage their own electrical utility. The net earnings therefore, after considering these one-time expenditures for 1999/2000, were $10.7 million, a decrease of $0.8 million from the 1998/1999. tabs., figs.

Long-term dynamic characterization of aeolian desertification in northwest Shanxi, China.

Science.gov (United States)

Xue, Zhanjin; Qin, Zuodong; Cheng, Fangqin; Ding, Guangwei; Li, Hongjian

2017-07-01

Northwest Shanxi is located on the farming-pastoral ecotone of northern China, where aeolian desertification is one of the most serious environmental and socioeconomic issues. The remote sensing image and geostatistical approach were implemented to estimate aeolian desertified land (ADL) dynamic variations from 1975 to 2015. Results showed that the ADL covered 11,685.21 km 2 (82.29%) of the study area in 2015, the majority of which was classified as a light or moderate degree. The area of ADL gradually expanded at an increasing rate of 87.37 km 2 a -1 during the 1975-2000 periods. More specifically, the area of ADL has increased by 1259.23 km 2 from 1975 to 1990 and by 924.96 km 2 from 1990 to 2000, respectively. In contrast, spatial transfer of ADL areas has dwindled by 2365.85 km 2 with a net decrease of 157.72 km 2 a -1 , and the mitigated areas of aeolian desertification were 10,602.24 km 2 between 2000 and 2015. During the past 40 years, the gravity center of ADL migrated to southeast until 2000 and moved northwest in 2000-2015. From 1975 to 2000, the migration distance of severe ADL was the largest, migrated toward the northwest by 19.03 km in 1975-1990 and by 20.16 km in 1990-2000, respectively. From 2000 to 2015, the migration distance of light ADL was the largest, 27.54 km migrated to the northwest. Aeolian desertification rapidly expanded from 1975 to 2000 under the combination of climate change and intensive human activities. Since the year of 2000, ecological engineering strategy initiated by the governments has been the dominant contributor to the aeolian desertification severity reversal. Aeolian desertification prevention is a complicated process. Both the central and local government should play a critical role in the rehabilitation of ADL in the long term.

TWRS privatization support project waste characterization database development. Volume 1

International Nuclear Information System (INIS)

Brevick, C.H.

1995-11-01

Pacific Northwest National Laboratory requested support from ICF Kaiser Hanford Company in assembling radionuclide and chemical analyte sample data and inventory estimates for fourteen Hanford under-ground storage tanks: 241-AN-102, -104, -105, -106, and -107, 241-AP-102, -104, and -105; 241-AW-101, -103, and -105, 241-AZ-101 and-102; and 241-C-109. Sample data were assembled for sixteen radio nuclides and thirty five chemical analytes. The characterization data were provided to Pacific Northwest National Laboratory in support of the Tank Waste Remediation Services Privatization Support Project. The purpose of this report is to present the results and document the methodology used in preparing the waste characterization information data set to support the Tank Waste Remediation Services Privatization Support Project. This report describes the methodology used in assembling the waste characterization information and how that information was validated by a panel of independent technical reviewers. Also, contained in this report are the various data sets created., the master data set, a subset, and an unreviewed data set

Proceedings of the Northwest regional energy conference

Energy Technology Data Exchange (ETDEWEB)

Denman, A S; Comstock, D R [eds.

1978-12-01

The conference was directed toward two main objectives. First, a major portion of the proceedings were to focus on the policies, programs, and priorities of the new US DOE, and their relationships to the Pacific Northwest region. Second, the conference was to explore specific energy issues of regional significance and provide an opportunity for regional feedback on energy policies. The 10 sessions of the conference are Keynote Session: Congress, and the National Energy Plan Sen. Henry Jackson; National Perspectives on Energy Issues (I): An Overview of the NEP, Programs and Priorities of DOE (Alvin Alm and NEP - Conservation and Solar Applications (Don Beattie); and Luncheon address - Alaska Energy Issues (Robert LeResche); National Perspectives on Energy Issues (II): Utility Rate Reform - National Provisions and Relationships to the Pacific Northwest (David Bardin) and Technology for Energy and Long Term Short Alternatives (Robert Thorne); Concurrent Interest Group Sessions: State and Local Roles in Energy Planning and Decision-Making and Industry and University Roles in DOE Research and Programs; Banquet address. The US Energy Future (James Schlesinger); Regional Perspectives on Energy Issues: DOE-X - Organization and Response to Regional Needs (Randall Hardy). What Comes After Number 13 (Sterling Munro), Hanford 1978 (Alex Fremling), and Low Head Hydro and Geothermal (Richard Wood); Lucheon address - The Washington Perspective on Energy (Dixie Lee Ray); Regional Power Planning (Panel); and Conference Wrap Up Session. (MCW)

Implantação das mesas nacionais de negociação permanente do Sistema Único de Saúde em secretarias estaduais e municipais de saúde

Directory of Open Access Journals (Sweden)

Carinne Magnago

Full Text Available Resumo O objetivo deste artigo é avaliar a implantação da mesa de negociação permanente e identificar os entraves e os avanços decorridos dos processos de negociação no âmbito dos estados e dos municípios brasileiros. O método usado foi estudo descritivo e exploratório, de abrangência nacional. A coleta de dados se deu em 2012 e 2013, por meio de survey com 519 gestores de saúde e grupos focais com 49 gestores e 11 integrantes da Mesa Nacional de Negociação Permanente. Dados foram analisados por estatística descritiva e por análise de conteúdo. Verificou-se existência de 132 mesas de negociação, das quais apenas 87 estão em funcionamento. Os principais motivos para não implantação das mesas são a falta de assessoria técnica e a utilização de outras ferramentas para negociação do trabalho. As principais mudanças nas relações de trabalho em decorrência da atuação das mesas de negociação foram a realização de concursos e de processos seletivos públicos, políticas de desprecarização do trabalho e a implantação de planos de cargos, carreiras e salários. Conclui-se que apesar da potencialidade das mesas como dispositivos de negociação, sua implantação e seu pleno funcionamento esbarram em grandes desafios.

A study of automotive workers anthropometric physical characteristics from Mexico Northwest.

Science.gov (United States)

Lucero-Duarte, Karla; de la Vega-Bustillos, Enrique; López-Millán, Francisco

2012-01-01

Due to the lack of anthropometric information in northwest Mexico, we did an anthropometric study that represents the population physical characteristics and that is reliable for the design or redesign of workstations. The study was divided in two phases. The first one was the anthropometric study of 2900 automotive industry workers in northwest of Mexico. The study includes 40 body dimensions of 2345 males and 555 females personalized to be used in future researches. Second phase includes compared anthropometric characteristics of population reported in four Mexican studies and a Colombian study against the current study. Benefits of this project are: a reliable database of anthropometric characteristic of automotive industry population for workstations design or redesign that match with the users, increase product quality and reduce economic, medical and union complains.

Climate Change Impacts and Adaptation Strategies in Northwest China

Institute of Scientific and Technical Information of China (English)

ZHAO Hong-Yan; LIU Cai-Hong; LI Yan-Chun; FANG Jian-Gang; LI Lin; LI Hong-Mei; ZHENG Guang-Fen; DENG Zhen-Yong; DONG An-Xiang; GUO Jun-Qin; ZHANG Cun-Jie; SUN Lan-Dong; ZHANG Xu-Dong; LIN Jing-Jing; WANG You-Heng; FANG Feng; MA Peng-Li

2014-01-01

Climate change resulted in changes in crop growth duration and planting structure, northward movement of planting region, and more severe plant diseases and insect pests in Northwest China. It caused earlier seeding for spring crop, later seeding for autumn crop, accelerated crop growth, and reduced mortality for winter crop. To adapt to climate change, measures such as optimization of agricultural arrangement, adjustment of planting structure, expansion of thermophilic crops, and development of water-saving agriculture have been taken. Damaging consequences of imbalance between grassland and livestock were enhanced. The deterioration trend of grassland was intensified; both grass quantity and quality declined. With overgrazing, proportions of inferior grass, weeds and poisonous weeds increased in plateau pastoral areas. Returning farmland to grazing, returning grazing to grassland, fence enclosure and artificial grassland construction have been implemented to restore the grassland vegetation, to increase the grassland coverage, to reasonably control the livestock carrying capacity, to prevent overgrazing, to keep balance between grassland and livestock, and to develop the ecological animal husbandry. In Northwest China, because the amount of regional water resources had an overall decreasing trend, there was a continuous expansion in the regional land desertification, and soil erosion was very serious. A series of measures, such as development of artificial precipitation (snow), water resources control, regional water diversion, water storage project and so on, were used effectively to respond to water deficit. It had played a certain role in controlling soil erosion by natural forest protection and returning farmland to forest and grassland. In the early 21st century, noticeable achievements had been made in prevention and control of desertification in Northwest China. The regional ecological environment has been improved obviously, and the desertification trend

76 FR 11243 - Farm, Ranch, and Rural Communities Committee

Science.gov (United States)

2011-03-01

... CONTACT: Alicia Kaiser, Designated Federal Officer, kaiser.alicia@epa.gov , 202-564-7273, US EPA, Office... Alicia Kaiser, Designated Federal Officer, at the contact information above. All requests must be... individuals with disabilities, please contact Alicia Kaiser at 202-564- 7273 or kaiser.alicia@epa.gov . To...

Investigations of Fusarium diseases within Inland Pacific Northwest forest nurseries

Science.gov (United States)

Robert L. James; R. Kasten Dumroese

2007-01-01

Fusarium spp. cause important diseases that limit production of seedlings in forest nurseries worldwide. Several aspects of these diseases have been investigated for many years within Inland Pacific Northwest nurseries to better understand disease etiology, pathogen inoculum sources, and epidemiology. Investigations have also involved improving...

Interagency strategy for the Pacific Northwest Natural Areas Network

Science.gov (United States)

Todd M. Wilson; Reid Schuller; Russ Holmes; Curt Pavola; Robert A. Fimbel; Cynthia N. McCain; John G. Gamon; Pene Speaks; Joan I. Seevers; Thomas E. DeMeo; Steve. Gibbons

2009-01-01

Over the past 30 years, the Pacific Northwest Interagency Natural Areas Committee has promoted the establishment and management of natural areas in Oregon and Washington—protected areas devoted to research, education, and conservation of biodiversity. This growing collection of sites is now unmatched in its diversity and representation of both common and unique natural...

Northwest range-plant symbols adapted to automatic data processing.

Science.gov (United States)

George A. Garrison; Jon M. Skovlin

1960-01-01

Many range technicians, agronomists, foresters, biologists, and botanists of various educational institutions and government agencies in the Northwest have been using a four-letter symbol list or code compiled 12 years ago from records of plants collected by the U.S. Forest Service in Oregon and Washington, This code has served well as a means of entering plant names...

Pertussis outbreak in northwest Ireland, January - June 2010.

LENUS (Irish Health Repository)

Barret, A S

2010-09-02

We report a community pertussis outbreak that occurred in a small town located in the northwest of Ireland. Epidemiological investigations suggest that waning immunity and the absence of a booster dose during the second year of life could have contributed to the outbreak. The report also highlights the need to reinforce the surveillance of pertussis in Ireland and especially to improve the clinical and laboratory diagnosis of cases.

The earliest occupation of north-west Europe: a coastal perspective

NARCIS (Netherlands)

Cohen, K.M.; MacDonald, K.; Joordens, J.C.A.; Roebroeks, W.; Gibbard, P.L.

Recent discoveries from Pakefield and Happisburgh (Britain) have provided clear evidence for an unexpectedly early hominin occupation of north-west Europe. The sites, found in the deposits of interglacial rivers and estuaries on the southern rim of the ancient North Sea coast, span the older and

Social organization of self-management support of persons with diabetes: a health systems comparison.

Science.gov (United States)

Schiøtz, Michaela; Frølich, Anne; Krasnik, Allan; Taylor, Warren; Hsu, John

2012-09-01

Identify important organizational elements for providing self-management support (SMS). Semi-structured qualitative interviews conducted in two healthcare systems. Kaiser Permanente Northern California and the Danish Health Care System. 36 managers and healthcare professionals in the two healthcare systems. Elements important to providing self-management support to persons with diabetes. Healthcare professionals' provision of SMS was influenced by healthcare system organization and their perceptions of SMS, the capability and responsibility of healthcare systems, and their roles in the healthcare organization. Enabling factors for providing SMS included: strong leadership; aligned incentives; use of an integrated health information technology (HIT) system; multidisciplinary healthcare provider teams; ongoing training for healthcare professionals; outreach; and quality goals. Barriers to providing SMS included lack of collaboration between providers and skeptical attitudes towards prevention and outreach. Implementation of SMS can be improved by an understanding of the elements that enhance its provision: (1) initiatives seeking to improve collaboration and integration between providers; (2) implementation of an integrated HIT system; and (3) ongoing training of healthcare professionals.

NFP Investor Conference. Growth is back in sight.

Science.gov (United States)

Haugh, Richard

2002-06-01

In a whirlwind of high-stakes meetings in New York City in mid-May, two dozen of the nation's largest hospitals and health systems strutted their stuff with a single goal: securing their future. Their message was clear: back-to-basics works, and now it's time to grow the business. Executives from 23 providers outlined their work on increasing revenue, boosting margins and shoring up balance sheets. They presented their market positions, strategic initiatives and financial results for investment analysts, credit raters and bond traders. The third annual Non-Profit Healthcare Investor Conference was co-sponsored by the American Hospital Association, Health Forum, the Healthcare Financial Management Association and Salomon Smith Barney. The focus on growth doesn't come without challenges Several common themes emerged from the presentations, among them pressure on reimbursement, workforce shortages, liability insurance issues and capacity constraints. Yet executives agree: it all comes down to the basics, and building the strength to keep their missions alive. As Thomas Meier, vice president and treasurer of Oakland, Calif.-based Kaiser Permanente, put it: "No margin, no mission, no más."

Data that drive: Closing the loop in the learning hospital system.

Science.gov (United States)

Liu, Vincent X; Morehouse, John W; Baker, Jennifer M; Greene, John D; Kipnis, Patricia; Escobar, Gabriel J

2016-11-01

The learning healthcare system describes a vision of US healthcare that capitalizes on science, information technology, incentives, and care culture to drive improvements in the quality of health care. The inpatient setting, one of the most costly and impactful domains of healthcare, is an ideal setting in which to use data and information technology to foster continuous learning and quality improvement. The rapid digitization of inpatient medicine offers incredible new opportunities to use data from routine care to generate new discovery and thus close the virtuous cycle of learning. We use an object lesson-sepsis care within the 21 hospitals of the Kaiser Permanente Northern California integrated healthcare delivery system-to offer insight into the critical elements necessary for developing a learning hospital system. We then describe how a hospital-wide data-driven approach to inpatient care can facilitate improvements in the quality of hospital care. Journal of Hospital Medicine 2016;11:S11-S17. © 2016 Society of Hospital Medicine. © 2016 Society of Hospital Medicine.

Agony in the Northwest

International Nuclear Information System (INIS)

Labella, J.W.

1982-01-01

A public power crisis in the Pacific Northwest arose over plans to build five nuclear power plants. This review traces the decisions made by the 23 members of the Washington Public Power Supply System (WPPSS), the Bonneville Power Administration, and 115 other utilities and industrial users, rural cooperatives, and investor-owned utilities during the planning and construction stages to the decision to terminate three plants. The effects of political action committees working for referenda to stop bond issues, suits by rate payers and cooperatives, and other financial problems led to the decision to mothball two units and halt construction of a third, which led to the loss of 6000 construction jobs. Work continues at one site at record levels. The region must submit a cost-effective conservation and renewable resource plan next year that will help to clarify the future of nuclear plants in the affected states

Parent Involvement Activities in School Improvement Plans in the Northwest Region. Summary. Issues & Answers. REL 2008-No. 064

Science.gov (United States)

Speth, Timothy; Saifer, Steffen; Forehand, Gregory

2008-01-01

This document presents a summary of the larger report, "Parent Involvement Activities in School Improvement Plans in the Northwest Region." Although the No Child Left Behind Act of 2001 (NCLB) spells out parent involvement requirements for schools in need of improvement, the majority of the Northwest Region school improvement plans…

Recent and Future Climate Change in Northwest China

International Nuclear Information System (INIS)

Shi, Yafeng; Shen, Yongping; Kang, Ersi; Li, Dongliang; Ding, Yongjian; Zhang, Guowei; Hu, Ruji

2007-01-01

As a consequence of global warming and an enhanced water cycle, the climate changed in northwest China, most notably in the Xinjiang area in the year 1987. Precipitation, glacial melt water and river runoff and air temperature increased continuously during the last decades, as did also the water level of inland lakes and the frequency of flood disasters. As a result, the vegetation cover is improved, number of days with sand-dust storms reduced. From the end of the 19th century to the 1970s, the climate was warm and dry, and then changed to warm and wet. The effects on northwest China can be classified into three classes by using the relation between precipitation and evaporation increase. If precipitation increases more than evaporation, runoff increases and lake water levels rise. We identify regions with: (1) notable change, (2) slight change and (3) no change. The future climate for doubled CO2 concentration is simulated in a nested approach with the regional climate model-RegCM2. The annual temperature will increase by 2.7C and annual precipitation by 25%. The cooling effect of aerosols and natural factors will reduce this increase to 2.0C and 19% of precipitation. As a consequence, annual runoff may increase by more than 10%

Recent and Future Climate Change in Northwest China

Energy Technology Data Exchange (ETDEWEB)

Shi, Yafeng; Shen, Yongping; Kang, Ersi; Li, Dongliang; Ding, Yongjian [Cold and Arid Regions, Environmental and Engineering Research Institute, Chinese Academy of Sciences, Lanzhou, 730000 (China); Zhang, Guowei [Xinjiang Bureau of Hydrology and Water Resources, Urumqi, 830010 (China); Hu, Ruji [Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi, 830011 (China)

2007-02-15

As a consequence of global warming and an enhanced water cycle, the climate changed in northwest China, most notably in the Xinjiang area in the year 1987. Precipitation, glacial melt water and river runoff and air temperature increased continuously during the last decades, as did also the water level of inland lakes and the frequency of flood disasters. As a result, the vegetation cover is improved, number of days with sand-dust storms reduced. From the end of the 19th century to the 1970s, the climate was warm and dry, and then changed to warm and wet. The effects on northwest China can be classified into three classes by using the relation between precipitation and evaporation increase. If precipitation increases more than evaporation, runoff increases and lake water levels rise. We identify regions with: (1) notable change, (2) slight change and (3) no change. The future climate for doubled CO2 concentration is simulated in a nested approach with the regional climate model-RegCM2. The annual temperature will increase by 2.7C and annual precipitation by 25%. The cooling effect of aerosols and natural factors will reduce this increase to 2.0C and 19% of precipitation. As a consequence, annual runoff may increase by more than 10%.

