WorldWideScience

Sample records for legacy clinical information

  1. LEGACY MANAGEMENT REQUIRES INFORMATION

    International Nuclear Information System (INIS)

    CONNELL, C.W.; HILDEBRAND, R.D.

    2006-01-01

    ''Legacy Management Requires Information'' describes the goal(s) of the US Department of Energy's Office of Legacy Management (LM) relative to maintaining critical records and the way those goals are being addressed at Hanford. The paper discusses the current practices for document control, as well as the use of modern databases for both storing and accessing the data to support cleanup decisions. In addition to the information goals of LM, the Hanford Federal Facility Agreement and Consent Order, known as the ''Tri-Party Agreement'' (TPA) is one of the main drivers in documentation and data management. The TPA, which specifies discrete milestones for cleaning up the Hanford Site, is a legally binding agreement among the US Department of Energy (DOE), the Washington State Department of Ecology (Ecology), and the US Environmental Protection Agency (EPA). The TPA requires that DOE provide the lead regulatory agency with the results of analytical laboratory and non-laboratory tests/readings to help guide them in making decisions. The Agreement also calls for each signatory to preserve--for at least ten years after the Agreement has ended--all of the records in its or its contractors, possession related to sampling, analysis, investigations, and monitoring conducted. The tools used at Hanford to meet TPA requirements are also the tools that can satisfy the needs of LM

  2. A Transparent Translation from Legacy System Model into Common Information Model: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Ding, Fei [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Simpson, Jeffrey [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Zhang, Yingchen [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2018-04-27

    Advance in smart grid is forcing utilities towards better monitoring, control and analysis of distribution systems, and requires extensive cyber-based intelligent systems and applications to realize various functionalities. The ability of systems, or components within systems, to interact and exchange services or information with each other is the key to the success of smart grid technologies, and it requires efficient information exchanging and data sharing infrastructure. The Common Information Model (CIM) is a standard that allows different applications to exchange information about an electrical system, and it has become a widely accepted solution for information exchange among different platforms and applications. However, most existing legacy systems are not developed using CIM, but using their own languages. Integrating such legacy systems is a challenge for utilities, and the appropriate utilization of the integrated legacy systems is even more intricate. Thus, this paper has developed an approach and open-source tool in order to translate legacy system models into CIM format. The developed tool is tested for a commercial distribution management system and simulation results have proved its effectiveness.

  3. Legacy Clinical Data from the Mission Connect Mild TBI Translational Research Consortium

    Science.gov (United States)

    2017-10-01

    AWARD NUMBER: W81XWH-16-2-0026 TITLE: Legacy Clinical Data from the Mission Connect Mild TBI Translational Research Consortium PRINCIPAL...2017 4. TITLE AND SUBTITLE Legacy Clinical Data from the Mission Connect Mild TBI Translational Research 5a. CONTRACT NUMBER Consortium 5b. GRANT...mTBI) Translational Research Consortium was to improve the diagnosis and treatment of mTBI. We enrolled a total of 88 mTBI patients and 73 orthopedic

  4. Office of Legacy Management. Information and Records Management. Transition Guidance

    International Nuclear Information System (INIS)

    2004-01-01

    The Office of Legacy Management (LM) is an integral part of the U.S. Department of Energy's (DOE's) strategy to ensure that legacy liabilities of former nuclear weapons production sites are properly managed following the completion of environmental cleanup activities. LM will work with each site using an integrated team approach to ensure a successful transition. Part of this process will include transition of Government records and information. The Office of Legacy Management Information and Records Management Transition Guidance focuses on LM's goal to preserve and protect legacy records and information. This guidance document establishes a framework for the transfer of records management responsibilities for sites transferring to LM. It describes the requirements, responsibilities, and procedures for the efficient and cost-effective transfer of custody, ownership, and management of records and other information products from the transfer site to LM. Records management practices are critical to the functions of Federal agencies because records provide information about, or evidence of, the organization, functions, policies, decisions, procedures, operations, or other activities. Therefore, the information generated by an agency is created, maintained, and dispositioned through records management processes that ensure the appropriate preservation and retrieval of essential information. Because of their intrinsic value, best practices to preserve information and records should be utilized when records are transferred from one organization to another. As the transfer program completes cleanup activities at closure sites, a transitional process will facilitate the transparent shift in the management of site records activities to LM. The roles and responsibilities of the transfer site and/or program and LM described in this document are a necessary foundation for cooperation and coordination and are essential to the successful transition of records and information

  5. Office of Legacy Management. Information and Records Management. Transition Guidance

    Energy Technology Data Exchange (ETDEWEB)

    None

    2004-03-01

    The Office of Legacy Management (LM) is an integral part of the U.S. Department of Energy’s (DOE’s) strategy to ensure that legacy liabilities of former nuclear weapons production sites are properly managed following the completion of environmental cleanup activities. LM will work with each site using an integrated team approach to ensure a successful transition. Part of this process will include transition of Government records and information. The Office of Legacy Management Information and Records Management Transition Guidance focuses on LM’s goal to preserve and protect legacy records and information. This guidance document establishes a framework for the transfer of records management responsibilities for sites transferring to LM. It describes the requirements, responsibilities, and procedures for the efficient and cost-effective transfer of custody, ownership, and management of records and other information products from the transfer site to LM. Records management practices are critical to the functions of Federal agencies because records provide information about, or evidence of, the organization, functions, policies, decisions, procedures, operations, or other activities. Therefore, the information generated by an agency is created, maintained, and dispositioned through records management processes that ensure the appropriate preservation and retrieval of essential information. Because of their intrinsic value, best practices to preserve information and records should be utilized when records are transferred from one organization to another. As the transfer program completes cleanup activities at closure sites, a transitional process will facilitate the transparent shift in the management of site records activities to LM. The roles and responsibilities of the transfer site and/or program and LM described in this document are a necessary foundation for cooperation and coordination and are essential to the successful transition of records and

  6. Creation and implementation of the international information system for radiation legacy of the USSR 'RADLEG'

    International Nuclear Information System (INIS)

    Iskra, A.A.

    2002-01-01

    The stating of radiological problem of the radiation legacy of the Soviet and Russian military and civil programs of the nuclear fuel cycle have became possible after 'cold war' termination. The objective of the 'RADLEG' project is 'Development of a sophisticated computer based data system for evaluation of the radiation legacy of the former USSR and setting priorities on remediation and prevention policy'. The goal of the 'RADLEG' Project Phase 1 was creation of a simple operational database to be linked to GIS, describing currently available information on radiation legacy of the former USSR. During the Project Phase 2 the public accessible database linked to GIS has been developed. This GIS data system containing comprehensive information on the radiation legacy of the former Soviet Union has been developed in order to aid policy makers in two principle areas: to identify and set priorities on radiation safety problems, and to provide guidance for the development of technically, economically and socially sound policies to reduce health and environmental impact of radioactively contaminated sites. (author)

  7. REDLetr: Workflow and tools to support the migration of legacy clinical data capture systems to REDCap.

    Science.gov (United States)

    Dunn, William D; Cobb, Jake; Levey, Allan I; Gutman, David A

    2016-09-01

    A memory clinic at an academic medical center has relied on several ad hoc data capture systems including Microsoft Access and Excel for cognitive assessments over the last several years. However these solutions are challenging to maintain and limit the potential of hypothesis-driven or longitudinal research. REDCap, a secure web application based on PHP and MySQL, is a practical solution for improving data capture and organization. Here, we present a workflow and toolset to facilitate legacy data migration and real-time clinical research data collection into REDCap as well as challenges encountered. Legacy data consisted of neuropsychological tests stored in over 4000 Excel workbooks. Functions for data extraction, norm scoring, converting to REDCap-compatible formats, accessing the REDCap API, and clinical report generation were developed and executed in Python. Over 400 unique data points for each workbook were migrated and integrated into our REDCap database. Moving forward, our REDCap-based system replaces the Excel-based data collection method as well as eases the integration into the standard clinical research workflow and Electronic Health Record. In the age of growing data, efficient organization and storage of clinical and research data is critical for advancing research and providing efficient patient care. We believe that the workflow and tools described in this work to promote legacy data integration as well as real time data collection into REDCap ultimately facilitate these goals. Published by Elsevier Ireland Ltd.

  8. Why Replacing Legacy Systems Is So Hard in Global Software Development: An Information Infrastructure Perspective

    DEFF Research Database (Denmark)

    Matthiesen, Stina; Bjørn, Pernille

    2015-01-01

    We report on an ethnographic study of an outsourcing global software development (GSD) setup between a Danish IT company and an Indian IT vendor developing a system to replace a legacy system for social services administration in Denmark. Physical distance and GSD collaboration issues tend...... to be obvious explanations for why GSD tasks fail to reach completion; however, we account for the difficulties within the technical nature of software system task. We use the framework of information infrastructure to show how replacing a legacy system in governmental information infrastructures includes...... the work of tracing back to knowledge concerning law, technical specifications, as well as how information infrastructures have dynamically evolved over time. Not easily carried out in a GSD setup is the work around technical tasks that requires careful examination of mundane technical aspects, standards...

  9. Altmetrics, Legacy Scholarship, and Scholarly Legacy

    Directory of Open Access Journals (Sweden)

    Lauren B. Collister

    2017-10-01

    Full Text Available When using alternative metrics (altmetrics to investigate the impact of a scholar’s work, researchers and librarians are typically cautioned that altmetrics will be less useful for older works of scholarship. This is because it is difficult to collect social media and other attention retroactively, and the numbers will be lower if the work was published before social media marketing and promotion were widely accepted in a field. In this article, we argue that altmetrics can provide useful information about older works in the form of documenting renewed attention to past scholarship as part of a scholar’s legacy. Using the altmetrics profile of the late Dr. Thomas E. Starzl, often referred to as “the father of modern transplantation”, we describe two cases where altmetrics provided information about renewed interest in his works: a controversy about race and genetics that shows the ongoing impact of a particular work, and posthumous remembrances by colleagues which reveal his scholarly legacy.

  10. Repurposing legacy data innovative case studies

    CERN Document Server

    Berman, Jules J

    2015-01-01

    Repurposing Legacy Data: Innovative Case Studies takes a look at how data scientists have re-purposed legacy data, whether their own, or legacy data that has been donated to the public domain. Most of the data stored worldwide is legacy data-data created some time in the past, for a particular purpose, and left in obsolete formats. As with keepsakes in an attic, we retain this information thinking it may have value in the future, though we have no current use for it. The case studies in this book, from such diverse fields as cosmology, quantum physics, high-energy physics, microbiology,

  11. Legacy sample disposition project. Volume 2: Final report

    International Nuclear Information System (INIS)

    Gurley, R.N.; Shifty, K.L.

    1998-02-01

    This report describes the legacy sample disposition project at the Idaho Engineering and Environmental Laboratory (INEEL), which assessed Site-wide facilities/areas to locate legacy samples and owner organizations and then characterized and dispositioned these samples. This project resulted from an Idaho Department of Environmental Quality inspection of selected areas of the INEEL in January 1996, which identified some samples at the Test Reactor Area and Idaho Chemical Processing Plant that had not been characterized and dispositioned according to Resource Conservation and Recovery Act (RCRA) requirements. The objective of the project was to manage legacy samples in accordance with all applicable environmental and safety requirements. A systems engineering approach was used throughout the project, which included collecting the legacy sample information and developing a system for amending and retrieving the information. All legacy samples were dispositioned by the end of 1997. Closure of the legacy sample issue was achieved through these actions

  12. Born Broken: Fonts and Information Loss in Legacy Digital Documents

    Directory of Open Access Journals (Sweden)

    Geoffrey Brown

    2011-03-01

    Full Text Available For millions of legacy documents, correct rendering depends upon resources such as fonts that are not generally embedded within the document structure. Yet there is a significant risk of information loss due to missing or incorrectly substituted fonts. Large document collections depend on thousands of unique fonts not available on a common desktop workstation, which typically has between 100 and 200 fonts. Silent substitution of fonts, performed by applications such as Microsoft Office, can yield poorly rendered documents. In this paper we use a collection of 230,000 Word documents to assess the difficulty of matching font requirements with a database of fonts. We describe the identifying information contained in common font formats, font requirements stored in Word documents, the API provided by Windows to support font requests by applications, the documented substitution algorithms used by Windows when requested fonts are not available, and the ways in which support software might be used to control font substitution in a preservation environment.

  13. The Java Legacy Interface

    DEFF Research Database (Denmark)

    Korsholm, Stephan

    2007-01-01

    The Java Legacy Interface is designed to use Java for encapsulating native legacy code on small embedded platforms. We discuss why existing technologies for encapsulating legacy code (JNI) is not sufficient for an important range of small embedded platforms, and we show how the Java Legacy...... Interface offers this previously missing functionality. We describe an implementation of the Java Legacy Interface for a particular virtual machine, and how we have used this virtual machine to integrate Java with an existing, commercial, soft real-time, C/C++ legacy platform....

  14. Managing a project's legacy: implications for organizations and project management

    Science.gov (United States)

    Cooper, Lynne P.; Hecht, Michael H.; Majchrzak, Ann

    2003-01-01

    Organizations that rely on projects to implement their products must find effective mechanisms for propagating lessons learned on one project throughout the organization. A broad view of what constitutes a project's 'legacy' is presented that includes not just the design products and leftover parts, but new processes, relationships, technology, skills, planning data, and performance metrics. Based on research evaluating knowledge reuse in innovative contexts, this paper presents an approach to project legacy management that focuses on collecting and using legacy knowledge to promote organizational learning and effective reuse, while addressing factors of post-project responsibility, information obsolescence, and the importance of ancillary contextual information. .

  15. Historical legacies, information and contemporary water science and management

    Science.gov (United States)

    Bain, Daniel J.; Arrigo, Jennifer A.S.; Green, Mark B.; Pellerin, Brian A.; Vörösmarty, Charles J.

    2011-01-01

    Hydrologic science has largely built its understanding of the hydrologic cycle using contemporary data sources (i.e., last 100 years). However, as we try to meet water demand over the next 100 years at scales from local to global, we need to expand our scope and embrace other data that address human activities and the alteration of hydrologic systems. For example, the accumulation of human impacts on water systems requires exploration of incompletely documented eras. When examining these historical periods, basic questions relevant to modern systems arise: (1) How is better information incorporated into water management strategies? (2) Does any point in the past (e.g., colonial/pre-European conditions in North America) provide a suitable restoration target? and (3) How can understanding legacies improve our ability to plan for future conditions? Beginning to answer these questions indicates the vital need to incorporate disparate data and less accepted methods to meet looming water management challenges.

  16. Creating a career legacy map to help assure meaningful work in nursing.

    Science.gov (United States)

    Hinds, Pamela S; Britton, Dorienda R; Coleman, Lael; Engh, Eileen; Humbel, Tina Kunze; Keller, Susan; Kelly, Katherine Patterson; Menard, Johanna; Lee, Marlene A; Roberts-Turner, Renee; Walczak, Dory

    2015-01-01

    When nurses declare a professional legacy (or what they intend to be better in health care because of their efforts), they are likely to maintain a focus on achieving their legacy and to experience meaning in the process. We depict the legacy and involved steps in creating a legacy map, which is a concrete guide forward to intended career outcomes. Informed by the "meaningful work" literature, we describe a legacy map, its function, the process to create one, and the application of a legacy map to guide careers. We also describe an administrative benefit of the legacy map-the map can be used by team leaders and members to secure needed resources and opportunities to support the desired legacy of team members. Legacy mapping can be a self-use career guidance tool for nurses and other health care professionals or a tool that links the career efforts of a team member with the career support efforts of a team leader. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. The SIRTF Legacy Observing Program

    Science.gov (United States)

    Greenhouse, M. A.; Leisawitz, D.; Gehrz, R. D.; Clemens, D. P.; Force, Sirtf Community Task

    1997-12-01

    Legacy Observations and General Observations(GO)are separate categories in which SIRTF observing time will be allocated through peer reviewed community proposals. The Legacy Program will embrace several projects, each headed by a Legacy Principal Investigator. Legacy Observations are distinguished from General Observations by the following three criteria: [1] the project is a large, coherent investigation whose scientific goals can not be met by a number of smaller, uncoordinated projects; [2] the data will be of both general and lasting importance to the broad astronomical community and of immediate utility in motivating and planning follow-on GO investigations with SIRTF; and [3] the data (unprocessed, fully processed, and at intermediate steps in processing) will be placed in a public data base immediately and with no proprietary period. The goals of the SIRTF Legacy program are: [1] enable community use of SIRTF for large coherent survey observations, [2] provide prompt community access to SIRTF survey data, and [3] enable GO program observations based on Legacy program results. A likely attribute (but not a requirement) for Legacy projects is that they may involve hundreds, and perhaps thousands, of hours of observing time. It is anticipated that as much as 6000 hours of telescope time will be allocated through the Legacy program. To meet Legacy program goal [3], allocation of as much as 70% of SIRTF's first year on orbit to Legacy projects may be necessary, and the observing phase of the Legacy program will be completed during the following year. A Legacy call for proposals will be issued 1 year prior to launch or sooner, and will be open to all scientists and science topics. In this poster, we display Legacy program definition and schedule items that will be of interest to those intending to propose under this unique opportunity.

  18. Ten Years of Legacy Management: U.S. DOE Office of Legacy Management Accomplishments - 13246

    Energy Technology Data Exchange (ETDEWEB)

    Carter, Tony [U.S. Department of Energy Office of Legacy Management, 1000 Independence Ave. SW, Washington, DC 20585 (United States); Miller, Judith [S.M. Stoller Corporation, 2597 Legacy Way, Grand Junction, CO 81503 (United States)

    2013-07-01

    The U.S. Department of Energy (DOE) established the Office of Legacy Management (LM) to provide a long-term, sustainable solution to environmental impacts that remain from nuclear weapons production during World War II and the Cold War. The production activities created adverse environmental conditions at over 100 sites. When LM was established on December 15, 2003, it became responsible for 33 sites where active environmental remediation was complete. Currently, LM is responsible for long-term surveillance and maintenance of environmental remedies, promotion of beneficial reuse of land and buildings, and management of records and information at 89 sites in 29 states and Puerto Rico. LM is also responsible for meeting contractual obligations associated with former contractor workers' pensions and post-retirement benefits. Effectively addressing this environmental and human legacy will continue to require a focused and well-managed effort. (authors)

  19. Ten Years of Legacy Management: U.S. DOE Office of Legacy Management Accomplishments - 13246

    International Nuclear Information System (INIS)

    Carter, Tony; Miller, Judith

    2013-01-01

    The U.S. Department of Energy (DOE) established the Office of Legacy Management (LM) to provide a long-term, sustainable solution to environmental impacts that remain from nuclear weapons production during World War II and the Cold War. The production activities created adverse environmental conditions at over 100 sites. When LM was established on December 15, 2003, it became responsible for 33 sites where active environmental remediation was complete. Currently, LM is responsible for long-term surveillance and maintenance of environmental remedies, promotion of beneficial reuse of land and buildings, and management of records and information at 89 sites in 29 states and Puerto Rico. LM is also responsible for meeting contractual obligations associated with former contractor workers' pensions and post-retirement benefits. Effectively addressing this environmental and human legacy will continue to require a focused and well-managed effort. (authors)

  20. U.S. Spacesuit Legacy: Maintaining it for the Future

    Science.gov (United States)

    Chullen, Cinda; McMann, Joe; Thomas, Ken; Kosmo, Joe; Lewis, Cathleen; Wright, Rebecca; Bitterly, Rose; Olivia, Vladenka Rose

    2013-01-01

    The history of U.S. spacesuit development and its use are rich with information on lessons learned, and constitutes a valuable legacy to those designing spacesuits for the future, as well as to educators, students, and the general public. The genesis of lessons learned is best understood by studying the evolution of past spacesuit programs - how the challenges and pressures of the times influenced the direction of the various spacesuit programs. This paper shows how the legacy of various spacesuit-related programs evolved in response to these forces. Important aspects of how this U.S. spacesuit legacy is being preserved today is described, including the archiving of spacesuit hardware, important documents, videos, oral history, and the rapidly expanding U.S. Spacesuit Knowledge Capture program.

  1. ‘Penny-wise…’: Ezra Pound’s Posthumous Legacy to Fascism

    Directory of Open Access Journals (Sweden)

    Matthew Feldman

    2015-01-01

    Full Text Available The article traces the history of Ezra Pound’s engagement with Fascist politics and its contemporary influence on the far-right in America, Britain and Italy.  It seeks to explore a political legacy of Pound’s, which is sometimes strangely at odds with his poetic legacy but on other occasions, informs and coalesces into the latter.   Keywords: Ezra Pound; Modernism; Fascism.

  2. WORLD CUP LEGACY AND PERTAINING IMPACTS ON SÃO PAULO CITY´S FUTURE

    Directory of Open Access Journals (Sweden)

    Marcos Vinicius Cardoso

    2013-08-01

    Full Text Available Legacies – structures that are built for events and which remain after the same - are one of the major positive aspects paraded by mega sporting events organizers. This study´s purpose is to analyze the current situation of legacies promised by the many governmental instances for the city of São Paulo - host city of Fifa´s 2014 World Cup – and prospect which legacies will become effective in the city. Preliminary assessments may raise construction concerns, alert the public to keep an eye on undertaken obligations and encourage official actions (Mangan, 2008, p. 1,871. Data was obtained from National Audit Court (TCU reports, Ministry and United Nations documents, in addition to testimonials and information gathered from some of Brazil´s major press media. Data analysis was conducted by classifying legacies according to tangible and intangible legacy concepts (Kaplanidou and Karadakis, 2010 followed by an analysis of promised legacies versus current status during the period of analysis. Finally, discussions as to most probable to come about legacies were presented. Results indicate that a portion of promised legacies stand a fair chance of achievement. On the other hand, other projects lag behind schedule or have been cancelled. Preliminary surveys suggest full completion of promised legacies is not possible, there has been an overuse of public resources as opposed to that planned, and provide indicatives as to the investment´s high opportunity cost.

  3. Information Management System Supporting a Multiple Property Survey Program with Legacy Radioactive Contamination.

    Science.gov (United States)

    Stager, Ron; Chambers, Douglas; Wiatzka, Gerd; Dupre, Monica; Callough, Micah; Benson, John; Santiago, Erwin; van Veen, Walter

    2017-04-01

    The Port Hope Area Initiative is a project mandated and funded by the Government of Canada to remediate properties with legacy low-level radioactive waste contamination in the Town of Port Hope, Ontario. The management and use of large amounts of data from surveys of some 4800 properties is a significant task critical to the success of the project. A large amount of information is generated through the surveys, including scheduling individual field visits to the properties, capture of field data laboratory sample tracking, QA/QC, property report generation and project management reporting. Web-mapping tools were used to track and display temporal progress of various tasks and facilitated consideration of spatial associations of contamination levels. The IM system facilitated the management and integrity of the large amounts of information collected, evaluation of spatial associations, automated report reproduction and consistent application and traceable execution for this project.x. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  4. Organisational scenarios and legacy systems

    OpenAIRE

    Brooke, Carole; Ramage, Magnus

    2001-01-01

    A legacy system is made up of technical components and social factors (such as software, people, skills, business processes) which no longer meet the needs of the business environment. The study of legacy systems has tended to be biased towards a software engineering perspective and to concentrate on technical properties. This paper suggests that the evaluation of potential change options for legacy systems can only be carried out as part of an holistic organisational analysis. That is, the e...

  5. Legacy material work-off project

    International Nuclear Information System (INIS)

    Sloan, T.J.; Baker, D.H. IV

    1999-01-01

    Los Alamos National Laboratory (LANL) and its subcontractors recently completed a nine-month legacy material clean-up effort. Legacy materials were defined as chemicals, hazardous, non-hazardous, and both hazardous and radioactive (mixed), that no longer served a programmatic use and had no identified individual owner within the Laboratory. Once personnel identified the legacy materials, the items were transferred to Solid Waste Operation's (EM-SWO) control. Upon completing this process, the responsible division-level manager was required to certify that all non-radioactive hazardous and non-hazardous materials and acceptable mixed legacy materials had been identified and transferred to EM-SWO for proper handling or disposal. The major expense in this project was the cost of actual chemical and radiological analysis. This expense was the result of items not having an identified individual owner. The major benefit of this project is that LANL is now in an excellent position to implement its Integrated Safety Management (ISM) Plan, which requires the implementation of safe work practices, including requirements for removing unused items when vacating workspaces. Effective implementation of ISM will go a long way toward ensuring that legacy materials are no longer an issue at the Laboratory

  6. U.S. Department of Energy, Office of Legacy Management Program Update, April-June 2009

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-04-01

    Welcome to the April-June 2009 issue of the U.S. Department of Energy (DOE) Office of Legacy Management (LM) Program Update. This publication is designed to provide a status of activities within LM. The Legacy Management goals are: (1) Protect human health and the environment through effective and efficient long-term surveillance and maintenance - This goal highlights DOE's responsibility to ensure long-term protection of people, the environment, and the integrity of engineered remedies and monitoring systems. (2) Preserve, protect, and make accessible legacy records and information - This goal recognizes LM's commitment to successfully manage records, information, and archives of legacy sites under its authority. (3) Support an effective and efficient work force structured to accomplish Departmental missions and assure continuity of contractor worker pension and medical benefits - This goal recognizes DOE's commitment to its contracted work force and the consistent management of pension and health benefits. As sites continue to close, DOE faces the challenges of managing pension plan and health benefits liability. (4) Manage legacy land and assets, emphasizing protective real and personal property reuse and disposition - This goal recognizes a DOE need for local collaborative management of legacy assets, including coordinating land use planning, personal property disposition to community reuse organizations, and protecting heritage resources (natural, cultural, and historical). (5) Improve program effectiveness through sound management - This goal recognizes that LM's goals cannot be attained efficiently unless the federal and contractor work force is motivated to meet requirements and work toward continuous performance improvement.

  7. U.S. Department of Energy Office of Legacy Management Legacy Uranium Mine Site Reclamation - Lessons Learned - 12384

    Energy Technology Data Exchange (ETDEWEB)

    Kilpatrick, Laura E. [U.S. Department of Energy Office of Legacy Management, Westminster, Colorado 80021 (United States); Cotter, Ed [S.M. Stoller Corporation, Grand Junction, Colorado 81503 (United States)

    2012-07-01

    The U.S. Department of Energy (DOE) Office of Legacy Management is responsible for administering the DOE Uranium Leasing Program (ULP) and its 31 uranium lease tracts located in the Uravan Mineral Belt of southwestern Colorado (see Figure 1). In addition to administering the ULP for the last six decades, DOE has also undertaken the significant task of reclaiming a large number of abandoned uranium (legacy) mine sites and associated features located throughout the Uravan Mineral Belt. In 1995, DOE initiated a 3-year reconnaissance program to locate and delineate (through extensive on-the-ground mapping) the legacy mine sites and associated features contained within the historically defined boundaries of its uranium lease tracts. During that same time frame, DOE recognized the lack of regulations pertaining to the reclamation of legacy mine sites and contacted the U.S. Bureau of Land Management (BLM) concerning the reclamation of legacy mine sites. In November 1995, The BLM Colorado State Office formally issued the United States Department of the Interior, Colorado Bureau of Land Management, Closure/Reclamation Guidelines, Abandoned Uranium Mine Sites as a supplement to its Solid Minerals Reclamation Handbook (H-3042-1). Over the next five-and-one-half years, DOE reclaimed the 161 legacy mine sites that had been identified on DOE withdrawn lands. By the late 1990's, the various BLM field offices in southwestern Colorado began to recognize DOE's experience and expertise in reclaiming legacy mine sites. During the ensuing 8 years, BLM funded DOE (through a series of task orders) to perform reclamation activities at 182 BLM mine sites. To date, DOE has reclaimed 372 separate and distinct legacy mine sites. During this process, DOE has learned many lessons and is willing to share those lessons with others in the reclamation industry because there are still many legacy mine sites not yet reclaimed. DOE currently administers 31 lease tracts (11,017 ha) that

  8. (Resurveying Mediterranean Rural Landscapes: GIS and Legacy Survey Data

    Directory of Open Access Journals (Sweden)

    Robert Witcher

    2008-07-01

    Full Text Available Legacy data have always been important for Mediterranean archaeologists. Over the past decade, one specific category of legacy data, that deriving from regional survey, has become particularly important. Not only has the scale of research questions become larger (requiring greater reliance on others' data, but the surface archaeological record is deteriorating (diminishing the ability to recover good data. The legacy data from many individual surveys have now been subject to digitisation and GIS analysis, successfully redeploying data collected for one purpose within new theoretical and interpretive frameworks. However, a key research focus is now comparative survey - using the results of many different Mediterranean surveys side-by-side to identify regional variability in settlement organisation, economy and demography. In order to overcome the significant methodological differences between these surveys, attention has focused on the documentation of metadata. Yet, many legacy data lack vital information about their creation and hence how they might be (reinterpreted and compared. GIS has been advanced as an environment in which to contain, order and analyse the data necessary for comparative survey. However, there is a danger that the technology will facilitate inappropriate use of these datasets in a way that fails to acknowledge and understand the very real differences between them. Here, emphasis is placed upon the use of GIS as a space for exploratory data analysis: a process that encompasses and emphasises the integral processes of digitisation, visualisation and simple analysis for the characterisation of datasets in order to derive an alternative form of metadata. Particular emphasis is placed upon the interaction of past human behaviour (e.g. in the Roman period and archaeological recovery (i.e. the behaviour of archaeologists in the present, or recent past; these two sets of 'social action' combine to create distinctive archaeological

  9. Criticality Safety Support to a Project Addressing SNM Legacy Items at LLNL

    International Nuclear Information System (INIS)

    Pearson, J S; Burch, J G; Dodson, K E; Huang, S T

    2005-01-01

    The programmatic, facility and criticality safety support staffs at the LLNL Plutonium Facility worked together to successfully develop and implement a project to process legacy (DNFSB Recommendation 94-1 and non-Environmental, Safety, and Health (ES and H) labeled) materials in storage. Over many years, material had accumulated in storage that lacked information to adequately characterize the material for current criticality safety controls used in the facility. Generally, the fissionable material mass information was well known, but other information such as form, impurities, internal packaging, and presence of internal moderating or reflecting materials were not well documented. In many cases, the material was excess to programmatic need, but such a determination was difficult with the little information given on MC and A labels and in the MC and A database. The material was not packaged as efficiently as possible, so it also occupied much more valuable storage space than was necessary. Although safe as stored, the inadequately characterized material posed a risk for criticality safety noncompliances if moved within the facility under current criticality safety controls. A Legacy Item Implementation Plan was developed and implemented to deal with this problem. Reasonable bounding conditions were determined for the material involved, and criticality safety evaluations were completed. Two appropriately designated glove boxes were identified and criticality safety controls were developed to safely inspect the material. Inspecting the material involved identifying containers of legacy material, followed by opening, evaluating, processing if necessary, characterizing and repackaging the material. Material from multiple containers was consolidated more efficiently thus decreasing the total number of stored items to about one half of the highest count. Current packaging requirements were implemented. Detailed characterization of the material was captured in databases

  10. A Balance of Primary and Secondary Values: Exploring a Digital Legacy

    Directory of Open Access Journals (Sweden)

    Amber L. Cushing

    2014-06-01

    Full Text Available This exploratory research explores the concept of a digital legacy as a general concept and as a collection of digital possessions with unique characteristics. The results reported in this article are part of a larger study. In Cushing (2013, the author identified the characteristics of a digital possession. In this study, these characteristics of a digital possession were utilized to explore how the characteristics of several digital possessions could form a collection, or a digital legacy. In addition to being explored as a collection of digital possessions, data was collected about the general concept of a digital legacy. In part I of the study, 23 participants from three age groups were interviewed about their general concept of a digital legacy. Five general characteristics describing a digital legacy were identified. In part II of the study, interview data from Cushing (2013 was used to create statements describing digital possessions. The statements were classified utilizing the archival concept of primary and secondary values, as well as the consumer behavior concepts of self extension to possessions and possession attachment. Primary value refers to the purpose for which the item was created, while secondary value refers to an additional value that the participants can perceive the item to hold, such as a perception that an item can represent one's identity. Using standard Q method procedure, 48 participants were directed to rank their agreement with 60 statements (written on cards, along a distribution of -5 to +5, according to the characteristics of the digital possession they would most like to maintain for a digital legacy. The ranked statements were analyzed using Q factor analysis, in order to perceive the most common statements associated with maintaining digital possessions for a digital legacy. Q method results suggested that most individuals described the digital possessions they wanted to maintain for a digital legacy using

  11. Understanding legacy liabilities

    Energy Technology Data Exchange (ETDEWEB)

    Ossi, G.J. [Venable, LLP (United States)

    2005-08-01

    Among the most immediate issues facing operations with a workforce represented by the United Mine Workers of America (UMWA) are the so-called 'legacy liabilities'. Legacy liabilities fall under two categories: retiree health care and pension. The retiree health benefit obligations fall into two categories; statutory - those created under the Coal Industry Retiree Health Benefit Act of 1992 and contractual - the 1993 Employer Benefit Plan and the Individual Employer Plans. The pension liabilities are more straightforward; there are three different retirement plans in the NBCWA; the UMWA 1950 Pension Plan, the UMWA 1974 Pension Plan and the UMWA Cash Deferred Savings Plan of 1988.

  12. Legacy question

    International Nuclear Information System (INIS)

    Healy, J.W.

    1977-01-01

    The legacy question discussed refers to the definition of appropriate actions in this generation to provide a world that will allow future generations to use the earth without excessive limitations caused by our use and disposal of potentially hazardous materials

  13. Migrating from a legacy fixed-format measure to CAT administration: calibrating the PHQ-9 to the PROMIS depression measures.

    Science.gov (United States)

    Gibbons, Laura E; Feldman, Betsy J; Crane, Heidi M; Mugavero, Michael; Willig, James H; Patrick, Donald; Schumacher, Joseph; Saag, Michael; Kitahata, Mari M; Crane, Paul K

    2011-11-01

    We provide detailed instructions for analyzing patient-reported outcome (PRO) data collected with an existing (legacy) instrument so that scores can be calibrated to the PRO Measurement Information System (PROMIS) metric. This calibration facilitates migration to computerized adaptive test (CAT) PROMIS data collection, while facilitating research using historical legacy data alongside new PROMIS data. A cross-sectional convenience sample (n = 2,178) from the Universities of Washington and Alabama at Birmingham HIV clinics completed the PROMIS short form and Patient Health Questionnaire (PHQ-9) depression symptom measures between August 2008 and December 2009. We calibrated the tests using item response theory. We compared measurement precision of the PHQ-9, the PROMIS short form, and simulated PROMIS CAT. Dimensionality analyses confirmed the PHQ-9 could be calibrated to the PROMIS metric. We provide code used to score the PHQ-9 on the PROMIS metric. The mean standard errors of measurement were 0.49 for the PHQ-9, 0.35 for the PROMIS short form, and 0.37, 0.28, and 0.27 for 3-, 8-, and 9-item-simulated CATs. The strategy described here facilitated migration from a fixed-format legacy scale to PROMIS CAT administration and may be useful in other settings.

  14. Legacy management: An old challenge with a new focus

    International Nuclear Information System (INIS)

    Gillogly, Mari; ); Sneve, Malgorzata; Smith, Graham

    2017-01-01

    The NEA Expert Group on Legacy Management (EGLM) aims to promote a practical and optimised approach for the regulatory supervision of nuclear legacy sites and installations. NEA member countries share their experiences and approaches on legacy management and have submitted case studies to the EGLM that illustrate the common challenges and approaches of many countries. The first report of the expert group will be based on these case studies and will be released in late 2017. A new, broader focus on decommissioning and legacy management issues within the NEA is expected to take shape in early 2018, carrying forward the mission to develop and promote a practical and optimised approach for the regulatory supervision of nuclear legacy sites and installations

  15. Gender, Genocide, and Ethnicity: The Legacies of Older Armenian American Mothers

    Science.gov (United States)

    Manoogian, Margaret M.; Walker, Alexis J.; Richards, Leslie N.

    2007-01-01

    Women use legacies to help family members articulate family identity, learn family history, and provide succeeding generations with information about family culture. Using feminist standpoint theory and the life-course perspective, this qualitative study examined the intergenerational transmissions that 30 older Armenian American mothers received…

  16. Legacy data sharing to improve drug safety assessment: the eTOX project

    DEFF Research Database (Denmark)

    Sanz, Ferran; Pognan, François; Steger-Hartmann, Thomas

    2017-01-01

    The sharing of legacy preclinical safety data among pharmaceutical companies and its integration with other information sources offers unprecedented opportunities to improve the early assessment of drug safety. Here, we discuss the experience of the eTOX project, which was established through...

  17. Philosophical Remarks on Nelson Mandela's Education Legacy

    Science.gov (United States)

    Waghid, Yusef

    2014-01-01

    In this article, I reflect on Nelson Mandela's (Madiba, the clan name of Mandela) education legacy. I argue that Madiba's education legacy is constituted by three interrelated aspects: firstly, an education for non-violence guided by deliberation, compassion and reconciliation; secondly, education as responsibility towards the Other; and thirdly,…

  18. Architecture-driven Migration of Legacy Systems to Cloud-enabled Software

    DEFF Research Database (Denmark)

    Ahmad, Aakash; Babar, Muhammad Ali

    2014-01-01

    of legacy systems to cloud computing. The framework leverages the software reengineering concepts that aim to recover the architecture from legacy source code. Then the framework exploits the software evolution concepts to support architecture-driven migration of legacy systems to cloud-based architectures....... The Legacy-to-Cloud Migration Horseshoe comprises of four processes: (i) architecture migration planning, (ii) architecture recovery and consistency, (iii) architecture transformation and (iv) architecture-based development of cloud-enabled software. We aim to discover, document and apply the migration...

  19. Legacy Sediments in U.S. River Environments: Atrazine and Aggradation to Zinc and Zoobenthos

    Science.gov (United States)

    Wohl, E.

    2014-12-01

    Legacy sediments are those that are altered by human activities. Alterations include (i) human-caused aggradation (and subsequent erosion), such as sediment accumulating upstream from relict or contemporary dams, (ii) human-caused lack of continuing deposition that results in changing moisture and nutrient levels within existing sediments, such as on floodplains that no longer receive lateral or vertical accretion deposits because of levees, bank stabilization, and other channel engineering, and (iii) human-generated contaminants such as PCBs and pesticides that adsorb to fine sediment. Existing estimates of human alterations of river systems suggest that legacy sediments are ubiquitous. Only an estimated 2% of river miles in the United States are not affected by flow regulation that alters sediment transport, for example, and less than half of major river basins around the world are minimally altered by flow regulation. Combined with extensive but poorly documented reduction in floodplain sedimentation, as well as sediment contamination by diverse synthetic compounds, excess nutrients, and heavy metals, these national and global estimates suggest that legacy sediments now likely constitute a very abundant type of fluvial sediment. Because legacy sediments can alter river form and function for decades to centuries after the cessation of the human activity that created the legacy sediments, river management and restoration must be informed by accurate knowledge of the distribution and characteristics of legacy sediments. Geomorphologists can contribute understanding of sediment dynamics, including: the magnitude, frequency, and duration of flows that mobilize sediments with adsorbed contaminants; sites where erosion and deposition are most likely to occur under specified flow and sediment supply; residence time of sediments; and the influence of surface and subsurface water fluxes on sediment stability and geochemistry.

  20. Sport and exercise medicine and the Olympic health legacy

    Directory of Open Access Journals (Sweden)

    Tew Garry A

    2012-07-01

    Full Text Available Abstract London 2012 is the first Olympic and Paralympic Games to explicitly try and develop socioeconomic legacies for which success indicators are specified - the highest profile of which was to deliver a health legacy by getting two million more people more active by 2012. This editorial highlights how specialists in Sport and Exercise Medicine can contribute towards increasing physical activity participation in the UK, as well as how the National Centre for Sport and Exercise Medicine might be a useful vehicle for delivering an Olympic health legacy. Key challenges are also discussed such as acquisition of funding to support new physical activity initiatives, appropriate allocation of resources, and how to assess the impact of legacy initiatives.

  1. Olympic Health Legacy; Essentials for Lasting Development of Host City.

    Science.gov (United States)

    Lee, Young-Hee; Kim, Jung Moon

    2013-03-01

    The purpose of the Olympic Games should be to contribute to the social development by leaving behind economic, cultural and environmental legacies to the hosting region. While tangible examples such as venues are often recognized as representative legacies of the Olympics, intangible aspects such as the environment, culture, policy and human resources have been gaining in importance. The Olympic Games, at its most fundamental level, is a sporting event. Sports not only is closely related to the physical health, but is also instrumental to fostering mental health through inspiration. One of the most important sports legacies was the general change in the population's perception on sports and physical activities; due to such change, people were able to enjoy sports as part of healthy and active everyday life and benefit physically. However, compared to tangible legacies such as the facilities, social legacies such as the general health and their planning, execution and achievements are hard to monitor. Therefore, for the Olympics to leave behind socio-cultural legacies that contribute to the development of the hosting region, there must be a thorough business plan that takes into account region-specific purpose, and is divided into stages such as before, during and after the Games. Should the 2018 Winter Olympic Games hope to create continuing contribution to its hosting region, it must leave behind 'Health Legacies' that will enhance the happiness of the hosting region's population. To this end, establishment of region-specific purpose and systematic promotion of business via detailed analysis of precedents are a must. This article aim to review the health legacy endeavors of past host cities and suggest the appropriate forms of health legacy of 2018 Pyeongchang Winter Olympic and Paralympic Games.