Pacific Northwest Aquatic Monitoring Partnership 2017 Annual Report

Science.gov (United States)

Puls, Amy L.; Scully, Rebecca A.; Dethloff, Megan M.; Bayer, Jennifer M.; Olson, Sheryn J.; Cimino, Samuel A.

2018-01-01

The Pacific Northwest Aquatic Monitoring Partnership (PNAMP) continued to promote the integration of monitoring resources and development of tools to support monitoring in 2017. Improved coordination and integration of goals, objectives, and activities among Pacific Northwest monitoring programs is essential to improving the quality and consistency of monitoring in the region.PNAMP operates through inter-organizational teams to make progress on a variety of projects identified to support partner needs and PNAMP goals. These teams are largely ad hoc and formed for the specific purpose of achieving the objectives of the identified projects. For each project, the PNAMP Coordination Team identified interested Steering Committee (SC) members and subject matter experts to form the working teams that provide guidance and leadership. In addition, the teams acted as an intermediate between the larger group of interested participants and the SC, thus maintaining the concept of better SC/participant exchange. The PNAMP Coordination Team continued to facilitate dialog among experts to move forward with ongoing and new projects. In addition, the Coordination Team continued their efforts to track in-kind contributions of time from participants at meetings, workshops, and other PNAMP hosted events; in 2017 this estimate amounted to 2,039 hours by 67 organizations.

Potato psyllid vector of zebra chip disease in Pacific Northwest

Science.gov (United States)

Zebra chip is a destructive disease of potatoes in the Pacific Northwest and other potato production regions of North America. The pathogen associated with this disease is transmitted by the potato psyllid. A team of researchers which included a scientist at the ARS in Wapato, WA updated an extens...

Risk assessment for biodiversity conservation planning in Pacific Northwest forests

Science.gov (United States)

Becky K. Kerns; Alan Ager

2007-01-01

Risk assessment can provide a robust strategy for landscape-scale planning challenges associated with species conservation and habitat protection in Pacific Northwest forests. We provide an overview of quantitative and probabilistic ecological risk assessment with focus on the application of approaches and influences from the actuarial, financial, and technical...

"Presumed fair: Ironic effects of organizational diversity structures": Correction to Kaiser et al. (2013).

Science.gov (United States)

2016-06-01

Reports an error in "Presumed fair: Ironic effects of organizational diversity structures" by Cheryl R. Kaiser, Brenda Major, Ines Jurcevic, Tessa L. Dover, Laura M. Brady and Jenessa R. Shapiro (Journal of Personality and Social Psychology, 2013[Mar], Vol 104[3], 504-519). In the article, a raw data merging error in one racial discrimination claim condition from Experiment 6 inadvertently resulted in data analyses on an inaccurate data set. When the error was discovered by the authors and corrected, all analyses reported in Experiment 6 for claim validity, seriousness of the claim, and support for the claimant were inaccurate and none were statistically significant. The conclusions should be altered to indicate that participants with management experience who reflected on their own workplace diversity policies did not show the predicted effects. The literature review, remaining five studies, and remaining conclusions in the article are unaffected by this error. Experiment 6 should also report that 26.4% (not 26.4.7%) of participants had a graduate degree and eight participants (not 8%) did not provide educational data. Experiment 5 should have referred to the claim validity measure as a six-item measure ( .92) rather than a five-item measure; analyses on claim validity are accurate in text. Table 2's note should have said standard errors, not standard deviations. (The following abstract of the original article appeared in record 2012-31077-001.) This research tests the hypothesis that the presence (vs. absence) of organizational diversity structures causes high-status group members (Whites, men) to perceive organizations with diversity structures as procedurally fairer environments for underrepresented groups (racial minorities, women), even when it is clear that underrepresented groups have been unfairly disadvantaged within these organizations. Furthermore, this illusory sense of fairness derived from the mere presence of diversity structures causes high

Geology and assessment of undiscovered oil and gas resources of the Northwest Laptev Sea Shelf Province, 2008

Science.gov (United States)

Klett, Timothy; Pitman, Janet K.; Moore, Thomas E.; Gautier, Donald L.

2017-12-22

The U.S. Geological Survey (USGS) has recently assessed the potential for undiscovered oil and gas resources in the Northwest Laptev Sea Shelf Province as part of the USGS Circum-Arctic Resource Appraisal. The province is in the Russian Arctic, east of Severnaya Zemlya and the Taimyr fold-and-thrust belt. The province is separated from the rest of the Laptev Sea Shelf by the Severnyi transform fault. One assessment unit (AU) was defined for this study: the Northwest Laptev Sea Shelf AU. The estimated mean volumes of undiscovered petroleum resources in the Northwest Laptev Sea Shelf Province are approximately 172 million barrels of crude oil, 4.5 trillion cubic feet of natural gas, and 119 million barrels of natural-gas liquids, north of the Arctic Circle.

Historia poblacional, orígenes africanos y microevolución de los actuales afro-colombianos inferidos desde caracteres epigenéticos en la dentición decidua y permanente

Directory of Open Access Journals (Sweden)

Delgado Burbano, Miguel E.

2006-01-01

Full Text Available Setenta y cinco rasgos coronales no-métricos en la dentición permanente y decidua fueron registrados en 178 modelos dentales de individuos afro-colombianos pertenecientes a la comunidad de Guapi. Se recolectaron datos comparativos de 33 grupos africanos, otro grupo afro-estadounidense en la dentición permanente, en 4 grupos afro-americanos y otros 12 grupos de diferente ascendencia étnica, en la dentición decidua. Un análisis multivariado de componentes principales basado en frecuencias dentales, mostró que los afro-colombianos poseen gran afinidad genética con el Africa Sub-Sahariana, específicamente con grupos del Occidente, del Oriente y del Sur-Oriente africano. Este mismo análisis detectó una marcada divergencia dental con las poblaciones Norafricanas. Los resultados de esta investigación concuerdan con recientes estudios genéticos, basados en marcadores de ADNmt. A pesar que la dentición es evolutivamente conservativa y estable en una escala diacrónica corta, se concluyó que en 400 años de microevolución de los africanos en Colombia, su pool genético original se ha modificado levemente, debido a la influencia de presiones selectivas y flujo génico interétnico, con nativos americanos y grupos de origen caucásico. Se sugiere que los grupos afro-descendientes del Norte, Centro y Sur de América poseen historias poblacionales y evolutivas distintas, debido tanto a procesos de diferenciación fenotípica regional y local como a orígenes geográficos y étnicos diferentes.

Effects of climate change on Pacific Northwest water-related resources: Summary of preliminary findings

Energy Technology Data Exchange (ETDEWEB)

Scott, M.J.; Sands, R.D.; Vail, L.W.; Chatters, J.C.; Neitzel, D.A.; Shankle, S.A.

1993-12-01

The Pacific Northwest Case Study is a multi-agency analysis of atmospheric/climatic change impacts on the Pacific Northwest (which includes Washington, Oregon, Idaho, and portions of the Columbia River Basin in Western Montana). The purpose of the case study, which began in fiscal year 1991, was to develop and test analytical tools, as well as to develop an assessment of the effects of climate change on climate-sensitive natural resources of the Pacific Northwest and economic sectors dependent on them. The overall study, jointly funded by the US Department of Energy (DOE) and the US Environmental Protection Agency, was a broad-based, reconnaissance-level study to identify potential climate impacts on agriculture, coastal resources, forest resources, and irrigation in the Pacific Northwest. DOE participated in the reconnaissance study, with responsibility for hydroelectric and water supply issues. While this report briefly discusses a broader array of water issues, attention is mainly focused on three aspects of the water study: (1) the effects of the region`s higher temperatures on the demand for electric power (which in turn puts additional demand on hydroelectric resources of the region); (2) the effects of higher temperatures and changes, both in precipitation amounts and seasonality, on river flows and hydroelectric supply; and (3) the effect of higher temperatures and changed precipitation amounts and seasonality on salmonid resources -- particularly the rearing conditions in tributaries of the Columbia River Basin. Because the meaning of regional climate forecasts is still quite uncertain, most of the preliminary findings are based on sensitivity analyses and historical analog climate scenarios.

Evaluation of mulched drip irrigation for cotton in arid Northwest China

NARCIS (Netherlands)

Wang, Z.; Jin, M.; Simunek, J.; van Genuchten, M.T.

2014-01-01

Field experiments were conducted in arid Southern Xinjiang, Northwest China, for 3 years to evaluate sustainable irrigation regimes for cotton. The experiments involved mulched drip irrigation during the growing season and flood irrigation afterward. The drip irrigation experiments included control

Northwest Territories Protected Areas Strategy: How community values are shaping the protection of wild spaces and heritage places

Science.gov (United States)

Angela Stadel; Raymond Taniton; Heidi Heder

2002-01-01

The Northwest Territories Protected Areas Strategy (NWT PAS), approved in 1999, presents a unique community-driven approach to establishing a network of protected areas in the North. The NWT PAS arose from increasing resource development pressures in the Northwest Territories and is being implemented in the context of the land claim and treaty processes. Aboriginal...

Pacific Northwest and Alaska Bioenergy Program Year Book; 1992-1993 Yearbook with 1994 Activities.

Energy Technology Data Exchange (ETDEWEB)

Pacific Northwest and Alaska Bioenergy Program (U.S.); United States. Bonneville Power Administration.

1994-04-01

The U.S. Department of Energy administers five Regional Bioenergy Programs to encourage regionally specific application of biomass and municipal waste-to-energy technologies to local needs, opportunities and potentials. The Pacific Northwest and Alaska region has taken up a number of applied research and technology projects, and supported and guided its five participating state energy programs. This report describes the Pacific Northwest and Alaska Regional Bioenergy Program, and related projects of the state energy agencies, and summarizes the results of technical studies. It also considers future efforts of this regional program to meet its challenging assignment.

Salmonella Bacteremia Among Children in Central and Northwest Nigeria, 2008–2015

Science.gov (United States)

Obaro, Stephen K.; Hassan-Hanga, Fatimah; Olateju, Eyinade K.; Umoru, Dominic; Lawson, Lovett; Olanipekun, Grace; Ibrahim, Sadeeq; Munir, Huda; Ihesiolor, Gabriel; Maduekwe, Augustine; Ohiaeri, Chinatu; Adetola, Anthony; Shetima, Denis; Jibir, Binta W.; Nakaura, Hafsat; Kocmich, Nicholas; Ajose, Therasa; Idiong, David; Masokano, Kabir; Ifabiyi, Adeyemi; Ihebuzor, Nnenna; Chen, Baojiang; Meza, Jane; Akindele, Adebayo; Rezac-Elgohary, Amy; Olaosebikan, Rasaq; Suwaid, Salman; Gambo, Mahmoud; Alter, Roxanne; Davies, Herbert D.; Fey, Paul D.

2015-01-01

Background. Etiologic agents of childhood bacteremia remain poorly defined in Nigeria. The absence of such data promotes indiscriminate use of antibiotics and delays implementation of appropriate preventive strategies. Methods. We established diagnostic laboratories for bacteremia surveillance at regional sites in central and northwest Nigeria. Acutely ill children aged <5 years with clinically suspected bacteremia were evaluated at rural and urban clinical facilities in the Federal Capital Territory, central region and in Kano, northwest Nigeria. Blood was cultured using the automated Bactec incubator system. Results. Between September 2008 and April 2015, we screened 10 133 children. Clinically significant bacteremia was detected in 609 of 4051 (15%) in the northwest and 457 of 6082 (7.5%) in the central region. Across both regions, Salmonella species account for 24%–59.8% of bacteremias and are the commonest cause of childhood bacteremia, with a predominance of Salmonella enterica serovar Typhi. The prevalence of resistance to ampicillin, chloramphenicol, and cotrimoxazole was 38.11%, with regional differences in susceptibility to different antibiotics but high prevalence of resistance to readily available oral antibiotics. Conclusions. Salmonella Typhi is the leading cause of childhood bacteremia in central Nigeria. Expanded surveillance is planned to define the dynamics of transmission. The high prevalence of multidrug-resistant strains calls for improvement in environmental sanitation in the long term and vaccination in the short term. PMID:26449948

A influência da perda bilateral do primeiro molar inferior permanente na morfologia dentofacial: um estudo cefalométrico The influence of bilateral lower first permanent molar loss on dentofacial morfology: a cephalometric study

Directory of Open Access Journals (Sweden)

David Normando

2010-12-01

Full Text Available OBJETIVO: avaliar as alterações cefalométricas em pacientes com perda bilateral do primeiro molar inferior permanente. MÉTODOS: foram analisadas 68 telerradiografias laterais de pacientes de consultórios particulares. A amostra foi dividida em dois grupos pareados quanto ao sexo e idade - 34 indivíduos sem perdas (grupo controle e 34 com perda bilateral do primeiro molar inferior permanente (grupo com perda. Foram excluídos da amostra pacientes que haviam perdido outros dentes que não o primeiro molar inferior, casos de agenesia e pacientes com menos de 16 anos de idade. Buscou-se avaliar somente indivíduos que tivessem relatado a perda há pelo menos 5 anos. RESULTADOS: demonstraram que a perda bilateral do primeiro molar inferior permanente leva ao suave fechamento do ângulo GnSN (P=0,05, um giro anti-horário do plano oclusal (P=0,0001, uma suave diminuição da altura facial anteroinferior (P=0,05, uma acentuada inclinação lingual (P=0,04 e retrusão dos incisivos inferiores (P=0,03. Por outro lado, a perda bilateral do primeiro molar inferior permanente não foi capaz de influenciar a relação maxilomandibular no sentido anteroposterior (P=0,21, a quantidade de mento (P=0,45, a inclinação dos incisivos superiores (P=0,12 e a posição anteroposterior dos incisivos superiores (P=0,46. CONCLUSÃO: a perda bilateral dos primeiros molares inferiores é capaz de produzir alterações marcantes no posicionamento dos incisivos inferiores e no plano oclusal, além de uma suave redução vertical da faceOBJECTIVE: To evaluate cephalometric changes in patients after bilateral loss of lower first permanent molar teeth. METHODS: Sixty-eight lateral radiographs of patients from private practices were analyzed. The sample was divided into two groups matched for age and gender: 34 individuals without loss (control group and 34 presenting with bilateral loss of lower first permanent molar teeth (loss group. Patients who had lost teeth other

2007 Northwest Florida Water Manangement District (NWFWMD) Lidar: Jackson County ("Jackson Blue")

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — LIDAR-derived binary (.las) files containing points classified as bare-earth and canopy (first return) were produced for the 2007 Northwest Florida Water Management...

2008 Science Accomplishments Report of the Pacific Northwest Research Station

Science.gov (United States)

Rhonda Mazza

2009-01-01

This report highlights significant research findings and accomplishments by scientists at the Pacific Northwest (PNW) Research Station during fiscal year 2008. The mission of the PNW Research Station is to generate and communicate scientific knowledge that helps people understand and make informed choices about people, natural resources, and the environment. The work...

Silvicultural approaches to animal damage management in Pacific Northwest forests.

Science.gov (United States)

Hugh C. Black

1992-01-01

This book examines the potential of Silvicultural approaches for managing animal damage in forests at two levels: management of free-to-grow stands and sitespecific practices that foster prompt and successful regeneration. Introductory chapters provide a historical perspective of animal damage management in the Pacific Northwest, describe the elements of an integrated...

La formación inicial y permanente del profesorado de Educación Física a través del practicum

Directory of Open Access Journals (Sweden)

Herminia María García Ruso

2013-05-01

Full Text Available En este artículo se muestran los aspectos más importantes del desarrollo de un proyecto de innovación educativa realizado durante las prácticas de enseñanza. En el proyecto intervinieron cuatro alumnos, futuros maestros especialistas de Educación Física, cuatro tutoras y dos supervisoras. Trataremos de exponer, con cierto matiz descriptivo, las fases seguidas en la realización de un proyecto de investigación-acción, los objetivos formulados, la metodología empleada, la elaboración de una unidad didáctica de expresión corporal y el análisis e interpretación de la información. Finalmente, explicaremos las conclusiones que giran alrededor de tres ejes: la relación de la Universidad y los Centros Educativos, la relación del supervisor y el tutor, y la valoración del propio seminario de investigación-acción como herramienta para la investigación y la formación inicial y permanente del profesorado.

Marketing energy conservation options to Northwest manufactured home buyers. Revision 1

Energy Technology Data Exchange (ETDEWEB)

Hendrickson, P.L.; Mohler, B.L.; Taylor, Z.T.; Lee, A.D.; Onisko, S.A.

1985-10-01

Manufactured, or HUD-Code, homes comprise a growing share of the housing stock in the Northwest, as well as nationally. Their relatively low cost has made them especially attractive to lower income families, first-time home-buyers, and retired persons. The characteristics of manufactured home (MH) buyers, the unique energy consumption characteristics of the homes, and their increasing market share make this market an especially critical one for energy consumption and conservation planning in the Northwest. This study relies on extensive, existing survey data and new analyses to develop information that can potentially assist the design of a marketing plan to achieve energy conservation in new manufactured homes. This study has the objective of assisting BPA in the development of a regional approach in which numerous organizations and parties would participate to achieve conservation in new manufactured homes. A previous survey and information collected for this study from regional dealers and manufacturers provide an indication of the energy conservation options being sold to manufactured home buyers in the PNW. Manufacturers in the Northwest appear to sell homes that usually exceed the HUD thermal requirements. Manufacturers typically offer efficiency improvements in packages that include fixed improvements in insulation levels, glazing, and infiltration control. Wholesale costs of these packages range from about $100 to $1500. Typical packages include significant upgrades in floor insulation values with modest upgrades in ceilings and walls. This study identifies trends and impacts that a marketing plan should consider to adequately address the financial concerns of manufactured home buyers.

Intestinal helminths of red foxes (Vulpes vulpes in north-west Italy

Directory of Open Access Journals (Sweden)

Magi M.

2016-03-01

Full Text Available A total of 180 foxes (Vulpes vulpes from an area scarcely investigated of north-west Italy, were examined for intestinal helminths using sedimentation and counting technique (SCT. Faecal samples were submitted to centrifugation with 50 % zinc sulphate used as flotation solution.

RESTORING WILD SALMON TO THE PACIFIC NORTHWEST: FRAMING THE RISK QUESTION

Science.gov (United States)

In the Pacific Northwest of the United States, it is urgent to assess accurately the various options proposed to restore wild salmon. For the past 125 years, a variety of analytic approaches have been employed to assess the ecological consequences of salmon management options. ...

Inter-regional spillovers of seaports: the case of North-West Europe

NARCIS (Netherlands)

Merk, O.M.; Manshanden, W.J.J.; Dröes, M.I.

2013-01-01

This article describes the inter-regional spillover of seaports by assessing four large ports in Northwest Europe: Rotterdam, Antwerp, Hamburg and Le Havre. The authors disaggregate national input/output-tables to the level of the functional port area and calculate the relevant Leontief multipliers

Relationship marketing of small to medium sized textile retailers in the Northwest Province / Fred Angels Amulike Musika

OpenAIRE

Musika, Fred Angels Amulike

2002-01-01

This study concentrated on the concept of relationship marketing and its implementation by small and medium sized textile retailers in the Northwest province of South Africa. This study addressed the gap between the relationship marketing theory and its implementation by small and medium sized textile retailers in the textile industry of the Northwest province. Researchers in relationship marketing have started to realise that there is a definite need for detailed empirical ...

Evidence of a Native Northwest Atlantic COI Haplotype Clade in the Cryptogenic Colonial Ascidian Botryllus schlosseri.

Science.gov (United States)

Yund, Philip O; Collins, Catherine; Johnson, Sheri L

2015-06-01

The colonial ascidian Botryllus schlosseri should be considered cryptogenic (i.e., not definitively classified as either native or introduced) in the Northwest Atlantic. Although all the evidence is quite circumstantial, over the last 15 years most research groups have accepted the scenario of human-mediated dispersal and classified B. schlosseri as introduced; others have continued to consider it native or cryptogenic. We address the invasion status of this species by adding 174 sequences to the growing worldwide database for the mitochondrial gene cytochrome c oxidase subunit I (COI) and analyzing 1077 sequences to compare genetic diversity of one clade of haplotypes in the Northwest Atlantic with two hypothesized source regions (the Northeast Atlantic and Mediterranean). Our results lead us to reject the prevailing view of the directionality of transport across the Atlantic. We argue that the genetic diversity patterns at COI are far more consistent with the existence of at least one haplotype clade in the Northwest Atlantic (and possibly a second) that substantially pre-dates human colonization from Europe, with this native North American clade subsequently introduced to three sites in Northeast Atlantic and Mediterranean waters. However, we agree with past researchers that some sites in the Northwest Atlantic have more recently been invaded by alien haplotypes, so that some populations are currently composed of a mixture of native and invader haplotypes. © 2015 Marine Biological Laboratory.

Special forest products: species information guide for the Pacific Northwest.

Science.gov (United States)

Nan C. Vance; Melissa Borsting; David Pilz; Jim. Freed

2001-01-01

This guide is a collection of information about economically important vascular and nonvascular plants and fungi found in the Pacific Northwest that furnish special forest products. Many of these plants and fungi are also found in Alaska, northern Idaho, and western Montana. They contribute to many botanical, floral, woodcraft, and decorative industries and to the...

Sampling methods for amphibians in streams in the Pacific Northwest.

Science.gov (United States)

R. Bruce Bury; Paul Stephen. Corn

1991-01-01

Methods describing how to sample aquatic and semiaquatic amphibians in small streams and headwater habitats in the Pacific Northwest are presented. We developed a technique that samples 10-meter stretches of selected streams, which was adequate to detect presence or absence of amphibian species and provided sample sizes statistically sufficient to compare abundance of...

Potassium-argon ages of two granitoids northwest of Kumasi, Ghana

International Nuclear Information System (INIS)

Agyei, E.K.

1989-01-01

Four granitic samples from two granitoids northwest of Kumasi,Ghana, have been dated using the conventional K-Ar method. Two samples NB1 NB2 from a road-cutting at Nyamebekyere village, located about 60 km from Kumasi on the Kumasi-Sunyani road gave biotite ages of 2144+/= 11 Ma and 2144+/=7 Ma, respectively. The biotite ages for two samples NTN1 and NTN2 from Kassardjan quarry, located about 3 km south of the Kumasi-Sunyani road at Ntensere village some 20 km northwest of Kumasi were 2070+/= 10 Ma and 2099+/=14 Ma, respectively. A hornblende age of 2169+/=26 Ma was obtained for NTN2 which suggests a slow cooling during the uplift of the granitoid. Although the biotite ages obtained here for the two G2 granitoids are older than most of the reported biotite ages which happen to be for G1 granites, it is too premature to generalize that G2 granitoids are older than G1 granitoids. (author). 21 refs. 1 fig. 1 tab

Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 2, Appendices A--L.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1992-01-01

This report consists of appendices A-L of the final environmental impact statement for the Bonneville Power Administration. The appendices provide information on the following: Ninth circuit Court opinion in Forelaws on Board v. Johnson; guide to Northwest Power act contracts; guide to hydro operations; glossary; affected environment supporting documentation; environmental impacts of generic resource types; information on models used; technical information on analysis; public involvement activities; bibliography; Pacific Northwest Electric Power Planning and Conservation Act; and biological assessment. (CBS)

Anomalías dentomaxilofaciales en dientes permanentes y su relación con traumas en la primera infancia Dental-maxillary-facial anomalies in permanent teeth and their relation to traumas in early childhood

Directory of Open Access Journals (Sweden)

Arlene Liset Corrales León

2009-03-01

Full Text Available Se realizó un estudio descriptivo, longitudinal y retrospectivo que incluyó niños de 7 a 14 años de edad, pertenecientes al área de salud de la "Clínica Estomatológica Docente Guama" del municipio Pinar del Río, en el período comprendido entre febrero del 2003 a marzo de 2005, con el objetivo de determinar la presencia de anomalías dentomaxilofaciales en dentición permanente y su relación con traumas en la primera infancia. El universo de estudio estuvo constituido por 250 niños, y de ellos, se seleccionó una muestra de 60 niños y se les confeccionó una planilla recolectora de datos para la investigación. Los resultados obtenidos fueron procesados estadísticamente mediante el sistema automatizado STATISTIC y la prueba de CHI CUADRADO, en su aplicación de bondad de ajuste, y el paquete SPSS, para la prueba de comparación de proporciones. En todos los casos se prefija un nivel de significación de 0,05. Entre los resultados globales más significativos encontramos que fueron los traumas ocurridos en las edades de 5-6 años los que más anomalías dentomaxilofaciales causaron en la dentición permanente. Resultó el sexo masculino el más afectado por estas alteraciones, fueron los traumas recibidos directamente sobre los dientes, los mayores causantes de anomalías en la dentición permanente. Resultaron las hipoplasias del esmalte, como otras anomalías no ortodóncicas las más frecuentes; se comprobó que el sexo femenino tuvo mayor implicación psicosocial por estas alteraciones y se divulgaron a estomatólogos, padres y maestros orientaciones sobre la relación entre los traumas en la primera infancia y las anomalías dentomaxilofaciales en la dentición permanente.A descriptive, longitudinal and retrospective research was carried out including children from 7 to 14 years old belonging to the health area of "Guama" Dental University Clinic in Pinar del Rio Municipality, from February 2003 to March 2005 aimed at determining

Pacific Northwest Laboratory's Solid Waste Initiative

International Nuclear Information System (INIS)

Holter, G.M.

1993-09-01

In fiscal year 1992 (FY-92), a Solid Waste Initiative was undertaken within the Pacific Northwest Laboratory (PNL). This action was partly in response to a perceived increase in the frequency and severity of impacts associated with solid waste issues at all levels. It also recognized the limited attention of previous efforts in addressing the broader impacts resulting from solid waste and, thus, dealing with solid waste issues in a holistic fashion. This paper provides a description of the Solid Waste Initiative at PNL, including a historical perspective on PNL's involvement in solid waste issues, the goals and objectives of the Solid Waste Initiative, and a discussion of selected activities being conducted under the Initiative

Técnica para identificar faltas transitorias y permanentes en líneas de transmisión, utilizando la transformada Wavelet

Directory of Open Access Journals (Sweden)

Miguel Martínez

2009-01-01

Full Text Available En el presente documento, se presenta un algoritmo que permite distinguir de forma clara y precisa, las faltas transitorias de las permanentes. Adicionalmente se determina el instante de extinción del arco secundario, para así evitar o controlar de forma efectiva y segura la operación de reconexión monofásica en sistemas de transporte de energía. El método de identificación se basa en la determinación de las características de alta frecuencia que posee la señal de tensión de la fase en falta antes del despeje y de la corriente en una fase sana y las relaciona de forma independiente mediante una auto-correlación cruzada. Para el análisis de la señal y extracción de los componentes de alta frecuencia, se ha utilizado la transformada Wavelet. El algoritmo propuesto se probó en un sistema base de 380 kV, funcionando de forma correcta en todos los escenarios planteados y logrando una identificación precisa en los primeros 25 ms de la falta.

Correlation and SVD Analysis of Anomalous Spring Precipitation in Northwest China and Sea Surface Temperature in Key Region in Recent 50 Years

Institute of Scientific and Technical Information of China (English)

无

2011-01-01

[Objective] The aim was to study the relationship between spring precipitation anomaly in Northwest China and sea surface temperature anomaly (SSTA) in Key region in recent 50 years. [Method] Based on monthly average precipitation in Northwest China and global monthly sea surface temperature (SST) grid data, the effects of SSTA in equatorial central and eastern Pacific on spring precipitation in Northwest China were discussed by means of correlation and SVD analysis. [Result] For spring precipitation in Nor...

The 2010-2011 excavation season at Al Zubarah, north-west Qatar

DEFF Research Database (Denmark)

Richter, Tobias; al-Naimi, Faisal; Yeomans, Lisa

2012-01-01

This paper briefly summarizes the results of the 2010–2011 archaeological fieldwork at the late eighteenth–twentieth-century abandoned city of al-Zubarah in north-west Qatar. The excavations in five areas inside the town, covering courtyard houses, a suq, a palatial compound, and a midden...

Timber resource statistics for non-federal forest land in northwest Oregon.

Science.gov (United States)

Donald R. Gedney; Patricia M. Bassett; Mary A. Mei

1986-01-01

This report summarizes a 1986 timber resource inventory of the non-Federal forest land in the 10 counties (Clackamas, Clatsop, Columbia, Hood River, Marion, Multnomah , Polk, Tillamook, Washington, and Yamhill) in northwest Oregon. Detailed tables of forest area, timber volume, growth, mortality, and harvest are presented.

Community Service, Educational Performance and Social Responsibility in Northwest China

Science.gov (United States)

Luo, Renfu; Shi, Yaojiang; Zhang, Linxiu; Liu, Chengfang; Li, Hongbin; Rozelle, Scott; Sharbono, Brian

2011-01-01

The main goal of this paper is to analyse the effect of high school scholarships tied to community service on the development of secondary school students in Northwest China. Using data from three rounds of surveys of thousands of students in 298 classes in 75 high schools in Shaanxi province, the paper documents the implementation of the…

2014 Science Accomplishments Report of the Pacific Northwest Research Station

Science.gov (United States)

Rhonda Mazza

2015-01-01

Communicating the scientific knowledge generated by the Pacific Northwest Research Station is integral to our mission. The 2014 Science Accomplishments reports highlights the breadth of the station’s research, the relevance of our science findings, and the application of these findings. The photographs throughout the report showcase the region where we work and how...

2013 Science Accomplishments Report of the Pacific Northwest Research Station

Science.gov (United States)

Rhonda Mazza

2014-01-01

Communicating the scientific knowledge generated by the Pacific Northwest Research Station is integral to our mission. The 2013 Science Accomplishments reports highlights the breadth of the station’s research, the relevance of our science findings, and the application of these findings. The photographs throughout the report showcase the region where we work and how...

The impact of SHS exposure on health status and exacerbations among patients with COPD

Directory of Open Access Journals (Sweden)

Mark D Eisner

2009-05-01

Full Text Available Mark D Eisner1,3, Carlos Iribarren3, Edward H Yelin2, Stephen Sidney3, Patricia P Katz2, Gabriela Sanchez3, Paul D Blanc11Division of Occupational and Environmental Medicine and Division of Pulmonary and Critical Care Medicine; 2Institute for Health Policy Studies, Department of Medicine, University of California, San Francisco, CA, USA; 3Division of Research, Kaiser Permanente, Oakland, CA, USAAbstract: Secondhand smoke (SHS is a major contributor to indoor air pollution. Because it contains respiratory irritants, it may adversely influence the clinical course of persons with chronic obstructive pulmonary disease (COPD. We used data from nonsmoking members of the FLOW cohort of COPD (n = 809 to elucidate the impact of SHS exposure on health status and exacerbations (requiring emergency department visits or hospitalization. SHS exposure was measured by a validated survey instrument (hours of exposure during the past week. Physical health status was measured by the SF-12 Physical Component Summary Score and disease-specific health-related quality of life (HRQL by the Airways Questionnaire 20-R. Health care utilization for COPD was determined from Kaiser Permanente Northern California computerized databases. Compared to no SHS exposure, higher level SHS exposure was associated with poorer physical health status (mean score decrement −1.78 points; 95% confidence interval [CI] −3.48 to −0.074 points after controlling for potential confounders. Higher level SHS exposure was also related to poorer disease-specific HRQL (mean score increment 0.63; 95% CI 0.016 to 1.25 and less distance walked during the Six-Minute Walk test (mean decrement −50 feet; 95% CI −102 to 1.9. Both lower level and higher level SHS exposure was related to increased risk of emergency department (ED visits (hazard ratio [HR] 1.40; 95% CI 0.96 to 2.05 and HR 1.41; 95% CI 0.94 to 2.13. Lower level and higher level SHS exposure were associated with a greater risk of

Pacific Northwest National Laboratory Facility Radionuclide Emission Points and Sampling Systems

International Nuclear Information System (INIS)

Barfuss, Brad C.; Barnett, J. M.; Ballinger, Marcel Y.

2009-01-01

Battelle-Pacific Northwest Division operates numerous research and development laboratories in Richland, Washington, including those associated with the Pacific Northwest National Laboratory (PNNL) on the Department of Energy's Hanford Site that have the potential for radionuclide air emissions. The National Emission Standard for Hazardous Air Pollutants (NESHAP 40 CFR 61, Subparts H and I) requires an assessment of all effluent release points that have the potential for radionuclide emissions. Potential emissions are assessed annually. Sampling, monitoring, and other regulatory compliance requirements are designated based upon the potential-to-emit dose criteria found in the regulations. The purpose of this document is to describe the facility radionuclide air emission sampling program and provide current and historical facility emission point system performance, operation, and design information. A description of the buildings, exhaust points, control technologies, and sample extraction details is provided for each registered or deregistered facility emission point. Additionally, applicable stack sampler configuration drawings, figures, and photographs are provided

Toxigenic potential of Fusarium graminearum isolated from maize of northwest Argentina

Directory of Open Access Journals (Sweden)

D.A. Sampietro

2013-01-01

Full Text Available Twenty six isolates of Fusarium graminearum from grains of maize hybrids harvested in ±west Argentina were grown on autoclaved rice grain to assess their ability to produce type B trichothecenes. Chemical analysis indicated that 38% of isolates were nivalenol (NIV producers only, 31% were major NIV producers with high DON(deoxynivalenol/NIV ratios, 8% were major DON producers with minor NIV production, and 23% were DON producers only. Isolates showed a high variability in their toxigenic potential which was not related to fungal biomass. The distribution of the different chemotypes as well as the high and the low trichothecene-producing Fusarium isolates could not be associated to a geographical origin. Our results confirmed for the first time that isolates of Fusarium graminearum from maize of northwest Argentina are able to produce DON and NIV. A substancial contamination with both NIV and DON is likely in maize from northwest Argentina. Their contents should be quantified in regional surveillances for mycotoxin contamination.

Pacific Northwest National Laboratory Facility Radionuclide Emission Points and Sampling Systems

Energy Technology Data Exchange (ETDEWEB)

Barfuss, Brad C.; Barnett, J. Matthew; Ballinger, Marcel Y.

2009-04-08

Battelle—Pacific Northwest Division operates numerous research and development laboratories in Richland, Washington, including those associated with the Pacific Northwest National Laboratory (PNNL) on the Department of Energy’s Hanford Site that have the potential for radionuclide air emissions. The National Emission Standard for Hazardous Air Pollutants (NESHAP 40 CFR 61, Subparts H and I) requires an assessment of all effluent release points that have the potential for radionuclide emissions. Potential emissions are assessed annually. Sampling, monitoring, and other regulatory compliance requirements are designated based upon the potential-to-emit dose criteria found in the regulations. The purpose of this document is to describe the facility radionuclide air emission sampling program and provide current and historical facility emission point system performance, operation, and design information. A description of the buildings, exhaust points, control technologies, and sample extraction details is provided for each registered or deregistered facility emission point. Additionally, applicable stack sampler configuration drawings, figures, and photographs are provided.