  2. Issues Associated with Tritium Legacy Materials

    International Nuclear Information System (INIS)

    Mills, Michael

    2008-01-01

    This paper highlights some of the issues associated with the treatment of legacy materials linked to research into tritium over many years and also of materials used to contain or store tritium. The aim of the work is to recover tritium where practicable, and to leave the residual materials passively safe, either for disposal or for continued storage. A number of materials are currently stored at AWE which either contain tritium or have been used in tritium processing. It is essential that these materials are characterised such that a strategy may be developed for their safe stewardship, and ultimately for their treatment and disposal. Treatment processes for such materials are determined by the application of best practicable means (BPM) studies in accordance with the requirements of the Environment Agency of England and Wales. Clearly, it is necessary to understand the objectives of legacy material treatment / processing and the technical options available before a definitive BPM study is implemented. The majority of tritium legacy materials with which we are concerned originate from the decommissioning of a facility that was operational from the late 1950's through to the late 1990's when, on post-operative clear-out (POCO), the entire removable and transportable tritium inventory was moved to new, purpose built facilities. One of the principle tasks to be undertaken in the new facilities is the treatment of the legacy materials to recover tritium wherever practicable, and render the residual materials passively safe for disposal or continued storage. Where tritium recovery was not reasonably or technically feasible, then a means to assure continued safe storage was to be devised and implemented. The legacy materials are in the following forms: - Uranium beds which may or may not contain adsorbed tritium gas; - Tritium gas stored in containers; - Tritide targets for neutron generation; - Tritides of a broad spectrum of metals manufactured for research / long

  3. Bridging the gap: linking a legacy hospital information system with a filmless radiology picture archiving and communications system within a nonhomogeneous environment.

    Science.gov (United States)

    Rubin, R K; Henri, C J; Cox, R D

    1999-05-01

    A health level 7 (HL7)-conformant data link to exchange information between the mainframe hospital information system (HIS) of our hospital and our home-grown picture archiving and communications system (PACS) is a result of a collaborative effort between the HIS department and the PACS development team. Based of the ability to link examination requisitions and image studies, applications have been generated to optimise workflow and to improve the reliability and distribution of radiology information. Now, images can be routed to individual radiologists and clinicians; worklists facilitate radiology reporting; applications exist to create, edit, and view reports and images via the internet; and automated quality control now limits the incidence of "lost" cases and errors in image routing. By following the HL7 standard to develop the gateway to the legacy system, the development of a radiology information system for booking, reading, reporting, and billing remains universal and does not preclude the option to integrate off-the-shelf commercial products.

  4. Overview of radium legacies in Belgium - 59367

    International Nuclear Information System (INIS)

    Dehandschutter, B.; Jadoul, L.; Mannaerts, K.; Pepin, S.; Poffijn, A.; Blommaert, W.; Sonck, M.

    2012-01-01

    The Belgian metallurgical company, Union Miniere, has been a key-player in the sector of radium production between 1922 and 1969. The factory based in Olen has extracted radium from minerals and produced radium sources during that period. The radium production facilities have been dismantled in the 70's but legacies of the former production have still to be remediated. An overview of these legacies and of their radiological characteristics will be given. Next to the sites related to radium production, other radium legacies are related to NORM industries, essentially from the phosphate sector (phosphogypsum and CaF 2 stacks). The issue of radium legacies in Belgium encompasses a variety of concrete situations. Next to the issue of the legacies of the former radium production, the other radium contaminated sites are related to current or former NORM industries, especially from the phosphate sector. The methodological and regulatory approaches towards these sites have been described elsewhere in these proceedings. The outcome differs according to the specificities of the site: it will not be the same for the legacies of former radium production where the inventory of radioactivity includes materials which have to be considered and treated as radioactive waste (for example, disused radium sources) than for phosphogypsum stacks where a sufficient level of protection may be brought by relatively simple measures such as restrictions on the use of the site. For these sites, like PG stacks, where radon is the most important exposure pathway in case of intrusion scenario, regulatory measures similar to the ones applied to 'radon-prone areas' (restrictions in the construction of buildings, compulsory radon monitoring in workplaces present on the site,...) may be implemented. In all cases, the radiological risk-assessment will be crucial for the decision-making process. The examples given showed that the probability of occurrence of 'intrusion scenario' (like construction of

  5. Olympic Health Legacy; Essentials for Lasting Development of Host City

    Science.gov (United States)

    Lee, Young-Hee; Kim, Jung Moon

    2013-01-01

    The purpose of the Olympic Games should be to contribute to the social development by leaving behind economic, cultural and environmental legacies to the hosting region. While tangible examples such as venues are often recognized as representative legacies of the Olympics, intangible aspects such as the environment, culture, policy and human resources have been gaining in importance. The Olympic Games, at its most fundamental level, is a sporting event. Sports not only is closely related to the physical health, but is also instrumental to fostering mental health through inspiration. One of the most important sports legacies was the general change in the population’s perception on sports and physical activities; due to such change, people were able to enjoy sports as part of healthy and active everyday life and benefit physically. However, compared to tangible legacies such as the facilities, social legacies such as the general health and their planning, execution and achievements are hard to monitor. Therefore, for the Olympics to leave behind socio-cultural legacies that contribute to the development of the hosting region, there must be a thorough business plan that takes into account region-specific purpose, and is divided into stages such as before, during and after the Games. Should the 2018 Winter Olympic Games hope to create continuing contribution to its hosting region, it must leave behind ‘Health Legacies’ that will enhance the happiness of the hosting region’s population. To this end, establishment of region-specific purpose and systematic promotion of business via detailed analysis of precedents are a must. This article aim to review the health legacy endeavors of past host cities and suggest the appropriate forms of health legacy of 2018 Pyeongchang Winter Olympic and Paralympic Games. PMID:26064832

  6. 31 CFR 357.20 - Securities account in Legacy Treasury Direct ®.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Securities account in Legacy Treasury Direct ®. 357.20 Section 357.20 Money and Finance: Treasury Regulations Relating to Money and Finance... Securities System (Legacy Treasury Direct) § 357.20 Securities account in Legacy Treasury Direct ®. (a...

  7. A Debate over the Teaching of a Legacy Programming Language in an Information Technology (IT) Program

    Science.gov (United States)

    Ali, Azad; Smith, David

    2014-01-01

    This paper presents a debate between two faculty members regarding the teaching of the legacy programming course (COBOL) in a Computer Science (CS) program. Among the two faculty members, one calls for the continuation of teaching this language and the other calls for replacing it with another modern language. Although CS programs are notorious…

  8. Legacy to Industry 4.0: A Profibus Sniffer

    Science.gov (United States)

    Tsegaye Mamo, Fesseha; Sikora, Axel; Rathfelder, Christoph

    2017-07-01

    Legacy industrial communication protocols are proved robust and functional. During the last decades, the industry has invented completely new or advanced versions of the legacy communication solutions. However, even with the high adoption rate of these new solutions, still the majority industry applications run on legacy, mostly fieldbus related technologies. Profibus is one of those technologies that still keep on growing in the market, albeit a slow in market growth in recent years. A retrofit technology that would enable these technologies to connect to the Internet of Things, utilize the ever growing potential of data analysis, predictive maintenance or cloud-based application, while at the same time not changing a running system is fundamental.

  9. (Re)surveying Mediterranean rural landscapes : GIS and legacy survey data.

    OpenAIRE

    Witcher, R. E.

    2008-01-01

    Legacy data have always been important for Mediterranean archaeologists. Over the past decade, one specific category of legacy data, that deriving from regional survey, has become particularly important. Not only has the scale of research questions become larger (requiring greater reliance on others' data), but the surface archaeological record is deteriorating (diminishing the ability to recover good data). The legacy data from many individual surveys have now been subject to digitisation an...

  10. The Legacy Project--William E. Dugger, Jr., DTE

    Science.gov (United States)

    Moye, Johnny J.; Dugger, William E., Jr.

    2016-01-01

    This is the ninth in a series of articles entitled "The Legacy Project." The Legacy Project focuses on the lives and actions of leaders who have forged the educator profession into what it is today. Members of the profession owe a debt of gratitude to these leaders. One simple way to demonstrate that gratitude is to recognize these…

  11. Catchment legacies and time lags: a parsimonious watershed model to predict the effects of legacy storage on nitrogen export.

    Directory of Open Access Journals (Sweden)

    Kimberly J Van Meter

    Full Text Available Nutrient legacies in anthropogenic landscapes, accumulated over decades of fertilizer application, lead to time lags between implementation of conservation measures and improvements in water quality. Quantification of such time lags has remained difficult, however, due to an incomplete understanding of controls on nutrient depletion trajectories after changes in land-use or management practices. In this study, we have developed a parsimonious watershed model for quantifying catchment-scale time lags based on both soil nutrient accumulations (biogeochemical legacy and groundwater travel time distributions (hydrologic legacy. The model accurately predicted the time lags observed in an Iowa watershed that had undergone a 41% conversion of area from row crop to native prairie. We explored the time scales of change for stream nutrient concentrations as a function of both natural and anthropogenic controls, from topography to spatial patterns of land-use change. Our results demonstrate that the existence of biogeochemical nutrient legacies increases time lags beyond those due to hydrologic legacy alone. In addition, we show that the maximum concentration reduction benefits vary according to the spatial pattern of intervention, with preferential conversion of land parcels having the shortest catchment-scale travel times providing proportionally greater concentration reductions as well as faster response times. In contrast, a random pattern of conversion results in a 1:1 relationship between percent land conversion and percent concentration reduction, irrespective of denitrification rates within the landscape. Our modeling framework allows for the quantification of tradeoffs between costs associated with implementation of conservation measures and the time needed to see the desired concentration reductions, making it of great value to decision makers regarding optimal implementation of watershed conservation measures.

  12. Creating legacy through evaluation

    DEFF Research Database (Denmark)

    Degn, Hans-Peter; Lynghøj, Hanne; Hansen, Louise Ejgod

    Contemporary discussions regarding sustainability and cultural policy increasingly tends to focus on the longterm perspective of cultural legacy. This paper addresses the complex relation between an overall program and its underlying projects and activities. A central question in this respect is ...

  13. Cesium legacy safety project management work plan

    International Nuclear Information System (INIS)

    Durham, J.S.

    1998-01-01

    This Management Work Plan (MWP) describes the process flow, quality assurance controls, and the Environment, Safety, and Health requirements of the Cesium Legacy Safety Project. This MWP provides an overview of the project goals and methods for repackaging the non-conforming Type W overpacks and packaging the CsCl powder and pellets. This MWP is not intended to apply to other activities associated with the CsCl Legacy Safety Program (i.e., clean out of South Cell)

  14. Sustainable legacies for the 2012 Olympic Games.

    Science.gov (United States)

    Shipway, Richard

    2007-05-01

    The London 2012 Olympic and Paralympic Games have the unique potential to deliver sustainable sporting, social, cultural, economic and environmental legacies, not just for London as the host city, but for the whole of Britain. This article focuses primarily on the first three of these potential Olympics legacies. The first area explored is the social legacy as it impacts on host communities; second, the potential educational and cultural legacy of the 2012 Games are examined; and finally, there follows an overview of the health benefits that could result from a sustained increase in mass participation in sport, physical activity and exercise. This appraisal is undertaken through a review of existing Olympic literature and examples are drawn from previous summer and winter Games. This preliminary exploration is followed by the identification of some key challenges to be overcome if the opportunities available to a wide and diverse range of stakeholders are to be fully optimized. The article suggests that the 2012 Games can act as a catalyst for sports development throughout Britain, while also assisting with government cross-cutting agendas such as tackling crime, antisocial behaviour, developing healthy and active communities, improving educational attainment, and combating barriers to participation. In doing so, this article argues that priority should be placed at supporting grassroots sport through greater access to sport in the community, and not solely elite level sports development. The article concludes by suggesting that the 2012 Games provide opportunities to deliver real and tangible changes and most importantly, to afford a higher priority to sport, along with the obvious associated health benefits for Britain as a whole. The underlying challenge as we move towards 2012 is to achieve a positive step change in the attitudes towards sport and physical activity in British society. Achieving this would possibly be the greatest legacy of the 2012 Olympic and

  15. Wings In Orbit: Scientific and Engineering Legacies of the Space Shuttle

    Science.gov (United States)

    Hale, N. Wayne (Editor); Lulla, Kamlesh (Editor); Lane, Helen W. (Editor); Chapline, Gail (Editor)

    2010-01-01

    This Space Shuttle book project reviews Wings In Orbit-scientific and engineering legacies of the Space Shuttle. The contents include: 1) Magnificent Flying Machine-A Cathedral to Technology; 2) The Historical Legacy; 3) The Shuttle and its Operations; 4) Engineering Innovations; 5) Major Scientific Discoveries; 6) Social, Cultural, and Educational Legacies; 7) Commercial Aerospace Industries and Spin-offs; and 8) The Shuttle continuum, Role of Human Spaceflight.

  16. Biological field stations: research legacies and sites for serendipity

    Science.gov (United States)

    William K. Michener; Keith L. Bildstein; Arthur McKee; Robert R. Parmenter; William W. Hargrove; Deedra McClearn; Mark Stromberg

    2009-01-01

    Biological field stations are distributed throughout North America, capturing much of the ecological variability present at the continental scale and encompassing many unique habitats. In addition to their role in supporting research and education, field stations offer legacies of data, specimens, and accumulated knowledge. Such legacies often provide the only...

  17. Additive Manufacturing: Which DLA-Managed Legacy Parts are Potential AM Candidates

    Science.gov (United States)

    2016-07-01

    R G ADDITIVE MANUFACTURING : WHICH DLA-MANAGED LEGACY PARTS ARE POTENTIAL AM CANDIDATES? REPORT DL501T1 J UL Y 2016...L Y 2 0 1 6 ADDITIVE MANUFACTURING : WHICH DLA-MANAGED LEGACY PARTS ARE POTENTIAL AM CANDIDATES? REPORT DL501T1 Thomas K . Pa rk s...DESIGNATED BY OTHER OFFICIAL DOCUMENTATION. LMI © 2016. ALL RIGHTS RESERVED. iii Additive Manufacturing : Which DLA-Managed Legacy Parts Are

  18. Radiation information and informed consent for clinical trials

    Energy Technology Data Exchange (ETDEWEB)

    Caon, Martin [School of Nursing and Midwifery, Flinders University, Adelaide (Australia)], E-mail: martin.caon@flinders.edu.au

    2008-09-01

    Examples of the statements about the radiation from medical imaging in the information for participants provided to the Human Research Ethics Committee (HREC) for approval are presented and discussed. There is considerable scope for improvement in the information about radiation that is presented to potential participants in clinical trials. Many radiation statements seem only intended to allay fear and anxiety about radiation rather than providing accurate information. This situation cannot be said to be conducive to allowing the participant to give informed consent to their involvement in a clinical trial in which ionising radiation is used. As many clinical trials are international and conducted at many sites (sometimes over 100), we would expect the same statements to have been seen by members of HRECs in many countries. Few HRECs include a member who is an expert in radiation. Hence, to ensure that the information is sound, those sections of the participant information that refer to radiation should be written or reviewed by a specialist in radiation protection such as a medical physicist, a health physicist or a radiation safety officer. (opinion)

  19. Radiation information and informed consent for clinical trials

    International Nuclear Information System (INIS)

    Caon, Martin

    2008-01-01

    Examples of the statements about the radiation from medical imaging in the information for participants provided to the Human Research Ethics Committee (HREC) for approval are presented and discussed. There is considerable scope for improvement in the information about radiation that is presented to potential participants in clinical trials. Many radiation statements seem only intended to allay fear and anxiety about radiation rather than providing accurate information. This situation cannot be said to be conducive to allowing the participant to give informed consent to their involvement in a clinical trial in which ionising radiation is used. As many clinical trials are international and conducted at many sites (sometimes over 100), we would expect the same statements to have been seen by members of HRECs in many countries. Few HRECs include a member who is an expert in radiation. Hence, to ensure that the information is sound, those sections of the participant information that refer to radiation should be written or reviewed by a specialist in radiation protection such as a medical physicist, a health physicist or a radiation safety officer. (opinion)

  20. Migration Performance for Legacy Data Access

    Directory of Open Access Journals (Sweden)

    Kam Woods

    2008-12-01

    Full Text Available We present performance data relating to the use of migration in a system we are creating to provide web access to heterogeneous document collections in legacy formats. Our goal is to enable sustained access to collections such as these when faced with increasing obsolescence of the necessary supporting applications and operating systems. Our system allows searching and browsing of the original files within their original contexts utilizing binary images of the original media. The system uses static and dynamic file migration to enhance collection browsing, and emulation to support both the use of legacy programs to access data and long-term preservation of the migration software. While we provide an overview of the architectural issues in building such a system, the focus of this paper is an in-depth analysis of file migration using data gathered from testing our software on 1,885 CD-ROMs and DVDs. These media are among the thousands of collections of social and scientific data distributed by the United States Government Printing Office (GPO on legacy media (CD-ROM, DVD, floppy disk under the Federal Depository Library Program (FDLP over the past 20 years.

  1. The Influence of Marketing Scholarship’s Legacy on Nonprofit Marketing

    OpenAIRE

    Wymer, Walter

    2013-01-01

    This inquiry contributes to the literature on the development of “nonprofit marketing thought” by describing how the field’s early period established a legacy effect on nonprofit marketing scholarship to the present day. This qualitative work uses a wide variety of sources from a protracted historical period in order to more fully inform a perspective on the relevant issues that have influenced the development of nonprofit marketing scholarship. The investigation suggests that, although the d...

  2. The mycological legacy of Elias Magnus Fries

    DEFF Research Database (Denmark)

    Petersen, Ronald H.; Knudsen, Henning

    2015-01-01

    : students and associates aided Fries and after his passing carried forward his taxonomic ideas. His legacy spawned a line of Swedish and Danish mycologists intent on perpetuating the Fries tradition: Hampus von Post, Lars Romell, Seth Lundell and John Axel Nannfeldt in Sweden; Emil Rostrup, Severin Petersen...... with clarity. In the 20th century, nomenclatural commissions legislated Fries's Systema and Elenchus as the "starting point" for names of most fungi, giving these books special recognition. The present paper attempts to trace Fries's legacy from his lifetime to the recent past....

  3. Jack Wescott and Donald F. Smith. The Legacy Project

    Science.gov (United States)

    Moye, Johnny J.; Wescott, Jack W.; Smith, Donald F.

    2017-01-01

    This is the tenth in a series of articles entitled "The Legacy Project." The Legacy Project focuses on the lives and actions of leaders who have forged our profession into what it is today. Members of the profession owe a debt of gratitude to these leaders. One simple way to demonstrate that gratitude is to recognize these leaders and…

  4. Sports Mega-Events: Reflections About the Legacies of Uefa Euro Cup

    Directory of Open Access Journals (Sweden)

    Fillipe Soares Romano

    2016-01-01

    Full Text Available This essay conducted a literature review of the legacy of sports mega-events, emphasizing the UEFA European Championship. In order to review the academic literature about the subject, we used the following keywords: legacies; sports mega-events and its legacies; UEFA European Championship; and their corresponding terms in Spanish and Portuguese. It was also reviewed some important research basis: Annals; BVS; DOAJ; EBSCO; REDALYC; Periódicos CAPES; PubMed; Scielo; Scopus; Science Direct; and, Scholar Google. The results were analyzed by categories. Regarding the sport mega-event Eurocopa, it was found that the tourism legacies, the economics impacts and the social aspect have been discussed more often, as well as projections and predictions of events that will occur later. It was also concluded that most of the articles shows an absence of discussion about the negative impacts of sports mega-events. It is therefore recommended to use standard methods with comparisons of results and longitudinal studies to better understand the impacts and the use of legacy.

  5. Till Moritz Karbach, Scientific Legacy

    CERN Document Server

    Aaij, Roel; Adinolfi, Marco; Affolder, Anthony; Ajaltouni, Ziad; Akar, Simon; Albrecht, Johannes; Alessio, Federico; Alexander, Michael; Ali, Suvayu; Alkhazov, Georgy; Alvarez Cartelle, Paula; Alves Jr, Antonio Augusto; Amato, Sandra; Amerio, Silvia; Amhis, Yasmine; An, Liupan; Anderlini, Lucio; Anderson, Jonathan; Andreassi, Guido; Andreotti, Mirco; Andrews, Jason; Appleby, Robert; Aquines Gutierrez, Osvaldo; Archilli, Flavio; d'Argent, Philippe; Artamonov, Alexander; Artuso, Marina; Aslanides, Elie; Auriemma, Giulio; Baalouch, Marouen; Bachmann, Sebastian; Back, John; Badalov, Alexey; Baesso, Clarissa; Baldini, Wander; Barlow, Roger; Barschel, Colin; Barsuk, Sergey; Barter, William; Batozskaya, Varvara; Battista, Vincenzo; Bay, Aurelio; Beaucourt, Leo; Beddow, John; Bedeschi, Franco; Bediaga, Ignacio; Bel, Lennaert; Bellee, Violaine; Belyaev, Ivan; Ben-Haim, Eli; Bencivenni, Giovanni; Benson, Sean; Benton, Jack; Berezhnoy, Alexander; Bernet, Roland; Bertolin, Alessandro; Bettler, Marc-Olivier; van Beuzekom, Martinus; Bien, Alexander; Bifani, Simone; Bird, Thomas; Birnkraut, Alex; Bizzeti, Andrea; Blake, Thomas; Blanc, Frédéric; Blouw, Johan; Blusk, Steven; Bocci, Valerio; Bondar, Alexander; Bondar, Nikolay; Bonivento, Walter; Borghi, Silvia; Borsato, Martino; Bowcock, Themistocles; Bowen, Espen Eie; Bozzi, Concezio; Braun, Svende; Brett, David; Britsch, Markward; Britton, Thomas; Brodzicka, Jolanta; Brook, Nicholas; Bursche, Albert; Buytaert, Jan; Cadeddu, Sandro; Calabrese, Roberto; Calvi, Marta; Calvo Gomez, Miriam; Campana, Pierluigi; Campora Perez, Daniel; Capriotti, Lorenzo; Carbone, Angelo; Carboni, Giovanni; Cardinale, Roberta; Cardini, Alessandro; Carniti, Paolo; Carson, Laurence; Carvalho Akiba, Kazuyoshi; Casse, Gianluigi; Cassina, Lorenzo; Castillo Garcia, Lucia; Cattaneo, Marco; Cauet, Christophe; Cavallero, Giovanni; Cenci, Riccardo; Charles, Matthew; Charpentier, Philippe; Chefdeville, Maximilien; Chen, Shanzhen; Cheung, Shu-Faye; Chiapolini, Nicola; Chrzaszcz, Marcin; Cid Vidal, Xabier; Ciezarek, Gregory; Clarke, Peter; Clemencic, Marco; Cliff, Harry; Closier, Joel; Coco, Victor; Cogan, Julien; Cogneras, Eric; Cogoni, Violetta; Cojocariu, Lucian; Collazuol, Gianmaria; Collins, Paula; Comerma-Montells, Albert; Contu, Andrea; Cook, Andrew; Coombes, Matthew; Coquereau, Samuel; Corti, Gloria; Corvo, Marco; Couturier, Benjamin; Cowan, Greig; Craik, Daniel Charles; Crocombe, Andrew; Cruz Torres, Melissa Maria; Cunliffe, Samuel; Currie, Robert; D'Ambrosio, Carmelo; Dalseno, Jeremy; David, Pieter; Davis, Adam; De Bruyn, Kristof; De Capua, Stefano; De Cian, Michel; De Miranda, Jussara; De Paula, Leandro; De Silva, Weeraddana; De Simone, Patrizia; Dean, Cameron Thomas; Decamp, Daniel; Deckenhoff, Mirko; Del Buono, Luigi; Déléage, Nicolas; Demmer, Moritz; Derkach, Denis; Deschamps, Olivier; Dettori, Francesco; Dey, Biplab; Di Canto, Angelo; Di Ruscio, Francesco; Dijkstra, Hans; Donleavy, Stephanie; Dordei, Francesca; Dorigo, Mirco; Dosil Suárez, Alvaro; Dossett, David; Dovbnya, Anatoliy; Dreimanis, Karlis; Dufour, Laurent; Dujany, Giulio; Dupertuis, Frederic; Durante, Paolo; Dzhelyadin, Rustem; Dziurda, Agnieszka; Dzyuba, Alexey; Easo, Sajan; Egede, Ulrik; Egorychev, Victor; Eidelman, Semen; Eisenhardt, Stephan; Eitschberger, Ulrich; Ekelhof, Robert; Eklund, Lars; El Rifai, Ibrahim; Elsasser, Christian; Ely, Scott; Esen, Sevda; Evans, Hannah Mary; Evans, Timothy; Falabella, Antonio; Färber, Christian; Farinelli, Chiara; Farley, Nathanael; Farry, Stephen; Fay, Robert; Ferguson, Dianne; Fernandez Albor, Victor; Ferrari, Fabio; Ferreira Rodrigues, Fernando; Ferro-Luzzi, Massimiliano; Filippov, Sergey; Fiore, Marco; Fiorini, Massimiliano; Firlej, Miroslaw; Fitzpatrick, Conor; Fiutowski, Tomasz; Fohl, Klaus; Fol, Philip; Fontana, Marianna; Fontanelli, Flavio; Forty, Roger; Francisco, Oscar; Frank, Markus; Frei, Christoph; Frosini, Maddalena; Fu, Jinlin; Furfaro, Emiliano; Gallas Torreira, Abraham; Galli, Domenico; Gallorini, Stefano; Gambetta, Silvia; Gandelman, Miriam; Gandini, Paolo; Gao, Yuanning; García Pardiñas, Julián; Garra Tico, Jordi; Garrido, Lluis; Gascon, David; Gaspar, Clara; Gastaldi, Ugo; Gauld, Rhorry; Gavardi, Laura; Gazzoni, Giulio; Geraci, Angelo; Gerick, David; Gersabeck, Evelina; Gersabeck, Marco; Gershon, Timothy; Ghez, Philippe; Gianelle, Alessio; Gianì, Sebastiana; Gibson, Valerie; Girard, Olivier Göran; Giubega, Lavinia-Helena; Gligorov, Vladimir; Göbel, Carla; Golubkov, Dmitry; Golutvin, Andrey; Gomes, Alvaro; Gotti, Claudio; Grabalosa Gándara, Marc; Graciani Diaz, Ricardo; Granado Cardoso, Luis Alberto; Graugés, Eugeni; Graverini, Elena; Graziani, Giacomo; Grecu, Alexandru; Greening, Edward; Gregson, Sam; Griffith, Peter; Grillo, Lucia; Grünberg, Oliver; Gui, Bin; Gushchin, Evgeny; Guz, Yury; Gys, Thierry; Hadavizadeh, Thomas; Hadjivasiliou, Christos; Haefeli, Guido; Haen, Christophe; Haines, Susan; Hall, Samuel; Hamilton, Brian; Han, Xiaoxue; Hansmann-Menzemer, Stephanie; Harnew, Neville; Harnew, Samuel; Harrison, Jonathan; He, Jibo; Head, Timothy; Heijne, Veerle; Hennessy, Karol; Henrard, Pierre; Henry, Louis; Hernando Morata, Jose Angel; van Herwijnen, Eric; Heß, Miriam; Hicheur, Adlène; Hill, Donal; Hoballah, Mostafa; Hombach, Christoph; Hulsbergen, Wouter; Humair, Thibaud; Hussain, Nazim; Hutchcroft, David; Hynds, Daniel; Idzik, Marek; Ilten, Philip; Jacobsson, Richard; Jaeger, Andreas; Jalocha, Pawel; Jans, Eddy; Jawahery, Abolhassan; Jing, Fanfan; John, Malcolm; Johnson, Daniel; Jones, Christopher; Joram, Christian; Jost, Beat; Jurik, Nathan; Kandybei, Sergii; Kanso, Walaa; Karacson, Matthias; Karodia, Sarah; Kelsey, Matthew; Kenyon, Ian; Kenzie, Matthew; Ketel, Tjeerd; Khanji, Basem; Khurewathanakul, Chitsanu; Klaver, Suzanne; Klimaszewski, Konrad; Kochebina, Olga; Kolpin, Michael; Komarov, Ilya; Koopman, Rose; Koppenburg, Patrick; Korolev, Mikhail; Kozeiha, Mohamad; Kravchuk, Leonid; Kreplin, Katharina; Kreps, Michal; Krocker, Georg; Krokovny, Pavel; Kruse, Florian; Kucewicz, Wojciech; Kucharczyk, Marcin; Kudryavtsev, Vasily; Kuonen, Axel Kevin; Kurek, Krzysztof; Kvaratskheliya, Tengiz; Lacarrere, Daniel; Lafferty, George; Lai, Adriano; Lambert, Dean; Lambert, Robert W; Lanfranchi, Gaia; Langenbruch, Christoph; Langhans, Benedikt; Latham, Thomas; Lazzeroni, Cristina; Le Gac, Renaud; van Leerdam, Jeroen; Lees, Jean-Pierre; Lefèvre, Regis; Leflat, Alexander; Lefrançois, Jacques; Leroy, Olivier; Lesiak, Tadeusz; Leverington, Blake; Li, Yiming; Likhomanenko, Tatiana; Liles, Myfanwy; Lindner, Rolf; Linn, Christian; Lionetto, Federica; Liu, Bo; Liu, Xuesong; Loh, David; Lohn, Stefan; Longstaff, Iain; Lopes, Jose; Lowdon, Peter; Lucchesi, Donatella; Luo, Haofei; Lupato, Anna; Luppi, Eleonora; Lupton, Oliver; Machefert, Frederic; Maciuc, Florin; Maev, Oleg; Maguire, Kevin; Malde, Sneha; Malinin, Alexander; Manca, Giulia; Mancinelli, Giampiero; Manning, Peter Michael; Mapelli, Alessandro; Maratas, Jan; Marchand, Jean François; Marconi, Umberto; Marin Benito, Carla; Marino, Pietro; Märki, Raphael; Marks, Jörg; Martellotti, Giuseppe; Martin, Morgan; Martinelli, Maurizio; Martinez Santos, Diego; Martinez Vidal, Fernando; Martins Tostes, Danielle; Massafferri, André; Matev, Rosen; Mathad, Abhijit; Mathe, Zoltan; Matteuzzi, Clara; Mauri, Andrea; Maurin, Brice; Mazurov, Alexander; McCann, Michael; McCarthy, James; McNab, Andrew; McNulty, Ronan; Meadows, Brian; Meier, Frank; Meissner, Marco; Melnychuk, Dmytro; Merk, Marcel; Milanes, Diego Alejandro; Minard, Marie-Noelle; Mitzel, Dominik Stefan; Molina Rodriguez, Josue; Monteil, Stephane; Morandin, Mauro; Morawski, Piotr; Mordà, Alessandro; Morello, Michael Joseph; Moron, Jakub; Morris, Adam Benjamin; Mountain, Raymond; Muheim, Franz; Müller, Janine; Müller, Katharina; Müller, Vanessa; Mussini, Manuel; Muster, Bastien; Naik, Paras; Nakada, Tatsuya; Nandakumar, Raja; Nandi, Anita; Nasteva, Irina; Needham, Matthew; Neri, Nicola; Neubert, Sebastian; Neufeld, Niko; Neuner, Max; Nguyen, Anh Duc; Nguyen, Thi-Dung; Nguyen-Mau, Chung; Niess, Valentin; Niet, Ramon; Nikitin, Nikolay; Nikodem, Thomas; Ninci, Daniele; Novoselov, Alexey; O'Hanlon, Daniel Patrick; Oblakowska-Mucha, Agnieszka; Obraztsov, Vladimir; Ogilvy, Stephen; Okhrimenko, Oleksandr; Oldeman, Rudolf; Onderwater, Gerco; Osorio Rodrigues, Bruno; Otalora Goicochea, Juan Martin; Otto, Adam; Owen, Patrick; Oyanguren, Maria Aranzazu; Palano, Antimo; Palombo, Fernando; Palutan, Matteo; Panman, Jacob; Papanestis, Antonios; Pappagallo, Marco; Pappalardo, Luciano; Pappenheimer, Cheryl; Parkes, Christopher; Passaleva, Giovanni; Patel, Girish; Patel, Mitesh; Patrignani, Claudia; Pearce, Alex; Pellegrino, Antonio; Penso, Gianni; Pepe Altarelli, Monica; Perazzini, Stefano; Perret, Pascal; Pescatore, Luca; Petridis, Konstantinos; Petrolini, Alessandro; Petruzzo, Marco; Picatoste Olloqui, Eduardo; Pietrzyk, Boleslaw; Pilař, Tomas; Pinci, Davide; Pistone, Alessandro; Piucci, Alessio; Playfer, Stephen; Plo Casasus, Maximo; Poikela, Tuomas; Polci, Francesco; Poluektov, Anton; Polyakov, Ivan; Polycarpo, Erica; Popov, Alexander; Popov, Dmitry; Popovici, Bogdan; Potterat, Cédric; Price, Eugenia; Price, Joseph David; Prisciandaro, Jessica; Pritchard, Adrian; Prouve, Claire; Pugatch, Valery; Puig Navarro, Albert; Punzi, Giovanni; Qian, Wenbin; Quagliani, Renato; Rachwal, Bartolomiej; Rademacker, Jonas; Rama, Matteo; Rangel, Murilo; Raniuk, Iurii; Rauschmayr, Nathalie; Raven, Gerhard; Redi, Federico; Reichert, Stefanie; Reid, Matthew; dos Reis, Alberto; Ricciardi, Stefania; Richards, Sophie; Rihl, Mariana; Rinnert, Kurt; Rives Molina, Vincente; Robbe, Patrick; Rodrigues, Ana Barbara; Rodrigues, Eduardo; Rodriguez Lopez, Jairo Alexis; Rodriguez Perez, Pablo; Roiser, Stefan; Romanovsky, Vladimir; Romero Vidal, Antonio; Ronayne, John William; Rotondo, Marcello; Rouvinet, Julien; Ruf, Thomas; Ruiz, Hugo; Ruiz Valls, Pablo; Saborido Silva, Juan Jose; Sagidova, Naylya; Sail, Paul; Saitta, Biagio; Salustino Guimaraes, Valdir; Sanchez Mayordomo, Carlos; Sanmartin Sedes, Brais; Santacesaria, Roberta; Santamarina Rios, Cibran; Santimaria, Marco; Santovetti, Emanuele; Sarti, Alessio; Satriano, Celestina; Satta, Alessia; Saunders, Daniel Martin; Savrina, Darya; Schiller, Manuel; Schindler, Heinrich; Schlupp, Maximilian; Schmelling, Michael; Schmelzer, Timon; Schmidt, Burkhard; Schneider, Olivier; Schopper, Andreas; Schubiger, Maxime; Schune, Marie Helene; Schwemmer, Rainer; Sciascia, Barbara; Sciubba, Adalberto; Semennikov, Alexander; Serra, Nicola; Serrano, Justine; Sestini, Lorenzo; Seyfert, Paul; Shapkin, Mikhail; Shapoval, Illya; Shcheglov, Yury; Shears, Tara; Shekhtman, Lev; Shevchenko, Vladimir; Shires, Alexander; Silva Coutinho, Rafael; Simi, Gabriele; Sirendi, Marek; Skidmore, Nicola; Skillicorn, Ian; Skwarnicki, Tomasz; Smith, Edmund; Smith, Eluned; Smith, Iwan Thomas; Smith, Jackson; Smith, Mark; Snoek, Hella; Sokoloff, Michael; Soler, Paul; Soomro, Fatima; Souza, Daniel; Souza De Paula, Bruno; Spaan, Bernhard; Spradlin, Patrick; Sridharan, Srikanth; Stagni, Federico; Stahl, Marian; Stahl, Sascha; Steinkamp, Olaf; Stenyakin, Oleg; Sterpka, Christopher Francis; Stevenson, Scott; Stoica, Sabin; Stone, Sheldon; Storaci, Barbara; Stracka, Simone; Straticiuc, Mihai; Straumann, Ulrich; Sun, Liang; Sutcliffe, William; Swientek, Krzysztof; Swientek, Stefan; Syropoulos, Vasileios; Szczekowski, Marek; Szczypka, Paul; Szumlak, Tomasz; T'Jampens, Stephane; Tekampe, Tobias; Teklishyn, Maksym; Tellarini, Giulia; Teubert, Frederic; Thomas, Christopher; Thomas, Eric; van Tilburg, Jeroen; Tisserand, Vincent; Tobin, Mark; Todd, Jacob; Tolk, Siim; Tomassetti, Luca; Tonelli, Diego; Topp-Joergensen, Stig; Torr, Nicholas; Tournefier, Edwige; Tourneur, Stephane; Trabelsi, Karim; Tran, Minh Tâm; Tresch, Marco; Trisovic, Ana; Tsaregorodtsev, Andrei; Tsopelas, Panagiotis; Tuning, Niels; Ukleja, Artur; Ustyuzhanin, Andrey; Uwer, Ulrich; Vacca, Claudia; Vagnoni, Vincenzo; Valenti, Giovanni; Vallier, Alexis; Vazquez Gomez, Ricardo; Vazquez Regueiro, Pablo; Vázquez Sierra, Carlos; Vecchi, Stefania; Velthuis, Jaap; Veltri, Michele; Veneziano, Giovanni; Vesterinen, Mika; Viaud, Benoit; Vieira, Daniel; Vieites Diaz, Maria; Vilasis-Cardona, Xavier; Vollhardt, Achim; Volyanskyy, Dmytro; Voong, David; Vorobyev, Alexey; Vorobyev, Vitaly; Voß, Christian; de Vries, Jacco; Waldi, Roland; Wallace, Charlotte; Wallace, Ronan; Walsh, John; Wandernoth, Sebastian; Wang, Jianchun; Ward, David; Watson, Nigel; Websdale, David; Weiden, Andreas; Whitehead, Mark; Wiedner, Dirk; Wilkinson, Guy; Wilkinson, Michael; Williams, Mark Richard James; Williams, Matthew; Williams, Mike; Williams, Timothy; Wilson, Fergus; Wimberley, Jack; Wishahi, Julian; Wislicki, Wojciech; Witek, Mariusz; Wormser, Guy; Wotton, Stephen; Wright, Simon; Wyllie, Kenneth; Xie, Yuehong; Xu, Zhirui; Yang, Zhenwei; Yu, Jiesheng; Yuan, Xuhao; Yushchenko, Oleg; Zangoli, Maria; Zavertyaev, Mikhail; Zhang, Liming; Zhang, Yanxi; Zhelezov, Alexey; Zhokhov, Anatoly; Zhong, Liang

    2015-01-01

    We are deeply touched by the sudden loss of our dear friend and colleague Till Moritz Karbach. With this memorial book we wish to commemorate Moritz’ scientific legacy, and what Moritz meant to us as a friend.

  6. Župančič's Legacy and His Personal Library

    Directory of Open Access Journals (Sweden)

    Dragica Trobec Zadnik

    2015-12-01

    Full Text Available The legacy of writer Oton Župančič, acquired by the City Museum of Ljubljana in 1985 with a donation of the artist’s family, is a rare so large and diverse among artistic legacies. Its key part is the furniture of two rooms from Župančič’s last homes with his personal library. This article presents an overview of museum work done, from the acquisition of the legacy to its first public presentation in the framework of the exhibition Župančičeva spominska zbirka in 1985 in the museum. The methodology of the inventarization and technical foundation for the second exhibition of Oton Župančič legacy in 2008 is described. It is one of the few museum exhibitions facilitating the lovers of literary art to be in touch with the artist’s legacy on a daily basis. More detailed description of the museum’s inventory of the personal library uncovered that books are not just a literal material but also the museum subjects that exhibit artist’s work and interests and as such are the mirror of time. Many books overwritten and painted became the artist’s notebooks and thus his personal belongings. In conclusion, the obtained results and limitations are discussed and plans for further consideration and presentation of the legacy are mentioned.

  7. Information security requirements in patient-centred healthcare support systems.

    Science.gov (United States)

    Alsalamah, Shada; Gray, W Alex; Hilton, Jeremy; Alsalamah, Hessah

    2013-01-01

    Enabling Patient-Centred (PC) care in modern healthcare requires the flow of medical information with the patient between different healthcare providers as they follow the patient's treatment plan. However, PC care threatens the stability of the balance of information security in the support systems since legacy systems fall short of attaining a security balance when sharing their information due to compromises made between its availability, integrity, and confidentiality. Results show that the main reason for this is that information security implementation in discrete legacy systems focused mainly on information confidentiality and integrity leaving availability a challenge in collaboration. Through an empirical study using domain analysis, observations, and interviews, this paper identifies a need for six information security requirements in legacy systems to cope with this situation in order to attain the security balance in systems supporting PC care implementation in modern healthcare.

  8. Sources, occurrence and predicted aquatic impact of legacy and contemporary pesticides in streams

    International Nuclear Information System (INIS)

    McKnight, Ursula S.; Rasmussen, Jes J.; Kronvang, Brian; Binning, Philip J.; Bjerg, Poul L.