Twenty-first century cultural and religious diversification of modernity: the example of the shamanic indigenisation of Roman Catholicism among Native American peoples in the Northwest of the United States

Directory of Open Access Journals (Sweden)

Frédéric Dorel

2012-09-01

Full Text Available La modernité, tout comme l’anxiété croissante qu’elle génère, semble avoir encouragé et parfois provoqué une atomisation des phénomènes religieux loin du contrôle de la rationalité et des grandes religions classiques. Un exemple nous est donné par l’indigénisation chamanique des pratiques missionnaires de l’Eglise catholique parmi les Amérindiens du Nord-Ouest des Etats-Unis. Eléments indigènes locaux et éléments urbains indigénisés y sont associés dans la persistance et une invention culturelles et spirituelles caractérisées par l’innovation permanente. L’efficacité symbolique du chamanisme, intégrant plus que jamais les divers éléments de la modernité n’est pas à considérer comme une survivance pittoresque mais plutôt comme un outil d’avenir.Modernity and the growing global anxiety it has generated have fostered numbers of ancient and new worships liberated from the control of both rationality and the mainstream religions. An example is the growing shamanic indigenization of missionary Roman Catholicism by Native American communities in the Northwest of the United States. Indigenous and indigenised exogenous urban elements are locally associated in producing spiritual and cultural invention and persistence of tradition through change and innovation. The symbolic efficiency of shamanism integrating more than ever the different elements in modernity, should not be seen as a relic of the past, but as a powerful healing tool for the future.La modernidad y la ansiedad creciente que ésta genera, parecen haber animado y a veces provocado una atomización de los fenómenos religiosos lejos del control de la racionalidad y de las grandes religiones clásicas. Un ejemplo nos es dado por la « indigenización » chamánica de las prácticas misioneras de la Iglesia católica entre los Amerindios del Noroeste de los Estados Unidos. Elementos indígenas locales y elementos urbanos « indigenizados » son

Living With Earthquakes in the Pacific Northwest: A Survivor's Guide, 2nd edition

Science.gov (United States)

Hutton, Kate

In 1995, Robert S.Yeats found himself teaching a core curriculum class at Oregon State University for undergraduate nonscience majors, linking recent discoveries on the earthquake hazard in the Pacific Northwest to societal response to those hazards. The notes for that course evolved into the first edition of this book, published in 1998. In 2001, he published a similar book, Living With Earthquakes in California: A Survivors Guide (Oregon State University Press).Recent earthquakes, such as the 2001 Nisqually Mw6.8, discoveries, and new techniques in paleoseismology plus changes in public policy decisions, quickly outdated the first Pacific Northwest edition. This is especially true with the Cascadia Subduction Zone and crustal faults, where our knowledge expands with every scientific meeting.

Pacific Northwest geothermal 1977 review - 1978 outlook

Energy Technology Data Exchange (ETDEWEB)

Youngquist, W

1978-06-01

A survey covers some of the more important geothermal exploration and development activity in Oregon, Washington, and Idaho in 1977, including a projection of what may be expected in these areas in 1978 and the Pacific Northwest extensive young volcanic terrain as a prime exploration target; continuing investment by the geothermal industry; and recommendations that access should be provided to public lands which hold much of this resource, that it should be recognized that the hydrologic systems which bring this energy to the well bore in economic quantities can be depleted, and that taxation should account for this depletion.

Life-history traits of the northwest European flora : The LEDA database

NARCIS (Netherlands)

Knevel, IC; Bekker, RM; Bakker, JP; Kleyer, M

An international group of scientists is building a 'trait base', an open internet database of life-history traits of the Northwest European flora (LEDA) that can be used as a tool in planning, in nature conservation and restoration, and in other applied research. The species-trait matrix will

75 FR 55578 - Farm, Ranch, and Rural Communities Committee

Science.gov (United States)

2010-09-13

... basis. FOR FURTHER INFORMATION CONTACT: Alicia Kaiser, Designated Federal Officer, kaiser.alicia@epa.gov... statements to the FRRCC should be sent to Alicia Kaiser, Designated Federal Officer, at the contact... information on access or services for individuals with disabilities, please contact Alicia Kaiser at 202-564...

Northwest disposal site for LLW and ILW in China radioactive impact assessment

International Nuclear Information System (INIS)

Wei Kuizi; He Chunying; Lu Baozhen; Li Tingjun

1993-01-01

This paper describes the studies and main conclusions in site selection, design, and radioactive impact assessment of the Northwest Disposal Site of China for intermediate- and low-level radioactive wastes. At the end of the paper, further works are proposed

Design thinking.

Science.gov (United States)

Brown, Tim

2008-06-01

In the past, design has most often occurred fairly far downstream in the development process and has focused on making new products aesthetically attractive or enhancing brand perception through smart, evocative advertising. Today, as innovation's terrain expands to encompass human-centered processes and services as well as products, companies are asking designers to create ideas rather than to simply dress them up. Brown, the CEO and president of the innovation and design firm IDEO, is a leading proponent of design thinking--a method of meeting people's needs and desires in a technologically feasible and strategically viable way. In this article he offers several intriguing examples of the discipline at work. One involves a collaboration between frontline employees from health care provider Kaiser Permanente and Brown's firm to reengineer nursing-staff shift changes at four Kaiser hospitals. Close observation of actual shift changes, combined with brainstorming and rapid prototyping, produced new procedures and software that radically streamlined information exchange between shifts. The result was more time for nursing, better-informed patient care, and a happier nursing staff. Another involves the Japanese bicycle components manufacturer Shimano, which worked with IDEO to learn why 90% of American adults don't ride bikes. The interdisciplinary project team discovered that intimidating retail experiences, the complexity and cost of sophisticated bikes, and the danger of cycling on heavily trafficked roads had overshadowed people's happy memories of childhood biking. So the team created a brand concept--"Coasting"--to describe a whole new category of biking and developed new in-store retailing strategies, a public relations campaign to identify safe places to cycle, and a reference design to inspire designers at the companies that went on to manufacture Coasting bikes.

A survey of bees (hymenoptera: Apoidea) of the Indiana dunes and Northwest Indiana, USA

Science.gov (United States)

Grundel, R.; Jean, R.P.; Frohnapple, K.J.; Gibbs, J.; Glowacki, G.A.; Pavlovic, N.B.

2011-01-01

The Indiana Dunes, and nearby natural areas in northwest Indiana, are floristically rich Midwest U.S. locales with many habitat types. We surveyed bees along a habitat gradient ranging from grasslands to forests in these locales, collecting at least 175 bee species along this gradient plus 29 additional species in other nearby habitats. About 25% of all species were from the genus Lasioglossum and 12% of the species were associated with sandy soils. Several bumblebee (Bombus) species of conservation concern that should occur in this region were not collected during our surveys. Similarity of the northwest Indiana bee fauna to other published U.S. faunas decreased about 1.3% per 100 km distance from northwest Indiana. Thirty percent of bees netted from flowers were males. Males and females differed significantly in their frequency of occurrence on different plant species. For bees collected in bowl traps, the percentage captured in fluorescent yellow traps declined and in fluorescent blue traps increased from spring to late summer. Capture rates for different bee genera varied temporally, with about a quarter of the genera being captured most frequently in late spring and a quarter in late summer. Capture rates for most genera were higher in more open than in more closed canopy habitats. The maximum number of plant species on which a single bee species was captured plateaued at 24, on average. Forty-nine percent of bee species known to occur in Indiana were found at these northwest Indiana sites. Having this relatively high proportion of the total Indiana bee fauna is consistent with Indiana Dunes existing at a biogeographic crossroads where grassland and forest biomes meet in a landscape whose climate and soils are affected by proximity to Lake Michigan. The resulting habitat, plant, edaphic, and climatic diversity likely produces the diverse bee community documented.

Functional multilingualism at the North-West University as part of the ...

African Journals Online (AJOL)

The aim of this article is to explore the link between language management and the sociopolitical environment in which institutions of higher learning, particularly the North-West University, operate. Along the lines set by Candlin (1991: vi–vii), it is argued that language management should take due cognisance of the ...

Resultados da correção cirúrgica da exotropia permanente em pacientes amblíopes e não-amblíopes

Directory of Open Access Journals (Sweden)

Adriana Valim Portes

2011-08-01

Full Text Available A exotropia permanente (XT acomete cerca de 1 a 2% da população. Seu tratamento é clínico: antiambliogênico e correção dos erros refrativos, e cirúrgico. O objetivo do tratamento cirúrgico é alinhar os olhos na posição primária do olhar, proporcionando melhor resultado estético. Há muito tempo diversos autores estudam os fatores pré, per e pós-operatórios relacionados ao resultado cirúrgico, uma vez que a taxa de sucesso varia de 60 a 80%. Ainda são poucos os estudos que comparam a presença de ambliopia como fator de influência no resultado final. OBJETIVO: Comparar o resultado cirúrgico dos pacientes amblíopes e não-amblíopes submetidos à cirurgia de correção de XT. MÉTODOS: Análise retrospectiva de 37 prontuários de pacientes amblíopes (Grupo A e não-amblíopes (Grupo B submetidos à correção cirúrgica de XT por retrocessoressecção monocular, sendo avaliados os registros pós-operatórios imediatos e tardios. Idade: grupo A 24,7 ± 14,2 anos, grupo B 22,6 ±18,6 anos; Desvio pré-operatório: grupo A 29,1± 7,2Δ, grupo B 28,4 ± 6,8Δ. RESULTADOS: A taxa de sucesso foi de 60% e 100% (p<0,05, no pós-operatório imediato e 50% e 82,3% (p=0,082, no pós-operatório final, nos grupos A e B, respectivamente. Não houve diferença significante quanto aos desvios pós-operatórios imediatos, tardios e variação do desvio. CONCLUSÃO: Pode-se concluir que o grupo B mostrou melhor resultado no pós-operatório imediato; porém não houve diferença no resultado cirúrgico de correção de exotropia permanente entre pacientes amblíopes e não-amblíopes no período pós-operatório de seis meses.

Something is amiss in Denmark: A comparison of preventable hospitalisations and readmissions for chronic medical conditions in the Danish Healthcare system and Kaiser Permanente

DEFF Research Database (Denmark)

Schiøtz, Michaela Louise; Price, Mary; Frølich, Anne

2011-01-01

As many other European healthcare systems the Danish healthcare system (DHS) has targeted chronic condition care in its reform efforts. Benchmarking is a valuable tool to identify areas for improvement. Prior work indicates that chronic care coordination is poor in the DHS, especially in comparison...

Experience in procurement and processing of heart valves at the Northwest Tissue Center

International Nuclear Information System (INIS)

Strong, M.; O'Neal, P.D.; Gage, H.N.; Moogk, M.

1999-01-01

The Northwest Tissue Center established a human heart valve program in 199 1. It is one of four non-profit tissue banks and one for-profit program that recover and process heart valves in the United States. During the eight years in which the Northwest Tissue Center has been involved in heart valve banking, there have been a total of 673 hearts procured for processing. The age of the donors ranged from <1 to 44 years with a mean of 26.2 years, 66% werw male,and 6.5% of the hearts procered were discarded due to a variety of medical and criteria reason. The primary reasons for differal were questions of possible cancer and questions of high risk behavior/social history. Of the 1,264 cardiovascular tissues processed, 6% were lost because of donor history, 17% were lost because of microbiology results, and 5% were lost because of donor serology . There were total a total of 190 aortic valves and 48 pulmonic conduits transplanted over this time period. The mean age of the recipients was 23.4 with a median or 23 years; 102 of the recipients were less than one year of age. Males comprised 62% of the recipients. Since 1993, there has been a clear shift towards more use of pulmonic valves over aortic valves as a results of the acceptance of the Ross procedure. Early in the program, reports were received from surgeons that some heart valves appeared to have cracks in the conduits. Experimentations in the laboratory led to the discovery that thawing too rapidly would result in cracking of these materials. Packaging was designed to reduce the rate of thawing and this has resolved the problem with cracking. The heart valve program at the Northwest Tissue Center has been very successful in providing the necessary valves for patients in the Northwest Region of the United States

Pacific Northwest National Laboratory institutional plan: FY 1996--2001

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-01-01

This report contains the operation and direction plan for the Pacific Northwest National Laboratory of the US Department of Energy. The topics of the plan include the laboratory mission and core competencies, the laboratory strategic plan; the laboratory initiatives in molecular sciences, microbial biotechnology, global environmental change, complex modeling of physical systems, advanced processing technology, energy technology development, and medical technologies and systems; core business areas, critical success factors, and resource projections.

Registration and management of community patients with tuberculosis in north-west China

NARCIS (Netherlands)

Wang, X.; Cai, J.; Wang, D.; Wang, Q.; Liang, H.; Ma, A.; Schouten, E.G.; Kok, F.J.

2015-01-01

OBJECTIVES: To describe the registration, management and characteristics of patients with tuberculosis (TB) in north-west China, and investigate whether patients with TB were diagnosed and treated in a timely manner.STUDY DESIGN: Health-facility-based retrospective data were collected from district

78 FR 4871 - Notice of Public Meeting: Northwest California Resource Advisory Council

Science.gov (United States)

2013-01-23

.... They must provide their own transportation, food and beverages. FOR FURTHER INFORMATION CONTACT: Nancy... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAN01000.L18200000.XZ0000] Notice of Public Meeting: Northwest California Resource Advisory Council AGENCY: Bureau of Land Management...

Using Genetic Algorithm and MODFLOW to Characterize Aquifer System of Northwest Florida

Science.gov (United States)

By integrating Genetic Algorithm and MODFLOW2005, an optimizing tool is developed to characterize the aquifer system of Region II, Northwest Florida. The history and the newest available observation data of the aquifer system is fitted automatically by using the numerical model c...

Study of Four Common Mutations of Familial Mediterranean Fever in North-West of Iran

Directory of Open Access Journals (Sweden)

Abbas Karimi

2012-09-01

Full Text Available Background and Objectives : Familial Mediterranean Fever, an autosomal recessive disorder, is the most common and well known periodical fevers syndrome. Disease is mainly prevalent among non-Ashkenazi Jews, Arabs, Turks and Armenia. According to the geographical location of North-West of Iran, neighboring with two high risk FMF population (Turkey and Armenia, the prevalence of FMF in this region of Iran is not unlikely. The aim of this study was to estimate the carriers rate of FMF common mutations in healthy control people. Results can be potentially useful to estimate prevalence of disease.   Methods : Randomly 200 samples from healthy people [non-FMF] from North-West of Iran selected. After taking consent, DNA was extracted from blood samples of these groups. Then mutations were evaluated using ARMS-PCR and RFLP-PCR techniques.   Results : from 400 studied alleles, 44 and 7 mutant alleles were found for E148Q and V726A respectively. For 2 other mutations, no mutant alleles were found. The total allelic frequency for these four common mutations was 0.132. The carriers rate was 23.4%.   Conclusion : This study showed that E148Q has high mutation frequency relative to other mutations in North-West of Iran.

77 FR 60430 - Farm, Ranch, and Rural Communities Committee

Science.gov (United States)

2012-10-03

... Time. FOR FURTHER INFORMATION CONTACT: Alicia Kaiser, Designated Federal Officer, kaiser.alicia@epa.gov... teleconference, make brief oral comments, or provide a written statement to the FRRCC must contact Alicia Kaiser, Designated Federal Officer, at kaiser.alicia@epa.gov or 202-564-7273 by October 15, 2012. Meeting Access: For...

77 FR 75152 - Farm, Ranch, and Rural Communities Committee

Science.gov (United States)

2012-12-19

... CONTACT: Alicia Kaiser, Designated Federal Officer, kaiser.alicia@epa.gov , 202-564-7273, US EPA, Office... provide a written statement to the FRRCC must contact Alicia Kaiser, Designated Federal Officer, at kaiser.alicia@epa.gov or 202-564-7273 by January 4, 2013. Meeting Access: For information on access or services...

76 FR 73631 - Farm, Ranch, and Rural Communities Committee

Science.gov (United States)

2011-11-29

... FURTHER INFORMATION CONTACT: Alicia Kaiser, Designated Federal Officer, kaiser.alicia@epa.gov , (202) 564... comments may be submitted and will be provided to the Committee. Please send all written comments to Alicia... disabilities, please contact Alicia Kaiser at (202) 564-7273 or kaiser.alicia@epa.gov . To request [[Page 73632...

Regional Approaches to Climate Change for Inland Pacific Northwest Cereal Production Systems

Science.gov (United States)

Eigenbrode, S. D.; Abatzoglou, J. T.; Burke, I. C.; Capalbo, S.; Gessler, P.; Huggins, D. R.; Johnson-Maynard, J.; Kruger, C.; Lamb, B. K.; Machado, S.; Mote, P.; Painter, K.; Pan, W.; Petrie, S.; Paulitz, T. C.; Stockle, C.; Walden, V. P.; Wulfhorst, J. D.; Wolf, K. J.

2011-12-01

The long-term environmental and economic sustainability of agriculture in the Inland Pacific Northwest (northern Idaho, north central Oregon, and eastern Washington) depends upon improving agricultural management, technology, and policy to enable adaptation to climate change and to help realize agriculture's potential to contribute to climate change mitigation. To address this challenge, three land-grant institutions (Oregon State University, the University of Idaho and Washington State University) (OSU, UI, WSU) and USDA Agricultural Research Service (ARS) units are partners in a collaborative project - Regional Approaches to Climate Change for Pacific Northwest Agriculture (REACCH-PNA). The overarching goal of REACCH is to enhance the sustainability of Inland Pacific Northwest (IPNW) cereal production systems under ongoing and projected climate change while contributing to climate change mitigation. Supporting goals include: - Develop and implement sustainable agricultural practices for cereal production within existing and projected agroecological zones throughout the region as climate changes, - Contribute to climate change mitigation through improved fertilizer, fuel, and pesticide use efficiency, increased sequestration of soil carbon, and reduced greenhouse gas (GHG) emissions consistent with the 2030 targets set by the USDA National Institute for Food and Agriculture (NIFA), - Work closely with stakeholders and policymakers to promote science-based agricultural approaches to climate change adaptation and mitigation, - Increase the number of scientists, educators, and extension professionals with the skills and knowledge to address climate change and its interactions with agriculture. In this poster, we provide an overview of the specific goals of this project and activities that are underway since its inception in spring of 2011.

"Estudo in vitro do potencial cariostático dos selantes resinosos, dos cimentos ionoméricos, do diamino fluoreto de prata e do verniz fluoretado, aplicados em superfície oclusal de molares permanentes humanos".

OpenAIRE

Thereza Christina Lopes Coutinho

2002-01-01

O objetivo deste trabalho foi avaliar, in vitro, ao Microscópio de Luz Polarizada (MLP), o potencial cariostático dos selantes resinosos, dos cimentos ionoméricos, do diamino fluoreto de prata e do verniz fluoretado aplicados em superfície oclusal de molares permanentes humanos. Para tanto, 70 terceiros molares humanos hígidos, extraídos por razões clínicas, foram divididos aleatoriamente em sete grupos (N=10): GI – controle (sem selamento); GII – selante resinoso sem flúor Delton ®; G III – ...

Government of the Northwest Territories annual report, 1987

Energy Technology Data Exchange (ETDEWEB)

Harvey, R M [ed.

1988-01-01

The Government of the Northwest Territories issues a combined annual report for all departments and agencies. Information contained in this report covers native rights, energy policy, women's issues, education, public works, cultural affairs, government services and finance, health and social services, economic development and tourism, justice, renewable resources, housing, highways, public utilities and workers' compensation. In addition, there is a report from the courts, the Legislative Assembly and the Office of the Commissioner, and a report from each of the regional governments describing the accomplishments for the year 1987. 55 Figs., 2 tabs.

77 FR 41185 - Farm, Ranch, and Rural Communities Committee

Science.gov (United States)

2012-07-12

..., from 1:00 p.m. until 2:30 p.m. Eastern Daylight Time. FOR FURTHER INFORMATION CONTACT: Alicia Kaiser, Designated Federal Officer, kaiser.alicia@epa.gov , 202-564-7273, U.S. EPA, Office of the Administrator... statement to the FRRCC must contact Alicia Kaiser, Designated Federal Officer, at kaiser.alicia@epa.gov or...

78 FR 56731 - Notice of Public Meeting: Northwest California Resource Advisory Council

Science.gov (United States)

2013-09-13

... public are welcome. They must provide their own transportation, food and beverages. On Oct. 25, the... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAN01000.L18200000.XZ0000] Notice of Public Meeting: Northwest California Resource Advisory Council AGENCY: Bureau of Land Management...

2011 Annual Ecological Survey: Pacific Northwest National Laboratory Site

Energy Technology Data Exchange (ETDEWEB)

Becker, James M.; Chamness, Michele A.

2012-02-27

The U.S. Department of Energy (DOE) Pacific Northwest Site Office (PNSO) oversees and manages the DOE contract for the Pacific Northwest National Laboratory (PNNL), a DOE Office of Science multi-program laboratory located in Richland, Washington. PNSO is responsible for ensuring that all activities conducted on the PNNL site comply with applicable laws, policies, and DOE Orders. The DOE Pacific Northwest Site Office Cultural and Biological Resources Management Plan (DOE/PNSO 2008) addresses the requirement for annual surveys and monitoring for species of concern and to identify and map invasive species. In addition to the requirement for an annual survey, proposed project activities must be reviewed to assess any potential environmental consequences of conducting the project. The assessment process requires a thorough understanding of the resources present, the potential impacts of a proposed action to those resources, and the ultimate consequences of those actions. The PNNL site is situated on the southeastern corner of the DOE Hanford Site, located at the north end of the city of Richland in south-central Washington. The site is bordered on the east by the Columbia River, on the west by Stevens Drive, and on the north by the Hanford Site 300 Area (Figure 1). The environmental setting of the PNNL site is described in Larson and Downs (2009). There are currently two facilities on the PNNL site: the William R. Wiley Environmental Molecular Sciences Laboratory and the Physical Sciences Facility. This report describes the annual survey of biological resources found on the undeveloped upland portions of the PNNL site. The annual survey is comprised of a series of individual field surveys conducted on various days in late May and throughout June 2011. A brief description of the methods PNNL ecologists used to conduct the baseline surveys and a summary of the results of the surveys are presented. Appendix A provides a list of plant and animal species identified in the

Usos da terra e Áreas de Preservação Permanente (APP na Bacia do Rio da Prata, Castelo-ES

Directory of Open Access Journals (Sweden)

Luciano Melo Coutinho

Full Text Available Este trabalho avaliou o uso da terra e identificou Áreas de Preservação Permanente (APPs na Bacia Hidrográfica do Rio da Prata (BRP, município de Castelo-ES, via técnicas de geoprocessamento. A BRP é marcada pela supressão de vegetação nativa, para expansão da fronteira agropecuária. As classes de uso da terra foram vetorizadas por fotointerpretação de aerofotos ortorretificadas. A delimitação das APPs foi realizada a partir de dados de hidrografia e altimetria de cartas topográficas digitais, com respeito às determinações do Código Florestal Brasileiro. A principal forma de uso da terra é a agropecuária (60,84% da área total, composta pela agricultura (30,21% e pela pecuária (30,63%, sendo que a área preservada com floresta nativa é de 36,85%. As APPs representam 55,48% da área total e sua maior parte (50,40% é utilizada para fins socioeconômicos, enquanto a cobertura florestal representa apenas 49,60%.

Hogged wood fuel price analysis in the U.S. Pacific Northwest

International Nuclear Information System (INIS)

Biederman, R.T.; Blazek, C.F.; Fox, P.J.

1991-01-01

The purpose of this paper is to discuss the results of a comprehensive analysis of wood residues used for meeting energy requirements in the Pacific Northwest region of the United States. These wood residues are generated primarily from cutting, sawing, planning, sanding, and debarking activities in the lumber and plywood industries. While high-quality wood residues are commonly used as raw material in the manufacture of pulp and board commodities, a very large amount of wood residues are ultimately used for plant fuel purposes. The characteristics of this market for hogged wood fuel are examined in depth, with particular emphasis given to the factors which affect the supply, demand and price of hogged wood. Hogged wood has played an enormous role in the Pacific Northwest for over sixty years, a result of the massive regional timber harvest. Utilization of this renewable energy resource continues to be a large component in regional energy supply. Despite having a large number of highly integrated mills that both use and produce wood residues, the Pacific Northwest region experiences a lively trade in hogged wood. The IGT study discussed herein examines the determinants of the regional market price for hogged wood. A number of useful leading indicators are identified, and a statistical forecasting model is prepared to help predict future hogged wood prices. This model provides insight into the factors that are, and are not, important determinants of hogged wood price. The issue of fuel substitution is addressed in relation to the potential of hogged wood to displace some amount of primary energy sources such as natural gas and electricity. Also examined in the study are techniques to estimate the actual quantity of hogged wood available, and the quantity demanded by the marketplace. Conclusions presented in the study have important ramifications for understanding the price behavior and utilization of hogged wood fuel. 4 refs., 12 figs

Estrategias del Teatro del Oprimido para la formación permanente del profesorado (Strategies from the Theatre of the Oppressed for Permanent Training of Teaching Staff (Stratégies du théâtre de l'opprimé pour la formation permanente du corps d'enseignants (Estratégias do teatro do oprimido para a formação permanente do professorado

Directory of Open Access Journals (Sweden)

Tomás Motos-Teruel

2012-06-01

Full Text Available ResumenEste artículo relata una experiencia y su valoración de forma- ción permanente del profesorado basada en el aprendizaje vi- vencial utilizando como estrategia metodológica el Teatro del Oprimido (TO para estimular y favorecer la reflexión sobre la práctica educativa. Sus objetivos básicos fueron dar a conocer la formulación teórica y la metodología del TO y hacer la trans- ferencia de las estrategias metodológicas vivenciadas a la práctica docente. El estudio se ha planteado desde una óptica cualitativa con el estudio de caso único. Y como resultados más destacables hay que reseñar el interés y la percepción de la utili- dad personal y profesional del TO como instrumento de reflexión sobre la acción y generador de clima positivo. El Teatro del Opri- mido es una formulación teórica y un método estético cuya teo- ría y praxis están inspiradas en la Pedagogía del Oprimido de Paulo Freire, utiliza las técnicas dramáticas como un instrumen- to eficaz para la comprensión y la búsqueda de alternativas a problemas sociales, interpersonales e individuales.AbstractThis paper describes an experience and its as- sessment for application in permanent training of teaching staff, based on experiential learning and using the Theatre of the Oppressed (TO to stimu- late the thought about educational practice. The principal aims were to bring to the attention the theory and methodology of TO and to transfer its experiential methodological strategies to educa- tion practice. The study was designed as a quali- tative analysis of a single case study. The principal results include the interest and perception of use- fulness both at personal and professional levels, of TO as an instrument of thought and a generator of positive environments. The Theatre of the Oppres- sed is a theoretic concept and aesthetic method, the theory and praxis of which are inspired by Paulo Freire's Pedagogy of the Oppressed. It uses dra- ma techniques as

The relative impact of harvest and fire upon landscape-level dynamics of older forests: Lessons from the Northwest Forest Plan

Science.gov (United States)

Sean P. Healey; Warren B. Cohen; Thomas A. Spies; Melinda Moeur; Dirk Pflungmacher; M. German Whitley; Michael Lefsky

2008-01-01

Interest in preserving older forests at the landscape level has increased in many regions, including the Pacific Northwest of the United States. The Northwest Forest Plan (NWFP) of 1994 initiated a significant reduction in the harvesting of older forests on federal land. We used historical satellite imagery to assess the effect of this reduction in relation to: past...

Understanding key issues of sustainable wood production in the Pacific Northwest.

Science.gov (United States)

Robert L. Deal; Seth M. White

2005-01-01

Researchers involved with the Pacific Northwest (PNW) Research Station Sustainable Wood Production Initiative have outlined some of the barriers and opportunities for sustainable wood production in the region. Sustainable wood production is defined as the capacity of forests to produce wood, products, and services on a long-term basis and in the context of human...

Reflections on the exploration of paramilitary management in Northwest Regional Office

International Nuclear Information System (INIS)

Ye Herui; Wang Fuquan; Zhang Zijie

2013-01-01

This article aims to reflect on the exploration of paramilitary management in Northwest Regional Office of Nuclear and Radiation Safety Inspection, MEP, China under current situation, so as to the improve the working style construction of the regulatory team, strengthening consciousness on nuclear safety, and to promote the level of nuclear safety regulation. (authors)

Ties that bind: Pacific Northwest truffles, trees, and animals in symbiosis

Science.gov (United States)

Marie Oliver; Randy Molina; Jane E.  Smith

2009-01-01

Soil organisms play essential roles in forest health, and truffle fungi are one of the more fascinating groups of these important organisms. After 40 years of specimen collection and study, scientists with Pacific Northwest Research Station have published a report documenting how truffle fungi affect tree survival and growth, perform valuable functions in nutrient...

Climate Change Impact Assessment for Surface Transportation in the Pacific Northwest and Alaska

Science.gov (United States)

2012-01-01

The states in the Pacific Northwest and Alaska region share interconnected transportation networks for people, goods, and services that support the : regional economy, mobility, and human safety. Regional weather has and will continue to affect the p...

2010 Ecological Survey of the Pacific Northwest National Laboratory Site

Energy Technology Data Exchange (ETDEWEB)

Chamness, Michele A.; Perry, Christopher; Downs, Janelle L.; Powell, Sylvia D.

2011-02-16

The U.S. Department of Energy (DOE) Pacific Northwest Site Office (PNSO) oversees and manages the DOE contract for the Pacific Northwest National Laboratory (PNNL), a DOE Office of Science multi-program laboratory located in Richland, Washington. PNSO is responsible for ensuring that all activities conducted on the PNNL Site comply with applicable laws, policies, and DOE orders. The DOE Pacific Northwest Site Office Cultural and Biological Resources Management Plan (DOE/PNSO 2008) addresses the requirement for annual surveys and monitoring for species of concern and to identify and map invasive species. In addition to the requirement for an annual survey, proposed project activities must be reviewed to assess any potential environmental consequences of conducting the project. The assessment process requires a thorough understanding of the resources present, the potential impacts of a proposed action to those resources, and the ultimate consequences of those actions. The PNNL Site is situated on the southeastern corner of the DOE Hanford Site, located at the north end of the city of Richland in south-central Washington. The site is bordered on the east by the Columbia River, on the west by Stevens Drive, and on the north by the Hanford Site 300 Area (Figure 1). The environmental setting of the PNNL Site is described in Larson and Downs (2009). There are currently two facilities on the PNNL Site: the William R. Wiley Environmental Molecular Sciences Laboratory (EMSL), and the recently completed Physical Sciences Facility (PSF). This report describes the results of the annual survey of the biological resources found on the undeveloped portions of the PNNL Site in 2010. A brief description of the methods PNNL ecologists used to conduct the surveys and the results of the surveys are presented. Actions taken to fully delineate noxious weed populations discovered in 2009 and efforts in 2010 to control those weeds also are described. Appendix A provides a list of plant and

Northwest Forest Plan—the first 10 years (1994-2003): status and trends of populations and nesting habitat for the marbled murrelet.

Science.gov (United States)

Mark H. Huff; Martin G. Raphael; Sherri L. Miller; S. Kim Nelson; Jim Baldwin

2006-01-01

The Northwest Forest Plan (the Plan) is a large-scale ecosystem management plan for federal land in the Pacific Northwest. Marbled murrelet (Brachyramphus marmoratus) populations and habitat were monitored to evaluate effectiveness of the Plan. The chapters in this volume summarize information on marbled murrelet ecology and present the monitoring...

SALMON IN CRISIS: IN SEARCH OF A SOLUTION FOR THE PACIFIC NORTHWEST

Science.gov (United States)

Throughout the Pacific Northwest, since 1850, all wild salmon runs have declined and some have disappeared. Billions of dollars have been spent in a so-far failed attempt to reverse the long-term decline. Each year, hundreds of millions of dollars continue to be spent in variou...

Temporal Trends and Future Predictions of Mercury Concentrations in Northwest Greenland Polar Bear (Ursus maritimus) Hair

DEFF Research Database (Denmark)

Dietz, Rune; Born, E.W.; Riget, Frank Farsø

2011-01-01

-2008 concentrations ofHg in Northwest Greenland polar bear hair exceeded the general guideline values of 20-30 μg/g dry weight for terrestrial wildlife, whereas the neurochemical effect level of 5.4 μg Hg/g dry weight proposed for East Greenland polar bears was exceeded in 93.5% of the cases. These results call......Hair samples from 117 Northwest Greenland polar bears (Ursus maritimus) were taken during 1892-2008 and analyzed for total mercury (hereafterHg). The sample represented 28 independent years and the aim of the study was to analyze for temporal Hg trends. Mercury concentrations showed yearly...

Investigation of Prescribed Fires Impacts on Air Quality in the Pacific Northwest

Science.gov (United States)

Ravi, V.; Chung, S. H.; Vaughan, J. K.; Lamb, B. K.

2014-12-01

Emissions from wildland and prescribed fires cause significant aerosol loading in the atmospheric environment. Using 2011 NEI-Fire emission inventory, we investigate the impacts of prescribed fire emissions on the air quality of the Pacific Northwest (PNW) for a month long period in October-November 2011. This study utilizes the AIRAPCT-4 regional air quality forecasting system, which is based on the WRF-SMOKE-CMAQ framework. We simulate three different emission scenarios - 1) emissions with prescribed fires, 2) emissions without prescribed fires and 3) a scenario where prescribed fire emissions are reduced by 60%. AIRPACT-4 results are examined for impacts of prescribed fire emissions on ambient levels of PM2.5 and Ozone for entire PNW. We also look at the contribution of prescribed fire emissions to ambient PM2.5 concentrations for selected non-attainment areas in the PNW. This work supports the analysis of using woody residue as a feedstock for an aviation biofuel supply chain through the Northwest Advanced Renewables Alliance (NARA).

Association of obesity with socioeconomic status among adults of ages 18 to 80?years in rural Northwest China

OpenAIRE

Pei, Leilei; Cheng, Yue; Kang, Yijun; Yuan, Shuyi; Yan, Hong

2015-01-01

Background Understanding social disparities in obesity are presently an essential element in establishing public health priorities. However, the association between socioeconomic status (SES) and obesity has not been assessed in rural Northwest China. This study aims to explore the effect of SES on overweight/obesity and abdominal obesity by gender and age in rural Northwest China. Methods A total of 3030 participants between the ages of 18 to 80?years from rural Hanzhong, Shaanxi province, N...

Knock on wood: Is wood production sustainable in the Pacific Northwest?

Science.gov (United States)

Jonathan Thompson

2006-01-01

The Pacific Northwest is one of the world’s major timber-producing regions, and its capacity to produce wood on a sustained-yield basis is widely recognized. Nonetheless, there has been increasing public interest in assuring that forests are being sustainably managed, as well as a desire by landowners to demonstrate their commitment to responsible stewardship.

Late Holocene Radiocarbon Variability in Northwest Atlantic Slope Waters

Energy Technology Data Exchange (ETDEWEB)

Sherwood, O; Edinger, E; Guilderson, T P; Ghaleb, B; Risk, M J; Scott, D B

2008-08-15

Deep-sea gorgonian corals secrete a 2-part skeleton of calcite, derived from dissolved inorganic carbon at depth, and gorgonin, derived from recently fixed and exported particulate organic matter. Radiocarbon contents of the calcite and gorgonin provide direct measures of seawater radiocarbon at depth and in the overlying surface waters, respectively. Using specimens collected from Northwest Atlantic slope waters, we generated radiocarbon records for surface and upper intermediate water layers spanning the pre- and post bomb-{sup 14}C eras. In Labrador Slope Water (LSW), convective mixing homogenizes the pre-bomb {Delta}{sup 14}C signature (-67 {+-} 4{per_thousand}) to at least 1000 m depth. Surface water bomb-{sup 14}C signals were lagged and damped (peaking at {approx} +45{per_thousand} in the early 1980s) relative to other regions of the northwest Atlantic, and intermediate water signals were damped further. Off southwest Nova Scotia, the vertical gradient in {Delta}{sup 14}C is much stronger. In surface water, pre-bomb {Delta}{sup 14}C averaged -75 {+-} 5{per_thousand}. At 250-475 m depth, prebomb {Delta}{sup 14}C oscillated quasi-decadally between -80 and -100{per_thousand}, likely reflecting interannual variability in the presence of Labrador Slope Water vs. Warm Slope Water (WSW). Finally, subfossil corals reveal no systematic changes in vertical {Delta}{sup 14}C gradients over the last 1200 years.

GEOMORPHOLOGY AND ANTHROPOGENIC INFLUENCES ON FISH AND AMPHIBIANS IN PACIFIC NORTHWEST COASTAL STREAMS

Science.gov (United States)

Physical habitat degradation has been implicated as a major contributor to the historic decline of salmonids in Pacific Northwest streams. Native aquatic vertebrate assemblages in the Oregon and Washington Coast Range consist primarily of coldwater salmonids, cottids, and amphib...

GEOPROCESSAMENTO APLICADO NO DIAGNÓSTICO DOS CONFLITOS DE USO E OCUPAÇÃO DO SOLO EM ÁREAS DE PRESERVAÇÃO PERMANENTE NO RIBEIRÃO DAS AGULHAS – BOTUCATU (SP

Directory of Open Access Journals (Sweden)

Sérgio Campos et al.