    2015-01-01

    We couple current findings of pesticides in surface and groundwater to the history of pesticide usage, focusing on the potential contribution of legacy pesticides to the predicted ecotoxicological impact on benthic macroinvertebrates in headwater streams. Results suggest that groundwater, in addition to precipitation and surface runoff, is an important source of pesticides (particularly legacy herbicides) entering surface water. In addition to current-use active ingredients, legacy pesticides, metabolites and impurities are important for explaining the estimated total toxicity attributable to pesticides. Sediment-bound insecticides were identified as the primary source for predicted ecotoxicity. Our results support recent studies indicating that highly sorbing chemicals contribute and even drive impacts on aquatic ecosystems. They further indicate that groundwater contaminated by legacy and contemporary pesticides may impact adjoining streams. Stream observations of soluble and sediment-bound pesticides are valuable for understanding the long-term fate of pesticides in aquifers, and should be included in stream monitoring programs. - Highlights: • Findings comprised a range of contemporary and banned legacy pesticides in streams. • Groundwater is a significant pathway for some herbicides entering streams. • Legacy pesticides increased predicted aquatic toxicity by four orders of magnitude. • Sediment-bound insecticides were identified as the primary source for ecotoxicity. • Stream monitoring programs should include legacy pesticides to assess impacts. - Legacy pesticides, particularly sediment-bound insecticides were identified as the primary source for predicted ecotoxicity impacting benthic macroinvertebrates in headwater streams

  9. Modernization Solution for Legacy Banking System Using an Open Architecture

    Directory of Open Access Journals (Sweden)

    Constantin Marian MATEI

    2012-01-01

    Full Text Available Banks are still using legacy systems as the core of their business is comprised within such sys-tems. Since the technology and client demands are changing rapidly, the banks have to adapt their systems in order to be competitive. The issue is to identify correctly what are the bank users preferences in terms of software reliability and how modern is the system For instance, there are users who enjoy working using the old screen format, and there are users who enjoy working with newer layouts, Web interfaces, and so on. We need also to know the constraints generated by the usage of legacy systems, and how these systems can be improved or replaced. The scope of the article is to present a solution of modernizing a legacy banking system by using a SOA approach. The research is based on the modernization of a legacy system developed in COBOL/400 under IBM iSeries. The modernization process uses a SOA ap-proach using JAVA technologies.

  10. On the ergodic capacity of legacy systems in the presence of next generation interference

    KAUST Repository

    Mahmood, Nurul Huda

    2011-11-01

    Next generation wireless systems facilitating better utilization of the scarce radio spectrum have emerged as a response to inefficient rigid spectrum assignment policies. These are comprised of intelligent radio nodes that opportunistically operate in the radio spectrum of existing legacy systems; yet unwanted interference at the legacy receivers is unavoidable. In order to design efficient next generation systems and to minimize their harmful consequences, it is necessary to realize their impact on the performance of legacy systems. In this work, a generalized framework for the ergodic capacity analysis of such legacy systems in the presence of interference from next generation systems is presented. The analysis is built around a model developed for the statistical representation of the interference at the legacy receivers, which is then used to evaluate the ergodic capacity of the legacy system. Moreover, this analysis is not limited to the context of legacy systems, and is in fact applicaple to any interference limited system. Findings of analytical performance analyses are confirmed through selected computer-based Monte-Carlo simulations. © 2011 IEEE.

  11. Past as Prologue: Educational Psychology's Legacy and Progeny

    Science.gov (United States)

    Alexander, Patricia A.

    2018-01-01

    On the occasion of the 125th anniversary of the American Psychological Association, the legacies and progenies of the discipline of educational psychology are explored. To capture those legacies, transformational and influential contributions by educational psychologists to schools and society are described as key themes. Those themes entail: the…

  12. The 5L Instructional Design For Exploring Legacies through Biography

    Science.gov (United States)

    Boulware, Beverly J.; Monroe, Eula E.; Wilcox, Bradley Ray

    2013-01-01

    People who have impacted generations have left legacies we can explore today through biographies. The 5L instructional design introduced in this article includes five components: Listen, Learn, Locate, Link, and Legacy. In the "Listen" section, teachers use storytelling and read-alouds to introduce individuals who shaped history. During…

  13. Scientific legacy of Stanley Ruby

    International Nuclear Information System (INIS)

    Shenoy, G. K.

    2006-01-01

    Stanley L. Ruby (1924-2004) made major contributions to Moessbauer spectroscopy and was the first to suggest the feasibility of observing the Moessbauer effect using synchrotron radiation. In this article we recall his scientific legacy that have inspired his scientific colleagues.

  14. Scientific Data as the Core Legacy of IPY

    Science.gov (United States)

    Parsons, M. A.

    2008-12-01

    The interdisciplinary breadth of the International Polar Year is unprecedented. The IPY has explicit objectives to link researchers across different fields to address questions and issues lying beyond the scope of individual disciplines and to strengthen international coordination of research and enhance international collaboration and cooperation. The IPY Data Policy and Management Subcommittee have developed a policy to help meet these objectives and an international collaboration of investigators and data managers, the IPY Data and Information Service, are working to make IPY data widely available. I will present an overview of the primary data management considerations for IPY and how diverse organizations are making IPY and related data available. Centralized discovery mechanisms for widely distributed data plus targeted access mechanisms for specific disciplines will be presented. These range from near real time access to satellite remote sensing data and GCM output to fair and appropriate access to traditional knowledge of the Arctic. These mechanisms reflect significant advancement in polar data management, but they belie the major challenges that remain. These challenges include fostering a culture change in science that puts greater value on data publication and open data access as well as developing sustained systems and business models for the long-term preservation of IPY data. This will be crucial to ensuring the legacy of IPY, a major objective of IPY sponsors, ICSU and WMO. New efforts to ensure this legacy include the development of the WMO Information System, the Sustained Arctic Observing Network, and the Global Earth Observing System of Systems; the reform of ICSU's World Data Center System; and the results of the Electronic Geophysical Year.

  15. Legacies in material flux: Structural changes before long-term studies

    Science.gov (United States)

    D.J. Bain; M.B. Green; J. Campbell; J. Chamblee; S. Chaoka; J. Fraterrigo; S. Kaushal; S. Martin; T. Jordan; T. Parolari; B. Sobczak; D. Weller; W. M. Wollheim; E. Boose; J. Duncan; G. Gettel; B. Hall; P. Kumar; J. Thompson; J. Vose; E. Elliott; D. Leigh

    2012-01-01

    Legacy effects of past land use and disturbance are increasingly recognized, yet consistent definitions of and criteria for defining them do not exist. To address this gap in biological- and ecosystem-assessment frameworks, we propose a general metric for evaluating potential legacy effects, which are computed by normalizing altered system function persistence with...

  16. Nitrate retention capacity of milldam-impacted legacy sediments and relict A horizon soils

    Directory of Open Access Journals (Sweden)

    J. N. Weitzman

    2017-05-01

    Full Text Available While eutrophication is often attributed to contemporary nutrient pollution, there is growing evidence that past practices, like the accumulation of legacy sediment behind historic milldams, are also important. Given their prevalence, there is a critical need to understand how N flows through, and is retained in, legacy sediments to improve predictions and management of N transport from uplands to streams in the context of climatic variability and land-use change. Our goal was to determine how nitrate (NO3− is cycled through the soil of a legacy-sediment-strewn stream before and after soil drying. We extracted 10.16 cm radius intact soil columns that extended 30 cm into each of the three significant soil horizons at Big Spring Run (BSR in Lancaster, Pennsylvania: surface legacy sediment characterized by a newly developing mineral A horizon soil, mid-layer legacy sediment consisting of mineral B horizon soil and a dark, organic-rich, buried relict A horizon soil. Columns were first preincubated at field capacity and then isotopically labeled nitrate (15NO3− was added and allowed to drain to estimate retention. The columns were then air-dried and subsequently rewet with N-free water and allowed to drain to quantify the drought-induced loss of 15NO3− from the different horizons. We found the highest initial 15N retention in the mid-layer legacy sediment (17 ± 4 % and buried relict A soil (14 ± 3 % horizons, with significantly lower retention in the surface legacy sediment (6 ± 1 % horizon. As expected, rewetting dry soil resulted in 15N losses in all horizons, with the greatest losses in the buried relict A horizon soil, followed by the mid-layer legacy sediment and surface legacy sediment horizons. The 15N remaining in the soil following the post-drought leaching was highest in the mid-layer legacy sediment, intermediate in the surface legacy sediment, and lowest in the buried relict A horizon soil. Fluctuations

  17. Nitrate retention capacity of milldam-impacted legacy sediments and relict A horizon soils

    Science.gov (United States)

    Weitzman, Julie N.; Kaye, Jason P.

    2017-05-01

    While eutrophication is often attributed to contemporary nutrient pollution, there is growing evidence that past practices, like the accumulation of legacy sediment behind historic milldams, are also important. Given their prevalence, there is a critical need to understand how N flows through, and is retained in, legacy sediments to improve predictions and management of N transport from uplands to streams in the context of climatic variability and land-use change. Our goal was to determine how nitrate (NO3-) is cycled through the soil of a legacy-sediment-strewn stream before and after soil drying. We extracted 10.16 cm radius intact soil columns that extended 30 cm into each of the three significant soil horizons at Big Spring Run (BSR) in Lancaster, Pennsylvania: surface legacy sediment characterized by a newly developing mineral A horizon soil, mid-layer legacy sediment consisting of mineral B horizon soil and a dark, organic-rich, buried relict A horizon soil. Columns were first preincubated at field capacity and then isotopically labeled nitrate (15NO3-) was added and allowed to drain to estimate retention. The columns were then air-dried and subsequently rewet with N-free water and allowed to drain to quantify the drought-induced loss of 15NO3- from the different horizons. We found the highest initial 15N retention in the mid-layer legacy sediment (17 ± 4 %) and buried relict A soil (14 ± 3 %) horizons, with significantly lower retention in the surface legacy sediment (6 ± 1 %) horizon. As expected, rewetting dry soil resulted in 15N losses in all horizons, with the greatest losses in the buried relict A horizon soil, followed by the mid-layer legacy sediment and surface legacy sediment horizons. The 15N remaining in the soil following the post-drought leaching was highest in the mid-layer legacy sediment, intermediate in the surface legacy sediment, and lowest in the buried relict A horizon soil. Fluctuations in the water table at BSR which affect

  18. Bereaved mothers' and fathers' perceptions of a legacy intervention for parents of infants in the NICU.

    Science.gov (United States)

    Akard, T F; Duffy, M; Hord, A; Randall, A; Sanders, A; Adelstein, K; Anani, U E; Gilmer, M J

    2018-01-01

    Legacy-making, actions or behaviors aimed at being remembered, may be one strategy to enhance coping and improve grief outcomes for bereaved parents and siblings. While legacy interventions have been developed and tested in pediatric and adult populations, legacy activities specific to bereaved parents in the neonatal intensive care unit remain unexplored. This study explored bereaved parents' perceptions of a digital storytelling legacy-making intervention for parents after the death of an infant. Six bereaved mothers and fathers participated in a focus group interview three to 12 months after the death of an infant in the NICU. A semi-structured interview guide with open-ended questions was used to obtain parent self-reports. Qualitative content analysis identified emerging themes. Four major themes emerged regarding participants' perceptions of a legacy intervention: (a) parents' willingness to participate in a legacy intervention, (b) parents' suggestions for a feasible intervention, (c) parents' suggestions for an acceptable intervention, and (d) parents' perceived benefits of legacy-making. Participants reported that a legacy-making intervention via digital storytelling would be feasible, acceptable, and beneficial for NICU parents. Study results support the need and desire for legacy-making services to be developed and offered in the NICU.

  19. The Planck Legacy Archive

    Science.gov (United States)

    Dupac, X.; Arviset, C.; Fernandez Barreiro, M.; Lopez-Caniego, M.; Tauber, J.

    2015-12-01

    The Planck Collaboration has released in 2015 their second major dataset through the Planck Legacy Archive (PLA). It includes cosmological, Extragalactic and Galactic science data in temperature (intensity) and polarization. Full-sky maps are provided with unprecedented angular resolution and sensitivity, together with a large number of ancillary maps, catalogues (generic, SZ clusters and Galactic cold clumps), time-ordered data and other information. The extensive cosmological likelihood package allows cosmologists to fully explore the plausible parameters of the Universe. A new web-based PLA user interface is made public since Dec. 2014, allowing easier and faster access to all Planck data, and replacing the previous Java-based software. Numerous additional improvements to the PLA are also being developed through the so-called PLA Added-Value Interface, making use of an external contract with the Planetek Hellas and Expert Analytics software companies. This will allow users to process time-ordered data into sky maps, separate astrophysical components in existing maps, simulate the microwave and infrared sky through the Planck Sky Model, and use a number of other functionalities.

  20. A legacy building model for holistic nursing.

    Science.gov (United States)

    Lange, Bernadette; Zahourek, Rothlyn P; Mariano, Carla

    2014-06-01

    This pilot project was an effort to record the historical roots, development, and legacy of holistic nursing through the visionary spirit of four older American Holistic Nurses Association (AHNA) members. The aim was twofold: (a) to capture the holistic nursing career experiences of elder AHNA members and (b) to begin to create a Legacy Building Model for Holistic Nursing. The narratives will help initiate an ongoing, systematic method for the collection of historical data and serve as a perpetual archive of knowledge and inspiration for present and future holistic nurses. An aesthetic inquiry approach was used to conduct in-depth interviews with four older AHNA members who have made significant contributions to holistic nursing. The narratives provide a rich description of their personal and professional evolution as holistic nurses. The narratives are presented in an aesthetic format of the art forms of snapshot, pastiche, and collage rather than traditional presentations of research findings. A synopsis of the narratives is a dialogue between the three authors and provides insight for how a Legacy Model can guide our future. Considerations for practice, education, and research are discussed based on the words of wisdom from the four older holistic nurses.

  1. Institute of legacy in the testament

    Directory of Open Access Journals (Sweden)

    MSc. Shpresa Ibrahimi

    2011-06-01

    Full Text Available Globalization as the new world order has brought to a more planned human life. This planning not only entails the individual life, but it must plan for a longer term future as well. When we talk about long terms, we immediately think about analytical skills of Roman lawyers in creating the mortis causa institute (effec-ting upon death. A characteristic of this paper comes with the latin term “leg”. The testament is a statement of will, which defines the heirs and the inheritance. While the Testament is a rather more elaborated work, the Legacy is a special provision, an order in the testament, addressed to the heirs, to submit an item or a material value to the privileged persons, called the Legatar. The Legatar, as the benefi-ciary of this provision is only a beneficiary, and does not take res-ponsibility for the debts of the inherited property. Planning of wealth may serve various functions or purposes. The Legacy represents a balance between the freedom of disposing inheritance in a free manner, and limitation of a part called nece-ssary fortune. The money or the values we decide to give away with the Institute of Legacy are not about their material value, but the significance of their investment, the goal and the best reminis-cence of the testators’ contribution in generations.

  2. DATA-DRIVEN RIGHTSIZING: INTEGRATING PRESERVATION INTO THE LEGACY CITIES LANDSCAPE

    Directory of Open Access Journals (Sweden)

    E. Evans

    2017-08-01

    Full Text Available Legacy cities, whose built environments are undergoing transformations due to population loss, are at a critical juncture in their urban history and the historic preservation field has an important role to play. Rapid mobile surveys provide an opportunity for data collection that expands beyond traditional historic criteria, and positions preservationists to be proactive decision-makers and to align with multi-disciplinary partners. Rapid mobile surveys are being utilized in conjunction with in-depth data analysis of comprehensive livability metrics at the parcel, neighborhood, and citywide levels to develop recommendations for reactivating vacant properties. Historic preservationists are spearheading these efforts through a tool called Relocal, which uses 70–85 distinct metrics and a community priority survey to generate parcel-level recommendations for every vacant lot and vacant building in the areas in which it is applied. Local volunteer-led rapid mobile surveys are key to gathering on-the-ground, real-time metrics that serve as Relocal’s foundation. These new survey techniques generate usable data sets for historic preservation practitioners, land banks, planners, and other entities to inform strategic rightsizing decisions across legacy cities.

  3. Legacy model integration for enhancing hydrologic interdisciplinary research

    Science.gov (United States)

    Dozier, A.; Arabi, M.; David, O.

    2013-12-01

    Many challenges are introduced to interdisciplinary research in and around the hydrologic science community due to advances in computing technology and modeling capabilities in different programming languages, across different platforms and frameworks by researchers in a variety of fields with a variety of experience in computer programming. Many new hydrologic models as well as optimization, parameter estimation, and uncertainty characterization techniques are developed in scripting languages such as Matlab, R, Python, or in newer languages such as Java and the .Net languages, whereas many legacy models have been written in FORTRAN and C, which complicates inter-model communication for two-way feedbacks. However, most hydrologic researchers and industry personnel have little knowledge of the computing technologies that are available to address the model integration process. Therefore, the goal of this study is to address these new challenges by utilizing a novel approach based on a publish-subscribe-type system to enhance modeling capabilities of legacy socio-economic, hydrologic, and ecologic software. Enhancements include massive parallelization of executions and access to legacy model variables at any point during the simulation process by another program without having to compile all the models together into an inseparable 'super-model'. Thus, this study provides two-way feedback mechanisms between multiple different process models that can be written in various programming languages and can run on different machines and operating systems. Additionally, a level of abstraction is given to the model integration process that allows researchers and other technical personnel to perform more detailed and interactive modeling, visualization, optimization, calibration, and uncertainty analysis without requiring deep understanding of inter-process communication. To be compatible, a program must be written in a programming language with bindings to a common

  4. Stakeholder reflections of the tourism and nation-branding legacy of ...

    African Journals Online (AJOL)

    Over the past decade there has been a growing awareness of the significant impact that hosting mega sport events can have on a nation's brand. This paper discusses the context of nation-branding as a tourism legacy and the role of mega sport events in generating a tourism and nation-branding legacy in relation to the ...

  5. Comparison of the Infiniti vision and the series 20,000 Legacy systems.

    Science.gov (United States)

    Fernández de Castro, Luis E; Solomon, Kerry D; Hu, Daniel J; Vroman, David T; Sandoval, Helga P

    2008-01-01

    To compare the efficiency of the Infiniti vision system and the Series 20,000 Legacy system phacoemulsification units during routine cataract extraction. Thirty-nine eyes of 39 patients were randomized to have their cataract removed using either the Infiniti or the Legacy system, both using the Neosonix handpiece. System settings were standardized. Ultrasound time, amount of balanced salt solution (BSS) used intraoperatively, and postoperative visual acuity at postoperative days 1, 7 and 30 were evaluated. Preoperatively, best corrected visual acuity was significantly worse in the Infiniti group compared to the Legacy group (0.38 +/- 0.23 and 0.21 +/- 0.16, respectively; p = 0.012). The mean phacoemulsification time was 39.6 +/- 22.9 s (range 6.0-102.0) for the Legacy group and 18.3 +/-19.1 s (range 1.0-80.0) for the Infiniti group (p = 0.001). The mean amounts of intraoperative BSS used were 117 +/- 37.7 ml (range 70-195) in the Legacy group and 85.3 +/- 38.9 ml (range 40-200) in the Infiniti group (p = 0.005). No differences in postoperative visual acuity were found. The ability to use higher flow rates and vacuum settings with the Infiniti vision system allowed for cataract removal with less phacoemulsification time than when using the Legacy system. Copyright 2008 S. Karger AG, Basel.

  6. Comparison of Overridden Medication-related Clinical Decision Support in the Intensive Care Unit between a Commercial System and a Legacy System.

    Science.gov (United States)

    Wong, Adrian; Wright, Adam; Seger, Diane L; Amato, Mary G; Fiskio, Julie M; Bates, David

    2017-08-23

    Electronic health records (EHRs) with clinical decision support (CDS) have shown to be effective at improving patient safety. Despite this, alerts delivered as part of CDS are overridden frequently, which is of concern in the critical care population as this group may have an increased risk of harm. Our organization recently transitioned from an internally-developed EHR to a commercial system. Data comparing various EHR systems, especially after transitions between EHRs, are needed to identify areas for improvement. To compare the two systems and identify areas for potential improvement with the new commercial system at a single institution. Overridden medication-related CDS alerts were included from October to December of the systems' respective years (legacy, 2011; commercial, 2015), restricted to three intensive care units. The two systems were compared with regards to CDS presentation and override rates for four types of CDS: drug-allergy, drug-drug interaction (DDI), geriatric and renal alerts. A post hoc analysis to evaluate for adverse drug events (ADEs) potentially resulting from overridden alerts was performed for 'contraindicated' DDIs via chart review. There was a significant increase in provider exposure to alerts and alert overrides in the commercial system (commercial: n=5,535; legacy: n=1,030). Rates of overrides were higher for the allergy and DDI alerts (pcommercial system. Geriatric and renal alerts were significantly different in incidence and presentation between the two systems. No ADEs were identified in an analysis of 43 overridden contraindicated DDI alerts. The vendor system had much higher rates of both alerts and overrides, although we did not find evidence of harm in a review of DDIs which were overridden. We propose recommendations for improving our current system which may be helpful to other similar institutions; improving both alert presentation and the underlying knowledge base appear important.

  7. Legacies of the Manhattan Project

    Science.gov (United States)

    Kevles, Daniel

    2017-01-01

    The Manhattan Project of World War II mobilized thousands of people, including many of the nation's leading physicists, and extensive material resources to design, develop, and manufacture the world's first nuclear weapons. It also established sprawling new facilities for the production of fissionable fuels - notably at Oak Ridge, Tennessee, and Hanford, Washington. It left a set of powerful legacies in the context of the Cold War - endowing scientists with conscience-taxing responsibilities in the nuclear arms race; promoting enormous patronage of academic research by defense and defense-related federal agencies, notably the Office of Naval Research and the Atomic Energy Commission; and turning its wartime facilities into major national laboratories that advanced the fields of high-energy and nuclear physics and stimulated local industrial economies but that in some cases, notably at Hanford, severely polluted the surrounding environment with radioactive waste and disrupted the livelihoods of native peoples. ``Legacies of the Manhattan Project''

  8. A methodology based on openEHR archetypes and software agents for developing e-health applications reusing legacy systems.

    Science.gov (United States)

    Cardoso de Moraes, João Luís; de Souza, Wanderley Lopes; Pires, Luís Ferreira; do Prado, Antonio Francisco

    2016-10-01

    In Pervasive Healthcare, novel information and communication technologies are applied to support the provision of health services anywhere, at anytime and to anyone. Since health systems may offer their health records in different electronic formats, the openEHR Foundation prescribes the use of archetypes for describing clinical knowledge in order to achieve semantic interoperability between these systems. Software agents have been applied to simulate human skills in some healthcare procedures. This paper presents a methodology, based on the use of openEHR archetypes and agent technology, which aims to overcome the weaknesses typically found in legacy healthcare systems, thereby adding value to the systems. This methodology was applied in the design of an agent-based system, which was used in a realistic healthcare scenario in which a medical staff meeting to prepare a cardiac surgery has been supported. We conducted experiments with this system in a distributed environment composed by three cardiology clinics and a center of cardiac surgery, all located in the city of Marília (São Paulo, Brazil). We evaluated this system according to the Technology Acceptance Model. The case study confirmed the acceptance of our agent-based system by healthcare professionals and patients, who reacted positively with respect to the usefulness of this system in particular, and with respect to task delegation to software agents in general. The case study also showed that a software agent-based interface and a tools-based alternative must be provided to the end users, which should allow them to perform the tasks themselves or to delegate these tasks to other people. A Pervasive Healthcare model requires efficient and secure information exchange between healthcare providers. The proposed methodology allows designers to build communication systems for the message exchange among heterogeneous healthcare systems, and to shift from systems that rely on informal communication of actors to

  9. Einstein's Legacy, at the Globe

    CERN Multimedia

    2005-01-01

    One-hundred years on, Albert Einstein's theories continue to fuel the daily work of physicists. From research into gravity waves to the quest for grand unification in physics, today's researchers have not finished with the legacy of the most famous and iconic physicist of the 20th Century.

  10. The Legacy of Nikola Tesla

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 12; Issue 4. The Legacy of Nikola Tesla - AC Power System and its Growth in India. D P Sen Gupta. General Article Volume 12 Issue 4 April 2007 pp 69-79. Fulltext. Click here to view fulltext PDF. Permanent link:

  11. Remediation of legacy sites in Belarus

    International Nuclear Information System (INIS)

    Shiryaeva, Nina; Skurat, Vladimir; Zhemzhurov, Michail; Myshkina, Nadezhda; Chaternik, Romouald; Yacko, Svetlana

    2008-01-01

    the Soviet Union in 1992-1994 the repositories of radioactive waste (RAW) of well type were abandoned in places of their former locations in Belarus. By now about 20 such legacy sites have been found in Belarus. According to official information there are more than 100 similar objects in countries of the former Soviet Union and the East Europe. Retrospective analysis has shown that the objects considered did not have the official status and violated both the national and international requirements and regulations of RAW safe storage. In 2001 the work program was developed and performed in Belarus to investigate two RAW disposal sites of indicated type and to study their safety. The analysis of data of field investigations of ground and groundwater near the wells investigated has indicated on a start of processes of radionuclide migration from repository to the environment. Safety assessment of these objects, considered on the basis of approaches which were recommended by the IAEA experts (ISAM, ASAM), also has led to the conclusion about potential danger of these repositories and necessity of their liquidation by means of retrieval radioactive waste and its replacing to more reliable repository At present the programme on liquidation of the military legacy sites and remediation actions of the environment at these territories has been developed. (author)

  12. Two tales of legacy effects on stream nutrient behaviour

    Science.gov (United States)

    Bieroza, M.; Heathwaite, A. L.

    2017-12-01

    Intensive agriculture has led to large-scale land use conversion, shortening of flow pathways and increased loads of nutrients in streams. This legacy results in gradual build-up of nutrients in agricultural catchments: in soil for phosphorus (biogeochemical legacy) and in the unsaturated zone for nitrate (hydrologic legacy), controlling the water quality in the long-term. Here we investigate these effects on phosphorus and nitrate stream concentrations using high-frequency (10-5 - 100 Hz) sampling with in situ wet-chemistry analysers and optical sensors. Based on our 5 year study, we observe that storm flow responses differ for both nutrients: phosphorus shows rapid increases (up to 3 orders of magnitude) in concentrations with stream flow, whereas nitrate shows both dilution and concentration effects with increasing flow. However, the range of nitrate concentrations change is narrow (up to 2 times the mean) and reflects chemostatic behaviour. We link these nutrient responses with their dominant sources and flow pathways in the catchment. Nitrate from agriculture (with the peak loading in 1983) is stored in the unsaturated zone of the Penrith Sandstone, which can reach up to 70 m depth. Thus nitrate legacy is related to a hydrologic time lag with long travel times in the unsaturated zone. Phosphorus is mainly sorbed to soil particles, therefore it is mobilised rapidly during rainfall events (biogeochemical legacy). The phosphorus stream response will however depend on how well connected is the stream to the catchment sources (driven by soil moisture distribution) and biogeochemical activity (driven by temperature), leading to both chemostatic and non-chemostatic responses, alternating on a storm-to-storm and seasonal basis. Our results also show that transient within-channel storage is playing an important role in delivery of phosphorus, providing an additional time lag component. These results show, that consistent agricultural legacy in the catchment (high

  13. Darwin's legacy

    Science.gov (United States)

    Susskind, Leonard

    2009-07-01

    Charles Darwin was no theoretical physicist, and I am no biologist. Yet, as a theoretical physicist, I have found much to think about in Darwin's legacy - and in that of his fellow naturalist Alfred Russell Wallace. Darwin's style of science is not usually thought of as theoretical and certainly not mathematical: he was a careful observer of nature, kept copious notes, contributed to zoological collections; and eventually from his vast repertoire of observation deduced the idea of natural selection as the origin of species. The value of theorizing is often dismissed in the biological sciences as less important than observation; and Darwin was the master observer.

  14. Scale and legacy controls on catchment nutrient export regimes

    Science.gov (United States)

    Howden, N. J. K.; Burt, T.; Worrall, F.

    2017-12-01

    Nutrient dynamics in river catchments are complex: water and chemical fluxes are highly variable in low-order streams, but this variability declines as fluxes move through higher-order reaches. This poses a major challenge for process understanding as much effort is focussed on long-term monitoring of the main river channel (a high-order reach), and therefore the data available to support process understanding are predominantly derived from sites where much of the transient response of nutrient export is masked by the effect of averaging over both space and time. This may be further exacerbated at all scales by the accumulation of legacy nutrient sources in soils, aquifers and pore waters, where historical activities have led to nutrient accumulation where the catchment system is transport limited. Therefore it is of particular interest to investigate how the variability of nutrient export changes both with catchment scale (from low to high-order catchment streams) and with the presence of legacy sources, such that the context of infrequent monitoring on high-order streams can be better understood. This is not only a question of characterising nutrient export regimes per se, but also developing a more thorough understanding of how the concepts of scale and legacy may modify the statistical characteristics of observed responses across scales in both space and time. In this paper, we use synthetic data series and develop a model approach to consider how space and timescales combine with impacts of legacy sources to influence observed variability in catchment export. We find that: increasing space and timescales tend to reduce the observed variance in nutrient exports, due to an increase in travel times and greater mixing, and therefore averaging, of sources; increasing the influence of legacy sources inflates the variance, with the level of inflation dictated by the residence time of the respective sources.

  15. The Legacy of Nikola Tesla

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 12; Issue 3. The Legacy of Nikola Tesla - The AC System that he Helped to Usher in. D P Sen Gupta. General Article Volume 12 Issue 3 March 2007 pp 54-69. Fulltext. Click here to view fulltext PDF. Permanent link:

  16. Legacy Risk Measure for Environmental Waste

    International Nuclear Information System (INIS)

    Eide, S. A.; Nitschke, R. L.

    2002-01-01

    The Idaho National Engineering and Environmental Laboratory (INEEL) is investigating the development of a comprehensive and quantitative risk model framework for environmental management activities at the site. Included are waste management programs (high-level waste, transuranic waste, low-level waste, mixed low-level waste, spent nuclear fuel, and special nuclear materials), major environmental restoration efforts, major decontamination and decommissioning projects, and planned long-term stewardship activities. Two basic types of risk estimates are included: risks from environmental management activities, and long-term legacy risks from wastes/materials. Both types of risks are estimated using the Environment, Safety, and Health Risk Assessment Program (ESHRAP) developed at the INEEL. Given these two types of risk calculations, the following evaluations can be performed: risk evaluation of an entire program (covering waste/material as it now exists through disposal or other e nd states); risk comparisons of alternative programs or activities; comparisons of risk benefit versus risk cost for activities or entire programs; ranking of programs or activities by risk; ranking of wastes/materials by risk; evaluation of site risk changes with time as activities progress; and integrated performance measurement using indicators such as injury/death and exposure rates. This paper discusses the definition and calculation of legacy risk measures and associated issues. The legacy risk measure is needed to support three of the seven types of evaluations listed above: comparisons of risk benefit versus risk cost, ranking of wastes/materials by risk, and evaluation of site risk changes with time

  17. Local meanings of a sport mega-event's legacies : Stories from a South African urban neighbourhood

    NARCIS (Netherlands)

    Waardenburg, Maikel; van den Bergh, Marjolein; van Eekeren, Frank

    2015-01-01

    Studies on sport mega-events and their legacies often seem only loosely connected to local experiences. Stories on sport mega-event legacy appear as a setting-the-scene or function as a reference to illustrate specific types of legacy. However, stories themselves are never the primary focus in these

  18. Detecting clinically relevant new information in clinical notes across specialties and settings.

    Science.gov (United States)

    Zhang, Rui; Pakhomov, Serguei V S; Arsoniadis, Elliot G; Lee, Janet T; Wang, Yan; Melton, Genevieve B

    2017-07-05

    Automated methods for identifying clinically relevant new versus redundant information in electronic health record (EHR) clinical notes is useful for clinicians and researchers involved in patient care and clinical research, respectively. We evaluated methods to automatically identify clinically relevant new information in clinical notes, and compared the quantity of redundant information across specialties and clinical settings. Statistical language models augmented with semantic similarity measures were evaluated as a means to detect and quantify clinically relevant new and redundant information over longitudinal clinical notes for a given patient. A corpus of 591 progress notes over 40 inpatient admissions was annotated for new information longitudinally by physicians to generate a reference standard. Note redundancy between various specialties was evaluated on 71,021 outpatient notes and 64,695 inpatient notes from 500 solid organ transplant patients (April 2015 through August 2015). Our best method achieved at best performance of 0.87 recall, 0.62 precision, and 0.72 F-measure. Addition of semantic similarity metrics compared to baseline improved recall but otherwise resulted in similar performance. While outpatient and inpatient notes had relatively similar levels of high redundancy (61% and 68%, respectively), redundancy differed by author specialty with mean redundancy of 75%, 66%, 57%, and 55% observed in pediatric, internal medicine, psychiatry and surgical notes, respectively. Automated techniques with statistical language models for detecting redundant versus clinically relevant new information in clinical notes do not improve with the addition of semantic similarity measures. While levels of redundancy seem relatively similar in the inpatient and ambulatory settings in the Fairview Health Services, clinical note redundancy appears to vary significantly with different medical specialties.

  19. Annotating temporal information in clinical narratives.

    Science.gov (United States)

    Sun, Weiyi; Rumshisky, Anna; Uzuner, Ozlem

    2013-12-01

    Temporal information in clinical narratives plays an important role in patients' diagnosis, treatment and prognosis. In order to represent narrative information accurately, medical natural language processing (MLP) systems need to correctly identify and interpret temporal information. To promote research in this area, the Informatics for Integrating Biology and the Bedside (i2b2) project developed a temporally annotated corpus of clinical narratives. This corpus contains 310 de-identified discharge summaries, with annotations of clinical events, temporal expressions and temporal relations. This paper describes the process followed for the development of this corpus and discusses annotation guideline development, annotation methodology, and corpus quality. Copyright © 2013 Elsevier Inc. All rights reserved.

  20. The Olympic legacy: feeding London

    NARCIS (Netherlands)

    Janssens, F.

    2012-01-01

    Over the last decades, the Olympic Games have increasingly claimed to deliver a social and economic ‘legacy’ to the host city. The 2012 Olympic Games in London have set out to deliver a legacy of better food for east London, an area perceived as ‘deprived’, with higher than average rates of obesity

  1. Security of legacy process control systems : Moving towards secure process control systems

    NARCIS (Netherlands)

    Oosterink, M.

    2012-01-01

    This white paper describes solutions which organisations may use to improve the security of their legacy process control systems. When we refer to a legacy system, we generally refer to old methodologies, technologies, computer systems or applications which are still in use, despite the fact that

  2. The portrayal of J. Marion Sims' controversial surgical legacy.

    Science.gov (United States)

    Spettel, Sara; White, Mark Donald

    2011-06-01

    In the mid 1800s Dr. J. Marion Sims reported the successful repair of vesicovaginal fistulas with a technique he developed by performing multiple operations on female slaves. A venerated physician in his time, the legacy of Dr. Sims is controversial and represents a significant chapter in the mistreatment of African-Americans by the medical establishment. This review compares the modern debate surrounding his legacy with the presentation of his operation in widely consulted urological texts and journals. A literature review was performed of medical, sociological and periodical sources (1851 to the present) regarding J. Marion Sims and vesicovaginal fistula repair. During the last several decades, while the controversy around Dr. Sims' surgical development has produced a steady stream of articles in the historical and popular literature, relatively little mention is found in standard urology textbooks or journals. With increased public attention, some have debated the removal or modification of public tributes to Dr. Sims. This move has been countered by arguments against the validity of judging a 19th century physician by modern standards. While historians, ethicists and the popular press have debated Dr. Sims' legacy, medical sources have continued to portray him unquestionably as a great figure in medical history. This division keeps the medical profession uninformed and detached from the public debate on his legacy and, thus, the larger issues of ethical treatment of surgical patients. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  3. Groundwater Discharge of Legacy Nitrogen to River Networks: Linking Regional Groundwater Models to Streambed Groundwater-Surface Water Exchange and Nitrogen Processing

    Science.gov (United States)

    Barclay, J. R.; Helton, A. M.; Briggs, M. A.; Starn, J. J.; Hunt, A.

    2017-12-01

    Despite years of management, excess nitrogen (N) is a pervasive problem in many aquatic ecosystems. More than half of surface water in the United States is derived from groundwater, and widespread N contamination in aquifers from decades of watershed N inputs suggest legacy N discharging from groundwater may contribute to contemporary N pollution problems in surface waters. Legacy N loads to streams and rivers are controlled by both regional scale flow paths and fine-scale processes that drive N transformations, such as groundwater-surface water exchange across steep redox gradients that occur at stream bed interfaces. Adequately incorporating these disparate scales is a challenge, but it is essential to understanding legacy N transport and making informed management decisions. We developed a regional groundwater flow model for the Farmington River, a HUC-8 basin that drains to the Long Island Sound, a coastal estuary that suffers from elevated N loads despite decades of management, to understand broad patterns of regional transport. To evaluate and refine the regional model, we used thermal infrared imagery paired with vertical temperature profiling to estimate groundwater discharge at the streambed interface. We also analyzed discharging groundwater for multiple N species to quantify fine scale patterns of N loading and transformation via denitrification at the streambed interface. Integrating regional and local estimates of groundwater discharge of legacy N to river networks should improve our ability to predict spatiotemporal patterns of legacy N loading to and transformation within surface waters.

  4. The Timeless Legacy of Robert Koch

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 11; Issue 9. The Timeless Legacy of Robert Koch - Founder of Medical Microbiology. Jaya S Tyagi. General Article Volume 11 Issue 9 September 2006 pp 20-28. Fulltext. Click here to view fulltext PDF. Permanent link:

  5. 76 FR 15311 - Legacy Learning Systems, Inc.; Analysis of Proposed Consent Order To Aid Public Comment

    Science.gov (United States)

    2011-03-21

    ... FEDERAL TRADE COMMISSION [File No. 102 3055] Legacy Learning Systems, Inc.; Analysis of Proposed... electronically or in paper form. Comments should refer to ``Legacy Learning Systems, File No. 102 3055'' to... it. A comment filed in paper form should include the ``Legacy Learning Systems, File No. 102 3055...

  6. Sources, occurrence and predicted aquatic impact of legacy and contemporary pesticides in streams

    DEFF Research Database (Denmark)

    McKnight, Ursula S.; Rasmussen, Jes J.; Kronvang, Brian

    2015-01-01

    , in addition to precipitation and surface runoff, is an important source of pesticides (particularly legacy herbicides) entering surface water. In addition to current-use active ingredients, legacy pesticides, metabolites and impurities are important for explaining the estimated total toxicity attributable...

  7. Global environmental change effects on plant community composition trajectories depend upon management legacies

    NARCIS (Netherlands)

    Perring, Michael P.; Bernhardt-Römermann, Markus; Baeten, Lander; Midolo, Gabriele; Blondeel, Haben; Depauw, Leen; Landuyt, Dries; Maes, Sybryn L.; Lombaerde, De Emiel; Carón, Maria Mercedes; Vellend, Mark; Brunet, Jörg; Chudomelová, Markéta; Decocq, Guillaume; Diekmann, Martin; Dirnböck, Thomas; Dörfler, Inken; Durak, Tomasz; Frenne, De Pieter; Gilliam, Frank S.; Hédl, Radim; Heinken, Thilo; Hommel, Patrick; Jaroszewicz, Bogdan; Kirby, Keith J.; Kopecký, Martin; Lenoir, Jonathan; Li, Daijiang; Máliš, František; Mitchell, Fraser J.G.; Naaf, Tobias; Newman, Miles; Petřík, Petr; Reczyńska, Kamila; Schmidt, Wolfgang; Standovár, Tibor; Świerkosz, Krzysztof; Calster, Van Hans; Vild, Ondřej; Wagner, Eva Rosa; Wulf, Monika; Verheyen, Kris

    2018-01-01

    The contemporary state of functional traits and species richness in plant communities depends on legacy effects of past disturbances. Whether temporal responses of community properties to current environmental changes are altered by such legacies is, however, unknown. We expect global environmental

  8. Preferred information sources for clinical decision making: critical care nurses' perceptions of information accessibility and usefulness.