2017-03-01

Las Áreas de Preservación Permanente (APP tienen una función ambiental para preservar los recursos naturales, la biodiversidad, el flujo genético de fauna y flora, el suelo y la seguridad del bienestar de las poblaciones humanas. La degradación de los bosques ribereños contribuye a la sedimentación e incremento en la turbidez del agua, a la erosión de las orillas de los cursos de agua y al transporte de sustancias contaminantes, como pesticidas y fertilizantes agrícolas. El trabajo tuvo como objetivo determinar el uso incorrecto de las áreas de preservación permanente de la cuenca del río das Agulhas – Botucatu (SP, basada en la carta planialtimétrica de Botucatu y la imagen de satélite de 2011. La metodología consistió en el uso de GIS-IDRISI Selva para la georreferenciación, la generación de los amortiguamientos de las APPs y la superposición de los conflictos de uso y ocupación. El gran uso de la cuenca se correspondió con pastizales, 675,34ha. Las APPs (166,10ha se utilizan inadecuadamente, con 93, 33ha de pastizales. El diagnóstico indica la necesidad de un plan de protección vinculado al medio ambiente, y destinado a la recuperación de áreas degradadas, que permita la regeneración de la cubierta natural de las APPs, que se utilizan sin cumplir con la legislación ambiental brasileña. Las geotecnologías fueron herramientas indispensables para el diagnóstico del uso y ocupación del suelo en el área analizada. Palabras clave: SIG; Uso y Ocupación del Suelo; Preservación del Medio Ambiente.

CB4-03: An Eye on the Future: A Review of Data Virtualization Techniques to Improve Research Analytics

Science.gov (United States)

Richter, Jack; McFarland, Lela; Bredfeldt, Christine

2012-01-01

Background/Aims Integrating data across systems can be a daunting process. The traditional method of moving data to a common location, mapping fields with different formats and meanings, and performing data cleaning activities to ensure valid and reliable integration across systems can be both expensive and extremely time consuming. As the scope of needed research data increases, the traditional methodology may not be sustainable. Data Virtualization provides an alternative to traditional methods that may reduce the effort required to integrate data across disparate systems. Objective Our goal was to survey new methods in data integration, cloud computing, enterprise data management and virtual data management for opportunities to increase the efficiency of producing VDW and similar data sets. Methods Kaiser Permanente Information Technology (KPIT), in collaboration with the Mid-Atlantic Permanente Research Institute (MAPRI) reviewed methodologies in the burgeoning field of Data Virtualization. We identified potential strengths and weaknesses of new approaches to data integration. For each method, we evaluated its potential application for producing effective research data sets. Results Data Virtualization provides opportunities to reduce the amount of data movement required to integrate data sources on different platforms in order to produce research data sets. Additionally, Data Virtualization also includes methods for managing “fuzzy” matching used to match fields known to have poor reliability such as names, addresses and social security numbers. These methods could improve the efficiency of integrating state and federal data such as patient race, death, and tumors with internal electronic health record data. Discussion The emerging field of Data Virtualization has considerable potential for increasing the efficiency of producing research data sets. An important next step will be to develop a proof of concept project that will help us understand to benefits

76 FR 18578 - Notice of Public Meeting: Northwest California Resource Advisory Council

Science.gov (United States)

2011-04-04

... transportation, beverages and food. On April 29, the council convenes at 8 a.m. in the conference room of the BLM... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAN01000.L10200000.XZ0000] Notice of Public Meeting: Northwest California Resource Advisory Council AGENCY: Bureau of Land Management...

Methods for integrated modeling of landscape change: Interior Northwest Landscape Analysis System.

Science.gov (United States)

Jane L. Hayes; Alan. A. Ager; R. James Barbour

2004-01-01

The Interior Northwest Landscape Analysis System (INLAS) links a number of resource, disturbance, and landscape simulations models to examine the interactions of vegetative succession, management, and disturbance with policy goals. The effects of natural disturbance like wildfire, herbivory, forest insects and diseases, as well as specific management actions are...

76 FR 30965 - Notice of Public Meeting: Northwest California Resource Advisory Council

Science.gov (United States)

2011-05-27

... California District manager, (530) 221-1743; or Joseph J. Fontana, public affairs officer, (530) 252-5332.... Joseph J. Fontana, Public Affairs Officer. [FR Doc. 2011-13233 Filed 5-26-11; 8:45 am] BILLING CODE 4310... Public Meeting: Northwest California Resource Advisory Council AGENCY: Bureau of Land Management...

Pacific Northwest National Laboratory Institutional Plan FY 2004-2008

Energy Technology Data Exchange (ETDEWEB)

Quadrel, Marilyn J.

2004-04-15

This Institutional Plan for FY 2004-2008 is the principal annual planning document submitted to the Department of Energy's Office of Science by Pacific Northwest National Laboratory in Richland, Washington. This plan describes the Laboratory's mission, roles, and technical capabilities in support of Department of Energy priorities, missions, and plans. It also describes the Laboratory strategic plan, key planning assumptions, major research initiatives, and program strategy for fundamental science, energy resources, environmental quality, and national security.

Fish Assemblages in Three Northwest Florida Urbanized Bayous before and after Two Hurricanes

Science.gov (United States)

A six-year survey (1993 - 1998) is summarized for fish collected from chemically-contaminated, urbanized bayous in northwest Florida. Fifty-two monthly collections (January - November) were conducted by trawls and seines at 22 sites located in three adjacent bayous associated wi...

Simulación del Comportamiento Dinámico de un Pequeño Aerogenerador de Imán Permanente Sin Multiplicador en operación autónoma haciendo uso del MatLab

Directory of Open Access Journals (Sweden)

Osley López González

2011-10-01

Full Text Available En este trabajo los autores hacen uso del software MATLAB SIMULINK versión 7.7.0.471 R2008b para el análisis del comportamiento de un sistema generación eólico de 2 kW autónomo sin multiplicador con generador de imanes permanentes y batería de Plomo-ácido. Se utilizan para ello los modelos de los generadores de imanes permanentes, batería, convertidores así como otros elementos del sistema eléctrico existente en el toolbox SimPowerSystems de este software y se obtiene y discute el comportamiento dinámico de las variables del conjuntoturbina-generador, las variables del bus de directa, así como también las variables de la carga, ante diferentes condiciones de trabajo del sistema. Los resultados basados en simulaciones muestran el correcto funcionamiento de todas las variables de control que regulan el sistema generador eólico-elemento almacenador-carga eléctrica consumida, cuando se somete a perturbaciones típicas como lo son la variación en racha del viento y variación de la carga repentina. The utilization of the popular software MATLAB SIMULINK 7.7.0.471 in order to analyze a 2kW Direct driven Permanent Magnet generator for wind turbine in autonomous operation, including battery of Lead-acid is exposed by the authors. The existent models of the SimPowerSystems MATLAB toolbox are used in order to obtain and discuss the dynamic behavior of the principal variables under different conditions of work of the system.

Construção de descritores para o processo de educação permanente em atenção básica Building descriptors for the permanent basic care education process

Directory of Open Access Journals (Sweden)

Rosita Saupe

2007-11-01

Full Text Available Educação permanente e atenção básica fazem parte do sistema de saúde brasileiro desde suas origens. Recentemente estas políticas públicas foram atualizadas, gerando um movimento inovador de construção de conhecimento visando apoiar sua implementação e consolidação. Este estudo, através de uma metodologia quantitativa, procurou evidenciar os principais descritores que devem orientar os processos de educação permanente em atenção básica. O método é originário da Universidade da Carolina do Norte. É desenvolvido em duas etapas. Os dados apresentados neste artigo dizem respeito à primeira etapa, que inclui as seguintes fases: elaboração de um diagrama com todos os componentes a serem avaliados; sua análise por um grupo de especialistas, indicando o que deve ser mantido, retirado ou incluído; avaliação por juízes, utilizando escala Likert de 1 a 5; verificação da concordância entre os juízes. O diagrama foi decomposto em quatro dimensões, procurando responder as seguintes questões: para quem? - audiências ou população alvo; o quê? - módulos de conteúdos e experiências de aprendizagem; para quê? - competências a serem desenvolvidas; e como? - metodologia a ser priorizada. Os resultados evidenciaram a procedência dos descritores propostos e avaliados, constituindo em material que pode contribuir para a tomada de decisão sobre educação permanente em atenção básica.Permanent education and basic care have been part of the Brazilian health system from the beginning. These public policies were recently updated, leading to an innovative knowledge construction movement to support their implementation and consolidation. This study, which used a quantitative approach, attempted to single-out the main descriptors that must guide the permanent basic care education processes. The method originated at the University of North Carolina and is carried out in two stages. The data shown in this article concern the

Package testing capabilities at the Pacific Northwest Laboratory

International Nuclear Information System (INIS)

Taylor, J.M.

1993-01-01

The purpose of this paper is to describe the package testing capabilities at the Pacific Northwest Laboratory (PNL). In the past all of the package testing that was performed at PNL was done on prototype or mocked up radioactive material packaging. Presently, we are developing the capability to perform testing on non-radioactive material packaging. The testing on the non-radioactive material packaging will be done to satisfy the new performance oriented packaging requirements (DOT Docket HM-181, 1991). This paper describes the equipment used to perform the performance oriented packaging tests and also describes some testing capability for testing radioactive material packaging

Hydro models and salmon recovery in the northwest

International Nuclear Information System (INIS)

Dragoon, K.

1993-01-01

Hydro regulation models provide extensive support for analyzing the efficacy of salmon recovery plans in the Northwest. Power planners developed these computer programs to help plan and efficiently operate a large multiple use river system. The models represent physical relationships and operational requirements on the system. They also simulate coordinated system operations for efficient power generation. These models are being pressed into service to provide data for fish recovery plans. They provide important information about hydro system capabilities and responses to recovery programs. However, the models cannot meet all of the analytical needs of fish biologists working toward salmon recovery

Strategic survey framework for the Northwest Forest Plan survey and manage program.

Science.gov (United States)

Randy Molina; Dan McKenzie; Robin Lesher; Jan Ford; Jim Alegria; Richard Cutler

2003-01-01

This document outlines an iterative process for assessing the information needs for all Northwest Forest Plan (NWFP) survey and manage species, designing and implementing strategic surveys (including field surveys and other information-gathering processes), and analyzing that information for use in the NWFP annual species review and adaptive-management processes. The...

77 FR 31640 - Notice of Public Meeting: Northwest California Resource Advisory Council

Science.gov (United States)

2012-05-29

... their own transportation, food and beverages. On July 27, the council meets from 8 a.m. to 2 p.m. in the... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAN01000.L18200000.XZ0000] Notice of Public Meeting: Northwest California Resource Advisory Council AGENCY: Bureau of Land Management...

77 FR 59967 - Notice of Public Meeting: Northwest California Resource Advisory Council

Science.gov (United States)

2012-10-01

..., food and beverages. On November 15, the council meets from 8 a.m. to 2 p.m. at the King Range Project... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAN01000.L18200000.XZ0000] Notice of Public Meeting: Northwest California Resource Advisory Council AGENCY: Bureau of Land Management...

THE INFLUENCE OF DOUBLE IMMUNIZATION ON MORBIDITY OF MEASLES, MUMPS AND RUBELLA IN THE NORTH-WEST REGION OF RUSSIA

Directory of Open Access Journals (Sweden)

L. V. Lyalina

2012-01-01

Full Text Available Abstract. The influence of double immunization on measles, mumps and rubella incidence in the North-West Federal District (North-West Russia has been analyzed. Due to the vaccination of the population morbidity of these infections in the region has decreased significantly. The necessity to improve the surveillance system due to changes in the manifestations of the epidemic process particularly connected with increasing of proportion of adults among patients has been proposed.

Understanding Faculty and Trainee Needs Related to Scholarly Activity in a Large, Nonuniversity Graduate Medical Education Program.

Science.gov (United States)

Becker, Davida; Garth, Hanna; Hollander, Rachel; Klein, Felice; Klau, Marc

2017-01-01

Graduate medical education (GME) programs must develop curriculum to ensure scholarly activity among trainees and faculty to meet accreditation requirements and to support evidence-based medicine. Test whether research-related needs and interests varied across four groups: primary care trainees, specialty trainees, primary care faculty, and specialty faculty. We surveyed a random sample of trainees and faculty in Kaiser Permanente Southern California's GME programs. We investigated group differences in outcomes using Fisher exact and Kruskal-Wallis tests. Research experiences, skills, barriers, motivators, and interests in specific research skills development. Participants included 47 trainees and 26 faculty (response rate = 30%). Among primary care faculty, 12 (71%) reported little or no research experience vs 1 (11%) for specialty faculty, 14 (41%) for primary care trainees, and 1 (8%) for specialty trainees (p work roles taking priority; desire for work-life balance; and lack of managerial support, research equipment, administrative support, and funding. Faculty and trainees in primary care and specialties have differing research-related needs that GME programs should consider when designing curricula to support scholarly activity. Developing research skills of primary care faculty is a priority to support trainees' scholarly activity.

Outcomes in Patients Treated with a Novel, Simple Method for Hemostasis of Dermal Avulsion Injuries.

Science.gov (United States)

Dowling, Sean Taylor; Lin, Brian Wai

2017-10-01

A recently described technique proposes a simple method to achieve permanent hemostasis of distal fingertip dermal avulsion injuries. It is simple to learn and easy to perform with readily available materials found in most emergency departments. However, long-term outcomes for patients treated with this technique have not yet been evaluated. A primary objective of the current article is to provide safety data for the technique using an off-label product indication. Emergency department of Kaiser Permanente Medical Center, San Francisco, California. Six patients were treated in the emergency department for fingertip dermal avulsion injuries using a tourniquet and tissue adhesive glue (Dermabond by Ethicon, Somerville, New Jersey). Patients were subsequently contacted to assess healing and satisfaction with cosmetic outcome through interview and photographs of their wounds at 9 months following the date of injury. All 6 patients were satisfied with the cosmetic outcome of treatment, and none received a diagnosis of serious complications. This series demonstrates cosmetic outcomes for injuries treated with the technique, highlights potential problems that may be perceived by patients during their clinical course, and creates the groundwork for a larger clinical study examining the use of the technique.

Linked analysis for definition of nurse advice line syndrome groups, and comparison to encounters.

Science.gov (United States)

Magruder, Steven F; Henry, J; Snyde, M

2005-08-26

Nurse advice call centers are a potentially important source of data for syndromic surveillance purposes. For this reason, researchers at Johns Hopkins University Applied Physics Laboratory and Kaiser Permanente of the Mid-Atlantic States (KPMAS) have been collaborating to develop methods to use this data within the ESSENCE II Syndromic Surveillance System in the National Capital Region. The objective of this report is to present a general method for finding syndrome groups in data sources that can be linked to physician encounters and to determine effective advice call syndrome groups for use with KPMAS advice data. Advice calls are linked to physician encounters and stratified by patient age. They are placed in groups according to a maximum positive predictive value criterion. The groups are evaluated by correlating the resulting syndrome time series against physician encounter data. Potentially useful advice syndrome groups are found for respiratory, lower gastrointestinal (GI), and total GI syndromes for each age stratum. The time series of the advice data for respiratory, lower GI, and upper GI syndromes accurately predict the physician encounter time series for the corresponding syndromes for each age stratum.

Is a reduction in distance to nearest supermarket associated with BMI change among type 2 diabetes patients?

Science.gov (United States)

Zhang, Y Tara; Laraia, Barbara A; Mujahid, Mahasin S; Blanchard, Samuel D; Warton, E Margaret; Moffet, Howard H; Karter, Andrew J

2016-07-01

We examined whether residing within 2 miles of a new supermarket opening was longitudinally associated with a change in body mass index (BMI). We identified 12 new supermarkets that opened between 2009 and 2010 in 8 neighborhoods. Using the Kaiser Permanente Northern California Diabetes Registry, we identified members with type 2 diabetes residing continuously in any of these neighborhoods 12 months prior to the first supermarket opening until 10 months following the opening of the last supermarket. Exposure was defined as a reduction (yes/no) in travel distance to the nearest supermarket as a result of a new supermarket opening. First difference regression models were used to estimate the impact of reduced supermarket distance on BMI, adjusting for longitudinal changes in patient and neighborhood characteristics. Among patients in the exposed group, new supermarket openings reduced travel distance to the nearest supermarket by 0.7 miles on average. However, reduced distance to nearest supermarket was not associated with BMI changes. Overall, we found no evidence that reduced supermarket distance was associated with reduced levels of obesity for residents with type 2 diabetes. Published by Elsevier Ltd.

PS3-21: Extracting Utilization Data from Clarity into VDW Using Oracle and SAS

Science.gov (United States)

Chimmula, Srivardhan

2013-01-01

Background/Aims The purpose of the presentation is to demonstrate how we use SAS and Oracle to load VDW_Utilization, VDW_DX, and VDW_PX tables from Clarity at the Kaiser Permanente Northern California (KPNC) Division of Research (DOR) site. Methods DOR uses the best of Oracle PL/ SQL and SAS capabilities in building Extract Transform and Load (ETL) processes. These processes extract patient encounter, diagnosis, and procedure data from Teradata-based Clarity. The data is then transformed to fit HMORN’s VDW definitions of the table. This data is then loaded into the Oracle-based VDW table on DOR’s research database and then finally a copy of the table is also created as a SAS dataset. Results DOR builds robust and efficient ETL processes that refresh VDW Utilization table on a monthly basis processing millions of records/observations. The ETL processes have the capability to identify daily changes in Clarity and update the VDW tables on a daily basis. Conclusions KPNC DOR combines the best of both Oracle and SAS worlds to build ETL processes that load the data into VDW Utilization tables efficiently.

Overview of the consortium of hospitals advancing research on tobacco (chart

Directory of Open Access Journals (Sweden)

Riley William T

2012-08-01

Full Text Available Abstract Background The Consortium of Hospitals Advancing Research on Tobacco (CHART is a network of six projects and a research coordinating unit funded by the National Heart, Lung, and Blood Institute, the National Cancer Institute, the National Institute on Drug Abuse, and the National Institutes of Health (NIH Office of Behavioral and Social Science Research. The CHART projects will assess the effectiveness and cost-effectiveness of smoking cessation interventions initiated during hospitalization and continued post-discharge. Methods/design Along with a seventh project funded previously under the NIH Challenge grants, the CHART projects will assess smoking cessation strategies delivered to approximately 10,000 hospitalized smokers across a geographically diverse group of nearly 20 private, public, academic, and community hospitals. The CHART research coordinating unit at Kaiser Permanente Center for Health Research provides organizational and data coordination support, facilitating the development of common measures for combining data from multiple CHART projects. Discussion The targeted enrollment in CHART, if achieved, will represent the largest, most diverse pooled dataset of hospitalized smokers receiving smoking cessation assistance, and is designed to contribute to the dissemination and implementation of smoking cessation interventions provided by hospital systems.