    Science.gov (United States)

    Marshall, Andrea P; West, Sandra H; Aitken, Leanne M

    2011-12-01

    Variability in clinical practice may result from the use of diverse information sources to guide clinical decisions. In routine clinical practice, nurses privilege information from colleagues over more formal information sources. It is not clear whether similar information-seeking behaviour is exhibited when critical care nurses make decisions about a specific clinical practice, where extensive practice variability exists alongside a developing research base. This study explored the preferred sources of information intensive care nurses used and their perceptions of the accessibility and usefulness of this information for making decisions in clinically uncertain situations specific to enteral feeding practice. An instrumental case study design, incorporating concurrent verbal protocols, Q methodology and focus groups, was used to determine intensive care nurses' perspectives of information use in the resolution of clinical uncertainty. A preference for information from colleagues to support clinical decisions was observed. People as information sources were considered most useful and most accessible in the clinical setting. Text and electronic information sources were seen as less accessible, mainly because of the time required to access the information within the documents. When faced with clinical uncertainty, obtaining information from colleagues allows information to be quickly accessed and applied within the context of a specific clinical presentation. Seeking information from others also provides opportunities for shared decision-making and potential validation of clinical judgment, although differing views may exacerbate clinical uncertainty. The social exchange of clinical information may meet the needs of nurses working in a complex, time-pressured environment but the extent of the evidence base for information passed through verbal communication is unclear. The perceived usefulness and accessibility of information is premised on the ease of use and access

  9. Legacy effects in material flux: structural catchment changes predate long-term studies

    Science.gov (United States)

    Daniel Bain; Mark B. Green; John L. Campbell; John F. Chamblee; Sayo Chaoka; Jennifer M. Fraterrigo; Sujay S. Kaushal; Sujay S. Kaushal; Sherry L. Martin; Thomas E. Jordan; Anthony J. Parolari; William V. Sobczak; Donald E. Weller; Wilfred M. Wolheim; Emery R. Boose; Jonathan M. Duncan; Gretchen M. Gettel; Brian R. Hall; Praveen Kumar; Jonathan R. Thompson; James M. Vose; Emily M. Elliott; David S. Leigh

    2012-01-01

    Legacy effects of past land use and disturbance are increasingly recognized, yet consistent definitions of and criteria for defining them do not exist. To address this gap in biological- and ecosystem-assessment frameworks, we propose a general metric for evaluating potential legacy effects, which are computed by normalizing altered system function persistence with...

  10. Assessing Resistance to Change during Shifting from Legacy to Open Web-Based Systems in the Air Transport Industry

    Science.gov (United States)

    Brewer, Denise

    2012-01-01

    The air transport industry (ATI) is a dynamic, communal, international, and intercultural environment in which the daily operations of airlines, airports, and service providers are dependent on information technology (IT). Many of the IT legacy systems are more than 30 years old, and current regulations and the globally distributed workplace have…

  11. Developing a TTCN-3 Test Harness for Legacy Software

    DEFF Research Database (Denmark)

    Okika, Joseph C.; Ravn, Anders Peter; Siddalingaiah, Lokesh

    2006-01-01

    We describe a prototype test harness for an embedded system which is the control software for a modern marine diesel engine. The operations of such control software requires complete certification. We adopt Testing and Test Control Notation (TTCN-3) to define test cases for this purpose. The main...... challenge in developing the test harness is to interface a generic test driver to the legacy software and provide a suitable interface for test engineers. The main contribution of this paper is a demonstration of a suitable design for such a test harness. It includes: a TTCN-3 test driver in C++, the legacy...

  12. Biological legacies: Direct early ecosystem recovery and food web reorganization after a volcanic eruption in Alaska

    Science.gov (United States)

    Walker, Lawrence R.; Sikes, Derek S.; DeGange, Anthony R.; Jewett, Stephen C.; Michaelson, Gary; Talbot, Sandra L.; Talbot, Stephen S.; Wang, Bronwen; Williams, Jeffrey C.

    2014-01-01

    Attempts to understand how communities assemble following a disturbance are challenged by the difficulty of determining the relative importance of stochastic and deterministic processes. Biological legacies, which result from organisms that survive a disturbance, can favour deterministic processes in community assembly and improve predictions of successional trajectories. Recently disturbed ecosystems are often so rapidly colonized by propagules that the role of biological legacies is obscured. We studied biological legacies on a remote volcanic island in Alaska following a devastating eruption where the role of colonization from adjacent communities was minimized. The role of biological legacies in the near shore environment was not clear, because although some kelp survived, they were presumably overwhelmed by the many vagile propagules in a marine environment. The legacy concept was most applicable to terrestrial invertebrates and plants that survived in remnants of buried soil that were exposed by post-eruption erosion. If the legacy concept is extended to include ex situ survival by transient organisms, then it was also applicable to the island's thousands of seabirds, because the seabirds survived the eruption by leaving the island and have begun to return and rebuild their nests as local conditions improve. Our multi-trophic examination of biological legacies in a successional context suggests that the relative importance of biological legacies varies with the degree of destruction, the availability of colonizing propagules, the spatial and temporal scales under consideration, and species interactions. Understanding the role of biological legacies in community assembly following disturbances can help elucidate the relative importance of colonists versus survivors, the role of priority effects among the colonists, convergence versus divergence of successional trajectories, the influence of spatial heterogeneity, and the role of island biogeographical concepts.

  13. How will I be remembered? Conserving the environment for the sake of one's legacy.

    Science.gov (United States)

    Zaval, Lisa; Markowitz, Ezra M; Weber, Elke U

    2015-02-01

    Long time horizons and social distance are viewed as key psychological barriers to proenvironmental action, particularly regarding climate change. We suggest that these challenges can be turned into opportunities by making salient long-term goals and motives, thus shifting preferences between the present self and future others. We tested whether individuals' motivation to leave a positive legacy can be leveraged to increase engagement with climate change and other environmental problems. In a pilot study, we found that individual differences in legacy motivation were positively associated with proenvironmental behaviors and intentions. In a subsequent experiment, we demonstrated that priming legacy motives increased donations to an environmental charity, proenvironmental intentions, and climate-change beliefs. Domain-general legacy motives represent a previously understudied and powerful mechanism for promoting proenvironmental behavior. © The Author(s) 2015.

  14. Modeling and Testing Legacy Data Consistency Requirements

    DEFF Research Database (Denmark)

    Nytun, J. P.; Jensen, Christian Søndergaard

    2003-01-01

    An increasing number of data sources are available on the Internet, many of which offer semantically overlapping data, but based on different schemas, or models. While it is often of interest to integrate such data sources, the lack of consistency among them makes this integration difficult....... This paper addresses the need for new techniques that enable the modeling and consistency checking for legacy data sources. Specifically, the paper contributes to the development of a framework that enables consistency testing of data coming from different types of data sources. The vehicle is UML and its...... accompanying XMI. The paper presents techniques for modeling consistency requirements using OCL and other UML modeling elements: it studies how models that describe the required consistencies among instances of legacy models can be designed in standard UML tools that support XMI. The paper also considers...

  15. Distributed Storage Inverter and Legacy Generator Integration Plus Renewables Solution for Microgrids

    Science.gov (United States)

    2015-07-01

    inverter (advantage of short term storage) and enables microgrid upgrade of legacy generator assets (integration of inverter and generator controllers ...today. The storage inverter controls and hardware are also leveraged to provide an islanding inverter ( microgrid compatibility) for renewable...transiently rated inverters, integration with legacy generator controls , and microgrid compatible inverters for PV. Key system design drivers are lowering

  16. Sources, occurrence and predicted aquatic impact of legacy and contemporary pesticides in streams.

    Science.gov (United States)

    McKnight, Ursula S; Rasmussen, Jes J; Kronvang, Brian; Binning, Philip J; Bjerg, Poul L

    2015-05-01

    We couple current findings of pesticides in surface and groundwater to the history of pesticide usage, focusing on the potential contribution of legacy pesticides to the predicted ecotoxicological impact on benthic macroinvertebrates in headwater streams. Results suggest that groundwater, in addition to precipitation and surface runoff, is an important source of pesticides (particularly legacy herbicides) entering surface water. In addition to current-use active ingredients, legacy pesticides, metabolites and impurities are important for explaining the estimated total toxicity attributable to pesticides. Sediment-bound insecticides were identified as the primary source for predicted ecotoxicity. Our results support recent studies indicating that highly sorbing chemicals contribute and even drive impacts on aquatic ecosystems. They further indicate that groundwater contaminated by legacy and contemporary pesticides may impact adjoining streams. Stream observations of soluble and sediment-bound pesticides are valuable for understanding the long-term fate of pesticides in aquifers, and should be included in stream monitoring programs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. A Heuristic for Improving Legacy Software Quality during Maintenance: An Empirical Case Study

    Science.gov (United States)

    Sale, Michael John

    2017-01-01

    Many organizations depend on the functionality of mission-critical legacy software and the continued maintenance of this software is vital. Legacy software is defined here as software that contains no testing suite, is often foreign to the developer performing the maintenance, lacks meaningful documentation, and over time, has become difficult to…

  18. Three legacies of humanitarianism in China.

    Science.gov (United States)

    Hirono, Miwa

    2013-10-01

    The rise of China has altered the context of the international humanitarian community of donors and aid agencies. China is becoming one of the key actors in this grouping, undertaking infrastructure projects in areas in which paramount humanitarian challenges exist. The literature discusses how the Chinese approach differs from that of Western donors, but it does not pay much attention to why China concentrates on its state-centric and infrastructure-based approach. This paper seeks to shed some light on this subject by examining the historical evolution of the concept of humanitarianism in China. This evolution has produced three legacies: (i) the ideal of a well-ordered state; (ii) anti-Western sentiment; and (iii) the notion of comprehensive development based on a human-oriented approach. China's policies and discourses on assistance in humanitarian crises today rest on these three legacies. Traditional donors would be well advised to consider carefully the implications of the Chinese understanding of humanitarianism when engaging with the country. © 2013 The Author(s). Disasters © Overseas Development Institute, 2013.

  19. Taking a Hike and Hucking the Stout: The Troublesome Legacy of the Sublime in Outdoor Recreation

    Directory of Open Access Journals (Sweden)

    Georg Drennig

    2013-12-01

    Full Text Available As Henry Thoreau noted in the 1850s, the simple act of walking can be loaded with political and spiritual meaning. Today, taking a hike as an act of engaging in outdoor recreation is equally non-trivial, and therefore subject of the following analysis. As this paper argues, outdoors recreation is still influenced by the legacy of the Sublime and its construction of wilderness. This troublesome legacy means that the cultural self-representation of outdoor sports – and the practice itself – lays claim to the environment in ways that are socially and sometimes even ethni-cally exclusive. This essay uses William Cronon’s critique of the cultural constructedness of wilderness as a point of departure to see how Western notions of sublime nature have an impact on spatial practice. The elevation of specific parts of the environ-ment into the category of wilderness prescribes certain uses and meanings as na-ture is made into an antidote against the ills of industrial civilization, and a place where the alienated individual can return to a more authentic self. This view then has become a troublesome legacy, informing the cultural self-representation of those uses of “wilderness” that are known as outdoor recreation. In its cultural production, outdoors recreation constructs “healthy” and “athlet-ic” bodies exercising in natural settings and finding refuge from the everyday al-ienation of postmodern society. Yet these bodies are conspicuously white, and the obligatory equipment and fashion expensive. Outdoor recreation is a privileged assertion of leisure, often denoting an urban, affluent, and white, background of the practitioner. These practitioners then lay exclusive claim on the landscapes they use. As trivial as taking a hike or any other form of outdoors recreation may thus seem, they put a cultural legacy into practice that is anything but trivial.

  20. Social Justice and Human Rights in Education Policy Discourse: Assessing Nelson Mandela's Legacy

    Science.gov (United States)

    Gebremedhin, Abrehet; Joshi, Devin

    2016-01-01

    Twenty years after South Africa's democratisation, Nelson Mandela's passing has prompted scholars to examine his legacy in various domains. Here we take a look at his legacy in education discourse. Tracing Mandela's thoughts and pronouncements on education we find two major emphases: a view of education as a practical means to economic…

  1. Changes in information behavior in clinical teams after introduction of a clinical librarian service

    Science.gov (United States)

    Urquhart, Christine; Turner, Janet; Durbin, Jane; Ryan, Jean

    2007-01-01

    Objectives: The eighteen-month evaluation of a clinical librarian project (October 2003–March 2005) conducted in North Wales, United Kingdom (UK) assessed the benefits of clinical librarian support to clinical teams, the impact of mediated searching services, and the effectiveness of information skills training, including journal club support. Methods: The evaluation assessed changes in teams' information-seeking behavior and their willingness to delegate searching to a clinical librarian. Baseline (n = 69 responses, 73% response rate) and final questionnaire (n = 57, 77% response rate) surveys were complemented by telephone and face-to-face interviews (n = 33) among 3 sites served. Those attending information skills training sessions (n = 130) completed evaluations at the session and were surveyed 1 month after training (n = 24 questionnaire responses, n = 12 interviews). Results: Health professionals in clinical teams reported that they were more willing to undertake their own searching, but also more willing to delegate some literature searching, than at the start of the project. The extent of change depended on the team and the type of information required. Information skills training was particularly effective when organized around journal clubs. Conclusions: Collaboration with a clinical librarian increased clinician willingness to seek information. Clinical librarian services should leverage structured training opportunities such as journal clubs. PMID:17252062

  2. Quality assurance program plan for cesium legacy project

    International Nuclear Information System (INIS)

    Tanke, J.M.

    1997-01-01

    This Quality Assurance Program Plan (QAPP) provides information on how the Quality Assurance Program is implemented for the Cesium Legacy Project. It applies to those items and tasks which affect the completion of activities identified in the work breakdown structure of the Project Management Plan (PMP). These activities include all aspects of cask transportation, project related operations within the 324 Building, and waste management as it relates to the specific activities of this project. General facility activities (i.e. 324 Building Operations, Central Waste Complex Operations, etc.) are covered in other appropriate QAPPs. The 324 Building is currently transitioning from being a Pacific Northwest National Laboratory (PNNL) managed facility to a B and W Hanford Company (BWHC) managed facility. During this transition process existing PNNL procedures and documents will be utilized until replaced by BWHC procedures and documents

  3. Learning to leverage existing information systems: Part 1. Principles.

    Science.gov (United States)

    Neil, Nancy; Nerenz, David

    2003-10-01

    The success of performance improvement efforts depends on effective measurement and feedback regarding clinical processes and outcomes. Yet most health care organizations have fragmented rather than integrated data systems. Methods and practical guidance are provided for leveraging available information sources to obtain and create valid performance improvement-related information for use by clinicians and administrators. At Virginia Mason Health System (VMHS; Seattle), a vertically integrated hospital and multispecialty group practice, patient records are paper based and are supplemented with electronic reporting for laboratory and radiology services. Despite growth in the resources and interest devoted to organization-wide performance measurement, quality improvement, and evidence-based tools, VMHS's information systems consist of largely stand-alone, legacy systems organized around the ability to retrieve information on patients, one at a time. By 2002, without any investment in technology, VMHS had developed standardized, clinic-wide key indicators of performance updated and reported regularly at the patient, provider, site, and organizational levels. On the basis of VHMS's experience, principles can be suggested to guide other organizations to explore solutions using their own information systems: for example, start simply, but start; identify information needs; tap multiple data streams; and improve incrementally.

  4. Domain management OSSs: bridging the gap between legacy and standards-based network management systems

    Science.gov (United States)

    Lemley, Todd A.

    1996-11-01

    The rapid change in the telecommunications environment is forcing carriers to re-assess not only their service offering, but also their network management philosophy. The competitive carrier environment has taken away the luxury of throwing technology at a problem by using legacy and proprietary systems and architectures. A more flexible management environment is necessary to effectively gain, and maintain operating margins in the new market era. Competitive forces are driving change which gives carriers more choices than those that are available in legacy and standards-based solutions alone. However, creating an operational support system (OSS) with this gap between legacy and standards has become as dynamic as the services which it supports. A philosophy which helps to integrate the legacy and standards systems is domain management. Domain management relates to a specific service or market 'domain,'and its associated operational support requirements. It supports a companies definition of its business model, which drives the definition of each domain. It also attempts to maximize current investment while injecting new technology available in a practical approach. The following paragraphs offer an overview of legacy systems, standards-based philosophy, and the potential of domain management to help bridge the gap between the two types of systems.

  5. The ATLAS Trigger Simulation with Legacy Software

    CERN Document Server

    Bernius, Catrin; The ATLAS collaboration

    2017-01-01

    Physics analyses at the LHC require accurate simulations of the detector response and the event selection processes, generally done with the most recent software releases. The trigger response simulation is crucial for determination of overall selection efficiencies and signal sensitivities and should be done with the same software release with which data were recorded. This requires potentially running with software dating many years back, the so-called legacy software. Therefore having a strategy for running legacy software in a modern environment becomes essential when data simulated for past years start to present a sizeable fraction of the total. The requirements and possibilities for such a simulation scheme within the ATLAS software framework were examined and a proof-of-concept simulation chain has been successfully implemented. One of the greatest challenges was the choice of a data format which promises long term compatibility with old and new software releases. Over the time periods envisaged, data...

  6. The ATLAS Trigger Simulation with Legacy Software

    CERN Document Server

    Bernius, Catrin; The ATLAS collaboration

    2017-01-01

    Physics analyses at the LHC which search for rare physics processes or measure Standard Model parameters with high precision require accurate simulations of the detector response and the event selection processes. The accurate simulation of the trigger response is crucial for determination of overall selection efficiencies and signal sensitivities. For the generation and the reconstruction of simulated event data, generally the most recent software releases are used to ensure the best agreement between simulated data and real data. For the simulation of the trigger selection process, however, the same software release with which real data were taken should be ideally used. This requires potentially running with software dating many years back, the so-called legacy software. Therefore having a strategy for running legacy software in a modern environment becomes essential when data simulated for past years start to present a sizeable fraction of the total. The requirements and possibilities for such a simulatio...

  7. Clinical Information Support System (CISS)

    Data.gov (United States)

    Department of Veterans Affairs — Clinical Information Support System (CISS) is a web-based portal application that provides a framework of services for the VA enterprise and supplies an integration...

  8. Traceability of Software Safety Requirements in Legacy Safety Critical Systems

    Science.gov (United States)

    Hill, Janice L.

    2007-01-01

    How can traceability of software safety requirements be created for legacy safety critical systems? Requirements in safety standards are imposed most times during contract negotiations. On the other hand, there are instances where safety standards are levied on legacy safety critical systems, some of which may be considered for reuse for new applications. Safety standards often specify that software development documentation include process-oriented and technical safety requirements, and also require that system and software safety analyses are performed supporting technical safety requirements implementation. So what can be done if the requisite documents for establishing and maintaining safety requirements traceability are not available?

  9. Managing the risks of legacy radioactive sources from a security perspective

    International Nuclear Information System (INIS)

    Alexander, Mark; Murray, Allan

    2008-01-01

    The safety and security risk posed by highly radioactive, long-lived sources at the end of their normal use has not been consistently well-managed in previous decades. The Brazilian Cs-137 accident in 1986 and the Thailand Co-60 accident in 2000 are prime examples of the consequences that ensue from the loss of control of highly dangerous sources after their normal use. With the new international emphasis on security of radioactive sources throughout their life cycle, there is now further incentive to address the management of risks posed by legacy, highly dangerous radioactive sources. The ANSTO South-East Asia Regional Security of Radioactive Sources (RSRS) Project has identified, and is addressing, a number of legacy situations that have arisen as a result of inadequate management practices in the past. Specific examples are provided of these legacy situations and the lessons learned for managing the consequent safety and security risk, and for future complete life-cycle management of highly radioactive sources. (author)

  10. Christian Social Justice Advocate: Contradiction or Legacy?

    Science.gov (United States)

    Edwards, Cher N.

    2012-01-01

    In this article, the relationship between Christian religiosity and the principles of social justice is explored, including the sociopolitical aspects of faith and advocacy. A particular emphasis is placed on the historical legacy and theological relationships between Christianity and social justice. The author concludes with a call for…

  11. MATERNAL PERCEPTIONS OF PARENTING FOLLOWING AN EVIDENCE-BASED PARENTING PROGRAM: A QUALITATIVE STUDY OF LEGACY FOR CHILDRENTM.

    Science.gov (United States)

    Hartwig, Sophie A; Robinson, Lara R; Comeau, Dawn L; Claussen, Angelika H; Perou, Ruth

    2017-07-01

    This article presents the findings of a qualitative study of maternal perceptions of parenting following participation in Legacy for Children TM (Legacy), an evidence-based parenting program for low-income mothers of young children and infants. To further examine previous findings and better understand participant experiences, we analyzed semistructured focus-group discussions with predominantly Hispanic and Black, non-Hispanic Legacy mothers at two sites (n = 166) using thematic analysis and grounded theory techniques. The qualitative study presented here investigated how mothers view their parenting following participation in Legacy, allowing participants to describe their experience with the program in their own words, thus capturing an "insider" perspective. Mothers at both sites communicated knowledge and use of positive parenting practices targeted by the goals of Legacy; some site-specific differences emerged related to these parenting practices. These findings align with the interpretation of quantitative results from the randomized controlled trials and further demonstrate the significance of the Legacy program in promoting positive parenting for mothers living in poverty. This study emphasizes the importance of understanding real-world context regarding program efficacy and the benefit of using qualitative research to understand participant experiences. © 2017 Michigan Association for Infant Mental Health.

  12. Transforming Cobol Legacy Software to a Generic Imperative Model

    National Research Council Canada - National Science Library

    Moraes, DinaL

    1999-01-01

    .... This research develops a transformation system to convert COBOL code into a generic imperative model, recapturing the initial design and deciphering the requirements implemented by the legacy code...

  13. Legacy sediment storage in New England river valleys: anthropogenic processes in a postglacial landscape

    Science.gov (United States)

    Snyder, N. P.; Johnson, K. M.; Waltner, M.; Hopkins, A. J.; Dow, S.; Ames, E.; Merritts, D. J.; Walter, R. C.; Rahnis, M. A.

    2016-12-01

    Walter and Merritts (2008, and subsequent papers) show that legacy sediment associated with deposition in millponds is a common feature in river valleys of the Mid-Atlantic Piedmont region, with 1-5 m of fine sand and silt overlying Holocene soil and Pleistocene periglacial deposits. For this project, we seek to test the hypothesis that these field relationships are seen in New England, a formerly glaciated region with similar history and intensity of forest clearing and milldam construction during the 17-19th centuries. We study three watersheds, using field observations of bank stratigraphy, radiocarbon dating, and mapping of terraces and floodplains using lidar digital elevation models and other GIS datasets. The 68 km2 South River watershed in western Massachusetts exhibits the most extensive evidence for legacy sediment storage. We visited 17 historic dam sites in the watershed and found field evidence for fine sand and silt legacy sediment storage at 14, up to 2.2 m thick. In the 558 km2 Sheepscot River watershed in coastal Maine, we visited 12 historic dam sites, and found likely legacy sediment at six, up to 2.3 m thick. In the 171 km2 upper Charles River watershed in eastern Massachusetts, we investigated 14 dam sites, and found legacy sediment at two, up to 1.8 m thick. Stratigraphically, we identified the base of legacy sediment from a change in grain size to gravel at most sites, or to Pleistocene marine clay at some Sheepscot River sites. In the Sheepscot River, we observed cut timbers underlying historic sediment at several locations, likely associated with sawmill activities. Only at the Charles River were we able to radiocarbon date the underlying gravel (1281-1391 calibrated CE). At no site did we find a buried Holocene soil, in contrast to the field relations commonly observed in the Mid-Atlantic region. This may indicate that the New England sites have eroded to the pre-historic river bed, not floodplain surfaces. We attribute the variation in

  14. The legacy of pesticide pollution: An overlooked factor in current risk assessments of freshwater systems

    DEFF Research Database (Denmark)

    Rasmussen, Jes Jessen; Wiberg-Larsen, Peter; Baattrup-Pedersen, Annette

    2015-01-01

    We revealed a history of legacy pesticides in water and sediment samples from 19 small streams across an agricultural landscape. Dominant legacy compounds included organochlorine pesticides, such as DDT and lindane, the organophosphate chlorpyrifos and triazine herbicides such as terbutylazine...

  15. Regulating the path from legacy recognition, through recovery to release from regulatory control.

    Science.gov (United States)

    Sneve, Malgorzata Karpow; Smith, Graham

    2015-04-01

    Past development of processes and technologies using radioactive material led to construction of many facilities worldwide. Some of these facilities were built and operated before the regulatory infrastructure was in place to ensure adequate control of radioactive material during operation and decommissioning. In other cases, controls were in place but did not meet modern standards, leading to what is now considered to have been inadequate control. Accidents and other events have occurred resulting in loss of control of radioactive material and unplanned releases to the environment. The legacy from these circumstances is that many countries have areas or facilities at which abnormal radiation conditions exist at levels that give rise to concerns about environmental and human health of potential interest to regulatory authorities. Regulation of these legacy situations is complex. This paper examines the regulatory challenges associated with such legacy management and brings forward suggestions for finding the path from: legacy recognition; implementation, as necessary, of urgent mitigation measures; development of a longer-term management strategy, through to release from regulatory control. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  16. Portuguese Cistercian Churches - An acoustic legacy

    Science.gov (United States)

    Rodrigues, Fabiel G.; Lanzinha, João C. G.; Martins, Ana M. T.

    2017-10-01

    The Cistercian Order (11th century) stands out as an apologist of the simplicity and austerity of the space. According to the Order of Cîteaux, only with an austere space, without any distractions, the true spiritual contemplation is achieved. This Order was an aggregator and consolidator pole during the Christian Reconquest. Thus, as it happens with other Religious Orders, Cîteaux has a vast heritage legacy. This heritage is witness, not only of the historical, but also social, political, and spiritual evolution. This legacy resumes the key principles to an austere liturgy, which requirements, in the beginning, are based on the simplicity of worship and of the connection between man and God. Later, these requirements allowed the development of the liturgy itself and its relation with the believers. Consequently, it can be concisely established an empirical approach between the Cistercian churches and the acoustics conditioning of these spaces. This outcome is fundamental in order to understand the connection between liturgy and the conception of the Cistercian churches as well as the constructed space and its history. So, an analysis of these principles is essential to establish the relation between acoustic and religious buildings design throughout history. It is also a mean of understanding the knowledge of acoustics principles that the Cistercian Order bequeathed to Portugal. This paper presents an empirical approach on Cistercian monastic churches acoustics. These spaces are the place where the greatest acoustic efforts are concentrated and it is also the space where the liturgy reaches greater importance. On the other hand, Portugal is a country which has an important Cistercian legacy over several periods of history. Consequently, the Portuguese Cistercian monastic churches are representative of the development of the liturgy, the design of spaces and of the acoustic requirements of their churches since the 12th century until the 21st century and it is of

  17. Monitoring human factor risk characteristics at nuclear legacy sites in northwest Russia in support of radiation safety regulation.

    Science.gov (United States)

    Scheblanov, V Y; Sneve, M K; Bobrov, A F

    2012-12-01

    This paper describes research aimed at improving regulatory supervision of radiation safety during work associated with the management of spent nuclear fuel and radioactive waste at legacy sites in northwest Russia through timely identification of employees presenting unfavourable human factor risk characteristics. The legacy sites of interest include sites of temporary storage now operated by SevRAO on behalf of Rosatom. The sites were previously operational bases for servicing nuclear powered submarines and are now subject to major remediation activities. These activities include hazardous operations for recovery of spent nuclear fuel and radioactive waste from sub-optimal storage conditions. The paper describes the results of analysis of methods, procedures, techniques and informational issues leading to the development of an expert-diagnostic information system for monitoring of workers involved in carrying out the most hazardous operations. The system serves as a tool for human factor and professional reliability risk monitoring and has been tested in practical working environments and implemented as part of regulatory supervision. The work has been carried out by the Burnasyan Federal Medical Biophysical Center, within the framework of the regulatory cooperation programme between the Federal Medical-Biological Agency of Russia and the Norwegian Radiation Protection Authority.

  18. An Architectural Framework for Integrating COTS/GOTS/Legacy Systems

    National Research Council Canada - National Science Library

    Gee, Karen

    2000-01-01

    .... To fully realize the DoD's goal, a new architectural framework is needed. This thesis proposes an architectural framework suitable for integrating COTS/GOTS/legacy systems in a distributed, heterogeneous environment...

  19. Legacy for ChildrenTM: a pair of randomized controlled trials of a public health model to improve developmental outcomes among children in poverty

    Directory of Open Access Journals (Sweden)

    Perou Ruth

    2012-08-01

    Full Text Available Abstract Background One in five Americans under age 18 lives in a family below the Federal poverty threshold. These more than 15 million children are at increased risk of a wide variety of adverse long-term health and developmental outcomes. The early years of life are critical to short- and long-term health and well-being. The Legacy for ChildrenTM model was developed in response to this need and marries the perspectives of epidemiology and public health to developmental psychology theory in order to better address the needs of children at environmental risk for poor developmental outcomes. Methods/design The Legacy for ChildrenTM group-based parenting intervention model was evaluated as a pair of randomized controlled trials among low-income families in Miami and Los Angeles. The study was designed to allow for site-stratified analysis in order to evaluate each model implementation separately. Evaluation domains include comprehensive assessments of family, maternal, and child characteristics, process outcomes, and prospective programmatic cost. Data collection began prenatally or at birth and continues into school-age. Discussion The societal costs of poor developmental outcomes are substantial. A concerted effort from multiple sectors and disciplines, including public health, is necessary to address these societal concerns. Legacy uses a public health model to engage parents and promote overall child well-being in families in poverty through rigorous evaluation methodologies and evidence-based intervention strategies. This study collects rich and modular information on maternal and child outcomes, process, and cost that will enable a detailed understanding of how Legacy works, how it can be refined and improved, and how it can be translated and disseminated. Taken together, these results will inform public policy and help to address issues of health disparities among at-risk populations. Trial registration NCT00164697

  20. The impact of colonial legacies and globalization processes on ...

    African Journals Online (AJOL)

    The impact of colonial legacies and globalization processes on forced migration in modern Africa. ... PROMOTING ACCESS TO AFRICAN RESEARCH ... On its part, globalization is about pauperizing and victimizing more and more people ...

  1. The mycological legacy of Elias Magnus Fries.

    Science.gov (United States)

    Petersen, Ronald H; Knudsen, Henning

    2015-06-01

    The taxonomic concepts which originated with or were accepted by Elias Magnus Fries were presented during his lifetime in the printed word, illustrative depiction, and in collections of dried specimens. This body of work was welcomed by the mycological and botanical communities of his time: students and associates aided Fries and after his passing carried forward his taxonomic ideas. His legacy spawned a line of Swedish and Danish mycologists intent on perpetuating the Fries tradition: Hampus von Post, Lars Romell, Seth Lundell and John Axel Nannfeldt in Sweden; Emil Rostrup, Severin Petersen and Jakob Lange in Denmark. Volumes of color paintings and several exsiccati, most notably one edited by Lundell and Nannfeldt attached fungal portraits and preserved specimens (and often photographs) to Fries names. The result is a massive resource from which to harvest the name-concept relationship with clarity. In the 20th century, nomenclatural commissions legislated Fries's Systema and Elenchus as the "starting point" for names of most fungi, giving these books special recognition. The present paper attempts to trace Fries's legacy from his lifetime to the recent past.

  2. Clinical information in drug package inserts in India

    Directory of Open Access Journals (Sweden)

    Shivkar Y

    2009-01-01

    Full Text Available Background: It is widely recognized that accurate and reliable product information is essential for the safe and effective use of medications. Pharmaceutical companies are the primary source of most drug information, including package inserts. Package inserts are printed leaflets accompanying marketed drug products and contain information approved by the regulatory agencies. Studies on package inserts in India, in 1996, had shown that crucial information was often missing and they lacked uniformity. Aim: To assess the presentation and completeness of clinically important information provided in the currently available package inserts in India. Materials and Methods: Package inserts accompanying allopathic drug products marketed by pharmaceutical companies in India were collected. These package inserts were analyzed for the content of clinically important information in various sections. Statistical Analysis: The results were expressed as absolute numbers and percentages. Results: Preliminary analyses revealed that most package inserts did contain information under headings, such as, therapeutic indications, contraindications, undesirable effects, etc., listed in the Drugs and Cosmetics Rules 1945. The findings indicated considerable improvement in package inserts since 1996. However, on critical evaluation it was revealed that clinically important information was not well presented and was often incomplete. Information with regard to pediatric and geriatric use was present in only 44% and 13% of the package inserts, respectively. Only five of the inserts had information on the most frequent adverse drug reactions associated with the drug. Also, information on interactions and overdosage was often missing. Conclusion: Although the package inserts appear to have improved over the past decade there is still a definite need to further refine the clinical information contained, to minimize the risks to patients. This could be brought about by self

  3. Nightingale in Scutari: her legacy reexamined.

    Science.gov (United States)

    Gill, Christopher J; Gill, Gillian C

    2005-06-15

    Nearly a century after the death of Florence Nightingale (1820-1910), historians continue to debate her legacy. We discuss her seminal work during the Crimean War (1854-1856), the nature of these interventions during the war, and her continued impact today. We argue that Florence Nightingale's influence today extends beyond her undeniable impact on the field of modern nursing to the areas of infection control, hospital epidemiology, and hospice care.

  4. Plant selection and soil legacy enhance long-term biodiversity effects.

    Science.gov (United States)

    Zuppinger-Dingley, Debra; Flynn, Dan F B; De Deyn, Gerlinde B; Petermann, Jana S; Schmid, Bernhard

    2016-04-01

    Plant-plant and plant-soil interactions can help maintain plant diversity and ecosystem functions. Changes in these interactions may underlie experimentally observed increases in biodiversity effects over time via the selection of genotypes adapted to low or high plant diversity. Little is known, however, about such community-history effects and particularly the role of plant-soil interactions in this process. Soil-legacy effects may occur if co-evolved interactions with soil communities either positively or negatively modify plant biodiversity effects. We tested how plant selection and soil legacy influence biodiversity effects on productivity, and whether such effects increase the resistance of the communities to invasion by weeds. We used two plant selection treatments: parental plants growing in monoculture or in mixture over 8 yr in a grassland biodiversity experiment in the field, which we term monoculture types and mixture types. The two soil-legacy treatments used in this study were neutral soil inoculated with live or sterilized soil inocula collected from the same plots in the biodiversity experiment. For each of the four factorial combinations, seedlings of eight species were grown in monocultures or four-species mixtures in pots in an experimental garden over 15 weeks. Soil legacy (live inoculum) strongly increased biodiversity complementarity effects for communities of mixture types, and to a significantly weaker extent for communities of monoculture types. This may be attributed to negative plant-soil feedbacks suffered by mixture types in monocultures, whereas monoculture types had positive plant-soil feedbacks, in both monocultures and mixtures. Monocultures of mixture types were most strongly invaded by weeds, presumably due to increased pathogen susceptibility, reduced biomass, and altered plant-soil interactions of mixture types. These results show that biodiversity effects in experimental grassland communities can be modified by the evolution of

  5. Getting Objects Methods and Interactions by Extracting Business Rules from Legacy Systems

    Directory of Open Access Journals (Sweden)

    Omar El Beggar

    2014-08-01

    Full Text Available The maintenance of legacy systems becomes over the years extremely complex and highly expensive due to the incessant changes of company activities and policies. In this case, a new or an improved system must replace the previous one. However, replacing those systems completely from scratch is also very expensive and it represents a huge risk. The optimal scenario is evolving those systems by profiting from the valuable knowledge embedded in them. This paper aims to present an approach for knowledge acquisition from existing legacy systems by extracting business rules from source code. In fact, the business rules are extracted and assigned next to the domain entities in order to generate objects methods and interactions in an object-oriented platform. Furthermore, a rules translation in natural language is given. The aim is advancing a solution for re-engineering legacy systems, minimize the cost of their modernization and keep very small the gap between the company business and the renovated systems.

  6. Bridging the gap between legacy services and Web Services

    DEFF Research Database (Denmark)

    Bissyandé, Tegawendé; Réveillère, Laurent; Bromberg, Yérom-David

    2010-01-01

    itself. In this paper, we introduce a generative language based approach for constructing wrappers to facilitate the migration of legacy service functionalities to Web Services. To this end, we have designed the Janus domain-specific language, which provides developers with a high-level way to describe......Web Services is an increasingly used instantiation of Service-Oriented Architectures (SOA) that relies on standard Internet protocols to produce services that are highly interoperable. Other types of services, relying on legacy application layer protocols, however, cannot be composed directly....... A promising solution is to implement wrappers to translate between the application layer protocols and the WS protocol. Doing so manually, however, requires a high level of expertise, in the relevant application layer protocols, in low-level network and system programming, and in the Web Service paradigm...

  7. [The informed consent in international clinical trials including developing countries].

    Science.gov (United States)

    Montenegro Surís, Alexander; Monreal Agüero, Magda Elaine

    2008-01-01

    The informed consent procedure has been one of the most important controversies of ethical debates about clinical trials in developing countries. In this essay we present our recommendations about important aspects to consider in the informed consent procedure for clinical trials in developing countries. We performed a full publications review identified by MEDLINE using these terms combinations: informed consent, developing countries, less developed countries and clinical trials. To protect volunteers in less developed countries should be valuated the importance of the community in the informed consent proceeding. The signing and dating of the informed consent form is not always the best procedure to document the informed consent. The informed consent form should be written by local translators. Alternative medias of communications could be needed for communicatios of the information to volunteers. Comparing with developed countries the informed consent proceeding in clinical trials in developing countries frequently require additional efforts. The developing of pragmatic researches is needed to implement informed consent proceedings assuring subjects voluntarily in each developing country. The main aspects to define in each clinical trial for each country are the influence of the community, the effective communication of the information, the documentation of the informed consent and local authority's control.

  8. The Legacy of Manfred Held with Critique

    Science.gov (United States)

    2011-08-01

    President Executive Vice President and Provost The report entitled “The Legacy of Manfred Held with Critique” contains the results of research...xxii THIS PAGE INTENTIONALLY LEFT BLANK xxiii EXECUTIVE SUMMARY Prof (Dr) Manfred Held...de choc des explosifs solides. Propellants and Explosives, 6, 63-66. [013] Held, M. (1987). Experiments of initiation of covered, but unconfined

  9. Thinking about rumination: the scholarly contributions and intellectual legacy of Susan Nolen-Hoeksema.

    Science.gov (United States)

    Lyubomirsky, Sonja; Layous, Kristin; Chancellor, Joseph; Nelson, S Katherine

    2015-01-01

    Our article reviews and celebrates Susan Nolen-Hoeksema's remarkable contributions to psychological and clinical science, focusing on her vast body of theoretical and empirical work and her influence on colleagues and students. Susan spent her career trying to understand how and why a style of regulating emotions called rumination increases vulnerability to depression and exacerbates and perpetuates negative moods. More broadly, we describe research by Susan and her colleagues on the predictors of depression in childhood and adolescence; gender differences in depression and rumination in adolescence and adulthood; roots, correlates, and adverse consequences of ruminative response styles; and rumination as a transdiagnostic risk factor for not only depression but also a host of psychological disorders, including anxiety, substance abuse, and eating disorders. Susan's intellectual legacy is evident in her impressive publication and citation record, the clinical applications of her work, and the flourishing careers of the students she mentored.

  10. Design Legacies: Why Service Designers Cannot Embed Design in the Organizations

    DEFF Research Database (Denmark)

    Junginger, Sabine

    2014-01-01

    Much talk about service design has focused on how to bring design practices, design thinking and design methods into an organization in order to transform or change the way it is going about business. There is only one thing that researchers and practitioners have overlooked: Design principles...... these organizational design practices. This paper explains the concept of design legacies and describes three elements of organizational design legacies: organizational purpose, organizational design approaches and organizational design practices. Using a matrix developed around designing for, with and by, the paper...... explains how we can make sense of existing organizational design practices....

  11. Legacy, resource mobilisation and the olympic movement | Girginov ...

    African Journals Online (AJOL)

    There has been a growing interest in legacies of the Olympic Games focusing on external tangible outcomes, such as the number of sport competitions, participants and jobs created. Little is still known about the equally valuable internal benefits to individuals and organisational capacities of national sport systems.

  12. Legacy system integration using web technology

    Science.gov (United States)

    Kennedy, Richard L.; Seibert, James A.; Hughes, Chris J.

    2000-05-01

    As healthcare moves towards a completely digital, multimedia environment there is an opportunity to provide for cost- effective, highly distributed physician access to clinical information including radiology-based imaging. In order to address this opportunity a Universal Clinical Desktop (UCD) system was developed. A UCD provides a single point of entry into an integrated view of all types of clinical data available within a network of disparate healthcare information systems. In order to explore the application of a UCD in a hospital environment, a pilot study was established with the University of California Davis Medical Center using technology from Trilix Information Systems. Within this pilot environment the information systems integrated under the UCD include a radiology information system (RIS), a picture archive and communication system (PACS) and a laboratory information system (LIS).

  13. Integration of Sensor and Actuator Networks and the SCADA System to Promote the Migration of the Legacy Flexible Manufacturing System towards the Industry 4.0 Concept

    Directory of Open Access Journals (Sweden)

    Antonio José Calderón Godoy

    2018-05-01

    Full Text Available Networks of sensors and actuators in automated manufacturing processes are implemented using industrial fieldbuses, where automation units and supervisory systems are also connected to exchange operational information. In the context of the incoming fourth industrial revolution, called Industry 4.0, the management of legacy facilities is a paramount issue to deal with. This paper presents a solution to enhance the connectivity of a legacy Flexible Manufacturing System, which constitutes the first step in the adoption of the Industry 4.0 concept. Such a system includes the fieldbus PROcess FIeld BUS (PROFIBUS around which sensors, actuators, and controllers are interconnected. In order to establish effective communication between the sensors and actuators network and a supervisory system, a hardware and software approach including Ethernet connectivity is implemented. This work is envisioned to contribute to the migration of legacy systems towards the challenging Industry 4.0 framework. The experimental results prove the proper operation of the FMS and the feasibility of the proposal.