Reassurance against future risk of precancer and cancer conferred by a negative human papillomavirus test.

Science.gov (United States)

Gage, Julia C; Schiffman, Mark; Katki, Hormuzd A; Castle, Philip E; Fetterman, Barbara; Wentzensen, Nicolas; Poitras, Nancy E; Lorey, Thomas; Cheung, Li C; Kinney, Walter K

2014-08-01

Primary human papillomavirus (HPV) testing (without concurrent Pap tests) every 3 years is under consideration in the United States as an alternative to the two recommended cervical cancer screening strategies: primary Pap testing every 3 years, or concurrent Pap and HPV testing ("cotesting") every 5 years. Using logistic regression and Weibull survival models, we estimated and compared risks of cancer and cervical intraepithelial neoplasia grade 3 or worse (CIN3+) for the three strategies among 1011092 women aged 30 to 64 years testing HPV-negative and/or Pap-negative in routine screening at Kaiser Permanente Northern California since 2003. All statistical tests were two sided. Three-year risks following an HPV-negative result were lower than 3-year risks following a Pap-negative result (CIN3+ = 0.069% vs 0.19%, P < .0001; Cancer = 0.011% vs 0.020%, P < .0001) and 5-year risks following an HPV-negative/Pap-negative cotest (CIN3+ = 0.069% vs 0.11%, P < .0001; Cancer = 0.011% vs 0.014%, P = .21). These findings suggest that primary HPV testing merits consideration as another alternative for cervical screening. © Published by Oxford University Press 2014.

Temporal trends and future predictions of mercury concentrations in Northwest Greenland polar bear (Ursus maritimus) hair.

Science.gov (United States)

Dietz, R; Born, E W; Rigét, F; Aubail, A; Sonne, C; Drimmie, R; Basu, N

2011-02-15

Hair samples from 117 Northwest Greenland polar bears (Ursus maritimus) were taken during 1892-2008 and analyzed for total mercury (hereafter Hg). The sample represented 28 independent years and the aim of the study was to analyze for temporal Hg trends. Mercury concentrations showed yearly significant increases of 1.6-1.7% (p polar bear Hg exposure is 95.6-96.2% anthropogenic in its origin. Assuming a continued anthropogenic increase, this model estimated concentrations in 2050 and 2100 will be 40- and 92-fold the baseline concentration, respectively, which is equivalent to a 97.5 and 98.9% man-made contribution. None of the 2001-2008 concentrations of Hg in Northwest Greenland polar bear hair exceeded the general guideline values of 20-30 μg/g dry weight for terrestrial wildlife, whereas the neurochemical effect level of 5.4 μg Hg/g dry weight proposed for East Greenland polar bears was exceeded in 93.5% of the cases. These results call for detailed effect studies in main target organs such as brain, liver, kidney, and sexual organs in the Northwest Greenland polar bears.

La difusión e interpretación del Patrimonio cultural e histórico-educativo como tema de estudio en el Centro de Formación Permanente de la Universidad de Sevilla

Directory of Open Access Journals (Sweden)

Pablo Álvarez Domínguez

2010-06-01

Full Text Available (ES Recoge este texto el resultado de una experiencia educativa organizada por el Museo Pedagógico Andaluz y desarrollada el pasado mes de mayo de 2010 en el Centro de Formación Permanente de la Universidad de Sevilla, con la finalidad de propiciar una reflexión teórico-práctica ligada a las nuevas posibilidades didácticas y de difusión del patrimonio cultural e histórico-educativo que se pueden desplegar en el ámbito museístico, con el fin de facilitar su estudio, comprensión y valoración.

Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 4, Comments and Responses.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1992-01-01

This volume of the Initial Northwest Power Act Power Sales Contracts Final Environmental Impact Statement (Final EIS) contains public comments addressing the Initial Northwest Power Act Power Sales Contracts Draft EIS, August 1990 and Bonneville Power Administration`s (BPA) responses. The Introduction provides information about the process BPA follows in addressing these comments. Part I contains a listing of the Alternative Actions evaluated in the Final EIS; Part II is organized by Alternatives and includes summaries of the comments and BPA responses; Part III provides copies of the original comments letters, and, for ease of identification, are coded in the margins according to the alternative(s) addressed.

Learning from urban growth management in the Pacific Northwest

DEFF Research Database (Denmark)

Fertner, Christian

2010-01-01

The development of contemporary urban growth management in the Northwest United States began in the 1970s. The major tool is the implementation of urban containment boundaries, fostering growth within and limiting it outside the boundary. Additionally a set of policies reaching from densification...... Washington and Oregon as e.g. the municipalities in Denmark have strong control options in planning. However, especially the metropolitan co-operation and co-ordination instruments can certainly contribute to the discussion on urban growth management in Denmark and elsewhere....

As equações dos estados quase-permanentes e uma visão alternativa da indução eletromagnética

Directory of Open Access Journals (Sweden)

Ferreira G. F. Leal

2001-01-01

Full Text Available Apresenta-se o sistema de equações que descreve consistentemente os estados quase-permanentes, campos e potenciais, abrangendo a eletrostática, a magnetostática e a lei de indução de Faraday. Mostra-se que ele é correto até a ordem de v² = c² e de wr = c² em que v e w são a velocidade e a aceleração tópicas das cargas, c a velocidade da luz e r a distância ao ponto considerado. Pode-se então obter o campo elétrico de uma carga em movimento nessa aproximação, o qual corrige o campo de Coulomb por termos dependentes da velocidade e da aceleração da carga. Mostra-se assim, como feito anteriormente por Ritz e O'Rahilly, que a indução eletromagnética pode ser atribuída à aceleração das cargas do circuito indutor, propiciando uma visão alternativa dessa interação, usualmente atribuída à variação do fluxo no interior do circuito.

Comparing algorithms for estimating foliar biomass of conifers in the Pacific Northwest

Science.gov (United States)

Crystal L. Raymond; Donald. McKenzie

2013-01-01

Accurate estimates of foliar biomass (FB) are important for quantifying carbon storage in forest ecosystems, but FB is not always reported in regional or national inventories. Foliar biomass also drives key ecological processes in ecosystem models. Published algorithms for estimating FB in conifer species of the Pacific Northwest can yield signifi cantly different...

Safeguards training at Pacific Northwest Laboratory

International Nuclear Information System (INIS)

Dickman, D.A.

1988-01-01

In recent years considerable attention has been given to upgrading security education programs at facilities across the country. At Pacific Northwest Laboratory (PNL), a Laboratory-wide Safeguard Awareness Training Program has been established in order to raise the cognizance of the entire staff with regard to safeguards issues and concerns. This aggressive safeguards program involves a strong interface of physical security measure and material control and accountability systems. Within PNL, four distinct audiences were defined and a needs assessment analysis performed for each to determine specific training requirements. The target audiences identified were: material balance area (MBA) custodians, managers of material balance areas, material handlers, and new employees. Five safeguards training courses were created to meet the needs of those audiences. This paper discusses the development of the Safeguards Awareness Program at PNL and its benefits to the Laboratory

Are symbols useful and culturally acceptable in health-state valuation studies? An exploratory study in a multi-ethnic Asian population

Directory of Open Access Journals (Sweden)

Hwee-Lin

2008-10-01

Full Text Available Hwee-Lin, Wee1, Shu-Chuen Li2, Xu-Hao Zhang1, Feng Xie3, David Feeny4, Nan Luo5, Yin-Bun Cheung6, David Machin7, Kok-Yong Fong8, Julian Thumboo81Department of Pharmacy, National University of Singapore (NUS, Singapore; 2Discipline of Pharmacy and Experimental Pharmacology, School of Biomedical Sciences, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia; 3McMaster University, Hamilton, Ontario, Canada; 4Kaiser Permanente Northwest Center for Health Research, Portland, OR, USA; 5Department of Community, Occupational and Family Medicine, Yong Loo Lin School of Medicine, NUS, Singapore; 6Clinical Trials and Epidemiology Research Unit, Singapore; 7School of Health and Related Research, University of Sheffield, Sheffield, UK; 8Department of Rheumatology and Immunology, Singapore General Hospital, SingaporeBackground: Symbols have been used in health state valuation studies to help subjects distinguish the severity of various characteristics of a given health state. Symbols used in such studies need to be evaluated for their cross-cultural appropriateness because a given symbol may have different meanings or acceptability in different cultures, which may affect results of such studies.Objectives: To evaluate if using symbols to differentiate health states of different severity is useful and culturally acceptable in a multi-ethnic, urban Asian population.Methods: Using in-depth interviews with adult Chinese, Malay, and Indian Singaporeans conducted in English/mother-tongue, subjects were shown a health state with 6 levels (Health Utilities Index 3 vision, each displayed with a symbol, and asked (1a if symbols were useful in differentiating severity of each level (measured using dichotomous and 0–10 visual analog scale [VAS] scales or (1b offensive and (2 to assess 7 alternative sets of symbols.Results: Of 63 subjects (91% response rate, 18 (29% felt symbols were useful in differentiating severity of each level. Reported usefulness

Anthropogenic vanadium emissions to air and ambient air concentrations in North-West Europe

NARCIS (Netherlands)

Visschedijk, A.H.J.; Denier van der Gon, H.A.C.; Hulskotte, J.H.J.; Quass, U.

2013-01-01

An inventory of Vanadium emissions for North-West Europe for the year 2005 was made based on an identification of the major sources. The inventory covers Belgium, Germany, Denmark, France, United Kingdom, Luxembourg, Netherlands and the OSPAR region of the North Sea. Vanadium emission were

Potential Climate-Induced Runoff Changes and Associated Uncertainty in Four Pacific Northwest Estuaries

Science.gov (United States)

As part of a larger investigation into potential impacts of climate change on estuarine habitats in the Pacific Northwest (PNW), we estimated changes in freshwater inputs into four estuaries. These were the Coquille River estuary, the South Slough of Coos Bay, and the Yaquina Bay...

77 FR 11434 - Safety Zone; Patapsco River, Northwest and Inner Harbors, Baltimore, MD

Science.gov (United States)

2012-02-27

...-AA00 Safety Zone; Patapsco River, Northwest and Inner Harbors, Baltimore, MD AGENCY: Coast Guard, DHS... intended route immediately prior to, during, and following the scheduled towing evolution, vessel traffic... made to the maritime community via marine information broadcasts so mariners may adjust their plans...

Petroleum system of Northwest Java basin based on gravity data analysis

Science.gov (United States)

Widianto, E.

2018-01-01

Energy management in the upstream oil and gas sector becomes very important for the country’s energy security. The renewal of energy resources and reserves becomes necessary and is a must. In the oil and gas industry, gravity data is usually used only for regional surveys, but with the development of instrumentation technology and gravity software development, this method can be used for assessing oil and gas survey stages from exploration to production. This study was conducted to evaluate aspects of petroleum system and exploration play concept in the part of Northwest Java Basin, covering source rock deposition regions (source kitchen area, migration direction), development of reservoirs, structural and stratigraphic trap, based on gravity data. This study uses data from Bouguer gravity anomaly map by filtering process to produce a residual map depicting sedimentation basin configuration. The mapping generated 20 sedimentary basins in Java Island with the total hydrocarbon resources of 113 BBOE (Billion Barrel of Oil Equivalent). The petroleum system analysis was conducted in the Northwest Basin section. The final map produced illustrates the condition of petroleum system and play concept that can be used as exploration direction, expectedly reducing the risk of drilling failure.

Pacific Northwest National Laboratory Facility Radionuclide Emissions Units and Sampling Systems

Energy Technology Data Exchange (ETDEWEB)

Barnett, J. Matthew; Brown, Jason H.; Walker, Brian A.

2012-04-01

Battelle–Pacific Northwest Division operates numerous research and development (R&D) laboratories in Richland, WA, including those associated with Pacific Northwest National Laboratory (PNNL) on the U.S. Department of Energy (DOE)’s Hanford Site and PNNL Site that have the potential for radionuclide air emissions. The National Emission Standard for Hazardous Air Pollutants (NESHAP 40 CFR 61, Subparts H and I) requires an assessment of all emission units that have the potential for radionuclide air emissions. Potential emissions are assessed annually by PNNL staff members. Sampling, monitoring, and other regulatory compliance requirements are designated based upon the potential-to-emit dose criteria found in the regulations. The purpose of this document is to describe the facility radionuclide air emission sampling program and provide current and historical facility emission unit system performance, operation, and design information. For sampled systems, a description of the buildings, exhaust units, control technologies, and sample extraction details is provided for each registered emission unit. Additionally, applicable stack sampler configuration drawings, figures, and photographs are provided. Deregistered emission unit details are provided as necessary for up to 5 years post closure.

Dynamic Agroecological Zones for the Inland Pacific Northwest, USA

Science.gov (United States)

Huggins, D. R.; Rupp, R.; Gessler, P.; Pan, W.; Brown, D. J.; Machado, S.; Walden, V. P.; Eigenbrode, S.; Abatzoglou, J. T.

2011-12-01

Agroecological zones (AEZ's) have traditionally been defined by integrating multiple layers of biophysical (e.g. climate, soil, terrain) and occasionally socioeconomic data to create unique zones with specific ranges of land use constraints and potentials. Our approach to defining AEZ's assumes that current agricultural land uses have emerged as a consequence of biophysical and socioeconomic drivers. Therefore, we explore the concept that AEZ's can be derived from classifying the geographic distribution of current agricultural systems (e.g. the wheat-fallow cropping system zone) based on spatially geo-referenced annual cropland use data that is currently available through the National Agricultural Statistical Service (NASS). By defining AEZ's in this way, we expect to: (1) provide baseline information that geographically delineates the boundaries of current AEZ's and subzones and therefore the capacity to evaluate shifts in AEZ boundaries over time; (2) assess the biophysical (e.g. climate, soils, terrain) and socioeconomic factors (e.g. commodity prices) that are most useful for predicting and correctly classifying current AEZ's, subzones or future shifts in AEZ boundaries; (3) identify and develop AEZ-relevant climate mitigation and adaptation strategies; and (4) integrate biophysical and socioeconomic data sources to pursue a transdisciplinary examination of climate-driven AEZ futures. Achieving these goals will aid in realizing major objectives for a USDA National Institute of Food and Agriculture, Agriculture and Food Research Initiative, Cooperative Agricultural Project entitled "Regional Approaches to Climate Change (REACCH) for Pacific Northwest Agriculture". REACCH is a research, education and extension project under the leadership of the University of Idaho with significant collaboration from Washington State University, Oregon State University and the USDA Agricultural Research Service that is working towards increasing the capacity of Inland Pacific

Effects of ozone on crops in north-west Pakistan

International Nuclear Information System (INIS)

Ahmad, Muhammad Nauman; Büker, Patrick; Khalid, Sofia; Van Den Berg, Leon; Shah, Hamid Ullah; Wahid, Abdul; Emberson, Lisa; Power, Sally A.; Ashmore, Mike

2013-01-01

Although ozone is well-documented to reduce crop yields in the densely populated Indo-Gangetic Plain, there is little knowledge of its effects in other parts of south Asia. We surveyed crops close to the city of Peshawar, in north-west Pakistan, for visible injury, linking this to passive measurements of ozone concentrations. Foliar injury was found on potato, onion and cotton when mean monthly ozone concentrations exceeded 45 ppb. The symptoms on onion were reproduced in ozone fumigation experiments, which also showed that daytime ozone concentrations of 60 ppb significantly reduce the growth of a major Pakistani onion variety. Aphid infestation on spinach was also reduced at these elevated ozone concentrations. The ozone concentrations measured in April–May in Peshawar, and used in the fumigation experiment, are comparable to those that have been modelled to occur over many parts of south Asia, where ozone may be a significant threat to sensitive crops. -- Highlights: ► Visible ozone injury to onion, cotton and potato was identified in north-west Pakistan. ► The symptoms on onion were reproduced by exposure to elevated ozone. ► Elevated ozone levels also significantly reduced onion growth. ► Levels of aphid infestation on spinach were lower under elevated ozone. ► These effects were observed at ozone levels that have been modelled to occur widely across south Asia. -- Ozone concentrations in NW Pakistan have adverse effects on sensitive crop species

["A decision meaning a new foundation...": from the Kaiser Wilhelm Institute for Anthropology, Human Genetics and Eugenics to the Max Planck Institute for Molecular Genetics].

Science.gov (United States)

Sachse, Carola

2011-01-01

The Max Planck Institute for Molecular Genetics (MPIMG) in Berlin-Dahlem dates its establishment to 1964. Its homepage makes no mention of its predecessor institutes, the Kaiser Wilhelm Institute for Anthropology, Human Genetics and Eugenics (KWIA) and the subsequent MPI for Comparative Genetics and Hereditary Pathology (MPIVEE). This article traces the two critical phases of transition regarding the constellations of academic staff, institutional and epistemic ruptures and continuities specific to the era. Only one of the five department heads from the final war years, Hans Nachtsheim, remained a researcher within the Max Planck Society (MPG); he nevertheless continued to advocate the pre-war and wartime eugenic agenda in the life sciences and social policy. The generational change of 1959/60 became a massive struggle within the institute, in which microbial genetics (with Fritz Kaudewitz) was pitted against human genetics (with Friedrich Vogel) and managed to establish itself after a fresh change in personnel in 1964/65. For the Dahlem institute, this involved a far-reaching reorientation of its research, but for the genetically oriented life sciences in the Max Planck Society as a whole it only meant that molecular biology, which was already being pursued in the West German institutes, gained an additional facility. With this realignment of research traditions, the Society was able to draw a line under the Nazi past without having to address it head-on.

Traditional and local ecological knowledge about forest biodiversity in the Pacific Northwest.

Science.gov (United States)

Susan Charnley; A. Paige Fischer; Eric T. Jones

2008-01-01

This paper synthesizes the existing literature about traditional and local ecological knowledge relating to biodiversity in Pacific Northwest forests in order to assess what is needed to apply this knowledge to forest biodiversity conservation efforts. We address four topics: (1) views and values people have relating to biodiversity, (2) the resource use and management...