  14. Standards Interoperability: Application of Contemporary Software Safety Assurance Standards to the Evolution of Legacy Software

    National Research Council Canada - National Science Library

    Meacham, Desmond J

    2006-01-01

    .... The proposed formal model is then applied to the requirements for RTCA DO-178B and MIL-STD-498 as representative examples of contemporary and legacy software standards. The results provide guidance on how to achieve airworthiness certification for modified legacy software, whilst maximizing the use of software products from the previous development.

  15. Pediatric radiology in the Philadelphia region: a history of pedigrees and legacies.

    Science.gov (United States)

    Markowitz, Richard I

    2009-09-01

    The specialty of pediatric radiology in the Philadelphia region has grown and evolved over the past eight decades originating from early "visiting" radiologists to Drs. Hope and Kirkpatrick, the "giants" of the 1950s and 1960s, to over 40 actively practicing pediatric radiologists. Clinical excellence, commitment to teaching, and advancement of knowledge through research remain the goals and ideals, much as they were many years ago. Philadelphia has been a fertile home and environment for this development, mostly because of outstanding leaders and role models who have trained and influenced generations of pediatric radiologists. The purpose of this article is to tell the story of this growth and development and to explore the intellectual origins, professional "genealogy," and legacies left by those who created this tradition.

  16. Exploring the structure and organization of information within nursing clinical handovers.

    Science.gov (United States)

    Johnson, Maree; Jefferies, Diana; Nicholls, Daniel

    2012-10-01

    Clinical handover is the primary source of patient information for nurses; however, inadequate information transfer compromises patient safety. We investigated the content and organization of information conveyed at 81 handovers. A structure that captures and presents the information transferred at handover emerged: identification of the patient and clinical risks, clinical history/presentation, clinical status, care plan and outcomes/goals of care (ICCCO). This approach covers essential information while allowing for prioritization of information when required. Further research into the impact of ICCCO on patient safety is in progress. © 2012 Wiley Publishing Asia Pty Ltd.

  17. Information on blinding in registered records of clinical trials

    Directory of Open Access Journals (Sweden)

    Viergever Roderik F

    2012-11-01

    Full Text Available Abstract Information on blinding is part of the data that should be provided upon registration of a trial at a clinical trials registry. Reporting of blinding is often absent or of low quality in published articles of clinical trials. This study researched the presence and quality of information on blinding in registered records of clinical trials and highlights the important role of data-recording formats at clinical trial registries in ensuring high-quality registration.

  18. Language Learners and Diverse Legacies: Question of Confidence.

    Science.gov (United States)

    Nicolson, Margaret

    2000-01-01

    A survey of 43 Scottish open university students, aged 28-87, who were studying another language, examined extent of bilingualism; schooling in and exposure to other languages in youth; school, family, media, and travel influences on language attitudes; and motivations for language study. Social and educational legacies affecting student…

  19. Initial Comparison of Direct and Legacy Modeling Approaches for Radial Core Expansion Analysis

    International Nuclear Information System (INIS)

    Shemon, Emily R.

    2016-01-01

    Radial core expansion in sodium-cooled fast reactors provides an important reactivity feedback effect. As the reactor power increases due to normal start up conditions or accident scenarios, the core and surrounding materials heat up, causing both grid plate expansion and bowing of the assembly ducts. When the core restraint system is designed correctly, the resulting structural deformations introduce negative reactivity which decreases the reactor power. Historically, an indirect procedure has been used to estimate the reactivity feedback due to structural deformation which relies upon perturbation theory and coupling legacy physics codes with limited geometry capabilities. With advancements in modeling and simulation, radial core expansion phenomena can now be modeled directly, providing an assessment of the accuracy of the reactivity feedback coefficients generated by indirect legacy methods. Recently a new capability was added to the PROTEUS-SN unstructured geometry neutron transport solver to analyze deformed meshes quickly and directly. By supplying the deformed mesh in addition to the base configuration input files, PROTEUS-SN automatically processes material adjustments including calculation of region densities to conserve mass, calculation of isotopic densities according to material models (for example, sodium density as a function of temperature), and subsequent re-homogenization of materials. To verify the new capability of directly simulating deformed meshes, PROTEUS-SN was used to compute reactivity feedback for a series of contrived yet representative deformed configurations for the Advanced Burner Test Reactor design. The indirect legacy procedure was also performed to generate reactivity feedback coefficients for the same deformed configurations. Interestingly, the legacy procedure consistently overestimated reactivity feedbacks by 35% compared to direct simulations by PROTEUS-SN. This overestimation indicates that the legacy procedures are in fact

  20. Initial Comparison of Direct and Legacy Modeling Approaches for Radial Core Expansion Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Shemon, Emily R. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-10-10

    Radial core expansion in sodium-cooled fast reactors provides an important reactivity feedback effect. As the reactor power increases due to normal start up conditions or accident scenarios, the core and surrounding materials heat up, causing both grid plate expansion and bowing of the assembly ducts. When the core restraint system is designed correctly, the resulting structural deformations introduce negative reactivity which decreases the reactor power. Historically, an indirect procedure has been used to estimate the reactivity feedback due to structural deformation which relies upon perturbation theory and coupling legacy physics codes with limited geometry capabilities. With advancements in modeling and simulation, radial core expansion phenomena can now be modeled directly, providing an assessment of the accuracy of the reactivity feedback coefficients generated by indirect legacy methods. Recently a new capability was added to the PROTEUS-SN unstructured geometry neutron transport solver to analyze deformed meshes quickly and directly. By supplying the deformed mesh in addition to the base configuration input files, PROTEUS-SN automatically processes material adjustments including calculation of region densities to conserve mass, calculation of isotopic densities according to material models (for example, sodium density as a function of temperature), and subsequent re-homogenization of materials. To verify the new capability of directly simulating deformed meshes, PROTEUS-SN was used to compute reactivity feedback for a series of contrived yet representative deformed configurations for the Advanced Burner Test Reactor design. The indirect legacy procedure was also performed to generate reactivity feedback coefficients for the same deformed configurations. Interestingly, the legacy procedure consistently overestimated reactivity feedbacks by 35% compared to direct simulations by PROTEUS-SN. This overestimation indicates that the legacy procedures are in fact

  1. Analyzing Patterns of Community Interest at a Legacy Mining Waste Site to Assess and Inform Environmental Health Literacy Efforts

    Science.gov (United States)

    Ramirez-Andreotta, Monica D.; Lothrop, Nathan; Wilkinson, Sarah T.; Root, Robert A.; Artiola, Janick F.; Klimecki, Walter; Loh, Miranda

    2015-01-01

    Understanding a community’s concerns and informational needs is crucial to conducting and improving environmental health research and literacy initiatives. We hypothesized that analysis of community inquiries over time at a legacy mining site would be an effective method for assessing environmental health literacy efforts and determining whether community concerns were thoroughly addressed. Through a qualitative analysis, we determined community concerns at the time of being listed as a Superfund site. We analyzed how community concerns changed from this starting point over the subsequent years, and whether: 1) communication materials produced by the USEPA and other media were aligned with community concerns; and 2) these changes demonstrated a progression of the community’s understanding resulting from community involvement and engaged research efforts. We observed that when the Superfund site was first listed, community members were most concerned with USEPA management, remediation, site-specific issues, health effects, and environmental monitoring efforts related to air/dust and water. Over the next five years, community inquiries shifted significantly to include exposure assessment and reduction methods and issues unrelated to the site, particularly the local public water supply and home water treatment systems. Such documentation of community inquiries over time at contaminated sites is a novel method to assess environmental health literacy efforts and determine whether community concerns were thoroughly addressed. PMID:27595054

  2. Tools in a clinical information system supporting clinical trials at a Swiss University Hospital.

    Science.gov (United States)

    Weisskopf, Michael; Bucklar, Guido; Blaser, Jürg

    2014-12-01

    Issues concerning inadequate source data of clinical trials rank second in the most common findings by regulatory authorities. The increasing use of electronic clinical information systems by healthcare providers offers an opportunity to facilitate and improve the conduct of clinical trials and the source documentation. We report on a number of tools implemented into the clinical information system of a university hospital to support clinical research. In 2011/2012, a set of tools was developed in the clinical information system of the University Hospital Zurich to support clinical research, including (1) a trial registry for documenting metadata on the clinical trials conducted at the hospital, (2) a patient-trial-assignment-tool to tag patients in the electronic medical charts as participants of specific trials, (3) medical record templates for the documentation of study visits and trial-related procedures, (4) online queries on trials and trial participants, (5) access to the electronic medical records for clinical monitors, (6) an alerting tool to notify of hospital admissions of trial participants, (7) queries to identify potentially eligible patients in the planning phase as trial feasibility checks and during the trial as recruitment support, and (8) order sets to facilitate the complete and accurate performance of study visit procedures. The number of approximately 100 new registrations per year in the voluntary trial registry in the clinical information system now matches the numbers of the existing mandatory trial registry of the hospital. Likewise, the yearly numbers of patients tagged as trial participants as well as the use of the standardized trial record templates increased to 2408 documented trial enrolments and 190 reports generated/month in the year 2013. Accounts for 32 clinical monitors have been established in the first 2 years monitoring a total of 49 trials in 16 clinical departments. A total of 15 months after adding the optional feature of

  3. Forest legacies, climate change, altered disturbance regimes, invasive species and water

    Science.gov (United States)

    Stohlgren, T.; Jarnevich, C.; Kumar, S.

    2007-01-01

    The factors that must be considered in seeking to predict changes in water availability has been examined. These factors are the following: forest legacies including logging, mining, agriculture, grazing, elimination of large carnivores, human-caused wildfire, and pollution; climate change and stream flow; altered disturbances such as frequency intensity and pattern of wildfires and insect outbreaks as well as flood control; lastly, invasive species like forest pests and pathogens. An integrated approach quantifying the current and past condition trends can be combined with spatial and temporal modeling to develop future change in forest structures and water supply. The key is a combination of geographic information system technologies with climate and land use scenarios, while preventing and minimizing the effects of harmful invasive species.

  4. ALLSMOG, the APEX Low-redshift Legacy Survey for MOlecular Gas

    Science.gov (United States)

    Bothwell, M.; Cicone, C.; Wagg, J.; De Breuck, C..

    2017-09-01

    We report the completion of the APEX Low-redshift Legacy Survey for MOlecular Gas (ALLSMOG), an ESO Large Programme, carried out with the Atacama Pathfinder EXperiment (APEX) between 2013 and 2016. With a total of 327 hours of APEX observing time, we observed the 12CO(2-1) line in 88 nearby low-mass star-forming galaxies. We briefly outline the ALLSMOG goals and design, and describe a few science highlights that have emerged from the survey so far. We outline future work that will ensure that the ALLSMOG dataset continues to provide scientific value in the coming years. ALLSMOG was designed to be a reference legacy survey and as such all reduced data products are publicly available through the ESO Science Archive Phase 3 interface.

  5. Albert Schweitzer's Legacy for Education: Reverence for Life

    Science.gov (United States)

    Rud, A. G.

    2010-01-01

    "Albert Schweitzer's Legacy for Education" is the first book devoted to the study of the thought and deeds of Albert Schweitzer in relation to education. Schweitzer's life and work offer both inspiration and timely insights for educational thought and practice in the twenty-first century. Focusing on Schweitzer's central thought,…

  6. Monitoring human factor risk characteristics at nuclear legacy sites in northwest Russia in support of radiation safety regulation

    International Nuclear Information System (INIS)

    Scheblanov, V Y; Bobrov, A F; Sneve, M K

    2012-01-01

    This paper describes research aimed at improving regulatory supervision of radiation safety during work associated with the management of spent nuclear fuel and radioactive waste at legacy sites in northwest Russia through timely identification of employees presenting unfavourable human factor risk characteristics. The legacy sites of interest include sites of temporary storage now operated by SevRAO on behalf of Rosatom. The sites were previously operational bases for servicing nuclear powered submarines and are now subject to major remediation activities. These activities include hazardous operations for recovery of spent nuclear fuel and radioactive waste from sub-optimal storage conditions. The paper describes the results of analysis of methods, procedures, techniques and informational issues leading to the development of an expert-diagnostic information system for monitoring of workers involved in carrying out the most hazardous operations. The system serves as a tool for human factor and professional reliability risk monitoring and has been tested in practical working environments and implemented as part of regulatory supervision. The work has been carried out by the Burnasyan Federal Medical Biophysical Center, within the framework of the regulatory cooperation programme between the Federal Medical–Biological Agency of Russia and the Norwegian Radiation Protection Authority. (paper)

  7. Patient representatives? views on patient information in clinical cancer trials

    OpenAIRE

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    Background Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed consent is possible to provide. We explored patient representatives? views and perceptions on the written trial information used in clinical cancer trials. Methods Written patient information leaflet...

  8. Patient representatives' views on patient information in clinical cancer trials

    DEFF Research Database (Denmark)

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    of future simplified and more attractive informed consent forms. CONCLUSIONS: The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language......BACKGROUND: Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed...... consent is possible to provide. We explored patient representatives' views and perceptions on the written trial information used in clinical cancer trials. METHODS: Written patient information leaflets used in four clinical trials for colorectal cancer were used for the study. The trials included phase I...

  9. Mapping for Health in Cameroon: Polio Legacy and Beyond.

    Science.gov (United States)

    Rosencrans, Louie C; Sume, Gerald E; Kouontchou, Jean-Christian; Voorman, Arend; Anokwa, Yaw; Fezeu, Maurice; Seaman, Vincent Y

    2017-07-01

    During the poliovirus outbreak in Cameroon from October 2013 to April 2015, the Ministry of Public Health's Expanded Program on Immunization requested technical support to improve mapping of health district boundaries and health facility locations for more effective planning and analysis of polio program data. In December 2015, teams collected data on settlements, health facilities, and other features using smartphones. These data, combined with high-resolution satellite imagery, were used to create new health area and health district boundaries, providing the most accurate health sector administrative boundaries to date for Cameroon. The new maps are useful to and used by the polio program as well as other public health programs within Cameroon such as the District Health Information System and the Emergency Operations Center, demonstrating the value of the Global Polio Eradication Initiative's legacy. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  10. Legacy Panorama on Spirit's Way to 'Bonneville'

    Science.gov (United States)

    2005-01-01

    [figure removed for brevity, see original site] Click on the image for Legacy Panorama on Spirit's Way to 'Bonneville' (QTVR) This view captured by the panoramic camera on NASA's Mars Exploration Rover Spirit nearly a year ago is called Spirit's 'Legacy' panorama. It combines many frames acquired during Spirit's 59th through 61st martian days, or sols (March 3 to 5, 2004) from a position about halfway between the landing site and the rim of 'Bonneville Crater.' The location is within the transition from the relatively smooth plains to the more rocky and rugged blanket of material ejected from Bonneville by the force of the impact that dug the crater. The panorama spans 360 degrees and consists of images obtained in 78 individual pointings. The camera took images though 5 different filter at each pointing. This mosaic is an approximately true-color rendering generated using the images acquired through filters centered at wavelengths of 750, 530, and 480 nanometers. The Columbia Memorial Station lander can be seen about 200 meters (about 650 feet) in the distance by following the rover tracks back toward right of center in the mosaic and zooming in.

  11. Lessons learned in planning the Canadian Nuclear Legacy Liabilities Program

    International Nuclear Information System (INIS)

    Stephens, M.; Brooks, S.; Miller, J.; Neal, P.; Mason, R.

    2011-01-01

    In 2006, Atomic Energy of Canada Limited (AECL) and Natural Resources Canada (NRCan) began implementing a $7B CDN, 70-year Nuclear Legacy Liabilities Program (NLLP) to deal with legacy decommissioning and environmental issues at AECL nuclear sites. The objective of the NLLP is to safely and cost-effectively reduce the nuclear legacy liabilities and associated risks based on sound waste management and environmental principles in the best interest of Canadians. The NLLP comprises a number of interlinked decommissioning, waste management and environmental restoration activities that are being executed at different sites by various technical groups. Many lessons about planning and executing such a large, diverse Program have been learned in planning the initial five-year 'start-up' phase (concluded 2011 March), in planning the three-year second phase (currently being commenced), and in planning individual and interacting activities within the Program. The activities to be undertaken in the start-up phase were planned by a small group of AECL technical experts using the currently available information on the liabilities. Several internal and external reviews of the Program during the start-up phase examined progress and identified several improvements to planning. These improvements included strengthening communications among the groups within the Program, conducting more detailed advance planning of the interlinked activities, and being cautious about making detailed commitments for activities for which major decisions had yet to be made. The second phase was planned by a dedicated core team. More and earlier input was solicited from the suppliers than in the planning for the first phase. This was to ensure that the proposed program of work was feasible, and to be able to specify in more detail the resources that would be required to carry it out. The NLLP has developed several processes to assist in the detailed planning of the numerous projects and

  12. Olympics Legacy: the London Olympics 2012

    OpenAIRE

    Gulsen, Guler; Holden, Robert

    2010-01-01

    The reasons for proposing a London 2012 bid are outlined in the light of London city planning over the past sixty years. The processes influencing the bid for the London 2012 Olympics are investigated in respect of the lessons from Barcelona and Sydney. The role of environmental\\ud and landscape improvement is examined and the importance of legacy is described and analysed. The cost of Olympiads since Sydney 2000 are described and compared. Then progress of the London 2012 Olympics developmen...

  13. From combinatorics to philosophy the legacy of G.-C. Rota

    CERN Document Server

    Damiani, Ernesto; Marra, Vincenzo

    2009-01-01

    This book provides an assessment of G. -C. Rota's legacy to international research in mathematics, philosophy and computer science. It includes chapters by leading researchers as well as a number of invited research papers.

  14. The Influence of Marketing Scholarship’s Legacy on Nonprofit Marketing

    Directory of Open Access Journals (Sweden)

    Walter Wymer

    2013-09-01

    Full Text Available This inquiry contributes to the literature on the development of “nonprofit marketing thought” by describing how the field’s early period established a legacy effect on nonprofit marketing scholarship to the present day. This qualitative work uses a wide variety of sources from a protracted historical period in order to more fully inform a perspective on the relevant issues that have influenced the development of nonprofit marketing scholarship. The investigation suggests that, although the debate on whether or not marketing is a science was nominally resolved years ago, the origins of marketing scholarships as an applied business discipline remain influential. The effects on this influence is a body of research that is fragmented, conflicted, sometimes invalid, and has produced few general theories indicative of a social science. Recommendations are offered for improving the quality of nonprofit marketing scholarship.

  15. Pediatric radiology in the Philadelphia region: a history of pedigrees and legacies

    International Nuclear Information System (INIS)

    Markowitz, Richard I.

    2009-01-01

    The specialty of pediatric radiology in the Philadelphia region has grown and evolved over the past eight decades originating from early ''visiting'' radiologists to Drs. Hope and Kirkpatrick, the ''giants'' of the 1950s and 1960s, to over 40 actively practicing pediatric radiologists. Clinical excellence, commitment to teaching, and advancement of knowledge through research remain the goals and ideals, much as they were many years ago. Philadelphia has been a fertile home and environment for this development, mostly because of outstanding leaders and role models who have trained and influenced generations of pediatric radiologists. The purpose of this article is to tell the story of this growth and development and to explore the intellectual origins, professional ''genealogy,'' and legacies left by those who created this tradition. (orig.)

  16. Clinical Simulation and Workflow by use of two Clinical Information Systems, the Electronic Health Record and Digital Dictation

    DEFF Research Database (Denmark)

    Schou Jensen, Iben; Koldby, Sven

    2013-01-01

    digital dictation and the EHR (electronic health record) were simulated in realistic and controlled clinical environments. Useful information dealing with workflow and patient safety were obtained. The clinical simulation demonstrated that the EHR locks during use of the integration of digital dictation......Clinical information systems do not always support clinician workflows. An increasing number of unintended clinical inci-dents might be related to implementation of clinical infor-mation systems and to a new registration praxis of unin-tended clinical incidents. Evidence of performing clinical...... simulations before implementation of new clinical information systems provides the basis for use of this method. The intention has been to evaluate patient safety issues, functionality, workflow, and usefulness of a new solution before implementation in the hospitals. Use of a solution which integrates...

  17. Darwin and Lincoln: their legacy of human dignity.

    Science.gov (United States)

    Earls, Felton

    2010-01-01

    The legacy of Charles Darwin and Abraham Lincoln is to champion the dignity inherent in every human being. The moment of the bicentennial of their births provides an opportunity to celebrate and reflect on ways they have shaped our understanding and commitment to human rights. The naturalist and the constitutional lawyer, so different in circumstance and discipline, were morally allied in the mission to eradicate slavery. The profound lessons to be extracted from the lives of these two icons bind us to the agonizing reality that nearly 150 years after Gettysburg and the publication of the Descent of Man, and Selection in Relation to Sex, there remains much work to do toward advancing the security, respect, and equality of our species. This article describes how Darwin and Lincoln's inspiring legacies guided the author's personal choices as a scientist and activist. The essay concludes with a set of questions and challenges that confront us, foremost among which is the need to balance actions in response to the violation of negative rights by actions in the pursuit of positive rights.

  18. An object-oriented framework for managing cooperating legacy databases

    NARCIS (Netherlands)

    Balsters, H; de Brock, EO

    2003-01-01

    We describe a general semantic framework for precise specification of so-called database federations. A database federation provides for tight coupling of a collection of heterogeneous legacy databases into a global integrated system. Our approach to database federation is based on the UML/OCL data

  19. A legacy of perseverance NAFCOC: 50 years of Leadership in ...

    African Journals Online (AJOL)

    A legacy of perseverance NAFCOC: 50 years of Leadership in Business. ... New Agenda: South African Journal of Social and Economic Policy. Journal Home · ABOUT THIS JOURNAL ... Open Access DOWNLOAD FULL TEXT Subscription or ...

  20. 75 FR 25912 - Agency Information Collection Activities; Revision of a Currently-Approved Information Collection...

    Science.gov (United States)

    2010-05-10

    ... Carrier Safety Improvement Act of 1999 (Pub. L. 106-159, 113 Stat. 1749, December 9, 1999) (MCSIA..., Flexible, Efficient Transportation Equity Act: A Legacy for Users (Pub. L. 109- 59, 119 Stat. 1144, Aug. 10..., 2010. Terry Shelton, Associate Administrator for Research and Information Technology. [FR Doc. 2010...

  1. The Legacy of Le Grand Départ Tour de France Utrecht 2015 : Involving the city in the creation of legacy

    NARCIS (Netherlands)

    Dijk, Bake; Slender, Hans; Smits, Froukje

    2016-01-01

    Le Grand Départ Tour the France 2015 took place in Utrecht on the 4th and 5th of July 2015. In advance to the first two stages a major side-event program is carried out which started a 100 days before the 4th of July. Utrecht University, School of Governance carried out a research to the legacy of

  2. Development of a clinical data warehouse from an intensive care clinical information system.

    Science.gov (United States)

    de Mul, Marleen; Alons, Peter; van der Velde, Peter; Konings, Ilse; Bakker, Jan; Hazelzet, Jan

    2012-01-01

    There are relatively few institutions that have developed clinical data warehouses, containing patient data from the point of care. Because of the various care practices, data types and definitions, and the perceived incompleteness of clinical information systems, the development of a clinical data warehouse is a challenge. In order to deal with managerial and clinical information needs, as well as educational and research aims that are important in the setting of a university hospital, Erasmus Medical Center Rotterdam, The Netherlands, developed a data warehouse incrementally. In this paper we report on the in-house development of an integral part of the data warehouse specifically for the intensive care units (ICU-DWH). It was modeled using Atos Origin Metadata Frame method. The paper describes the methodology, the development process and the content of the ICU-DWH, and discusses the need for (clinical) data warehouses in intensive care. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  3. Validation of Patient-Reported Outcomes Measurement Information System (PROMIS) computerized adaptive tests in cervical spine surgery.

    Science.gov (United States)

    Boody, Barrett S; Bhatt, Surabhi; Mazmudar, Aditya S; Hsu, Wellington K; Rothrock, Nan E; Patel, Alpesh A

    2018-03-01

    OBJECTIVE The Patient-Reported Outcomes Measurement Information System (PROMIS), which is funded by the National Institutes of Health, is a set of adaptive, responsive assessment tools that measures patient-reported health status. PROMIS measures have not been validated for surgical patients with cervical spine disorders. The objective of this project is to evaluate the validity (e.g., convergent validity, known-groups validity, responsiveness to change) of PROMIS computer adaptive tests (CATs) for pain behavior, pain interference, and physical function in patients undergoing cervical spine surgery. METHODS The legacy outcome measures Neck Disability Index (NDI) and SF-12 were used as comparisons with PROMIS measures. PROMIS CATs, NDI-10, and SF-12 measures were administered prospectively to 59 consecutive tertiary hospital patients who were treated surgically for degenerative cervical spine disorders. A subscore of NDI-5 was calculated from NDI-10 by eliminating the lifting, headaches, pain intensity, reading, and driving sections and multiplying the final score by 4. Assessments were administered preoperatively (baseline) and postoperatively at 6 weeks and 3 months. Patients presenting for revision surgery, tumor, infection, or trauma were excluded. Participants completed the measures in Assessment Center, an online data collection tool accessed by using a secure login and password on a tablet computer. Subgroup analysis was also performed based on a primary diagnosis of either cervical radiculopathy or cervical myelopathy. RESULTS Convergent validity for PROMIS CATs was supported with multiple statistically significant correlations with the existing legacy measures, NDI and SF-12, at baseline. Furthermore, PROMIS CATs demonstrated known-group validity and identified clinically significant improvements in all measures after surgical intervention. In the cervical radiculopathy and myelopathic cohorts, the PROMIS measures demonstrated similar responsiveness to the

  4. Patient representatives' views on patient information in clinical cancer trials.

    Science.gov (United States)

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-02-01

    Patient enrolment into clinical trials is based on oral information and informed consent, which includes an information sheet and a consent certificate. The written information should be complete, but at the same time risks being so complex that it may be questioned if a fully informed consent is possible to provide. We explored patient representatives' views and perceptions on the written trial information used in clinical cancer trials. Written patient information leaflets used in four clinical trials for colorectal cancer were used for the study. The trials included phase I-III trials, randomized and non-randomized trials that evaluated chemotherapy/targeted therapy in the neoadjuvant, adjuvant and palliative settings. Data were collected through focus groups and were analysed using inductive content analysis. Two major themes emerged: emotional responses and cognitive responses. Subthemes related to the former included individual preferences and perceptions of effect, while subthemes related to the latter were comprehensibility and layout. Based on these observations the patient representatives provided suggestions for improvement, which largely included development of future simplified and more attractive informed consent forms. The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language, structured text and illustrations to improve the informed consent process and thereby patient enrolment into clinical trials.

  5. MedTime: a temporal information extraction system for clinical narratives.

    Science.gov (United States)

    Lin, Yu-Kai; Chen, Hsinchun; Brown, Randall A

    2013-12-01

    Temporal information extraction from clinical narratives is of critical importance to many clinical applications. We participated in the EVENT/TIMEX3 track of the 2012 i2b2 clinical temporal relations challenge, and presented our temporal information extraction system, MedTime. MedTime comprises a cascade of rule-based and machine-learning pattern recognition procedures. It achieved a micro-averaged f-measure of 0.88 in both the recognitions of clinical events and temporal expressions. We proposed and evaluated three time normalization strategies to normalize relative time expressions in clinical texts. The accuracy was 0.68 in normalizing temporal expressions of dates, times, durations, and frequencies. This study demonstrates and evaluates the integration of rule-based and machine-learning-based approaches for high performance temporal information extraction from clinical narratives. Copyright © 2013 Elsevier Inc. All rights reserved.

  6. Radioactive legacies from medicine and industry

    International Nuclear Information System (INIS)

    Linder, R.; Rodriguez, J.

    2005-01-01

    Due to the unintended disposal of radioactive legacies (waste from medicine, industry or private persons) radioactive material occasionally enters the disposal ways of conventional waste. The Swiss Federal Office of Public Health (SFOPH) and the Swiss accident Insurance Fund (Swiss) are the licensing authorities and regulatory agencies of the handling with radioactive materials for non-nuclear use. The aim is to avoid such incidents with concrete measures and so to preserve men and environment from the negative effect of not correctly disposed radioactive waste. (orig.)

  7. Securing South Africa during the 2010 FIFA World Cup: Legacy ...

    African Journals Online (AJOL)

    African Journal for Physical Activity and Health Sciences ... Africa during the 2010 FIFA World Cup: Legacy implications for post-event safety and security ... can be sustained to benefit local residents and businesses when the event is over.

  8. Geometry, mechanics, and dynamics the legacy of Jerry Marsden

    CERN Document Server

    Holm, Darryl; Patrick, George; Ratiu, Tudor

    2015-01-01

    This book illustrates the broad range of Jerry Marsden’s mathematical legacy in areas of geometry, mechanics, and dynamics, from very pure mathematics to very applied, but always with a geometric perspective. Each contribution develops its material from the viewpoint of geometric mechanics beginning at the very foundations, introducing readers to modern issues via illustrations in a wide range of topics. The twenty refereed papers contained in this volume are based on lectures and research performed during the month of July 2012 at the Fields Institute for Research in Mathematical Sciences, in a program in honor of Marsden's legacy. The unified treatment of the wide breadth of topics treated in this book will be of interest to both experts and novices in geometric mechanics. Experts will recognize applications of their own familiar concepts and methods in a wide variety of fields, some of which they may never have approached from a geometric viewpoint. Novices may choose topics that interest them among the ...

  9. The Public Health Legacy of Polio Eradication in Africa.

    Science.gov (United States)

    Craig, Allen S; Haydarov, Rustam; O'Malley, Helena; Galway, Michael; Dao, Halima; Ngongo, Ngashi; Baranyikwa, Marie Therese; Naqvi, Savita; Abid, Nima S; Pandak, Carol; Edwards, Amy

    2017-07-01

    The legacy of polio in Africa goes far beyond the tragedies of millions of children with permanent paralysis. It has a positive side, which includes the many well-trained polio staff who have vaccinated children, conducted surveillance, tested stool specimens in the laboratories, engaged with communities, and taken care of polio patients. This legacy also includes support for routine immunization services and vaccine introductions and campaigns for other diseases. As polio funding declines, it is time to take stock of the resources made available with polio funding in Africa and begin to find ways to keep some of the talented staff, infrastructure, and systems in place to work on new public health challenges. The partnerships that helped support polio eradication will need to consider funding to maintain and to strengthen routine immunization services and other maternal, neonatal, and child health programs in Africa that have benefitted from the polio eradication infrastructure. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  10. Public information about clinical trials and research.

    Science.gov (United States)

    Plétan, Yannick; Zannad, Faïez; Jaillon, Patrice

    2003-01-01

    Be it to restore the confused image of clinical research in relation to the lay public, or to develop new ways of accruing healthy volunteers or patients for clinical trials, there is a need to draft some guidance on how best to provide information on research. Although the French legal and regulatory armamentarium in this area is essentially liberal, there is currently little-justified reluctance among study sponsors to advertise publicly. A group of academic and pharmaceutical industry researchers, assembled for a workshop, together with regulators, journalists, representatives from ethics committees, social security, patient and health consumer groups and other French institutional bodies, has suggested the following series of recommendations: there is no need for additional legal or regulatory constraints; sponsors should be aware of and make use of direct public information on trials; a 'good practice charter' on public communication about clinical trials should be developed; all professionals should be involved in this communication platform; communication in the patient's immediate vicinity should be preferred (primary-care physician, local press); clinical databases and websites accessible to professionals, but also to patients and non-professionals, should be developed; genuine instruction on clinical trials for physicians and health professionals unfamiliar with such trials should be developed and disseminated; media groups should receive at least some training in the fundamentals of clinical research.

  11. Methods for Finding Legacy Wells in Residential and Commercial Areas

    Energy Technology Data Exchange (ETDEWEB)

    Hammack, Richard [National Energy Technology Lab. (NETL), Pittsburgh, PA, (United States); Veloski, Garret [National Energy Technology Lab. (NETL), Pittsburgh, PA, (United States)

    2016-06-06

    The objective of this study was to locate legacy wells in Versailles Borough so that the Pennsylvania Department of Environmental Protection could mitigate dangerous CH4 concentrations in the community by venting or plugging leaking wells.

  12. Independent technical evaluation and recommendations for contaminated groundwater at the department of energy office of legacy management Riverton processing site

    Energy Technology Data Exchange (ETDEWEB)

    Looney, Brain B. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Denham, Miles E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Eddy-Dilek, Carol A. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2014-04-01

    The U.S. Department of Energy Office of Legacy Management (DOE-LM) manages the legacy contamination at the Riverton, WY, Processing Site – a former uranium milling site that operated from 1958 to 1963. The tailings and associated materials were removed in 1988-1989 and contaminants are currently flushing from the groundwater. DOE-LM commissioned an independent technical team to assess the status of the contaminant flushing, identify any issues or opportunities for DOE-LM, and provide key recommendations. The team applied a range of technical frameworks – spatial, temporal, hydrological and geochemical – in performing the evaluation. In each topic area, an in depth evaluation was performed using DOE-LM site data (e.g., chemical measurements in groundwater, surface water and soil, water levels, and historical records) along with information collected during the December 2013 site visit (e.g., plant type survey, geomorphology, and minerals that were observed, collected and evaluated).

  13. [Development and clinical evaluation of an anesthesia information management system].

    Science.gov (United States)

    Feng, Jing-yi; Chen, Hua; Zhu, Sheng-mei

    2010-09-21

    To study the design, implementation and clinical evaluation of an anesthesia information management system. To record, process and store peri-operative patient data automatically, all kinds of bedside monitoring equipments are connected into the system based on information integrating technology; after a statistical analysis of those patient data by data mining technology, patient status can be evaluated automatically based on risk prediction standard and decision support system, and then anesthetist could perform reasonable and safe clinical processes; with clinical processes electronically recorded, standard record tables could be generated, and clinical workflow is optimized, as well. With the system, kinds of patient data could be collected, stored, analyzed and archived, kinds of anesthesia documents could be generated, and patient status could be evaluated to support clinic decision. The anesthesia information management system is useful for improving anesthesia quality, decreasing risk of patient and clinician, and aiding to provide clinical proof.

  14. Legacy and Emerging Perfluoroalkyl Substances Are ...

    Science.gov (United States)

    Long-chain per- and polyfluoroalkyl substances (PFASs) are being replaced by short-chain PFASs and fluorinated alternatives. For ten legacy PFASs and seven recently discovered perfluoroalkyl ether carboxylic acids (PFECAs), we report (1) their occurrence in the Cape Fear River (CFR) watershed, (2) their fate in water treatment processes, and (3) their adsorbability on powdered activated carbon (PAC). In the headwater region of the CFR basin, PFECAs were not detected in raw water of a drinking water treatment plant (DWTP), but concentrations of legacy PFASs were high. The U.S. Environmental Protection Agency’s lifetime health advisory level (70 ng/L) for perfluorooctanesulfonic acid and perfluorooctanoic acid (PFOA) was exceeded on 57 of 127 sampling days. In raw water of a DWTP downstream of a PFAS manufacturer, the mean concentration of perfluoro-2-propoxypropanoic acid (PFPrOPrA), a replacement for PFOA, was 631 ng/L (n = 37). Six other PFECAs were detected, with three exhibiting chromatographic peak areas up to 15 times that of PFPrOPrA. At this DWTP, PFECA removal by coagulation, ozonation, biofiltration, and disinfection was negligible. The adsorbability of PFASs on PAC increased with increasing chain length. Replacing one CF2 group with an ether oxygen decreased the affinity of PFASs for PAC, while replacing additional CF2 groups did not lead to further affinity changes. The USEPA’s recently completed Unregulated Contaminant Monitoring Rule 3 (UCMR3) p

  15. Lots of legacy soil data are available, but which data do we need to collect for regional land use analysis?

    Science.gov (United States)

    Hendriks, Chantal; Stoorvogel, Jetse; Claessens, Lieven

    2015-04-01

    In the past, soil surveying techniques were mainly developed for qualitative regional land use analysis (RLUA) like land evaluation and land use planning. Conventional soil survey techniques usually describe soil types according to a soil classification scheme (e.g. Soil Taxonomy and World Reference Base). These soil surveys met the requirements of qualitative land evaluation and land use planning. However, during the last decades there is an increased need for quantitative RLUA resulting in an increased demand for quantitative soil data. The rapid developments in computing technology and the availability of auxiliary information (e.g. remote sensing and digital elevation models) allowed for the development of new soil surveying techniques like digital soil mapping. These new soil surveying techniques aim to produce continuous maps of quantitative functional soil properties. However, RLUA nowadays requires soil data that include a description of the spatial variability of the entire pedon in which correlations between soil properties are retained. Current surveying techniques do not fully fulfil these requirements resulting in a gap between the supply and demand of soil data in RLUA. The gap is caused by the fact that legacy soil data are collected for different purposes and inherently have different assumptions on e.g., soil variability. In this study, some of these assumptions are tested and verified using primary soil data collected during a recent field survey in Machakos and Makueni County (Kenya). Subsequently an ongoing RLUA, the Global Yield Gap Atlas (GYGA) project, is taken as a case study to evaluate the effect of different sources of soil data on the results of the RLUA. The results of the study show that various assumptions underlying the soil survey hamper the quality requirements of soil data for the specific objectives of the RLUA. To give a few examples: mapping soil properties individually ignores correlations between them, soil properties

  16. Paralympic Legacy: Exploring the Impact of the Games on the Perceptions of Young People With Disabilities.

    Science.gov (United States)

    Coates, Janine; Vickerman, Philip B

    2016-10-01

    The London 2012 Olympic and Paralympic Games aimed to deliver a legacy to citizens of the United Kingdom, which included inspiring a generation of young people to participate in sport. This study aimed to understand the legacy of the Paralympic Games for children with disabilities. Eight adolescents (11-16 yr) with physical disabilities were interviewed about their perceptions of the Paralympic Games. Thematic analysis found 3 key themes that further our understanding of the Paralympic legacy. These were Paralympians as role models, changing perceptions of disability, and the motivating nature of the Paralympics. Findings demonstrate that the Games were inspirational for children with disabilities, improving their self-perceptions. This is discussed in relation to previous literature, and core recommendations are made.

  17. Infrastructure for Integration of Legacy Electrical Equipment into a Smart-Grid Using Wireless Sensor Networks.

    Science.gov (United States)

    de Araújo, Paulo Régis C; Filho, Raimir Holanda; Rodrigues, Joel J P C; Oliveira, João P C M; Braga, Stephanie A

    2018-04-24

    At present, the standardisation of electrical equipment communications is on the rise. In particular, manufacturers are releasing equipment for the smart grid endowed with communication protocols such as DNP3, IEC 61850, and MODBUS. However, there are legacy equipment operating in the electricity distribution network that cannot communicate using any of these protocols. Thus, we propose an infrastructure to allow the integration of legacy electrical equipment to smart grids by using wireless sensor networks (WSNs). In this infrastructure, each legacy electrical device is connected to a sensor node, and the sink node runs a middleware that enables the integration of this device into a smart grid based on suitable communication protocols. This middleware performs tasks such as the translation of messages between the power substation control centre (PSCC) and electrical equipment in the smart grid. Moreover, the infrastructure satisfies certain requirements for communication between the electrical equipment and the PSCC, such as enhanced security, short response time, and automatic configuration. The paper’s contributions include a solution that enables electrical companies to integrate their legacy equipment into smart-grid networks relying on any of the above mentioned communication protocols. This integration will reduce the costs related to the modernisation of power substations.

  18. Infrastructure for Integration of Legacy Electrical Equipment into a Smart-Grid Using Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Paulo Régis C. de Araújo

    2018-04-01

    Full Text Available At present, the standardisation of electrical equipment communications is on the rise. In particular, manufacturers are releasing equipment for the smart grid endowed with communication protocols such as DNP3, IEC 61850, and MODBUS. However, there are legacy equipment operating in the electricity distribution network that cannot communicate using any of these protocols. Thus, we propose an infrastructure to allow the integration of legacy electrical equipment to smart grids by using wireless sensor networks (WSNs. In this infrastructure, each legacy electrical device is connected to a sensor node, and the sink node runs a middleware that enables the integration of this device into a smart grid based on suitable communication protocols. This middleware performs tasks such as the translation of messages between the power substation control centre (PSCC and electrical equipment in the smart grid. Moreover, the infrastructure satisfies certain requirements for communication between the electrical equipment and the PSCC, such as enhanced security, short response time, and automatic configuration. The paper’s contributions include a solution that enables electrical companies to integrate their legacy equipment into smart-grid networks relying on any of the above mentioned communication protocols. This integration will reduce the costs related to the modernisation of power substations.