76 FR 56242 - Energy Northwest; Establishment of Atomic Safety and Licensing Board

Science.gov (United States)

2011-09-12

... Northwest's Columbia Generating Station,'' was received via E-Filing on August 22, 2011.\\1\\ \\1\\ On August 22... with the NRC E-Filing rule, which the NRC promulgated in August 2007 (72 FR 49,139). Issued at..., 1972, published in the Federal Register, 37 FR 28,710 (1972), and the Commission's regulations, see, e...

Sensitivity of Coastal Environments and Wildlife to Spilled Oil: Northwest Arctic, Alaska: FISH (Fish Polygons)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains sensitive biological resource data for marine, estuarine, freshwater, and anadromous fish species in Northwest Arctic, Alaska. Vector polygons...

Proceedings: Second Annual Pacific Northwest Alternative and Renewable Energy Resources Conference.

Energy Technology Data Exchange (ETDEWEB)

None

1980-01-01

Papers presented at the conference are published in this volume. The purpose of the conference was to solicit regional cooperation in the promoting of near-term development of such alternative and renewable energy resources in the Pacific Northwest as: cogeneration; biomass; wind; small hydro; solar end-use applications; and geothermal direct heat utilization. Separate abstracts of selected papers were prepared for inclusion in the Energy Data Base.

The rise and fall of the Pacific Northwest log export market.

Science.gov (United States)

Jean M. Daniels

2005-01-01

For decades, softwood log exports were an important component of international wood products trade from the Pacific Northwest (PNW) region of the United States. Log exports to the Pacific Rim began in earnest after the Columbus Day Storm of 1962 generated billions of board feet of salvaged timber. This market was maintained and expanded owing to Japan’s demand for high...

Characterization of gut bacterial flora of Apis mellifera from north-west Pakistan

Directory of Open Access Journals (Sweden)

Syed Ishtiaq Anjum

2018-02-01

Full Text Available Gut microbiota has been recognized to play a beneficial role in honey bees (Apis mellifera. Present study was designed to characterize the gut bacterial flora of honey bees in north-west Pakistan. Total 150 aerobic and facultative anaerobic bacteria from guts of 45 worker bees were characterized using biochemical assays and 16S rDNA sequencing followed by bioinformatics analysis. The gut isolates were classified into three bacterial phyla of Firmicutes (60%, Proteobacteria (26% and Actinobacteria (14%. Most of the isolates belonged to genera and families of Staphylococcus, Bacillus, Enterococcus, Ochrobactrum, Sphingomonas, Ralstonia, Enterobacteriaceae, Corynebacterium and Micrococcineae. Many of these bacteria were tolerant to acidic environments and fermented sugars, hence considered beneficial gut inhabitants and involved the maintenance of a healthy microbiota. However, several opportunistic commensals that proliferate in the hive environment including members Staphylococcus haemolyticus group and Sphingomonas paucimobilis were also identified. This is the first report on bee gut microbiota from north-west Pakistan geographically situated at the crossroads of Indian subcontinent and central Asia.

Neuropathological research at the "Deutsche Forschungsanstalt fuer Psychiatrie" (German Institute for Psychiatric Research) in Munich (Kaiser-Wilhelm-Institute). Scientific utilization of children's organs from the "Kinderfachabteilungen" (Children's Special Departments) at Bavarian State Hospitals.

Science.gov (United States)

Steger, Florian

2006-09-01

During National Socialism, the politically motivated interest in psychiatric genetic research lead to the founding of research departments specialized in pathological-anatomical brain research, the two Kaiser Wilhelm-Institutes (KWI) in Berlin and Munich. The latter was indirectly provided with brain material by Bavarian State Hospitals, to three of which "Kinderfachabteilungen" (Special Pediatric Units) were affiliated. As children became victims of the systematically conducted child "euthanasia" in these Special Pediatric Units, this paper will address the question whether and to which extent the organs from victims of child "euthanasia" were used for (neuro-) pathological research at the KWI in Munich. By means of case studies and medical histories (with focus on the situation in Kaufbeuren-Irsee), I will argue that pediatric departments on a regular base delivered slide preparations, that the child "euthanasia" conduced in these departments systematically contributed to neuropathological research and that slide preparations from victims of child "euthanasia" were used in scientific publications after 1945.

Cleanup Verification Package for the 100-F-20, Pacific Northwest Laboratory Parallel Pits

International Nuclear Information System (INIS)

Appel, M.J.

2007-01-01

This cleanup verification package documents completion of remedial action for the 100-F-20, Pacific Northwest Laboratory Parallel Pits waste site. This waste site consisted of two earthen trenches thought to have received both radioactive and nonradioactive material related to the 100-F Experimental Animal Farm

Hydrocarbon and Toxic Metal Contamination from Tank Installations in a Northwest Greenlandic Village

DEFF Research Database (Denmark)

Fritt-Rasmussen, Janne; Jensen, Pernille Erland; Christensen, Rune Haubo Bojesen

2012-01-01

Contamination from tank installations in the Arctic is an important issue, since tanks are a necessary feature of all communities, and may be a source of local pollution. Soil samples from below and around three tank installations and one reference site in the Northwest Greenlandic village...

77 FR 67664 - Notice of Public Meeting Cancellation: Northwest California Resource Advisory Council

Science.gov (United States)

2012-11-13

..., BLM Northern California District manager, (530) 221-1743; or Joseph J. Fontana, public affairs officer..., 2012. Joseph J. Fontana, Public Affairs Officer. [FR Doc. 2012-27523 Filed 11-9-12; 8:45 am] BILLING... Public Meeting Cancellation: Northwest California Resource Advisory Council AGENCY: Bureau of Land...

76 FR 44355 - Notice of Public Meeting Cancellation: Northwest California Resource Advisory Council

Science.gov (United States)

2011-07-25

... Northern California District manager, (530) 221-1743; or Joseph J. Fontana, public affairs officer, (530..., 2011. Joseph J. Fontana, Public Affairs Officer. [FR Doc. 2011-18774 Filed 7-22-11; 8:45 am] BILLING... Public Meeting Cancellation: Northwest California Resource Advisory Council AGENCY: Bureau of Land...

New stalked and sessile cirripedes from the Eocene Mo Clay, northwest Jutland (Denmark)

DEFF Research Database (Denmark)

Carriol, René-Pierre; Bonde, Niels Christensøn; Jakobsen, Sten Lennart

2016-01-01

New taxa of thoracican cirripedes are recorded from the Eocene Mo Clay of northwest Jutland, Denmark, namely Stipilepas molerensis Carriol n. gen., n. sp., a scalpelliform gooseneck barnacle, and Plesiobrachylepas jutlandica Carriol n. gen., n. sp., a brachylepadomorph sessile form. This material...

H-Isotopic Composition of Apatite in Northwest Africa 7034

Science.gov (United States)

McCubbin, F. M.; Barnes, J. J.; Santos, A. R.; Boyce, J. W.; Anand, M.; Franchi, I. A.; Agee, C. B.

2016-01-01

Northwest Africa (NWA) 7034 and its pairings comprise a regolith breccia with a basaltic bulk composition [1] that yields a better match than any other martian meteorite to estimates of Mars' bulk crust composition [1]. Given the similarities between NWA 7034 and the martian crust, NWA 7034 may represent an important sample for constraining the crustal composition of components that cannot be measured directly by remote sensing. In the present study, we seek to constrain the H isotopic composition of the martian crust using Cl-rich apatite in NWA 7034.

ESPECIALLY VEGETATION ISLANDS OF NORTHWEST OF THE CASPIAN SEA(SEAL, CHECHEN ISLAND, NORDOVA

Directory of Open Access Journals (Sweden)

S. I. Soltanmuradova

2014-01-01

Full Text Available Aim The identification of the species flora of Northwest islands of the Caspian Sea.Methods. The collection of useful material were implemented by route-forwarding method. For collect and herbarization of theplants were used the traditional equipments necessary for fioristic studies. For identifying plants in the laboratory conditions were used by binocular MBS-2, and in the field conditions were used by magnifiers with eight-fold increase.Results. Flora of the islands of the Northwest of the Caspian Sea counts 269 species of higher plants, belonging to 49 families and 186 geniuses: the Seals – 32 families, the Nordova – 26 families, 57 geniuses, 65 species.Main conclusions. All the leading families of the islands are specific for Iran-Turan and Mediterranean of floristic areas. Also shared with the Central Asian deserts are families Tamaricaceae, Frankeniaceae, Elaeagnaceae, Apiaceae, Boraginaceae, and the geniuses Halocnemum, Halopeplis, Suaeda.

Rifting to India-Asia Reactivation: Multi-phase Structural Evolution of the Barmer Basin, Rajasthan, northwest India

Science.gov (United States)

Kelly, M. J.; Bladon, A.; Clarke, S.; Najman, Y.; Copley, A.; Kloppenburg, A.

2015-12-01

The Barmer Basin, situated within the West Indian Rift System, is an intra-cratonic rift basin produced during Gondwana break-up. Despite being a prominent oil and gas province, the structural evolution and context of the rift within northwest India remains poorly understood. Substantial subsurface datasets acquired during hydrocarbon exploration provide an unrivalled tool to investigate the tectonic evolution of the Barmer Basin rift and northwest India during India-Asia collision. Here we present a structural analysis using seismic datasets to investigate Barmer Basin evolution and place findings within the context of northwest India development. Present day rift structural architectures result from superposition of two non-coaxial extensional events; an early mid-Cretaceous rift-oblique event (NW-SE), followed by a main Paleocene rifting phase (NE-SW). Three phases of fault reactivation follow rifting: A transpressive, Late Paleocene inversion along localised E-W and NNE-SSW-trending faults; a widespread Late Paleocene-Early Eocene inversion and Late Miocene-Present Day transpressive strike-slip faulting along NW-SE-trending faults and isolated inversion structures. A major Late Eocene-Miocene unconformity in the basin is also identified, approximately coeval with those identified within the Himalayan foreland basin, suggesting a common cause related to India-Asia collision, and calling into question previous explanations that are not compatible with spatial extension of the unconformity beyond the foreland basin. Although, relatively poorly age constrained, extensional and compressional events within the Barmer Basin can be correlated with regional tectonic processes including the fragmentation of Gondwana, the rapid migration of the Greater Indian continent, to subsequent collision with Asia. New insights into the Barmer Basin development have important implications not only for ongoing hydrocarbon exploration but the temporal evolution of northwest India.

Alteration of Sedimentary Clasts in Martian Meteorite Northwest Africa 7034

Science.gov (United States)

McCubbin, F. M.; Tartese, R.; Santos, A. R.; Domokos, G.; Muttik, N.; Szabo, T.; Vazquez, J.; Boyce, J. W.; Keller, L. P.; Jerolmack, D. J.;

Sensitivity of Coastal Environments and Wildlife to Spilled Oil: Northwest Arctic, Alaska: BIRDS (Bird Polygons)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains sensitive biological resource data for wading birds, shorebirds, waterfowl, raptors, diving birds, pelagic birds, and gulls/terns in Northwest...

Big interest for climate actions in Northwest Russia

International Nuclear Information System (INIS)

Borchsenius, Hans

2006-01-01

There is a large potential for projects in Northwest Russia aiming at reducing CO 2 and other greenhouse gas emissions. Many countries are currently showing interest in buying carbon credits from Russia in order to meet their Kyoto agreement commitments. Even though the body of rules is not yet in place there are a number of efforts at identifying possible projects that may give Norway and other countries much needed carbon credits, and simultaneously provide Russian industry and municipalities with investment aid that can make industry processes and district heating systems more effective. The Nordic countries have established an experimental scheme for joint implementation in the Baltic region (ml)

Rock the Watt: An Energy Conservation Campaign at Pacific Northwest National Lab

Energy Technology Data Exchange (ETDEWEB)

None

2016-01-01

Case study describes Pacific Northwest National Laboratory's (PNNL) three-month Rock the Watt campaign to reduce energy use at its main campus in Richland, Washington. The campaign objectives were to educate PNNL employees about energy conservation opportunities in their workplace and to motivate them to help PNNL save energy and costs and to reduce greenhouse gas emissions.

Riparian area protection and outdoor recreation: lessons from the Northwest Forest Plan

Science.gov (United States)

Patrick Impero Wilson; Troy E. Hall; Linda E. Kruger

2012-01-01

The Northwest Forest Plan required the US Forest Service (USFS) to shift its management focus to ecological values rather than the utilitarian ones that had dominated forest policy in the region. This article examines the effects of this shift on the USFS's historic mission to provide recreational access to the region's forests. Focusing on six national...

Climate drivers of regionally synchronous fires in the inland northwest (1651-1900)

Science.gov (United States)

Emily K. Heyerdahl; Donald McKenzie; Lori D. Daniels; Amy E. Hessl; Jeremy S. Littell; Nathan J. Mantua

2008-01-01

We inferred climate drivers of regionally synchronous surface fires from 1651 to 1900 at 15 sites with existing annually accurate fire-scar chronologies from forests dominated by ponderosa pine or Douglas-fir in the inland Northwest (interior Oregon,Washington and southern British Columbia).Years with widespread fires (35 years with fire at 7 to 11 sites) had warm...

Contação de história: tecnologia cuidativa na educação permanente para o envelhecimento ativo

Directory of Open Access Journals (Sweden)

Nadia Pinheiro da Costa

Full Text Available RESUMO Objetivo: avaliar pertinência e efetividade da tecnologia cuidativo-educacional "contação de histórias" como estratégia no cultivo do envelhecimento ativo (EA para usuários idosos de uma Unidade Básica de Saúde (UBS, da Amazônia. Método: Pesquisa Convergente Assistencial (PCA, realizada em UBS de Belém, estado do Pará, com oito idosas para testagem da tecnologia. Aplicou-se questionário de avaliação do EA e WHOQOL - breve, avaliação de qualidade de vida. Após capacitação com vistas à educação permanente, idosas contaram histórias para uma plateia que se manifestou respondendo à pergunta: "O que você tirou dela para a sua vida?" Resultados: histórias populares contadas provocaram reações das quais emergiram as categorias: Solidariedade; Respeito ao outro; Imaginação, sonhos, esperança e Cultura do imaginário amazônida. Tal prática resultou positiva, com mudança na qualidade de vida das idosas, no domínio psicológico. Conclusão: "contação de histórias" revelou-se uma tecnologia inovadora, recurso pertinente e efetivo à educação em saúde, especialmente para o envelhecimento ativo.

A nova gestão pública na Inglaterra: a permanente instabilidade da reforma neoliberal

Directory of Open Access Journals (Sweden)

David Hall

2015-09-01

Full Text Available RESUMO: A reforma da educação na Inglaterra tem sido intimamente associada a um programa mais amplo da nova gestão pública, centrado na reforma dos serviços públicos. Este artigo analisa as características deste programa de reformas inspirado na NGP, tendo em vista que o sistema educacional inglês se deslocou de uma forma cívica e de proteção social ("cívico-welfarista" para um modo em que o neoliberalismo despontou em ascendência. Atenção particular é dada tanto aos aspectos centralizadores da reforma, em que tem havido um acentuado aumento na intervenção do governo central na educação, quanto aos aspectos descentralizadores da reforma, incluindo a criação de escolas como unidades de negócios e a mercantilização da educação em termos mais gerais. As origens das reformas estão situadas em uma construção discursiva de uma crise educacional, inspirada na Nova Direita, que encontrou posterior expressão em uma série de alterações na legislação que emergiram de e cimentaram um consenso educacional trans-político-partidário que já perdura por mais de trinta anos neste contexto. Este artigo examina os efeitos dessas reformas da NGP na educação na Inglaterra, e as continuidades e descontinuidades entre as diferentes administrações políticas, considerando que a Inglaterra passou por sucessivas ondas de reformas até chegarmos a um período pós-NGP. Concluímos que a permanente instabilidade do sistema educacional inglês pode ser identificado nas tensões que atingem o próprio âmago do processo da NGP, de formas que, antecipamos, continuarão a perturbar um setor rapidamente privatizador.

Sensitivity of Coastal Environments and Wildlife to Spilled Oil: Northwest Arctic, Alaska: NESTS (Nest Points)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains sensitive biological resource data for nesting birds in Northwest Arctic, Alaska. Vector points in this data set represent locations of...

Sensitivity of Coastal Environments and Wildlife to Spilled Oil: Northwest Arctic, Alaska: INVERT (Invertebrate Polygons)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains sensitive biological resource data for marine and estuarine invertebrate species in Northwest Arctic, Alaska. Vector polygons in this data set...

Sensitivity of Coastal Environments and Wildlife to Spilled Oil: Northwest Arctic, Alaska: FISHL (Fish Lines)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains sensitive biological resource data for anadromous fish species in Northwest Arctic, Alaska. Vector arcs in this data set represent species...

2007 Northwest Florida Water Manangement District (NWFWMD) Lidar: 5 Counties (Jackson, Calhoun, Washington, Liberty, Holmes)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — LIDAR-derived binary (.las) files containing points classified as bare-earth and canopy (first return) were produced for the 2007/2008 Northwest Florida Water...

Effect of electrode contact area on the information content of the recorded electrogastrograms: An analysis based on Rényi entropy and Teager-Kaiser Energy

Science.gov (United States)

Alagumariappan, Paramasivam; Krishnamurthy, Kamalanand; Kandiah, Sundravadivelu; Ponnuswamy, Mannar Jawahar

2017-06-01

Electrogastrograms (EGG) are electrical signals originating from the digestive system, which are closely correlated with its mechanical activity. Electrogastrography is an efficient non-invasive method for examining the physiological and pathological states of the human digestive system. There are several factors such as fat conductivity, abdominal thickness, change in electrode surface area etc, which affects the quality of the recorded EGG signals. In this work, the effect of variations in the contact area of surface electrodes on the information content of the measured electrogastrograms is analyzed using Rényi entropy and Teager-Kaiser Energy (TKE). Two different circular cutaneous electrodes with approximate contact areas of 201.14 mm2 and 283.64 mm2, have been adopted and EGG signals were acquired using the standard three electrode protocol. Further, the information content of the measured EGG signals were analyzed using the computed values of entropy and energy. Results demonstrate that the information content of the measured EGG signals increases by 6.72% for an increase in the contact area of the surface electrode by 29.09%. Further, it was observed that the average energy increases with increase in the contact surface area. This work appears to be of high clinical significance since the accurate measurement of EGG signals without loss in its information content, is highly useful for the design of diagnostic assistance tools for automated diagnosis and mass screening of digestive disorders.