  19. Russian Experience in the Regulatory Supervision of the Uranium Legacy Sites - 12441

    Energy Technology Data Exchange (ETDEWEB)

    Kiselev, M.F.; Romanov, V.V. [Federal Medical Biological Agency, Moscow (Russian Federation); Shandala, N.K.; Titov, A.V.; Kiselev, S.M.; Seregin, V.A.; Metlyaev, E.G.; Novikova, N. [Burnasyan Federal Medical Biophysical Centre, Moscow (Russian Federation); Khokhlova, E.A. [Regional Management-107 under FMBA of Russia, Krasnokamensk (Russian Federation)

    2012-07-01

    Management of the uranium legacy is accompanied with environmental impact intensity of which depends on the amount of the waste generated, the extent of that waste localization and environmental spreading. The question is: how hazardous is such impact on the environment and human health? The criterion for safety assurance is adequate regulation of the uranium legacy. Since the establishment of the uranium industry, the well done regulatory system operates in the FMBA of Russia. Such system covers inter alia, the uranium legacy. This system includes the extent laboratory network of independent control and supervision, scientific researches, regulative practices. The current Russian normative and legal basis of the regulation and its application practice has a number of problems relating to the uranium legacy, connected firstly with the environmental remediation. To improve the regulatory system, the urgent tasks are: -To introduce the existing exposure situation into the national laws and standards in compliance with the ICRP system. - To develop criteria for site remediation and return, by stages, to uncontrolled uses. The similar criteria have been developed within the Russian-Norwegian cooperation for the purpose of remediation of the sites for temporary storage of SNF and RW. - To consider possibilities and methods of optimization for the remediation strategies under development. - To separate the special category - RW resulted from uranium ore mining and dressing. The current Russian RW classification is based on the waste subdivision in terms of the specific activities. Having in mind the new RW-specific law, we receive the opportunity to separate some special category - RW originated from the uranium mining and milling. Introduction of such category can simplify significantly the situation with management of waste of uranium mining and milling processes. Such approach is implemented in many countries and approved by IAEA. The category of 'RW originated

  20. Using Backcast Land-Use Change and Groundwater Travel-Time Models to Generate Land-Use Legacy Maps for Watershed Management

    OpenAIRE

    Bryan Pijanowski; Deepak K. Ray; Anthony D. Kendall; Jonah M. Duckles; David W. Hyndman

    2007-01-01

    We couple two spatial-temporal models, a backcast land-use change model and a groundwater flow model, to develop what we call "land-use legacy maps." We quantify how a land-use legacy map, created from maps of past land use and groundwater travel times, differs from a current land-use map. We show how these map differences can affect land-use planning and watershed management decisions at a variety of spatial and temporal scales. Our approach demonstrates that land-use legacy maps provide a m...

  1. How information systems should support the information needs of general dentists in clinical settings: suggestions from a qualitative study

    Directory of Open Access Journals (Sweden)

    Wali Teena

    2010-02-01

    Full Text Available Abstract Background A major challenge in designing useful clinical information systems in dentistry is to incorporate clinical evidence based on dentists' information needs and then integrate the system seamlessly into the complex clinical workflow. However, little is known about the actual information needs of dentists during treatment sessions. The purpose of this study is to identify general dentists' information needs and the information sources they use to meet those needs in clinical settings so as to inform the design of dental information systems. Methods A semi-structured interview was conducted with a convenience sample of 18 general dentists in the Pittsburgh area during clinical hours. One hundred and five patient cases were reported by these dentists. Interview transcripts were coded and analyzed using thematic analysis with a constant comparative method to identify categories and themes regarding information needs and information source use patterns. Results Two top-level categories of information needs were identified: foreground and background information needs. To meet these needs, dentists used four types of information sources: clinical information/tasks, administrative tasks, patient education and professional development. Major themes of dentists' unmet information needs include: (1 timely access to information on various subjects; (2 better visual representations of dental problems; (3 access to patient-specific evidence-based information; and (4 accurate, complete and consistent documentation of patient records. Resource use patterns include: (1 dentists' information needs matched information source use; (2 little use of electronic sources took place during treatment; (3 source use depended on the nature and complexity of the dental problems; and (4 dentists routinely practiced cross-referencing to verify patient information. Conclusions Dentists have various information needs at the point of care. Among them, the needs

  2. MedEx: a medication information extraction system for clinical narratives

    Science.gov (United States)

    Stenner, Shane P; Doan, Son; Johnson, Kevin B; Waitman, Lemuel R; Denny, Joshua C

    2010-01-01

    Medication information is one of the most important types of clinical data in electronic medical records. It is critical for healthcare safety and quality, as well as for clinical research that uses electronic medical record data. However, medication data are often recorded in clinical notes as free-text. As such, they are not accessible to other computerized applications that rely on coded data. We describe a new natural language processing system (MedEx), which extracts medication information from clinical notes. MedEx was initially developed using discharge summaries. An evaluation using a data set of 50 discharge summaries showed it performed well on identifying not only drug names (F-measure 93.2%), but also signature information, such as strength, route, and frequency, with F-measures of 94.5%, 93.9%, and 96.0% respectively. We then applied MedEx unchanged to outpatient clinic visit notes. It performed similarly with F-measures over 90% on a set of 25 clinic visit notes. PMID:20064797

  3. Pediatric radiology in the Philadelphia region: a history of pedigrees and legacies

    Energy Technology Data Exchange (ETDEWEB)

    Markowitz, Richard I. [University of Pennsylvania School of Medicine, Department of Radiology, Children' s Hospital of Philadelphia, Philadelphia, PA (United States); Children' s Hospital of Philadelphia, Department of Radiology, Philadelphia, PA (United States)

    2009-09-15

    The specialty of pediatric radiology in the Philadelphia region has grown and evolved over the past eight decades originating from early ''visiting'' radiologists to Drs. Hope and Kirkpatrick, the ''giants'' of the 1950s and 1960s, to over 40 actively practicing pediatric radiologists. Clinical excellence, commitment to teaching, and advancement of knowledge through research remain the goals and ideals, much as they were many years ago. Philadelphia has been a fertile home and environment for this development, mostly because of outstanding leaders and role models who have trained and influenced generations of pediatric radiologists. The purpose of this article is to tell the story of this growth and development and to explore the intellectual origins, professional ''genealogy,'' and legacies left by those who created this tradition. (orig.)

  4. Regulatory Oversight of the Legacy Gunner Uranium Mine and Mill Site in Northern Saskatchewan, Canada - 13434

    Energy Technology Data Exchange (ETDEWEB)

    Stenson, Ron; Howard, Don [Canadian Nuclear Safety Commission, P.O. Box 1046, Station B, 280 Slater Street, Ottawa ON K1P 5S9 (Canada)

    2013-07-01

    As Canada's nuclear regulator, the Canadian Nuclear Safety Commission (CNSC) is responsible for licensing all aspects of uranium mining, including remediation activities at legacy sites. Since these sites already existed when the current legislation came into force in 2000, and the previous legislation did not apply, they present a special case. The Nuclear Safety and Control Act (NSCA), was written with cradle-to- grave oversight in mind. Applying the NSCA at the end of a 'facilities' life-cycle poses some challenges to both the regulator and the proponent. When the proponent is the public sector, even more challenges can present themselves. Although the licensing process for legacy sites is no different than for any other CNSC license, assuring regulatory compliance can be more complicated. To demonstrate how the CNSC has approached the oversight of legacy sites the history of the Commission's involvement with the Gunnar uranium mine and mill site provides a good case study. The lessons learned from the CNSC's experience regulating the Gunnar site will benefit those in the future who will need to regulate legacy sites under existing or new legislation. (authors)

  5. Identifying & Inventorying Legacy Materials for Digitization at the National Transportation Library

    Science.gov (United States)

    2018-01-01

    As an all-digital repository of transportation knowledge, the National Transportation Library (NTL) has undertaken several digitization projects over the years to preserve legacy print materials and make them accessible to stakeholders, researchers, ...

  6. Analyzing Language in Suicide Notes and Legacy Tokens.

    Science.gov (United States)

    Egnoto, Michael J; Griffin, Darrin J

    2016-03-01

    Identifying precursors that will aid in the discovery of individuals who may harm themselves or others has long been a focus of scholarly research. This work set out to determine if it is possible to use the legacy tokens of active shooters and notes left from individuals who completed suicide to uncover signals that foreshadow their behavior. A total of 25 suicide notes and 21 legacy tokens were compared with a sample of over 20,000 student writings for a preliminary computer-assisted text analysis to determine what differences can be coded with existing computer software to better identify students who may commit self-harm or harm to others. The results support that text analysis techniques with the Linguistic Inquiry and Word Count (LIWC) tool are effective for identifying suicidal or homicidal writings as distinct from each other and from a variety of student writings in an automated fashion. Findings indicate support for automated identification of writings that were associated with harm to self, harm to others, and various other student writing products. This work begins to uncover the viability or larger scale, low cost methods of automatic detection for individuals suffering from harmful ideation.

  7. The Southeastern Minnesota Beacon Project for Community-driven Health Information Technology: Origins, Achievements, and Legacy.

    Science.gov (United States)

    Chute, Christopher G; Hart, Lacey A; Alexander, Alex K; Jensen, Daniel W

    2014-01-01

    The Southeastern (SE) Minnesota Beacon organized all the health care providers, county public health organizations, and school districts in the deployment and integration of health information exchange (HIE) and targeted health communication around childhood asthma and diabetes. The community cooperated to establish a clinical data repository for all residents in the 11-county region. Through this community of practice approach that involved traditional and nontraditional providers, the SE Minnesota Beacon was able to realize unique applications of this technology. This manuscript overviews the associated organization and infrastructure of this community collaboration. The Office of the National Coordinator for Health Information Technology (ONC), as part of the American Recovery and Reinvestment Act of 2009 (ARRA) stimulus, established 17 projects throughout the United States targeting the introduction and meaningful use of health information technology (HIT). These 17 communities were intended to serve as an example of what could be accomplished. The SE Minnesota Beacon is one of these communities. The community ultimately opted for peer-to-peer HIE, using Nationwide Health Information Network (NwHIN) Connect software. The clinical data repository was established using the infrastructure developed by the Regenstrief Institute, which operated as a trusted third party. As an extension to HIE, the consortium of county public health departments created a patient data portal for use by school nurses and parents. Childhood asthma was addressed by creating, exchanging, and maintaining an "asthma action plan" for each affected child, shared throughout the community, including through the patient portal. Diabetes management introduced patient treatment decision tools and patient quality of life measures, facilitating care. Influenza vaccination was enhanced by large-scale community reporting in partnership with the state vaccination registry. The methodology and

  8. Building a clinical leadership community to drive improvement: a multi-case educational study to inform 21st century clinical commissioning, professional capability and patient care.

    Science.gov (United States)

    Lynch, Marion; Verner, Elizabeth

    2013-01-01

    The new NHS requires transformational leadership; people with the knowledge and motivation to make effective change combined with an understanding of the system they work in. The aim of the Practice Leaders' Programme (PLP) is to generate the conditions needed to focus the energy and collaborative creativity required for innovation to enhance leadership skills across the health economy improving patient care. The PLP engaged 60 local leaders from central England in a new approach enabling them to influence others. It has informed educational policy and practice and helped change professional behaviours. Each participant implemented improvements in care and participated in six action learning sets (ALS) and up to six coaching sessions. Evidence of progress, learning and impact was identified in project reports, reflective diaries and evaluations. The ALS brought together key individuals from clinical and management disciplines across a diverse organisation to redesign a system by developing a shared vision for improving the quality of patient care. The links forged, the projects initiated, and the skills cultivated through the PLP produced ongoing benefits and outcomes beyond the course itself. Coaching sessions helped participants focus their efforts to achieve maximum impact and to become resilient in managing service change effectively. The programme has evolved over four years, building on recommendations from external evaluation which identified statistically significant increases in leadership competences. Further enhancement of this programme secured an International Health Improvement Award. Three key findings of positive impact have emerged; personal growth, service improvement, and legacy and sustainability.

  9. Clinical and Para Clinical Information Needs of Infertility Electronic Health Records in Iran: A Delphi Study.

    Science.gov (United States)

    Farzandipour, Mehrdad; Jeddi, Fateme Rangraz; Gilasi, Hamid Reza; Shirzadi, Diana

    2017-09-01

    infertility is referred to the person's inability to conceive pregnancy after one year of intercourse without using protection. This study paves the ground for creating a complete, united, and coherent source of patients' medical information. this is an applied research of descriptive-cross sectional type which has been carried out through qualitative - quantitative methods. The sample of the present study was 50 specialists in the field of infertility which has been chosen based on purposive sampling method. Designing the questionnaire was done based on library studies and Gathering experts' views was done based on Delphi technique. 261 items from clinical and Para clinical information of infertile patients' electronic health records were subjected to an opinion poll by experts. During this process 223 items were accepted and 38 items have been rejected after two sessions of surveys by infertility experts. Para clinical information section consisted of 57 items that all of them have been accepted by the experts. Also, clinical information section consisted of 242 items from which 204 items were accepted and 38 items were rejected by the experts. existence of a structured electronic record system of infertile patients' information leads to the integration of patients' information, improvement of health care services and a decrease in treatment costs: all working to increase information safety. Furthermore, only essential and relevant information would be provided for the specialists and it will facilitate and direct the future infertility related studies due to the coherence, unity and relevance of the information.

  10. Informal sources of supervision in clinical training.

    Science.gov (United States)

    Farber, Barry A; Hazanov, Valery

    2014-11-01

    Although formal, assigned supervision is a potent source of learning and guidance for psychotherapy trainees, many beginning psychotherapists use other, informal sources of supervision or consultation for advice and support. Results of an online survey of beginning trainees (N = 146) indicate that other than their formally assigned supervisor, trainees most often consult with colleagues in their program, their own psychotherapist, and their significant other; that they're most likely to seek these other sources of help when they're feeling stuck or feel they've made a clinical mistake; that they do so because they need extra reassurance and suggestions; that they feel the advice given from these sources is helpful; and that they don't especially regret sharing this information. Several case examples are used to illustrate these points. Discussing clinical material with informal sources is, apparently, a great deal more common than typically acknowledged, and as such, has implications for training programs (including discussions of ethics) and formal supervision. © 2014 Wiley Periodicals, Inc.

  11. Simulating and quantifying legacy topographic data uncertainty: an initial step to advancing topographic change analyses

    Science.gov (United States)

    Wasklewicz, Thad; Zhu, Zhen; Gares, Paul

    2017-12-01

    Rapid technological advances, sustained funding, and a greater recognition of the value of topographic data have helped develop an increasing archive of topographic data sources. Advances in basic and applied research related to Earth surface changes require researchers to integrate recent high-resolution topography (HRT) data with the legacy datasets. Several technical challenges and data uncertainty issues persist to date when integrating legacy datasets with more recent HRT data. The disparate data sources required to extend the topographic record back in time are often stored in formats that are not readily compatible with more recent HRT data. Legacy data may also contain unknown error or unreported error that make accounting for data uncertainty difficult. There are also cases of known deficiencies in legacy datasets, which can significantly bias results. Finally, scientists are faced with the daunting challenge of definitively deriving the extent to which a landform or landscape has or will continue to change in response natural and/or anthropogenic processes. Here, we examine the question: how do we evaluate and portray data uncertainty from the varied topographic legacy sources and combine this uncertainty with current spatial data collection techniques to detect meaningful topographic changes? We view topographic uncertainty as a stochastic process that takes into consideration spatial and temporal variations from a numerical simulation and physical modeling experiment. The numerical simulation incorporates numerous topographic data sources typically found across a range of legacy data to present high-resolution data, while the physical model focuses on more recent HRT data acquisition techniques. Elevation uncertainties observed from anchor points in the digital terrain models are modeled using "states" in a stochastic estimator. Stochastic estimators trace the temporal evolution of the uncertainties and are natively capable of incorporating sensor

  12. Georges Lema\\^itre: Life, Science and Legacy

    OpenAIRE

    Mitton, Simon

    2016-01-01

    This paper celebrates the remarkable life, science and legacy of Abb\\'e Georges Lema\\^itre, the Belgian cleric and professor of physics; he was the architect of the fireworks model for the origin of the universe. He died half a century ago, three days after learning that Arno Penzias and Robert Wilson had discovered the cosmic microwave background. Despite being gravely ill from leukaemia, Lema\\^itre lucidly praised this news, which confirmed the explosive genesis of our universe.

  13. The mycological legacy of Elias Magnus Fries

    OpenAIRE

    Petersen, Ronald H.; Knudsen, Henning

    2015-01-01

    The taxonomic concepts which originated with or were accepted by Elias Magnus Fries were presented during his lifetime in the printed word, illustrative depiction, and in collections of dried specimens. This body of work was welcomed by the mycological and botanical communities of his time: students and associates aided Fries and after his passing carried forward his taxonomic ideas. His legacy spawned a line of Swedish and Danish mycologists intent on perpetuating the Fries tradition: Hampus...

  14. Simplification improves understanding of informed consent information in clinical trials regardless of health literacy level.

    Science.gov (United States)

    Kim, Eun Jin; Kim, Su Hyun

    2015-06-01

    This study evaluated the effect of a simplified informed consent form for clinical trials on the understanding and efficacy of informed consent information across health literacy levels. A total of 150 participants were randomly assigned to one of two groups and provided with either standard or simplified consent forms for a cancer clinical trial. The features of the simplified informed consent form included plain language, short sentences, diagrams, pictures, and bullet points. Levels of objective and subjective understanding were significantly higher in participants provided with simplified informed consent forms relative to those provided with standard informed consent forms. The interaction effects between type of consent form and health literacy level on objective and subjective understanding were nonsignificant. Simplified informed consent was effective in enhancing participant's subjective and objective understanding regardless of health literacy. © The Author(s) 2015.

  15. The legacy of fossil fuels.

    Science.gov (United States)

    Armaroli, Nicola; Balzani, Vincenzo

    2011-03-01

    Currently, over 80% of the energy used by mankind comes from fossil fuels. Harnessing coal, oil and gas, the energy resources contained in the store of our spaceship, Earth, has prompted a dramatic expansion in energy use and a substantial improvement in the quality of life of billions of individuals in some regions of the world. Powering our civilization with fossil fuels has been very convenient, but now we know that it entails severe consequences. We treat fossil fuels as a resource that anyone anywhere can extract and use in any fashion, and Earth's atmosphere, soil and oceans as a dump for their waste products, including more than 30 Gt/y of carbon dioxide. At present, environmental legacy rather than consistence of exploitable reserves, is the most dramatic problem posed by the relentless increase of fossil fuel global demand. Harmful effects on the environment and human health, usually not incorporated into the pricing of fossil fuels, include immediate and short-term impacts related to their discovery, extraction, transportation, distribution, and burning as well as climate change that are spread over time to future generations or over space to the entire planet. In this essay, several aspects of the fossil fuel legacy are discussed, such as alteration of the carbon cycle, carbon dioxide rise and its measurement, greenhouse effect, anthropogenic climate change, air pollution and human health, geoengineering proposals, land and water degradation, economic problems, indirect effects on the society, and the urgent need of regulatory efforts and related actions to promote a gradual transition out of the fossil fuel era. While manufacturing sustainable solar fuels appears to be a longer-time perspective, alternatives energy sources already exist that have the potential to replace fossil fuels as feedstocks for electricity production. Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  16. The legacy of fossil fuels

    Energy Technology Data Exchange (ETDEWEB)

    Armaroli, N.; Balzani, V. [CNR, Bologna (Italy)

    2011-03-01

    Currently, over 80% of the energy used by mankind comes from fossil fuels. Harnessing coal, oil and gas, the energy resources contained in the store of our spaceship, Earth, has prompted a dramatic expansion in energy use and a substantial improvement in the quality of life of billions of individuals in some regions of the world. Powering our civilization with fossil fuels has been very convenient, but now we know that it entails severe consequences. We treat fossil fuels as a resource that anyone anywhere can extract and use in any fashion, and Earth's atmosphere, soil and oceans as a dump for their waste products, including more than 30 Gt/y of carbon dioxide. At present, environmental legacy rather than consistence of exploitable reserves, is the most dramatic problem posed by the relentless increase of fossil fuel global demand. Harmful effects on the environment and human health, usually not incorporated into the pricing of fossil fuels, include immediate and short-term impacts related to their discovery, extraction, transportation, distribution, and burning as well as climate change that are spread over time to future generations or over space to the entire planet. In this essay, several aspects of the fossil fuel legacy are discussed, such as alteration of the carbon cycle, carbon dioxide rise and its measurement, greenhouse effect, anthropogenic climate change, air pollution and human health, geoengineering proposals, land and water degradation, economic problems, indirect effects on the society, and the urgent need of regulatory efforts and related actions to promote a gradual transition out of the fossil fuel era. While manufacturing sustainable solar fuels appears to be a longer-time perspective, alternatives energy sources already exist that have the potential to replace fossil fuels as feedstocks for electricity production.

  17. Health Management Information System in Private Clinics in Ilorin ...

    African Journals Online (AJOL)

    This descriptive survey was conducted among private clinics located in Ilorin, Kwara State, Nigeria to determine the awareness and level of involvement of private clinic operators towards the National Health Management Information System. A total of 37 functional clinics responded to the survey. Structured questionnaire ...

  18. the italian legacy in post-colonial somali writing: nuruddin farah's ...

    African Journals Online (AJOL)

    User

    anti-black prejudice and racism and betrays the will to dominate and control. According to ... legacy as an ex-colonial power in Sardines, published in 1981, the .... knowledge of the Italian way of life, they are also conscious of the fact that a ...

  19. RSA/Legacy Wind Sensor Comparison. Part 2; Eastern Range

    Science.gov (United States)

    Short, David A.; Wheeler, Mark M.

    2006-01-01

    This report describes a comparison of data from ultrasonic and propeller-and-vane anemometers on 5 wind towers at Kennedy Space Center and Cape Canaveral Air Force Station. The ultrasonic sensors are scheduled to replace the Legacy propeller-and-vane sensors under the Range Standardization and Automation (RSA) program. Because previous studies have noted differences between peak wind speeds reported by mechanical and ultrasonic wind sensors, the latter having no moving parts, the 30th and 45th Weather Squadrons wanted to understand possible differences between the two sensor types. The period-of-record was 13-30 May 2005, A total of 357,626 readings of 1-minute average and peak wind speed/direction from each sensor type were used. Statistics of differences in speed and direction were used to identify 15 out of 19 RSA sensors having the most consistent performance, with respect to the Legacy sensors. RSA average wind speed data from these 15 showed a small positive bias of 0.38 kts. A slightly larger positive bias of 0.94 kts was found in the RSA peak wind speed.

  20. The Midwifery Legacies Project: history, progress, and future directions.

    Science.gov (United States)

    Moore-Davis, Tonia L; McGee, Karen B; Moore, Elaine M; Paine, Lisa L

    2015-01-01

    The Midwifery Legacies Project, formerly known as the OnGoing Group, was founded as an annual greeting card outreach aimed at maintaining contact with midwives as they approached retirement and beyond. In 2009, the importance of documenting personal and professional stories of midwives arose out of a bequest by a midwife who was relatively unknown outside of the community she served. The result has been the evolution of a robust collection of stories, which are known as the 20th Century Midwife Story Collection. Between 2009 and 2014, more than 120 US midwives aged 65 years or older were interviewed by a midwife, a student midwife, or a professional filmmaker. Collectively, these midwives' stories offer an intimate snapshot of the social, political, and cultural influences that have shaped US midwifery during the past half century. Individually, the stories honor and recognize midwives' contributions to the profession and the women they have served. This article details the development, progress, and future directions of the Midwifery Legacies Project. © 2015 by the American College of Nurse-Midwives.

  1. A Layered Past: the Transformation and Development of Legacy Sediments as Alluvial Soils

    Science.gov (United States)

    Wade, A.; Richter, D. D., Jr.

    2017-12-01

    Legacy sediments are a widespread consequence of post-colonial upland erosion in the United States. Although these deposits are ubiquitous in valley bottoms of the southeastern Piedmont, mature hardwood forests and collapsed stream banks mask their occurrence. While these deposits have been studied for their fluvial dynamics and water quality impacts, they have received less attention in regards to soil structure and formation. In this study, we characterized legacy sediment mineraology, composition and structure to understand how pedogenic processes are overprinting sediment layering in a 40-hectare Piedmont floodplain. To constrain the timing of deposition, we used Pb-210 and C-14 dating on buried charcoal and tree stumps. Our results show that in 100 years of forest regeneration, vegetation and oscillating floodplain conditions have driven these eroded sediment deposits to evolve as soil profiles both in structure and composition. These textural and nutrient gradients have ramifications for the subsurface flow of nutrients through the floodplain. Given the estimated millennia it will take to erode legacy sediment from Piedmont floodplains, it is important to think of these deposits as new stable environments on their own trajectory of soil evolution.

  2. Requalification of Legacy Radioactive Waste in Germany

    International Nuclear Information System (INIS)

    Bandt, Gabriele; Hoffmann, Paulina; Spicher, Gottfried; Filss, Martin; Schauer, Claudia

    2016-01-01

    Conclusion: • Large stocks of legacy radioactive waste exist, which do not comply with the requirements of the Konrad repository. • Requalification campaigns with thousands of waste packages have successfully been carried out. • Quality assurance plans contain all necessary steps of specific (requalification) campaigns and optimize the procedures for each campaign in advance. • When sophisticated measurement equipment was needed an iterative procedure was adopted. Repeated evaluations of the nondestructive res. destructive measurements limited the measures to the necessary limit.

  3. Contribution of Sport Policy to Sport Legacy Development : Case of the Sydney 2000 Olympic Games

    OpenAIRE

    Homma, Keiko

    2015-01-01

    The impacts of hosting the Olympic Games on a host city/nation are significant, and therefore how to minimize the negative effects and maximize the positive effect has been an issue for the event owner, the International Olympic Committee (IOC). The IOC aims to leave so-called ‘legacy,’ which are to be long-term positive effects, in host cities and nations. The legacy issues captured Olympic stakeholders and researchers, after the IOC Olympic Study Centre and Autonomous University of Barcelon...

  4. World Cup Cities Project: movement by the sport legacy of sporting mega events

    Directory of Open Access Journals (Sweden)

    Rodrigo Pojar Paiva

    2013-11-01

    Full Text Available The achievement of sporting mega events is configured as an exceptional opportunity for the promotion of sports in the host cities. For this positive legacy to happen it must be previously planned, executed and monitored. This study aimed to present the national structure of the World Cup Cities Project and analyse the results obtained in six host cities of the FIFA World Cup 2014. The results showed that the social and sports legacy was not planned by public managers and there are no systems of control and evaluation of sport in any of the host cities, until the realization of the project World Cup Cities.

  5. CANDELS : THE COSMIC ASSEMBLY NEAR-INFRARED DEEP EXTRAGALACTIC LEGACY SURVEY

    NARCIS (Netherlands)

    Grogin, Norman A.; Kocevski, Dale D.; Faber, S. M.; Ferguson, Henry C.; Koekemoer, Anton M.; Riess, Adam G.; Acquaviva, Viviana; Alexander, David M.; Almaini, Omar; Ashby, Matthew L. N.; Barden, Marco; Bell, Eric F.; Bournaud, Frederic; Brown, Thomas M.; Caputi, Karina I.; Casertano, Stefano; Cassata, Paolo; Castellano, Marco; Challis, Peter; Chary, Ranga-Ram; Cheung, Edmond; Cirasuolo, Michele; Conselice, Christopher J.; Cooray, Asantha Roshan; Croton, Darren J.; Daddi, Emanuele; Dahlen, Tomas; Dave, Romeel; de Mello, Duilia F.; Dekel, Avishai; Dickinson, Mark; Dolch, Timothy; Donley, Jennifer L.; Dunlop, James S.; Dutton, Aaron A.; Elbaz, David; Fazio, Giovanni G.; Filippenko, Alexei V.; Finkelstein, Steven L.; Fontana, Adriano; Gardner, Jonathan P.; Garnavich, Peter M.; Gawiser, Eric; Giavalisco, Mauro; Grazian, Andrea; Guo, Yicheng; Hathi, Nimish P.; Haeussler, Boris; Hopkins, Philip F.; Huang, Jia-Sheng; Huang, Kuang-Han; Jha, Saurabh W.; Kartaltepe, Jeyhan S.; Kirshner, Robert P.; Koo, David C.; Lai, Kamson; Lee, Kyoung-Soo; Li, Weidong; Lotz, Jennifer M.; Lucas, Ray A.; Madau, Piero; McCarthy, Patrick J.; McGrath, Elizabeth J.; McIntosh, Daniel H.; McLure, Ross J.; Mobasher, Bahram; Moustakas, Leonidas A.; Mozena, Mark; Nandra, Kirpal; Newman, Jeffrey A.; Niemi, Sami-Matias; Noeske, Kai G.; Papovich, Casey J.; Pentericci, Laura; Pope, Alexandra; Primack, Joel R.; Rajan, Abhijith; Ravindranath, Swara; Reddy, Naveen A.; Renzini, Alvio; Rix, Hans-Walter; Robaina, Aday R.; Rodney, Steven A.; Rosario, David J.; Rosati, Piero; Salimbeni, Sara; Scarlata, Claudia; Siana, Brian; Simard, Luc; Smidt, Joseph; Somerville, Rachel S.; Spinrad, Hyron; Straughn, Amber N.; Strolger, Louis-Gregory; Telford, Olivia; Teplitz, Harry I.; Trump, Jonathan R.; van der Wel, Arjen; Villforth, Carolin; Wechsler, Risa H.; Weiner, Benjamin J.; Wiklind, Tommy; Wild, Vivienne; Wilson, Grant; Wuyts, Stijn; Yan, Hao-Jing; Yun, Min S.

    2011-01-01

    The Cosmic Assembly Near-infrared Deep Extragalactic Legacy Survey (CANDELS) is designed to document the first third of galactic evolution, over the approximate redshift (z) range 8-1.5. It will image >250,000 distant galaxies using three separate cameras on the Hubble Space Telescope, from the

  6. A generic framework for extracting XML data from legacy databases

    NARCIS (Netherlands)

    Thiran, Ph.; Estiévenart, F.; Hainaut, J.L.; Houben, G.J.P.M.

    2005-01-01

    This paper describes a generic framework of which semantics-based XML data can be derived from legacy databases. It consists in first recovering the conceptual schema of the database through reverse engineering techniques, and then in converting this schema, or part of it, into XML-compliant data

  7. An assessment of mine legacies and how to prevent them

    DEFF Research Database (Denmark)

    Pacheco Cueva, Vladimir

    in eastern El Salvador, compared the country’s mine closure legislation against world’s best practice standards and provided strategies for awareness, prevention and remediation. The most damaging legacy to the environment is that of Acid Mine Drainage (AMD) contamination of the local river. The impact...

  8. Disturbance legacies of historic tie-drives persistently alter geomorphology and large wood characteristics in headwater streams, southeast Wyoming

    Science.gov (United States)

    Claire M. Ruffing; Melinda D. Daniels; Kathleen A. Dwire

    2015-01-01

    Instream wood is recognized as an integral component of stream morphology in forested areas. However, few studies have evaluated the legacy effects of historic wood removal activities and associated impacts on channel morphology, contemporary wood loading, and recruitment. This study investigates the role of historic tie-driving, a widespread channel disturbance legacy...

  9. Leaving a Legacy: Passing Montessori to the Next Generation

    Science.gov (United States)

    Loveless, Sylvia

    2012-01-01

    For each of the past 19 years, the American Montessori Society has chosen to recognize one Montessorian as an AMS Living Legacy. Recipients are honored at the AMS annual conference for their salient work or volunteerism in the Montessori field and their dedication and leadership that has made an impact on the AMS community. It seems fitting that…

  10. Effect of clinical information in brain CT scan interpretation : a blinded double crossover study

    International Nuclear Information System (INIS)

    Zhianpour, M.; Janghorbani, M.

    2004-01-01

    Errors and variations in interpretation can happen in clinical imaging. Few studies have examined the biased effect of clinical information on reporting of brain CT scans. In a blinded double crossover design, we studied whether three radiologists were biased by clinical information when making CT scan diagnosis of the brain. Three consultant radiologists in three rounds with at least a one month interval assessed 100 consecutive cases of brain CT scan. In the first round, clinical information was not available and 100 films without clinical information were given to radiologists. In the second round, the same 100 films were given and true clinical information was available. In the third round, the same 100 films were given and false clinical information was allocated. In 180 cases (60%) the evaluation resulted in the same diagnosis on all three occasions (95% confidence interval (CI): 54.5, 65.5), whereas 120(40%; 95% CI:34.5, 45.5) sets were evaluated differently. 48 cases (16%; 95% CI:11.9,20.1) had discordant evaluation with true and 33 (11%; 95% CI:7.5, 14.5) with false clinical information. Discordance without and with true and false clinical information was 39 (13%; 95% CI:9.2, 16.8). Correct clinical information improves the brain CT report, while the report became less accurate false clinical information was allocated. These results indicate that radiologists are biased by clinical information when reporting brian CT scans

  11. Legacy effects of no-analogue disturbances alter plant community diversity and composition in semi-arid sagebrush steppe

    Science.gov (United States)

    Ripplinger, Julie; Franklin, Janet; Edwards, Thomas C.

    2015-01-01

    informs a broader understanding of how management actions affect natural systems by highlighting the importance of long-term management legacies as drivers of plant community structure and function.

  12. Main Principles of the Organization of Decommissioning Activities for Legacy Sites

    Energy Technology Data Exchange (ETDEWEB)

    Mikheykin, S.V., E-mail: Mikheykin@rosrao.ru [Department of Techniques for Remediation, Federal State Unitary Enterprise ' RosRAO' , Moscow (Russian Federation)

    2013-08-15

    As a result of more than 60 years development of nuclear industry in the former Soviet Union and in the Russian Federation there has accumulated a number of unresolved problems associated with contamination of facilities and environment during the early stages of research and industrial activities. Prior to the year 2000 most of the problems were solved slowly; the main decisions were postponed for the future. During that time were done the local works for the rehabilitation of contaminated sites. The Federal Target Programme ''Nuclear and Radiation Safety for 2008 and for the period to 2015'' was adopted in 2008. Analysis of accumulated experience as result of previous work on decontamination to develop new project management system for the rehabilitation of the nuclear legacy is needed. This CRP contribution is aimed at solving the tasks of the rehabilitation of the nuclear legacy. (author)

  13. SCALES OF FLOWS: Qatar and the Urban Legacies of Mega Events

    Directory of Open Access Journals (Sweden)

    Anna Grichting

    2013-07-01

    Full Text Available In 2022, Qatar will become the first Middle Eastern and Arab country to host such an  important Mega-Event as the FIFA World Cup. Global cultural and sporting Mega Events  ave driven the urban transformation of cities such as Barcelona, London, Rio, Beijing,Shanghai, and Lisbon and the spectacle and economic boosterism encourages cities to  compete on the World Stage for these events. The best practices of successful bids and  their enduring legacies create a knowledge and policy flow of Mega Event strategies for global branding and sustainable Urban, Social, and Economic Development at the local and regional scales. This paper discusses the urban legacies that will result from Qatar hosting the World Cup and other Mega Events, and questions how an emerging global host city like Doha will benefit on the long and short term.

  14. Sediment Budgets and Sources Inform a Novel Valley Bottom Restoration Practice Impacted by Legacy Sediment: The Big Spring Run, PA, Restoration Experiment

    Science.gov (United States)

    Walter, R. C.; Merritts, D.; Rahnis, M. A.; Gellis, A.; Hartranft, J.; Mayer, P. M.; Langland, M.; Forshay, K.; Weitzman, J. N.; Schwarz, E.; Bai, Y.; Blair, A.; Carter, A.; Daniels, S. S.; Lewis, E.; Ohlson, E.; Peck, E. K.; Schulte, K.; Smith, D.; Stein, Z.; Verna, D.; Wilson, E.

    2017-12-01

    Big Spring Run (BSR), a small agricultural watershed in southeastern Pennsylvania, is located in the Piedmont Physiographic Province, which has the highest nutrient and sediment yields in the Chesapeake Bay watershed. To effectively reduce nutrient and sediment loading it is important to monitor the effect of management practices on pollutant reduction. Here we present results of an ongoing study, begun in 2008, to understand the impact of a new valley bottom restoration strategy for reducing surface water sediment and nutrient loads. We test the hypotheses that removing legacy sediments will reduce sediment and phosphorus loads, and that restoring eco-hydrological functions of a buried Holocene wetland (Walter & Merritts 2008) will improve surface and groundwater quality by creating accommodation space to trap sediment and process nutrients. Comparisons of pre- and post-restoration gage data show that restoration lowered the annual sediment load by at least 118 t yr-1, or >75%, from the 1000 m-long restoration reach, with the entire reduction accounted for by legacy sediment removal. Repeat RTK-GPS surveys of pre-restoration stream banks verified that >90 t yr-1 of suspended sediment was from bank erosion within the restoration reach. Mass balance calculations of 137Cs data indicate 85-100% of both the pre-restoration and post-restoration suspended sediment storm load was from stream bank sources. This is consistent with trace element data which show that 80-90 % of the pre-restoration outgoing suspended sediment load at BSR was from bank erosion. Meanwhile, an inventory of fallout 137Cs activity from two hill slope transects adjacent to BSR yields average modern upland erosion rates of 2.7 t ha-1 yr-1 and 5.1 t ha-1 yr-1, showing modest erosion on slopes and deposition at toe of slopes. We conclude that upland farm slopes contribute little soil to the suspended sediment supply within this study area, and removal of historic valley bottom sediment effectively

  15. An integrated clinical and genomic information system for cancer precision medicine.

    Science.gov (United States)

    Jang, Yeongjun; Choi, Taekjin; Kim, Jongho; Park, Jisub; Seo, Jihae; Kim, Sangok; Kwon, Yeajee; Lee, Seungjae; Lee, Sanghyuk

    2018-04-20

    Increasing affordability of next-generation sequencing (NGS) has created an opportunity for realizing genomically-informed personalized cancer therapy as a path to precision oncology. However, the complex nature of genomic information presents a huge challenge for clinicians in interpreting the patient's genomic alterations and selecting the optimum approved or investigational therapy. An elaborate and practical information system is urgently needed to support clinical decision as well as to test clinical hypotheses quickly. Here, we present an integrated clinical and genomic information system (CGIS) based on NGS data analyses. Major components include modules for handling clinical data, NGS data processing, variant annotation and prioritization, drug-target-pathway analysis, and population cohort explorer. We built a comprehensive knowledgebase of genes, variants, drugs by collecting annotated information from public and in-house resources. Structured reports for molecular pathology are generated using standardized terminology in order to help clinicians interpret genomic variants and utilize them for targeted cancer therapy. We also implemented many features useful for testing hypotheses to develop prognostic markers from mutation and gene expression data. Our CGIS software is an attempt to provide useful information for both clinicians and scientists who want to explore genomic information for precision oncology.

  16. Radio-ecological characterization and radiological assessment in support of regulatory supervision of legacy sites in northwest Russia

    International Nuclear Information System (INIS)

    Sneve, M.K.; Kiselev, M.; Shandala, N.K.

    2014-01-01

    regulatory analysis of management options. For assessments of the current radiological situation, the types of data needed include information about the distribution of radionuclides in environmental media. For prognostic assessments, additional data are needed about the landscape features, on-shore and off-shore hydrology, geochemical properties of soils and sediments, and possible continuing source terms from continuing operations and on-site disposal. It is anticipated that shared international experience in legacy site characterization can be useful in the next steps. Although the output has been designed to support regulatory evaluation of these particular sites in northwest Russia, the methods and techniques are considered useful examples for application elsewhere, as well as providing relevant input to the International Atomic Energy Agency's international Working Forum for the Regulatory Supervision of Legacy Sites. - Highlights: • Characterization of sites for storage of spent fuel and radioactive waste in northwest Russia. • Development of radio-ecological visualization and prognostic radiological assessment tools. • Control of radiation exposure during hazardous operations. • Application of these developments to support regulatory supervision of legacy sites

  17. The radiation legacy of Russia

    International Nuclear Information System (INIS)

    Lebedev, V.A.

    2002-01-01

    Nuclear weapons making and testing, operation of enterprises of the nuclear industry, of military and civilian nuclear fleet, as well as peaceful nuclear explosions -- all that led in the USSR to release of radioactive products into the environment. In some parts of the FSU radioactive contamination exceeded permissible levels. The necessity of remediation of such territories became evident. The most part of the contamination resulted from major radiation accidents in Kyshtym (19570 and Chernobyl (1986). Today those objects, as well as some sites of radwaste storage and disposal, written-off nuclear submarines with non-unloaded spent nuclear fuel, some floating and on-shore repositories of nuclear fleet's radwaste and spent nuclear fuel, pose a potential hazard to the biosphere. Appropriate measures aimed at decreasing their impact on the population and environment are needed. Such measures should include both restoration of contaminated lands and social support programs for the population affected by radiation. The main task of the rehabilitation is reduction of consequences of internal and external exposure of the people, creation of necessary conditions for efficient and safe economical activities. Concrete objectives should be determined, as well as principles and standards to ensure radiation safety when conducting remediation works, and also -- specifications for evaluation of the lands condition prior to their remediation, criteria of decision making, rehabilitation planning, techniques of the lands' restoration and recommendations for their future uses. The Russian Federal special program 'Radioactive Waste and Spent Nuclear Materials Management, Utilization and Disposal for 1996-2005' envisages studies on Russia's radiation legacy's assessment on the basis of up-to-date information technologies of computer-based systems for data collection, storage and processing for accounting and analysis of information on availability, origin, physical and chemical

  18. Eventscapes and the creation of event legacies

    OpenAIRE

    Brown, G.; Lee, I.S.; King, Katherine; Shipway, Richard

    2015-01-01

    Attention is directed to the difference in event legacies created by mega-events which often cause dramatic physical changes in urban environments and those which accompany events which leave very little imprint on the landscape where they are held. The Tour Down Under cycle race, which is held annually in South Australia, is examined as an example of the latter. The spatial pattern of the event and the range of settings which support it are presented as an eventscape by drawing on concepts s...

  19. Integrating commercial and legacy systems with EPICS

    International Nuclear Information System (INIS)

    Hill, J.O.; Kasemir, K.U.

    1997-01-01

    The Experimental Physics and Industrial Control System (EPICS) is a software toolkit, developed by a worldwide collaboration, which significantly reduces the level of effort required to implement a new control system. Recent developments now also significantly reduce the level of effort required to integrate commercial, legacy and/or site-authored control systems with EPICS. This paper will illustrate with an example both the level and type of effort required to use EPICS with other control system components as well as the benefits that may arise

  20. High-end clinical domain information systems for effective healthcare delivery.

    Science.gov (United States)

    Mangalampalli, Ashish; Rama, Chakravarthy; Muthiyalian, Raja; Jain, Ajeet K

    2007-01-01

    The Electronic Health Record (EHR) provides doctors with a quick, reliable, secure, real-time and user-friendly source of all relevant patient data. The latest information system technologies, such as Clinical Data Warehouses (CDW), Clinical Decision-Support (CDS) systems and data-mining techniques (Online Analytical Processing (OLAP) and Online Transactional Processing (OLTP)), are used to maintain and utilise patient data intelligently, based on the users' requirements. Moreover, clinical trial reports for new drug approvals are now being submitted electronically for faster and easier processing. Also, information systems are used in educating patients about the latest developments in medical science through the internet and specially configured kiosks in hospitals and clinics.

  1. The strategic use of standardized information exchange technology in a university health system.

    Science.gov (United States)

    Cheng, Po-Hsun; Chen, Heng-Shuen; Lai, Feipei; Lai, Jin-Shin

    2010-04-01

    This article illustrates a Web-based health information system that is comprised of specific information exchange standards related to health information for healthcare services in National Taiwan University Health System. Through multidisciplinary teamwork, medical and informatics experts collaborated and studied on system scope definition, standard selection challenges, system implementation barriers, system management outcomes, and further expandability of other systems. After user requirement analysis and prototyping, from 2005 to 2008, an online clinical decision support system with multiple functions of reminding and information push was implemented. It was to replace its original legacy systems and serve among the main hospital and three branches of 180-200 clinics and 7,500-8,000 patient visits per day. To evaluate the effectiveness of this system, user surveys were performed, which revealed that the average score of user satisfaction increased from 2.80 to 3.18 on a 4-point scale. Among the items, especially e-learning for training service, courtesy communications for system requests, and courtesy communications for system operations showed statistically significant improvement. From this study, the authors concluded that standardized information exchange technologies can be used to create a brand new enterprise value and steadily obtain more competitive advantages for a prestige healthcare system.

  2. In memoriam of Professor Theodore L. Munsat (1930-2013): his outstanding legacy with the WFN.

    Science.gov (United States)

    Medina, Marco T

    2014-04-15

    The World Federation of Neurology (WFN) lost an outstanding leader on November 22, 2013 with the death of Professor Theodore Leon Munsat ("Ted"), in Waltham, Massachusetts, USA. Professor Munsat was Emeritus professor of Neurology at Tufts University School of Medicine and served the WFN in several capacities as trustee, chairman of the WFN Education and research committees, chairman of the WFN ALS Research group and founding director of the WFN Seminars in Clinical Neurology. He was president of the American Academy of Neurology (AAN), 1989-1991, chairman of the Continuing Educational Committee of the AAN and founding director of AAN's premier continuing medical education journal Continuum: Lifelong Learning in Neurology. He left an outstanding legacy with the WFN. Copyright © 2014. Published by Elsevier B.V.

  3. Kirkham’s legacy and contemporary challenges in soil physics research

    Science.gov (United States)

    This paper, written by the winners of the Don and Betty Kirkham Award in Soil Physics, is dedicated to the legacy of Don Kirkham. It describes eight longstanding or emerging research areas in soil physics that contain key unsolved problems. All are field-oriented with applications to a number of imp...

  4. A Novel Technique for Running the NASA Legacy Code LAPIN Synchronously With Simulations Developed Using Simulink

    Science.gov (United States)

    Vrnak, Daniel R.; Stueber, Thomas J.; Le, Dzu K.

    2012-01-01

    This report presents a method for running a dynamic legacy inlet simulation in concert with another dynamic simulation that uses a graphical interface. The legacy code, NASA's LArge Perturbation INlet (LAPIN) model, was coded using the FORTRAN 77 (The Portland Group, Lake Oswego, OR) programming language to run in a command shell similar to other applications that used the Microsoft Disk Operating System (MS-DOS) (Microsoft Corporation, Redmond, WA). Simulink (MathWorks, Natick, MA) is a dynamic simulation that runs on a modern graphical operating system. The product of this work has both simulations, LAPIN and Simulink, running synchronously on the same computer with periodic data exchanges. Implementing the method described in this paper avoided extensive changes to the legacy code and preserved its basic operating procedure. This paper presents a novel method that promotes inter-task data communication between the synchronously running processes.

  5. Clinical trials information in drug development and regulation : existing systems and standards

    NARCIS (Netherlands)

    Valkenhoef, Gert van; Tervonen, Tommi; Brock, Bert de; Hillege, Hans

    2012-01-01

    Clinical trials provide pivotal evidence on drug efficacy and safety. The evidence, information from clinical trials, is currently used by regulatory decision makers in marketing authorization decisions, but only in an implicit manner. For clinical trials information to be used in a transparent and

  6. Effects of Management Legacies on Stream Fish and Aquatic Benthic Macroinvertebrate Assemblages

    Science.gov (United States)

    Quist, Michael C.; Schultz, Randall D.

    2014-09-01

    Fish and benthic macroinvertebrate assemblages often provide insight on ecological conditions for guiding management actions. Unfortunately, land use and management legacies can constrain the structure of biotic communities such that they fail to reflect habitat quality. The purpose of this study was to describe patterns in fish and benthic macroinvertebrate assemblage structure, and evaluate relationships between biota and habitat characteristics in the Chariton River system of south-central Iowa, a system likely influenced by various potential management legacies (e.g., dams, chemical removal of fishes). We sampled fishes, benthic macroinvertebrates, and physical habitat from a total of 38 stream reaches in the Chariton River watershed during 2002-2005. Fish and benthic macroinvertebrate assemblages were dominated by generalist species tolerant of poor habitat quality; assemblages failed to show any apparent patterns with regard to stream size or longitudinal location within the watershed. Metrics used to summarize fish assemblages and populations [e.g., presence-absence, relative abundance, Index of Biotic Integrity for fish (IBIF)] were not related to habitat characteristics, except that catch rates of piscivores were positively related to the depth and the amount of large wood. In contrast, family richness of benthic macroinvertebrates, richness of Ephemeroptera, Trichoptera, and Plecoptera taxa, and IBI values for benthic macroinvertebrates (IBIBM) were positively correlated with the amount of overhanging vegetation and inversely related to the percentage of fine substrate. A long history of habitat alteration by row-crop agriculture and management legacies associated with reservoir construction has likely resulted in a fish assemblage dominated by tolerant species. Intolerant and sensitive fish species have not recolonized streams due to downstream movement barriers (i.e., dams). In contrast, aquatic insect assemblages reflected aquatic habitat, particularly

  7. Informal Leadership in the Clinical Setting: Occupational Therapist Perspectives

    Directory of Open Access Journals (Sweden)

    Clark Patrick Heard

    2018-04-01

    Full Text Available Background: Leadership is vital to clinical, organizational, and professional success. This has compelled a high volume of research primarily related to formal leadership concepts. However, as organizations flatten, eliminate departmental structures, or decentralize leadership structures the relevance of informal leaders has markedly enhanced. Methods: Using a qualitative phenomenological methodology consistent with interpretative phenomenological analysis, this study examines the impact of informal leadership in the clinical setting for occupational therapists. Data was collected through the completion of semi-structured interviews with 10 peer-identified informal occupational therapy leaders in Ontario, Canada. Collected data was transcribed verbatim and coded for themes by multiple coders. Several methods were employed to support trustworthiness. Results: The results identify that informal leaders are collaborative, accessible, and considered the “go to” staff. They demonstrate professional competence knowledge, experience, and accountability and are inspirational and creative. Practically, informal leaders organically shape the practice environment while building strength and capacity among their peers. Conclusion: Recommendations for supporting informal leaders include acknowledgement of the role and its centrality, enabling informal leaders time to undertake the role, and supporting consideration of informal leadership concepts at the curriculum and professional level.

  8. The Impact of Oregon's Pension Legacy Costs on New Teacher Turnover and Quality. CEDR Working Paper. WP #2016-5

    Science.gov (United States)

    Cahill, Kevin E.; Dyke, Andrew; Tapogna, John

    2016-01-01

    Pension legacy costs can restrict the amount of resources available for current public education, potentially making it more difficult to attract and retain high-quality teachers. Oregon provides a useful case study in pension legacy costs because many school districts in the state are now reallocating General Fund expenditures to cover sizeable…

  9. Legacy Vehicle Fuel System Testing with Intermediate Ethanol Blends

    Energy Technology Data Exchange (ETDEWEB)

    Davis, G. W.; Hoff, C. J.; Borton, Z.; Ratcliff, M. A.

    2012-03-01

    The effects of E10 and E17 on legacy fuel system components from three common mid-1990s vintage vehicle models (Ford, GM, and Toyota) were studied. The fuel systems comprised a fuel sending unit with pump, a fuel rail and integrated pressure regulator, and the fuel injectors. The fuel system components were characterized and then installed and tested in sample aging test rigs to simulate the exposure and operation of the fuel system components in an operating vehicle. The fuel injectors were cycled with varying pulse widths during pump operation. Operational performance, such as fuel flow and pressure, was monitored during the aging tests. Both of the Toyota fuel pumps demonstrated some degradation in performance during testing. Six injectors were tested in each aging rig. The Ford and GM injectors showed little change over the aging tests. Overall, based on the results of both the fuel pump testing and the fuel injector testing, no major failures were observed that could be attributed to E17 exposure. The unknown fuel component histories add a large uncertainty to the aging tests. Acquiring fuel system components from operational legacy vehicles would reduce the uncertainty.

  10. The Kemper History Project: From Historical Narrative to Institutional Legacy

    Science.gov (United States)

    Hunzicker, Jana

    2017-01-01

    An "institutional legacy" can be understood as knowledge, values, and shared experiences transmitted by or received from a college or university for the benefit of all who have taught, served, researched, and/or learned there. This article describes a year-long, collaborative writing project carried out by one university to chronicle two…

  11. R&D 100 Awards Demonstrate Clean Energy Legacy - Continuum Magazine |

    Science.gov (United States)

    Intel to develop an innovative warm-water, liquid-cooled supercomputer that later won an R&D 100 Award. Photo by Dennis Schroeder, NREL R&D 100 Awards Demonstrate Clean Energy Legacy NREL has won 57 R&D 100 Awards since 1982, many of which led directly to industry successes today. R&D 100

  12. Celebrating the Life and Legacy of Dr. John Hope Franklin

    Science.gov (United States)

    Harris, Robert L., Jr.; Levering-Lewis, David; French, John D.; Wharton, Clifton R., Jr.

    2009-01-01

    Dr. John Hope Franklin chronicled the experiences of African-Americans like no one before him, forcing America to recognize Black history as American history. His contributions were innumerable and his impact was abiding. In celebration of his life and legacy, the authors profile the celebrated scholar and activist, Dr. John Hope Franklin.

  13. CliniProteus: A flexible clinical trials information management system

    Science.gov (United States)

    Mathura, Venkatarajan S; Rangareddy, Mahendiranath; Gupta, Pankaj; Mullan, Michael

    2007-01-01

    Clinical trials involve multi-site heterogeneous data generation with complex data input-formats and forms. The data should be captured and queried in an integrated fashion to facilitate further analysis. Electronic case-report forms (eCRF) are gaining popularity since it allows capture of clinical information in a rapid manner. We have designed and developed an XML based flexible clinical trials data management framework in .NET environment that can be used for efficient design and deployment of eCRFs to efficiently collate data and analyze information from multi-site clinical trials. The main components of our system include an XML form designer, a Patient registration eForm, reusable eForms, multiple-visit data capture and consolidated reports. A unique id is used for tracking the trial, site of occurrence, the patient and the year of recruitment. Availability http://www.rfdn.org/bioinfo/CTMS/ctms.html. PMID:21670796

  14. Interoperability and Security Support for Heterogeneous COTS/GOTS/Legacy Component-Based Architecture

    National Research Council Canada - National Science Library

    Tran, Tam

    2000-01-01

    There is a need for Commercial-off-the-shelf (COTS), Government-off-the-shelf (GOTS) and legacy components to interoperate in a secure distributed computing environment in order to facilitate the development of evolving applications...

  15. Physician capability to electronically exchange clinical information, 2011.

    Science.gov (United States)

    Patel, Vaishali; Swain, Matthew J; King, Jennifer; Furukawa, Michael F

    2013-10-01

    To provide national estimates of physician capability to electronically share clinical information with other providers and to describe variation in exchange capability across states and electronic health record (EHR) vendors using the 2011 National Ambulatory Medical Care Survey Electronic Medical Record Supplement. Survey of a nationally representative sample of nonfederal office-based physicians who provide direct patient care. The survey was administered by mail with telephone follow-up and had a 61% weighted response rate. The overall sample consisted of 4326 respondents. We calculated estimates of electronic exchange capability at the national and state levels, and applied multivariate analyses to examine the association between the capability to exchange different types of clinical information and physician and practice characteristics. In 2011, 55% of physicians had computerized capability to send prescriptions electronically; 67% had the capability to view lab results electronically; 42% were able to incorporate lab results into their EHR; 35% were able to send lab orders electronically; and, 31% exchanged patient clinical summaries with other providers. The strongest predictor of exchange capability is adoption of an EHR. However, substantial variation exists across geography and EHR vendors in exchange capability, especially electronic exchange of clinical summaries. In 2011, a majority of office-based physicians could exchange lab and medication data, and approximately one-third could exchange clinical summaries with patients or other providers. EHRs serve as a key mechanism by which physicians can exchange clinical data, though physicians' capability to exchange varies by vendor and by state.

  16. Dell H. Hymes: His Scholarship and Legacy in Anthropology and Education

    Science.gov (United States)

    Hornberger, Nancy H., Ed.

    2011-01-01

    Dell Hathaway Hymes, linguistic anthropologist and educational visionary extraordinaire, passed away in November 2009, leaving behind a voluminous scholarship and inspirational legacy in the study of language and inequality, ethnography, sociolinguistics, Native American ethnopoetics, and education. This essay provides a brief account of Hymes's…

  17. Holistic information evaluation of divergence of soil's properties by using of legacy data of large scale monitoring surveys

    Science.gov (United States)

    Mikheeva, Irina

    2017-04-01

    Identification of tendencies of soil's transformations is very important for adequate ecological and economical assessment of degradation of soils. But monitoring of conditions of soils, and other natural objects, bring up a number of important methodological questions, including the probabilistic and statistical analysis of the accumulated legacy data and their use for verification of quantitative estimates of natural processes. Owing to considerable natural variability there is a problem of a reliable assessment of contemporary soil evolution under the influence of environmental management and climate changes. When studying dynamics of soil quality it is necessary to consider soil as open complex system with parameters which significantly vary in space. The analysis of probabilistic distributions of attributes of studied system is informative for the characteristic of holistic state and behavior of the system. Therefore earlier we had offered the method of evaluation of alterations of soils by analysis of changes of pdf of their properties and their statistical entropy. The executed analysis of dynamics of pdf showed that often opposite tendencies to decrease and to increase of property can be shown at the same time. However to give an adequate quantitative evaluation of changes of soil properties it is necessary to characterize them in general. We proposed that it is reasonable to name processes of modern changes in soil properties concerning their start meaning by the term "divergence" and investigate it quantitatively. For this purpose we suggested to use value of information divergence which is defined as a measure of distinctions of pdf in compared objects or in various time. As the measure of dissimilarity, divergence should satisfy come conditions, the most important is scale-invariance property. Information divergence was used by us for evaluation of distinctions of soils according heterogeneity of factors of soil formation and with course of natural and

  18. Drought-induced legacy effects in wood growth across the Eastern and Midwestern U.S. are mediated by site climate, tree age, and drought sensitivity

    Science.gov (United States)

    Kannenberg, S.; Maxwell, J. T.; Pederson, N.; D'Orangeville, L.; Phillips, R.

    2017-12-01

    While it is widely known that drought reduces carbon (C) uptake in temperate forests, tree growth can also remain stagnant post-drought despite favorable climatic conditions. While such "legacy effects" are well established, the degree to which these effects depend on species identity or variability in site conditions is poorly quantified. We sought to uncover how site, species, climate, and tree age interact to affect the presence and magnitude of legacy effects in temperate trees following drought. To do this, we assembled dendrochronological records of 18 common species across 94 sites in Eastern and Midwestern U.S. forests and quantified drought-induced changes in wood growth in the year of the drought (hereafter "drought sensitivity") and the years after the drought (i.e., legacy effects). We predicted that species particularly prone to hydraulic damage (e.g., oaks) would have the least drought sensitivity yet experience larger legacy effects, and that this effect would be exacerbated at arid sites. Across all species and sites, wood growth was reduced by 14% in the year of the drought and by 7% post-drought. Surprisingly, legacy effects were smaller for oak species and larger across species known to be more drought sensitive (e.g. tulip poplar, maple, birch). As a result, we observed a positive relationship between a species' drought sensitivity and that species' legacy effect. These legacy effects were similar in size across a range of drought severities. Surprisingly, legacy effects were smaller in more arid sites - contrary to previous investigations in dryland ecosystems - perhaps indicating the role of adaptation in mediating a tree's recovery from drought. In addition, many species actually decreased the size of their legacy effects as they aged, despite no change in drought responses. Our results run contrary to our predictions, as species with the greatest drought sensitivity had the least ability to recover, and that younger mesic forests- not arid

  19. Advanced Instrumentation, Information, and Control Systems Technologies Technical Program Plan for 2014

    Energy Technology Data Exchange (ETDEWEB)

    Hallbert, Bruce [Idaho National Lab. (INL), Idaho Falls, ID (United States); Thomas, Ken [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-07-01

    The Advanced Instrumentation, Information, and Control (II&C) Systems Technologies Pathway conducts targeted research and development (R&D) to address aging and reliability concerns with the legacy instrumentation and control and related information systems of the U.S. operating light water reactor (LWR) fleet. This work involves two major goals: (1) to ensure that legacy analog II&C systems are not life-limiting issues for the LWR fleet, and (2) to implement digital II&C technology in a manner that enables broad innovation and business improvement in the nuclear power plant operating model. Resolving long-term operational concerns with the II&C systems contributes to the long-term sustainability of the LWR fleet, which is vital to the nation's energy and environmental security.

  20. Schiaparelli and his legacy

    Science.gov (United States)

    Manara, A.; Trinchieri, G.

    Giovanni Virginio Schiaparelli has been one of the most important Italian astronomers of the eighteen hundreds. He was an active scientist and the director of the Brera Observatory for close to 40 years; his scientific achievements and his personal influence can be traced to a very large community of people and subjects, which go well beyond the observations of Mars, for which he is most famous. His vast range of interests, which include studies on history of Astronomy and ancient languages, Solar System bodies, meteorology, and Earth sciences, are well documented and will be the reviewed in this conference. More relevant to modern science, he has left us a very solid legacy, both with his pioneering scientific works, now progressing with new discoveries and the aid of new technology, and with the consequences of his observations of Mars, which have greatly influenced the literary world and have opened new research activities in medicine.

  1. Information technology security system engineering methodology

    Science.gov (United States)

    Childs, D.

    2003-01-01

    A methodology is described for system engineering security into large information technology systems under development. The methodology is an integration of a risk management process and a generic system development life cycle process. The methodology is to be used by Security System Engineers to effectively engineer and integrate information technology security into a target system as it progresses through the development life cycle. The methodology can also be used to re-engineer security into a legacy system.

  2. Human and biophysical legacies shape contemporary urban forests: A literature synthesis

    Science.gov (United States)

    Lara A. Roman; Hamil Pearsall; Theodore S. Eisenman; Tenley M. Conway; Robert T. Fahey; Shawn Landry; Jess Vogt; Natalie S. van Doorn; J. Morgan Grove; Dexter H. Locke; Adrina C. Bardekjian; John J. Battles; Mary L. Cadenasso; Cecil C. Konijnendijk van den Bosch; Meghan Avolio; Adam Berland; G. Darrel Jenerette; Sarah K. Mincey; Diane E. Pataki; Christina Staudhammer

    2018-01-01

    Understanding how urban forests developed their current patterns of tree canopy cover, species composition, and diversity requires an appreciation of historical legacy effects. However, analyses of current urban forest characteristics are often limited to contemporary socioeconomic factors, overlooking the role of history. The institutions, human communities, and...

  3. Inspiring Collaboration: The Legacy of Theo Colborn's Transdisciplinary Research on Fracking.

    Science.gov (United States)

    Wylie, Sara; Schultz, Kim; Thomas, Deborah; Kassotis, Chris; Nagel, Susan

    2016-09-13

    This article describes Dr Theo Colborn's legacy of inspiring complementary and synergistic environmental health research and advocacy. Colborn, a founder of endocrine disruption research, also stimulated study of hydraulic fracturing (fracking). In 2014, the United States led the world in oil and gas production, with fifteen million Americans living within one mile of an oil or gas well. Colborn pioneered efforts to understand and control the impacts of this sea change in energy production. In 2005, her research organization The Endocrine Disruption Exchange (TEDX) developed a database of chemicals used in natural gas extraction and their health effects. This database stimulated novel scientific and social scientific research and informed advocacy by (1) connecting communities' diverse health impacts to chemicals used in natural gas development, (2) inspiring social science research on open-source software and hardware for citizen science, and (3) posing new scientific questions about the endocrine-disrupting properties of fracking chemicals. © The Author(s) 2016.

  4. Transparency and public accessibility of clinical trial information in Croatia: how it affects patient participation in clinical trials.

    Science.gov (United States)

    Šolić, Ivana; Stipčić, Ana; Pavličević, Ivančica; Marušić, Ana

    2017-06-15

    Despite increased visibility of clinical trials through international trial registries, patients often remain uninformed of their existence, especially if they do not have access to adequate information about clinical research, including the language of the information. The aim of this study was to describe the context for transparency of clinical trials in Croatia in relation to countries in Central and Eastern Europe, and to assess how informed Croatian patients are about clinical trials and their accessibility. We assessed the transparency of clinical trials from the data available in the public domain. We also conducted an anonymous survey on a convenience sample of 257 patients visiting two family medicine offices or an oncology department in south Croatia, and members of national patients' associations. Despite legal provisions for transparency of clinical trials in Croatia, they are still not sufficiently visible in the public domain. Among countries from Central and Eastern Europe, Croatia has the fewest number of registered trials in the EU Clinical Trials Registry. 66% of the patients in the survey were aware of the existence of clinical trials but only 15% were informed about possibilities of participating in a trial. Although 58% of the respondents were willing to try new treatments, only 6% actually participated in a clinical trial. Only 2% of the respondents were aware of publicly available trial registries. Our study demonstrates that there is low transparency of clinical trials in Croatia, and that Croatian patients are not fully aware of clinical trials and the possibilities of participating in them, despite reported availability of Internet resources and good communication with their physicians. There is a need for active policy measures to increase the awareness of and access to clinical trials to patients in Croatia, particularly in their own language.

  5. THE CANADA-FRANCE-HAWAII TELESCOPE LEGACY SURVEY: STACKED IMAGES AND CATALOGS

    International Nuclear Information System (INIS)

    Gwyn, Stephen D. J.

    2012-01-01

    This paper describes the image stacks and catalogs of the Canada-France-Hawaii Telescope Legacy Survey produced using the MegaPipe data pipeline at the Canadian Astronomy Data Centre. The Legacy Survey is divided into two parts. The Deep Survey consists of four fields each of 1 deg 2 , with magnitude limits (50% completeness for point sources) of u = 27.5, g = 27.9, r = 27.7, i = 27.4, and z = 26.2. It contains 1.6 × 10 6 sources. The Wide Survey consists of 150 deg 2 split over four fields, with magnitude limits of u = 26.0, g = 26.5, r = 25.9, i = 25.7, and z = 24.6. It contains 3 × 10 7 sources. This paper describes the calibration, image stacking, and catalog generation process. The images and catalogs are available on the web through several interfaces: normal image and text file catalog downloads, a 'Google Sky' interface, an image cutout service, and a catalog database query service.

  6. Parent-Adolescent Cross-Informant Agreement in Clinically Referred Samples

    DEFF Research Database (Denmark)

    Rescorla, Leslie A; Ewing, Grace; Ivanova, Masha Y

    2017-01-01

    To conduct international comparisons of parent-adolescent cross-informant agreement in clinical samples, we analyzed ratings on the Child Behavior Checklist (CBCL) and Youth Self-Report (YSR) for 6,762 clinically referred adolescents ages 11-18 from 7 societies (M = 14.5 years, SD = 2.0 years; 51...

  7. Archiving Legacy Images from International Tsunami Science Team (ITST) Surveys, 1946 - 2013

    Science.gov (United States)

    Synolakis, C.; Kong, L. S. L.; Elwany, H.; Arcos, N. P.; Dunbar, P. K.

    2016-12-01

    The ITIC, USC, Coastal Environments, and NOAA/NCEI have collaborated to gather legacy videos and photos from ITST surveys conducted since 1992, plus from 1946 and 1956, by the USC-TR. The images will become part of the NCEI online and searchable historical tsunami image database. The legacy videos and photos document the local conditions in the tsunami aftermath and are important resources for visualizing the tsunami and identifying patterns of impacts. The data provide invaluable insights into tsunami events, and this information will empower future generations to make informed decisions regarding the future management of ocean resources, local development, and safety protocols. Eyewitnesses are important sources for further understanding even well studied events, especially before 2000. Videos provide context - what residents were doing, what they felt, what they saw, what reactions helped them survive. Photographs document inundation extent. Together, they help to visualize the location and document human behavior and response of the built environment. For example, a flow mark inside a house that survived, versus a partially destroyed house, differentiates construction styles. While the scientific rationale behind tsunami surveys is obvious, ITST protocols strike the delicate balance between the prompt need to act to recover ephemeral scientific field evidence, and urgent priorities for search-and-rescue immediately after tsunami disasters. The data set includes over 50 videos of varying formats and over 3,000 internationally-sourced photos from 24 major tsunami events from 1946-2013: 01 April 1946 Unimak Island, Aleutians; 09 July 1956 Amorgos Island, Greece; 01 September 1992, Nicaragua; 12 December 1992, Flores; 02 June 1994, East Java; 04 October 1994, Shikotan; 14 November 1994, Mindoro, Philippines; 17 January 1994 Northridge; 09 October 1995, Manzanillo, Mexico; 17 February 1997, Biak, Indonesia; 21 February 1996 Chimbote, Peru; 17 August 1998 Aitape, PNG

  8. From Boston to the Balkans: Olmsted’s Emerald Legacy

    Directory of Open Access Journals (Sweden)

    Christina Luke

    2013-01-01

    Full Text Available This article explores the legacy of landscape architect Fredrick Law Olmsted on modern cultural tourism policies. The author explains the involvement of Olmsted in the founding of Yosemite National Park, and describes the influence of this experience on his later work on the Emerald Necklace parks project in Boston. This became a model for natural and cultural corridors worldwide, including those in the Balkans and Turkey.

  9. Living out our values: the legacy of Christian academic nursing leadership.

    Science.gov (United States)

    Coeling, Harriet V; Chiang-Hanisko, Lenny; Thompson, Mary

    2011-01-01

    Retired academic nursing leaders possess a rich legacy of knowledge. Using a grounded theory approach, knowledge possessed by 14 retired Christian Chairperson/Deans was explored. Two themes representing commitment to living out Christian values; and fortitude, understanding, and spiritual guidance emerged from written responses to open-ended survey questions.

  10. Leaving a Legacy Neutralizes Negative Effects of Death Anxiety on Creativity

    NARCIS (Netherlands)

    Sligte, Daniel J.; Nijstad, Bernard A.; De Dreu, Carsten K. W.

    Mortality salience (MS) can lead to a paralyzing terror, and to cope with this, people strive for literal or symbolic immortality. As MS leads to conformity and narrow-mindedness, we predicted that MS would lead to lower creativity, unless creativity itself could lead to leaving a legacy and thus

  11. Leaving a legacy neutralizes negative effects of death anxiety on creativity

    NARCIS (Netherlands)

    Sligte, D.J.; Nijstad, B.A.; de Dreu, C.K.W.

    2013-01-01

    Mortality salience (MS) can lead to a paralyzing terror, and to cope with this, people strive for literal or symbolic immortality. As MS leads to conformity and narrow-mindedness, we predicted that MS would lead to lower creativity, unless creativity itself could lead to leaving a legacy and thus

  12. Peter Waterman and his scientific legacy

    Science.gov (United States)

    Mishchenko, Michael I.; Kahnert, Michael; Mackowski, Daniel W.; Wriedt, Thomas

    2013-01-01

    Peter C. Waterman, a giant figure in the theory of electromagnetic, acoustic, and elastic wave scattering, passed away on 3 June, 2012. In view of his fundamental contributions, which to a large degree have guided the progress of these disciplines over the past five decades and affected profoundly the multifaceted research published in the Journal of Quantitative Spectroscopy and Radiative Transfer (JQSRT), we felt that it would be appropriate to solicit papers for a special issue of JQSRT commemorating Peter Waterman's scientific legacy. This initiative was endorsed by the JQSRT management and has resulted in a representative collection of high-quality papers which have undergone the same peer scrutiny as any paper submitted to JQSRT.

  13. Factors shaping effective utilization of health information technology in urban safety-net clinics.

    Science.gov (United States)

    George, Sheba; Garth, Belinda; Fish, Allison; Baker, Richard

    2013-09-01

    Urban safety-net clinics are considered prime targets for the adoption of health information technology innovations; however, little is known about their utilization in such safety-net settings. Current scholarship provides limited guidance on the implementation of health information technology into safety-net settings as it typically assumes that adopting institutions have sufficient basic resources. This study addresses this gap by exploring the unique challenges urban resource-poor safety-net clinics must consider when adopting and utilizing health information technology. In-depth interviews (N = 15) were used with key stakeholders (clinic chief executive officers, medical directors, nursing directors, chief financial officers, and information technology directors) from staff at four clinics to explore (a) nonhealth information technology-related clinic needs, (b) how health information technology may provide solutions, and (c) perceptions of and experiences with health information technology. Participants identified several challenges, some of which appear amenable to health information technology solutions. Also identified were requirements for effective utilization of health information technology including physical infrastructural improvements, funding for equipment/training, creation of user groups to share health information technology knowledge/experiences, and specially tailored electronic billing guidelines. We found that despite the potential benefit that can be derived from health information technologies, the unplanned and uninformed introduction of these tools into these settings might actually create more problems than are solved. From these data, we were able to identify a set of factors that should be considered when integrating health information technology into the existing workflows of low-resourced urban safety-net clinics in order to maximize their utilization and enhance the quality of health care in such settings.

  14. Who cares? The lost legacy of Archie Cochrane.

    Science.gov (United States)

    Askheim, Clemet; Sandset, Tony; Engebretsen, Eivind

    2017-03-01

    Over the last 20 years, the evidence-based medicine (EBM) movement has sought to develop standardised approaches to patient treatment by drawing on research results from randomised controlled trials (RCTs). The Cochrane Collaboration and its eponym, Archie Cochrane, have become symbols of this development, and Cochrane's book Effectiveness and Efficiency from 1972 is often referred to as the first sketch of what was to become EBM. In this article, we claim that this construction of EBM's historical roots is based on a selective reading of Cochrane's text. Through a close reading of this text, we show that the principal aim of modern EBM, namely to warrant clinical decisions based on evidence drawn from RCTs, is not part of Cochrane's original project. He had more modest ambitions for what RCTs can accomplish, and, more importantly, he was more concerned with care and equality than are his followers in the EBM movement. We try to reconstruct some of Cochrane's lost legacy and to articulate some of the important silences in Effectiveness and Efficiency From these clues it might be possible, we argue, to remodel EBM in a broader, more pluralistic, more democratic and less authoritarian manner. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  15. RSA/Legacy Wind Sensor Comparison. Part 1; Western Range

    Science.gov (United States)

    Short, David A.; Wheeler, Mark M.

    2006-01-01

    This report describes a comparison of data from ultrasonic and cup-and-vane anemometers on 5 wind towers at Vandenberg AFB. The ultrasonic sensors are scheduled to replace the Legacy cup-and-vane sensors under the Range Standardization and Automation (RSA) program. Because previous studies have noted differences between peak wind speeds reported by mechanical and ultrasonic wind sensors, the latter having no moving parts, the 30th and 45th Weather Squadrons wanted to understand possible differences between the two sensor types. The period-of-record was 13-30 May 2005. A total of 153,961 readings of I-minute average and peak wind speed/direction from each sensor type were used. Statistics of differences in speed and direction were used to identify 18 out of 34 RSA sensors having the most consistent performance, with respect to the Legacy sensors. Data from these 18 were used to form a composite comparison. A small positive bias in the composite RSA average wind speed increased from +0.5 kts at 15 kts, to +1 kt at 25 kts. A slightly larger positive bias in the RSA peak wind speed increased from +1 kt at 15 kts, to +2 kts at 30 kts.

  16. Legacy of Le Grand Départ Tour de France Utrecht 2015

    NARCIS (Netherlands)

    Dijk, Bake; Smits, Froukje; Hover, Paul; Slender, Hans

    2015-01-01

    Abstract for the Sport Management Australia New Zealand conference in Tasmania in 2015. The aim of the abstract is to describe the research we are carrying out in Utrecht to the legacy of the first two stages of the Tour the France 2015 in the city of Utrecht – The Netherlands.

  17. The Efficacy of IRIS "STAR Legacy" Modules under Different Instructional Conditions

    Science.gov (United States)

    Sayeski, Kristin L.; Hamilton-Jones, Bethany; Oh, Susan

    2015-01-01

    The vast majority of special education teacher preparation programs in the United States incorporate the IRIS Center's "STAR Legacy" modules into their coursework. Given the diversity of module content and ways in which the modules are employed, the purpose of this study was to explore the potential mediating effects of instructional…

  18. The current system of higher education in India inherits the legacy

    Indian Academy of Sciences (India)

    The current system of higher education in India inherits the legacy of colonial proposals and legislations dating back to the early 19th century. The social sciences and humanities still carry disciplinary burdens that need revisiting as we attempt to think of new educational strategies for the 21st century.

  19. The application of Legacy Cycles in the development of Earth Science curriculum

    Science.gov (United States)

    Ellins, K.; Abernathy, E.; Negrito, K.; McCall, L.

    2009-04-01

    The Institute for Geophysics in the Jackson School of Geosciences at The University of Texas at Austin actively contributes to K-12 education, including the development of rigorous Earth and Space Science curriculum designed for secondary school learning environments. Here we report on our efforts to apply an innovative new pedagogical approach, the Legacy Cycle, to scientific ocean drilling paleoclimate data from fossil corals collected offshore Barbados in 2006 and to the creation of a high school water resources education program for Texas high school students supported by a grant from the Texas Water Development Board. The Legacy Cycle makes use of the Internet and computer technology to engage students in extended inquiry learning. A series of inquiry activities are organized around a set of three driving questions, or challenges. Students mimic the work of scientists by generating ideas to address a given challenge, listening to multiple perspectives from experts on the topic, researching a set of sub-questions and revising their original ideas, testing their mettle with labs and quizzes, and finally composing a project or paper that answers the original challenge. The technology makes it easy for students to move through the challenges and the organizational framework since there are hyperlinks to each of the sections (and to reach the other challenges) at the bottom of each webpage. Students' final work is posted to the Internet for others to see, and in this way they leave behind their legacy. Our Legacy Cycle activities use authentic hydrologic, water quality, geochemical, geophysical data, as well as remotely sensed data such as is collected by satellites. They are aligned with the U.S. National Science Education Standards, the new Ocean, Climate and Earth Science Literacy Principles (in development), and the Texas Essential Knowledge and Skills for Earth and Space Science. The work represents a collaboration involving teachers from The University of

  20. Reconstructing Early Industrial Contributions to Legacy Trace Metal Contamination in Southwestern Pennsylvania

    Science.gov (United States)

    Rossi, R.; Bain, D.; Hillman, A. L.; Pompeani, D. P.; Abbott, M. B.

    2015-12-01

    The remobilization of legacy contamination stored in floodplain sediments remains a threat to ecosystem and human health, particularly with potential changes in global precipitation patterns and flooding regimes. Vehicular and industrial emissions are often the dominant, recognized source of anthropogenic trace metal loadings to ecosystems today. However, loadings from early industrial activities are poorly characterized and potential sources of trace metal inputs. While potential trace metal contamination from these activities is recognized (e.g., the historical use of lead arsenate as a pesticide), the magnitude and distribution of legacy contamination is often unknown. This presentation reconstructs a lake sediment record of trace metal inputs from an oxbow lake in Southwestern Pennsylvania. Sediment cores were analyzed for major and trace metal chemistry, carbon to nitrogen ratios, bulk density, and magnetic susceptibility. Sediment trace metal chemistry in this approximately 250 year record (180 cm) record changes in land use and industry both in the 19th century and the 20th century. Of particular interest is early 19th century loadings of arsenic and calcium to the lake, likely attributable to pesticides and lime used in tanning processes near the lake. After this period of tanning dominated inputs, sediment barium concentrations rise, likely reflecting the onset of coal mining operations and resulting discharge of acid mine drainage to surface waters. In the 20th century portion of our record (70 -20 cm), patterns in sediment zinc, cadmium, and lead concentrations are dominated by the opening and closing of the nearby Donora Zinc Works and the American Steel & Wire Works, infamous facilities in the history of air quality regulation. The most recent sediment chemistry records periods include the enactment of air pollution legislation (~ 35 cm), and the phase out of tetraethyl leaded gasoline (~30 cm). Our study documents the impact of early industry in the

  1. Paralympics 2012 Legacy: Accessible Housing and Disability Equality or Inequality?

    Science.gov (United States)

    Ahmed, Nadia

    2013-01-01

    The golden summer of sport is now over, but what is the legacy of London 2012 for disabled people? Nadia Ahmed, a disabled student, discusses the difficulties she has faced in finding accessible accommodation in London. She argues that while the Games are over, the United Kingdom still has lots of hurdles to leap when it comes to disability. The…

  2. Legacies of the bubble chamber

    International Nuclear Information System (INIS)

    Mulvey, J.H.

    1994-01-01

    Legacies are what we pass on to those who follow us, the foundations on which the next advances in our science are being made; the things by which we shall be remembered, recorded in learned journals, written in the text books -food for the historians of science. This is not a summary, and it will draw no conclusions. It is a personal view which will look a little wider than the main physics results to include a mention of one or two of the technologies and methods handed on to both particle physics and other branches of sciences, a brief reference to bubble chamber pictures as aids in teaching, and a comment on the challenge now increasingly applied in the UK - and perhaps elsewhere -as a criterion for funding research: will it contribute to ''wealth creation''? (orig.)

  3. Practical application of the ALARA principle in management of the nuclear legacy: optimization under uncertainty

    International Nuclear Information System (INIS)

    Smith, Graham; Sneve, Malgorzata K.

    2008-01-01

    Full text: Radiological protection has a long and distinguished history in taking a balanced approach to optimization. Both utilitarian and individual interests and perspectives are addressed through a process of constrained optimisation, with optimisation intended to lead to the most benefit to the most people, and constraints being operative to limit the degree of inequity among the individuals exposed. At least, expressed simplistically, that is what the recommendations on protection are intended to achieve. This paper examines the difficulties in achieving that objective, based on consideration of the active role of optimisation in regulatory supervision of the historic nuclear legacy. This example is chosen because the application of the ALARA principle has important implications for some very major projects whose objective is remediation of existing legacy facilities. But it is also relevant because timely, effective and cost efficient completion of those projects has implications for confidence in the future development of nuclear power and other uses of radioactive materials. It is also an interesting example because legacy management includes mitigation of some major short and long term hazards, but those mitigating measures themselves involve operations with their own risk, cost and benefit profiles. Like any other complex activity, a legacy management project has to be broken down into logistically feasible parts. However, from a regulatory perspective, simultaneous application of ALARA to worker protection, major accident risk mitigation and long-term environmental and human health protection presents its own challenges. Major uncertainties which exacerbate the problem arise from ill-characterised source terms, estimation of the likelihood of unlikely failures in operational processes, and prospective assessment of radiological impacts over many hundreds of years and longer. The projects themselves are set to run over decades, during which time the

  4. An ontologically founded architecture for information systems in clinical and epidemiological research.

    Science.gov (United States)

    Uciteli, Alexandr; Groß, Silvia; Kireyev, Sergej; Herre, Heinrich

    2011-08-09

    This paper presents an ontologically founded basic architecture for information systems, which are intended to capture, represent, and maintain metadata for various domains of clinical and epidemiological research. Clinical trials exhibit an important basis for clinical research, and the accurate specification of metadata and their documentation and application in clinical and epidemiological study projects represents a significant expense in the project preparation and has a relevant impact on the value and quality of these studies.An ontological foundation of an information system provides a semantic framework for the precise specification of those entities which are presented in this system. This semantic framework should be grounded, according to our approach, on a suitable top-level ontology. Such an ontological foundation leads to a deeper understanding of the entities of the domain under consideration, and provides a common unifying semantic basis, which supports the integration of data and the interoperability between different information systems.The intended information systems will be applied to the field of clinical and epidemiological research and will provide, depending on the application context, a variety of functionalities. In the present paper, we focus on a basic architecture which might be common to all such information systems. The research, set forth in this paper, is included in a broader framework of clinical research and continues the work of the IMISE on these topics.

  5. [Informed consent right of the appraised individuals in forensic clinical examination].

    Science.gov (United States)

    Li, Ju-Ping; Han, Wei; Gu, Shan-Zhi; Chen, Teng

    2015-02-01

    Informed consent right is not just for basic ethical consideration, but is important for protecting patient's right by law, which is expressed through informed consent contract. The appraised individuals of forensic clinical examination have the similar legal status as the patients in medical system. However, the law does not require informed consent right for the appraised individuals. I recommend giving certain informed consent right to the appraised individuals in the forensic clinical examination. Under the contracted relationship with the institution, the appraised individuals could participate in the examination process, know the necessary information, and make a selected consent on the examination results, which can assure the justice and fairness of judicial examination procedure.

  6. The discrepancy between patients and informants on clinician-rated measures in major depressive disorder: implications for clinical trials and clinical practice.

    Science.gov (United States)

    Peselow, Eric D; Karamians, Reneh; Lord, Marie; Tobia, Gabriel; IsHak, Waguih William

    2014-03-01

    Clinician-rated measures are used in clinical trials and measurement-based clinical care settings to assess baseline symptoms and treatment outcomes of major depressive disorder (MDD), with a widely held dictum that they are sufficient in assessing the patient's clinical status. In this study, we examined clinician-rated measures of depressive and global symptom severity, obtained by interviewing patients as well as informants in an attempt to examine the potential difference or similarity between these two sources of information. The sample consisted of 89 treatment seeking, DSM-IV diagnosed MDD outpatients treated between 1995 and 2004. The clinician-rated measures used included the Montgomery Åsberg Depression Rating Scale (MADRS), and the Clinical Global Impression Scale (CGI) for Severity. The scores of the clinician-rated measures collected from patients' interviews were compared with those collected from informants' interviews. Clinician-rated scores, collected by interviewing patients, were significantly higher and indicative of greater symptom severity when compared with those collected by interviewing informants. This was true for both the MADRS before (Ppractical in MDD clinical trials or everyday clinical care. The discrepancies observed between the clinician-rated scores obtained from patients and informants emphasize the importance of incorporating collateral information during the assessment and rating of depressive symptom severity in both clinical trials as well as in clinical practice.

  7. To Defend and Deter: The Legacy of the United States Cold War Missile Program

    National Research Council Canada - National Science Library

    Lonnquest, John

    1996-01-01

    Defense (DoD) Legacy Resource Management Program was established under the Defense Appropriations Act of 1991 to 'determine how to better integrate the conservation of irreplaceable biological, cultural...

  8. Designing healthcare information technology to catalyse change in clinical care

    Directory of Open Access Journals (Sweden)

    William Lester

    2008-05-01

    Full Text Available The gap between best practice and actual patient care continues to be a pervasive problem in our healthcare system. Efforts to improve on this knowledge_performance gap have included computerised disease management programs designed to improve guideline adherence. However, current computerised reminder and decision support interventions directed at changing physician behaviour have had only a limited and variable effect on clinical outcomes. Further, immediate pay-for-performance financial pressures on institutions have created an environmentwhere disease management systems are often created under duress, appended to existing clinical systems and poorly integrated into the existing workflow, potentially limiting their realworld effectiveness. The authors present a review of disease management as well as a conceptual framework to guide the development of more effective health information technology (HIT tools for translating clinical information into clinical action.

  9. CALIFA, the Calar alto legacy integral field area survey

    DEFF Research Database (Denmark)

    Husemann, B.; Jahnke, K.; Sánchez, S. F.

    2013-01-01

    We present the first public data release (DR1) of the Calar Alto Legacy Integral Field Area (CALIFA) survey. It consists of science-grade optical datacubes for the first 100 of eventually 600 nearby (0.005 < z < 0.03) galaxies, obtained with the integral-field spectrograph PMAS/PPak mounted on th...... the available interfaces and tools that allow easy access to this first publicCALIFA data at http://califa.caha.es/DR1....

  10. The impact of parenthood on environmental attitudes and behaviour: a longitudinal investigation of the legacy hypothesis.

    Science.gov (United States)

    Thomas, Gregory O; Fisher, Rose; Whitmarsh, Lorraine; Milfont, Taciano L; Poortinga, Wouter

    2018-01-01

    Willingness to engage in sustainable actions may be limited by the psychological distance of climate change. In this study, we test the legacy hypothesis , which holds that having children leads parents to consider the legacy left to offspring in respect of environmental quality. Using the Understanding Society dataset, a longitudinal survey representative of the UK population ( n  = 18,176), we assess how having children may change people's individual environmental attitudes and behaviour. Results indicate that having a new child is associated with a small decrease in the frequency of a few environmental behaviours. Only parents with already high environmental concern show a small increase in the desire to act more sustainably after the birth of their first child. Overall, the results do not provide evidence in support of the legacy hypothesis in terms of individual-level environmental attitudes and behaviours. We argue that the transition to parenthood is a time where concern is prioritised on the immediate wellbeing of the child and not on the future environmental threats.

  11. Information needs for the rapid response team electronic clinical tool.

    Science.gov (United States)

    Barwise, Amelia; Caples, Sean; Jensen, Jeffrey; Pickering, Brian; Herasevich, Vitaly

    2017-10-02

    Information overload in healthcare is dangerous. It can lead to critical errors and delays. During Rapid Response Team (RRT) activations providers must make decisions quickly to rescue patients from physiological deterioration. In order to understand the clinical data required and how best to present that information in electronic systems we aimed to better assess the data needs of providers on the RRT when they respond to an event. A web based survey to evaluate clinical data requirements was created and distributed to all RRT providers at our institution. Participants were asked to rate the importance of each data item in guiding clinical decisions during a RRT event response. There were 96 surveys completed (24.5% response rate) with fairly even distribution throughout all clinical roles on the RRT. Physiological data including heart rate, respiratory rate, and blood pressure were ranked by more than 80% of responders as being critical information. Resuscitation status was also considered critically useful by more than 85% of providers. There is a limited dataset that is considered important during an RRT. The data is widely available in EMR. The findings from this study could be used to improve user-centered EMR interfaces.

  12. Informed Consent for Inclusion into Clinical Trials: A Serious Subject ...

    African Journals Online (AJOL)

    Informed Consent for Inclusion into Clinical Trials: A Serious Subject to Note in the Developing World Morteza. ... Review: The process of taking informed consent is wellunderstood in developed countries, with every effort taken to enhance and maintain the autonomy of patients and their right to make an informed choice of ...

  13. A new era for specimen databases and biodiversity information management in South Africa

    Directory of Open Access Journals (Sweden)

    Willem Coetzer

    2012-06-01

    Full Text Available We comment on the inherited legacy, current state of, and future direction of the management of biodiversity information in natural history museums in South Africa. We emphasise the importance of training and capacity development to improve the quality and integration of biodiversity information for research.

  14. A radiological legacy. Radioactive residues of the Cold War period

    International Nuclear Information System (INIS)

    Gonzalez, A.J.

    1998-01-01

    A dominating feature of the historical period known as the Cold War was the large-scale production and testing, of nuclear weapons. These military activities brought with them an unprecedented generation of radioactive substances. A fraction of these 'Cold War residues' ended up in the atmosphere and were dispersed throughout the world. Some remained in relatively isolated states in underground geological environments at the production or test site. Others have contaminated areas at times accessible to humans. Augmenting this picture are other scenes of a Cold War legacy. Large amounts of radioactive waste and byproducts are in storage from the production of weapons material. At some point, they are expected to be converted to peaceful applications or sent for final disposal. Over the past decade, the IAEA has been asked to play a greater role in helping countries address this Cold War legacy. A number of scientific assessments of radiological situations created by the Cold War have been carried out by experts convened by the IAEA - at nuclear test sites, nuclear production facilities, and waste dumping sites. This edition of the IAEA Bulletin highlights these cooperative activities in the context of international developments and concerns

  15. An autonomous sensor module based on a legacy CCTV camera

    Science.gov (United States)

    Kent, P. J.; Faulkner, D. A. A.; Marshall, G. F.

    2016-10-01

    A UK MoD funded programme into autonomous sensors arrays (SAPIENT) has been developing new, highly capable sensor modules together with a scalable modular architecture for control and communication. As part of this system there is a desire to also utilise existing legacy sensors. The paper reports upon the development of a SAPIENT-compliant sensor module using a legacy Close-Circuit Television (CCTV) pan-tilt-zoom (PTZ) camera. The PTZ camera sensor provides three modes of operation. In the first mode, the camera is automatically slewed to acquire imagery of a specified scene area, e.g. to provide "eyes-on" confirmation for a human operator or for forensic purposes. In the second mode, the camera is directed to monitor an area of interest, with zoom level automatically optimized for human detection at the appropriate range. Open source algorithms (using OpenCV) are used to automatically detect pedestrians; their real world positions are estimated and communicated back to the SAPIENT central fusion system. In the third mode of operation a "follow" mode is implemented where the camera maintains the detected person within the camera field-of-view without requiring an end-user to directly control the camera with a joystick.

  16. Colonial legacy as a source and a problem in South-South Cooperation: The Case of Brazil

    Directory of Open Access Journals (Sweden)

    Elena Borisovna Pavlova

    2017-12-01

    Full Text Available The aim of this article is to identify the key narratives of colonial legacy as nodal points in the articulation of the Brazilian agenda in the South-South cooperation. Brazil’s aspirations for regional leadership and attempts to increase its international prestige are analyzed in a constructivist framework. Most importantly, our theoretical reasoning departs from the constructivist take on the agent-structure debate, proposed by A. Wendt in 1987. This approach, firstly, helps to clarify the main difficulties which Brazil faced in Latin America and to examine Brazilian efforts to overcome colonial legacy in order to secure regional leadership, one of the principal goals of its foreign policy. Secondly, colonial legacy can be seen as an unconditional source for the geographical expansion of Brazil’s influence and the increasing the number if its allies by means of the South-South cooperation. Thirdly, we demonstrate the very complex relationship on the structural level between the BRICS project and the problem of colonial legacy. Using the example of Brazil as a state which, on the one hand, has not been able to overcome the postcolonial complex, and on the other, is actively performing political rituals aimed at demonstrating its increasing power, we can more clearly outline the possibilities and limitations inherent in the structure of contemporary international system. Finally, this research suggests that BRICS, a group that claims to articulate the principles of the new world order, more beneficial for the states of the South, has limited chances to succeed with that mission.

  17. The weight of the past: land-use legacies and recolonization of pine plantations by oak trees.

    Science.gov (United States)

    Navarro-González, Irene; Pérez-Luque, Antonio J; Bonet, Francisco J; Zamora, Regino

    2013-09-01

    Most of the world's plantations were established on previously disturbed sites with an intensive land-use history. Our general hypothesis was that native forest regeneration within forest plantations depends largely on in situ biological legacies as a source of propagules. To test this hypothesis, we analyzed native oak regeneration in 168 pine plantation plots in southern Spain in relation to land use in 1956, oak patch proximity, and pine tree density. Historical land-use patterns were determined from aerial photography from 1956, and these were compared with inventory data from 2004-2005 and additional orthophoto images. Our results indicate that oak forest regeneration in pine plantations depends largely on land-use legacies, although nearby, well-conserved areas can provide propagules for colonization from outside the plantation, and pine tree density also affected oak recruit density. More intense land uses in the past meant fewer biological legacies and, therefore, lower likelihood of regenerating native forest. That is, oak recruit density was lower when land use in 1956 was croplands (0.004 +/- 0.002 recruits/m2 [mean +/- SE]) or pasture (0.081 +/- 0.054 recruits/m2) instead of shrubland (0.098 +/- 0.031 recruits/m2) or oak formations (0.314 +/- 0.080 recruits/m2). Our study shows that land use in the past was more important than propagule source distance or pine tree density in explaining levels of native forest regeneration in plantations. Thus, strategies for restoring native oak forests in pine plantations may benefit from considering land-use legacies as well as distance to propagule sources and pine density.

  18. Where is information quality lost at clinical level? A mixed-method study on information systems and data quality in three urban Kenyan ANC clinics.

    Science.gov (United States)

    Hahn, Daniel; Wanjala, Pepela; Marx, Michael

    2013-08-29

    Well-working health information systems are considered vital with the quality of health data ranked of highest importance for decision making at patient care and policy levels. In particular, health facilities play an important role, since they are not only the entry point for the national health information system but also use health data (and primarily) for patient care. A multiple case study was carried out between March and August 2012 at the antenatal care (ANC) clinics of two private and one public Kenyan hospital to describe clinical information systems and assess the quality of information. The following methods were developed and employed in an iterative process: workplace walkthroughs, structured and in-depth interviews with staff members, and a quantitative assessment of data quality (completeness and accurate transmission of clinical information and reports in ANC). Views of staff and management on the quality of employed information systems, data quality, and influencing factors were captured qualitatively. Staff rated the quality of information higher in the private hospitals employing computers than in the public hospital which relies on paper forms. Several potential threats to data quality were reported. Limitations in data quality were common at all study sites including wrong test results, missing registers, and inconsistencies in reports. Feedback was seldom on content or quality of reports and usage of data beyond individual patient care was low. We argue that the limited data quality has to be seen in the broader perspective of the information systems in which it is produced and used. The combination of different methods has proven to be useful for this. To improve the effectiveness and capabilities of these systems, combined measures are needed which include technical and organizational aspects (e.g. regular feedback to health workers) and individual skills and motivation.

  19. Where is information quality lost at clinical level? A mixed-method study on information systems and data quality in three urban Kenyan ANC clinics

    Directory of Open Access Journals (Sweden)

    Daniel Hahn

    2013-08-01

    Full Text Available Background: Well-working health information systems are considered vital with the quality of health data ranked of highest importance for decision making at patient care and policy levels. In particular, health facilities play an important role, since they are not only the entry point for the national health information system but also use health data (and primarily for patient care. Design: A multiple case study was carried out between March and August 2012 at the antenatal care (ANC clinics of two private and one public Kenyan hospital to describe clinical information systems and assess the quality of information. The following methods were developed and employed in an iterative process: workplace walkthroughs, structured and in-depth interviews with staff members, and a quantitative assessment of data quality (completeness and accurate transmission of clinical information and reports in ANC. Views of staff and management on the quality of employed information systems, data quality, and influencing factors were captured qualitatively. Results: Staff rated the quality of information higher in the private hospitals employing computers than in the public hospital which relies on paper forms. Several potential threats to data quality were reported. Limitations in data quality were common at all study sites including wrong test results, missing registers, and inconsistencies in reports. Feedback was seldom on content or quality of reports and usage of data beyond individual patient care was low. Conclusions: We argue that the limited data quality has to be seen in the broader perspective of the information systems in which it is produced and used. The combination of different methods has proven to be useful for this. To improve the effectiveness and capabilities of these systems, combined measures are needed which include technical and organizational aspects (e.g. regular feedback to health workers and individual skills and motivation.

  20. Where is information quality lost at clinical level? A mixed-method study on information systems and data quality in three urban Kenyan ANC clinics

    Science.gov (United States)

    Hahn, Daniel; Wanjala, Pepela; Marx, Michael

    2013-01-01

    Background Well-working health information systems are considered vital with the quality of health data ranked of highest importance for decision making at patient care and policy levels. In particular, health facilities play an important role, since they are not only the entry point for the national health information system but also use health data (and primarily) for patient care. Design A multiple case study was carried out between March and August 2012 at the antenatal care (ANC) clinics of two private and one public Kenyan hospital to describe clinical information systems and assess the quality of information. The following methods were developed and employed in an iterative process: workplace walkthroughs, structured and in-depth interviews with staff members, and a quantitative assessment of data quality (completeness and accurate transmission of clinical information and reports in ANC). Views of staff and management on the quality of employed information systems, data quality, and influencing factors were captured qualitatively. Results Staff rated the quality of information higher in the private hospitals employing computers than in the public hospital which relies on paper forms. Several potential threats to data quality were reported. Limitations in data quality were common at all study sites including wrong test results, missing registers, and inconsistencies in reports. Feedback was seldom on content or quality of reports and usage of data beyond individual patient care was low. Conclusions We argue that the limited data quality has to be seen in the broader perspective of the information systems in which it is produced and used. The combination of different methods has proven to be useful for this. To improve the effectiveness and capabilities of these systems, combined measures are needed which include technical and organizational aspects (e.g. regular feedback to health workers) and individual skills and motivation. PMID:23993022

  1. Mobility of radionuclides and trace elements in soil from legacy NORM and undisturbed naturally 232Th-rich sites.

    Science.gov (United States)

    Mrdakovic Popic, Jelena; Meland, Sondre; Salbu, Brit; Skipperud, Lindis

    2014-05-01

    Investigation of radionuclides (232Th and 238U) and trace elements (Cr, As and Pb) in soil from two legacy NORM (former mining sites) and one undisturbed naturally 232Th-rich site was conducted as a part of the ongoing environmental impact assessment in the Fen Complex area (Norway). The major objectives were to determine the radionuclide and trace element distribution and mobility in soils as well as to analyze possible differences between legacy NORM and surrounding undisturbed naturally 232Th-rich soils. Inhomogeneous soil distribution of radionuclides and trace elements was observed for each of the investigated sites. The concentration of 232Th was high (up to 1685 mg kg(-1), i.e., ∼7000 Bq kg(-1)) and exceeded the screening value for the radioactive waste material in Norway (1 Bq g(-1)). Based on the sequential extraction results, the majority of 232Th and trace elements were rather inert, irreversibly bound to soil. Uranium was found to be potentially more mobile, as it was associated with pH-sensitive soil phases, redox-sensitive amorphous soil phases and soil organic compounds. Comparison of the sequential extraction datasets from the three investigated sites revealed increased mobility of all analyzed elements at the legacy NORM sites in comparison with the undisturbed 232Th-rich site. Similarly, the distribution coefficients Kd (232Th) and Kd (238U) suggested elevated dissolution, mobility and transportation at the legacy NORM sites, especially at the decommissioned Nb-mining site (346 and 100 L kg(-1) for 232Th and 238U, respectively), while the higher sorption of radionuclides was demonstrated at the undisturbed 232Th-rich site (10,672 and 506 L kg(-1) for 232Th and 238U, respectively). In general, although the concentration ranges of radionuclides and trace elements were similarly wide both at the legacy NORM and at the undisturbed 232Th-rich sites, the results of soil sequential extractions together with Kd values supported the expected differences

  2. Searching the Skies: the Legacy of the United States Cold War Defense Radar Program

    National Research Council Canada - National Science Library

    Winkler, David

    1997-01-01

    The Department of Defense (DOD) Legacy Resource Management Program was established under the Defense Appropriations Act of 1991 to determine how to better integrate the conservation of irreplaceable biological, cultural...

  3. Radiation and environmental monitoring at the nuclear legacy sites in Russia

    Energy Technology Data Exchange (ETDEWEB)

    Shandala, N.; Kiselev, S.; Titov, A.; Seregin, V.; Akhromeev, S.; Aladova, R.; Isaev, D. [SRC Burnasyan Federal Medical Biophysical Center (Russian Federation); Sneve, M. [Norwegian Radiation Protection Authority - NRPA (Norway)

    2014-07-01

    In 1960's, in the Northwest and Far East regions of Russia the technical bases of the Navy Fleet were built to maintain nuclear submarines by performing reloading of nuclear fuel, receiving and storing radioactive waste (RW) and spent nuclear fuel (SNF). In 2000, SevRAO enterprise in the northwest of Russia and DalRAO enterprise in the Far East were set up for the purposes of environmental remediation of the nuclear legacy sites. Regulatory supervision for radiation protection and safety at the nuclear legacy sites in Russian Far east and Northwest regions is one of regulatory functions of the Federal medical biological agency (FMBA of Russia). Improvement of the normative and regulatory basis has significant impact on effectiveness and efficiency of industrial projects aimed at reduction of nuclear and radiation hazard risk at the sites for the SNF and RW temporary storage (STS).To get unbiased comprehensive information on the current radiation conditions at the STSs and provide the effective response to changing radiation situation, the environmental radiation monitoring of the SevRAO and DalRAO facilities has been carried out during 2005-2013. The nature and peculiarity of the STS area radioactive contamination on the Kola Peninsula and in the Far East are the following: 1) high levels of radioactive contamination on the industrial site; 2) non-uniformity of the contamination distribution; 3) spread of contamination in the area of health protection zone. The following environmental components are contaminated: soil, vegetation, bottom sediments and seaweeds at the offshore sea waters. The dominant radionuclides are cesium-137 and strontium-90. At the facilities under inspection for the purpose of the dynamic control of the radiation situation the radio-ecological monitoring system was arranged. It presupposes regular radiometry inspections in-situ, their analysis and assessment of the radiation situation forecast in the course of the STS remediation main

  4. Radio-ecological characterization and radiological assessment in support of regulatory supervision of legacy sites in northwest Russia.

    Science.gov (United States)

    Sneve, M K; Kiselev, M; Shandala, N K

    2014-05-01

    regulatory analysis of management options. For assessments of the current radiological situation, the types of data needed include information about the distribution of radionuclides in environmental media. For prognostic assessments, additional data are needed about the landscape features, on-shore and off-shore hydrology, geochemical properties of soils and sediments, and possible continuing source terms from continuing operations and on-site disposal. It is anticipated that shared international experience in legacy site characterization can be useful in the next steps. Although the output has been designed to support regulatory evaluation of these particular sites in northwest Russia, the methods and techniques are considered useful examples for application elsewhere, as well as providing relevant input to the International Atomic Energy Agency's international Working Forum for the Regulatory Supervision of Legacy Sites. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. The Legacy Project: A Case Study of Civic Capacity Building and Transformative Educational Leadership in a Community-Based Academic Enrichment Program

    Science.gov (United States)

    Didlick-Davis, Celeste R.

    2016-01-01

    This study examines how a grassroots educational enrichment program in a small urban economically depressed area builds and uses civic capacity. Using qualitative data collected through a case study of the Legacy Academic Enrichment program in Middletown, Ohio, I identify factors that make Legacy sustainable and successful in a community that has…

  6. Find an Endocrinology - Thyroid Specialist

    Science.gov (United States)

    ... History Resource Center Patients Thyroid Information Find an Endocrinology – Thyroid Specialist Patient Support Links Clinical Thyroidology for ... Access Thyroid Online Access Clinical Thyroidology Online Video Endocrinology Donate Give Online Research Accomplishments Ridgway Legacy Fund ...

  7. Developing a physical activity legacy from the London 2012 Olympic and Paralympic Games: a policy-led systematic review.

    Science.gov (United States)

    Weed, Mike; Coren, Esther; Fiore, Jo; Wellard, Ian; Mansfield, Louise; Chatziefstathiou, Dikaia; Dowse, Suzanne

    2012-03-01

    There is no evidence that previous Olympic Games have raised physical activity levels in adult populations. However, it may be premature to assume that this lack of previous evidence for an inherent effect is an indication that there is no potential to proactively harness the Games to generate a physical activity or sport legacy. Given that the political goal of achieving a physical activity legacy had already been set, the policy-led aim of this systematic review was to examine the processes by which the London 2012 Olympic and Paralympic Games might deliver a physical activity (as opposed to sport) legacy. Searches were conducted on five databases: SPORTS DISCUS, CINAHL, PsychLNFO, MEDLINE and Web of Knowledge. There are two key findings: first, that communities that are not positively engaged with hosting the 2012 Games in London are likely to be beyond the reach of any initiatives seeking to harness the Games to develop legacies in any area; second, major events such as London 2012 can, if promoted in the right way, generate a 'festival effect' that may have the potential to be harnessed to promote physical activity among the least active. The 'festival effect' derives from the promotion of the 2012 Games as a national festival that is bigger than and beyond sport, but that is also rooted in the lives of local and cultural communities, thus creating a strong desire to participate in some way in an event that is both nationally significant and locally or culturally relevant. Physical activity policy makers and professionals should seek to satisfy this desire to participate through providing physical activity (rather than sport) opportunities presented as fun community events or programmes. The key to generating a physical activity legacy among the least active adults through this process is to de-emphasise the sporting element of the 2012 Games and promote the festival element.

  8. Aspiring and Residing IT Leaders: A Legacy for the Future

    Science.gov (United States)

    McIntosh, Keith W.

    2012-01-01

    Many people think there is a quick road to leadership success. Those who want to become IT leaders--that is, "aspiring leaders"--often think: "If I just do my job well, I will rise to a leadership position." Those who are already IT leaders--that is, "residing leaders"--often think: "If I just do my job well, I will leave a lasting legacy." Doing…

  9. Spontaneously Reported Symptoms by Informants Are Associated with Clinical Severity in Dementia Help-Seekers.

    Science.gov (United States)

    Xu, Jia-Qi; Choy, Jacky C P; Tang, Jennifer Y M; Liu, Tian-Yin; Luo, Hao; Lou, Vivian W Q; Lum, Terry Y S; Wong, Gloria H Y

    2017-09-01

    To investigate the predictive value of symptoms of dementia that the person or an informant noticed spontaneously in determining the clinical severity of dementia. Cross-sectional. Community-based open-referral dementia assessment service in Hong Kong between 2005 and 2013. Help-seekers for dementia assessment service and their informants (N = 965 dyads). Participants underwent a clinical dementia interview based on the Clinical Dementia Rating. Spontaneous complaints that the person and the informant made that had prompted their help-seeking of groups with interview results suggestive of no impairment, mild cognitive impairment, and dementia were compared. Logistic regression was used to evaluate the predictive value of spontaneous complaints for clinical severity. Independent raters blinded to clinical results coded spontaneously reported symptoms into theoretical themes: memory, executive function, language, time and place orientation, neuropsychiatric, mood, and avolition. Memory problems were the most frequently reported complaints for participants (87.7%) and their informants (95.5%), followed by self-reported language (33.0%) and informant-reported orientation (33.0%) difficulties. Informant-reported but not self-reported symptoms predicted clinical severity. Compared with the persons themselves, informants reported more pervasive symptoms corresponding to clinical severity. Persons with dementia self-reported fewer types of symptoms than their healthy or mildly impaired counterparts. Spontaneously reported language and orientation symptoms by the informant distinguished persons with mild or worse dementia (P < .001, Nagelkerke coefficient of determination = 29.7%, percentage correct 85.6%). The type and pervasiveness of symptoms spontaneously that informants reported predicted clinical severity. This may provide a quick reference for triage. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  10. Clinical Information Systems as the Backbone of a Complex Information Logistics Process: Findings from the Clinical Information Systems Perspective for 2016.

    Science.gov (United States)

    Hackl, W O; Ganslandt, T

    2017-08-01

    Objective: To summarize recent research and to propose a selection of best papers published in 2016 in the field of Clinical Information Systems (CIS). Method: The query used to retrieve the articles for the CIS section of the 2016 edition of the IMIA Yearbook of Medical Informatics was reused. It again aimed at identifying relevant publications in the field of CIS from PubMed and Web of Science and comprised search terms from the Medical Subject Headings (MeSH) catalog as well as additional free text search terms. The retrieved articles were categorized in a multi-pass review carried out by the two section editors. The final selection of candidate papers was then peer-reviewed by Yearbook editors and external reviewers. Based on the review results, the best papers were then chosen at the selection meeting with the IMIA Yearbook editorial board. Text mining, term co-occurrence mapping, and topic modelling techniques were used to get an overview on the content of the retrieved articles. Results: The query was carried out in mid-January 2017, yielding a consolidated result set of 2,190 articles published in 921 different journals. Out of them, 14 papers were nominated as candidate best papers and three of them were finally selected as the best papers of the CIS field. The content analysis of the articles revealed the broad spectrum of topics covered by CIS research. Conclusions: The CIS field is multi-dimensional and complex. It is hard to draw a well-defined outline between CIS and other domains or other sections of the IMIA Yearbook. The trends observed in the previous years are progressing. Clinical information systems are more than just sociotechnical systems for data collection, processing, exchange, presentation, and archiving. They are the backbone of a complex, trans-institutional information logistics process. Georg Thieme Verlag KG Stuttgart.

  11. THE CHANDRA COSMOS LEGACY SURVEY: OPTICAL/IR IDENTIFICATIONS

    International Nuclear Information System (INIS)

    Marchesi, S.; Civano, F.; Urry, C. M.; Elvis, M.; Salvato, M.; Brusa, M.; Lanzuisi, G.; Vignali, C.; Comastri, A.; Gilli, R.; Zamorani, G.; Cappelluti, N.; Hasinger, G.; Miyaji, T.; Treister, E.; Allevato, V.; Finoguenov, A.; Cardamone, C.; Griffiths, R. E.; Karim, A.

    2016-01-01

    We present the catalog of optical and infrared counterparts of the Chandra  COSMOS-Legacy  Survey, a 4.6 Ms Chandra  program on the 2.2 deg 2 of the COSMOS field, combination of 56 new overlapping observations obtained in Cycle 14 with the previous C-COSMOS survey. In this Paper we report the i, K, and 3.6 μm identifications of the 2273 X-ray point sources detected in the new Cycle 14 observations. We use the likelihood ratio technique to derive the association of optical/infrared (IR) counterparts for 97% of the X-ray sources. We also update the information for the 1743 sources detected in C-COSMOS, using new K and 3.6 μm information not available when the C-COSMOS analysis was performed. The final catalog contains 4016 X-ray sources, 97% of which have an optical/IR counterpart and a photometric redshift, while ≃54% of the sources have a spectroscopic redshift. The full catalog, including spectroscopic and photometric redshifts and optical and X-ray properties described here in detail, is available online. We study several X-ray to optical (X/O) properties: with our large statistics we put better constraints on the X/O flux ratio locus, finding a shift toward faint optical magnitudes in both soft and hard X-ray band. We confirm the existence of a correlation between X/O and the the 2–10 keV luminosity for Type 2 sources. We extend to low luminosities the analysis of the correlation between the fraction of obscured AGNs and the hard band luminosity, finding a different behavior between the optically and X-ray classified obscured fraction

  12. NTRCI Legacy Engine Research and Development Project Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Smith-Holbert, Connie [National Transportation Research Center, Inc., Knoxville, TN (United States); Petrolino, Joseph [National Transportation Research Center, Inc., Knoxville, TN (United States); Watkins, Bart [Power Source Technologies Inc., Corvallis, OR (United States); Irick, David [Power Source Technologies Inc., Corvallis, OR (United States)

    2011-12-31

    The Legacy engine is a completely new design, transitional diesel engine, replacing the reciprocating engine with a rotary engine. The Legacy engine offers significant advances over conventional internal combustion engines in 1) power to weight ratio; 2) multiple fuel acceptance; 3) fuel economy; and 4) environmental compliance. These advances are achieved through a combination of innovative design geometry, rotary motion, aspiration simplicity, and manufacturing/part simplicity. The key technical challenge to the Legacy engine's commercialization, and the focus of this project, was the development of a viable roton tip seal. The PST concept for the roton tip seal was developed into a manufacturable design. The design was evaluated using a custom designed and fabricated seal test fixture and further refined. This design was incorporated into the GEN2.5A prototype and tested for achievable compression pressure. The Decision Point at the end of Phase 1 of the project (described below) was to further optimize the existing tip seal design. Enhancements to the tip seal design were incorporated into the GEN2.5B prototype and tested and evaluated using the iterative research strategy described below. Compression pressures adequate for compression ignition of diesel fuel were achieved, although not consistently in all combustion volumes. The variation in compression pressures was characterized versus design features. As the roton tip seal performance was improved, results pointed toward inadequate performance of the housing side seals. Enhancement of the housing side seal system was accomplished using a custom designed side seal test fixture. The design enhancements developed with the test fixture were also incorporated into the GEN2.5B prototype and tested and evaluated using the iterative research strategy described below. Finally, to simplify the requirements for the roton tip seals and to enhance the introduction and combustion of fuel, a flush-mount fuel injector

  13. Ripples from a Passing Ship: Memories; and a Legacy of Richard Peters

    Science.gov (United States)

    Harris, Kevin

    2013-01-01

    This paper outlines aspects and dimensions of my "relationship" with Richard Peters from 1966 onward. The underlying suggestion is that, while Peters' contribution to philosophy of education was undeniably of major proportions, both that contribution and his legacy are institutional rather than substantive. (Contains 15 notes.)

  14. Creating "Visual Legacies": Infographics as a Means of Interpreting and Sharing Research

    Science.gov (United States)

    Thompson, Charee M.

    2015-01-01

    Guided by the principle "good data presentation is timeless," (Cressey, 2014, p.305), this unit project challenges students to engage an alternative means of sharing communication research and to realize the potential for their presentations to become "visual legacies" through the creation of infographics. Students encounter…

  15. Ivor Jennings's Constitutional Legacy beyond the Occidental-Oriental Divide

    OpenAIRE

    Malagodi, M.

    2015-01-01

    Sir W. Ivor Jennings (1903–1965) was one of Britain's most prominent constitutional law scholars of the twentieth century. He is mostly famed for his work in the 1930s on English Public Law. In 1941, Jennings, however, moved to Sri Lanka, progressively becoming involved in both an academic and professional capacity with constitutional processes across the decolonizing world in the early stages of the Cold War. This article provides an alternative account of Jennings's constitutional legacy to...

  16. Paralympic Games: History and Legacy of a Global Movement.

    Science.gov (United States)

    Legg, David

    2018-05-01

    The Paralympic Games have an interesting history that began after World War II. The Games and movement have been impacted by and have had an impact on society and the larger able-bodied sport system. The future of the Games and movement is also further impacted by larger cultural shifts, and the Games themselves have potentially left lasting legacies for the host cities and persons with impairment worldwide. Copyright © 2018 Elsevier Inc. All rights reserved.

  17. Learning from project experiences using a legacy-based approach

    Science.gov (United States)

    Cooper, Lynne P.; Majchrzak, Ann; Faraj, Samer

    2005-01-01

    As project teams become used more widely, the question of how to capitalize on the knowledge learned in project teams remains an open issue. Using previous research on shared cognition in groups, an approach to promoting post-project learning was developed. This Legacy Review concept was tested on four in tact project teams. The results from those test sessions were used to develop a model of team learning via group cognitive processes. The model and supporting propositions are presented.

  18. A legacy of struggle: the OSHA ergonomics standard and beyond, Part II.

    Science.gov (United States)

    Delp, Linda; Mojtahedi, Zahra; Sheikh, Hina; Lemus, Jackie

    2014-11-01

    The OSHA ergonomics standard issued in 2000 was repealed within four months through a Congressional resolution that limits future ergonomics rulemaking. This section continues the conversation initiated in Part I, documenting a legacy of struggle for an ergonomics standard through the voices of eight labor, academic, and government key informants. Part I summarized important components of the standard; described the convergence of labor activism, research, and government action that laid the foundation for a standard; and highlighted the debates that characterized the rulemaking process. Part II explores the anti-regulatory political landscape of the 1990s, as well as the key opponents, power dynamics, and legal maneuvers that led to repeal of the standard. This section also describes the impact of the ergonomics struggle beyond the standard itself and ends with a discussion of creative state-level policy initiatives and coalition approaches to prevent work-related musculoskeletal disorders (WMSDs) in today's sociopolitical context.

  19. Detailed clinical models: representing knowledge, data and semantics in healthcare information technology.

    Science.gov (United States)

    Goossen, William T F

    2014-07-01

    This paper will present an overview of the developmental effort in harmonizing clinical knowledge modeling using the Detailed Clinical Models (DCMs), and will explain how it can contribute to the preservation of Electronic Health Records (EHR) data. Clinical knowledge modeling is vital for the management and preservation of EHR and data. Such modeling provides common data elements and terminology binding with the intention of capturing and managing clinical information over time and location independent from technology. Any EHR data exchange without an agreed clinical knowledge modeling will potentially result in loss of information. Many attempts exist from the past to model clinical knowledge for the benefits of semantic interoperability using standardized data representation and common terminologies. The objective of each project is similar with respect to consistent representation of clinical data, using standardized terminologies, and an overall logical approach. However, the conceptual, logical, and the technical expressions are quite different in one clinical knowledge modeling approach versus another. There currently are synergies under the Clinical Information Modeling Initiative (CIMI) in order to create a harmonized reference model for clinical knowledge models. The goal for the CIMI is to create a reference model and formalisms based on for instance the DCM (ISO/TS 13972), among other work. A global repository of DCMs may potentially be established in the future.

  20. Indirect effects of land-use legacies determine tree colonization patterns in abandoned heathland

    DEFF Research Database (Denmark)

    Kepfer Rojas, Sebastian; Verheyen, Kris; Johannsen, Vivian Kvist

    2015-01-01

    of tree/shrubs in the heathland. Further, we used high-resolution LiDAR data to classify the vegetation and identify forest patches. In the analysis, we first used a logistic mixed model to test whether colonization of tree and shrub species differed between areas with different land-use history......Questions How do land-use legacies and distance to forest patches influence tree colonization at a post-agricultural heathland? Are colonizing species with different life-history traits affected differently by these factors? Is the effect of increased nutrient availability from land-use legacies...... and whether it was influenced by the distance to forest patches and life-history traits (seed mass) of colonizing species. Then, to determine how different factors influence colonization, we explored the direct and indirect relationships among nutrient availability, density of adult trees, canopy cover, cover...

  1. Legacy effects of drought on plant growth and the soil food web

    DEFF Research Database (Denmark)

    de Vries, Franciska; Liiri, Mira; Strandmark, Lisa Bjørnlund

    2012-01-01

    the potential to feed back on each other's performance. In a greenhouse experiment, we compared legacy effects of repeated drought on plant growth and the soil food web in two contrasting land-use systems: extensively managed grassland, rich in C and with a fungal-based food web, and intensively managed wheat...... lower in C and with a bacterial-based food web. Moreover, we assessed the effect of plant presence on the recovery of the soil food web after drought. Drought legacy effects increased plant growth in both systems, and a plant strongly reduced N leaching. Fungi, bacteria, and their predators were more...... resilient after drought in the grassland soil than in the wheat soil. The presence of a plant strongly affected the composition of the soil food web, and alleviated the effects of drought for most trophic groups, regardless of the system. This effect was stronger for the bottom trophic levels, whose...

  2. Putting User Stories First: Experiences Adapting the Legacy Data Models and Information Architecture at NASA JPL's PO.DAAC to Accommodate the New Information Lifecycle Required by SWOT

    Science.gov (United States)

    McGibbney, L. J.; Hausman, J.; Laurencelle, J. C.; Toaz, R., Jr.; McAuley, J.; Freeborn, D. J.; Stoner, C.

    2016-12-01

    The Surface Water & Ocean Topography (SWOT) mission brings together two communities focused on a better understanding of the world's oceans and its terrestrial surface waters. U.S. and French oceanographers and hydrologists and international partners have joined forces to develop this new space mission. At NASA JPL's PO.DAAC, the team is currently engaged in the gathering of SWOT User Stores (access patterns, metadata requirements, primary and value added product requirements, data access protocols, etc.) to better inform the adaptive planning of what will be known as the next generation PO.DAAC Information Architecture (IA). The IA effort acknowledges that missions such as SWOT (and NISAR) have few or no precedent in terms of data volume, hot and cold storage, archival, analysis, existing system engineering complexities, etc. and that the only way we can better understand the projected impacts of such requirements is to interface directly with the User Community. Additionally, it also acknowledges that collective learning has taken place to understand certain limitations in the existing data models (DM) underlying the existing PO.DAAC Data Management and Archival System. This work documents an evolutionary, use case based, standards driven approach to adapting the legacy DM and accompanying knowledge representation infrastructure at NASA JPL's PO.DAAC to address forthcoming DAAC mission requirements presented by missions such as SWOT. Some of the topics covered in this evolution include, but are not limited to: How we are leveraging lessons learned from the development of existing DM (such as that generated for SMAP) in an attempt to map them to SWOT. What is the governance model for the SWOT IA? What are the `governing' entities? What is the hierarchy of the `governed entities'? How are elements grouped? How is the design-working group formed? How is model independence maintained and what choices/requirements do we have for the implementation language? The use of

  3. Forging a new legacy of trust in research with Alaska Native college students using CBPR

    Directory of Open Access Journals (Sweden)

    Alaina Ctibor

    2012-09-01

    Full Text Available Objectives. Disparities in the rates of matriculation and graduation are of concern to Alaska Native (AN students and the universities committed to their academic success. Efforts to reduce attrition require a keen understanding of the factors that impact quality of life (QOL at college. Yet, a long-standing legacy of mistrust towards research poses challenges to conducting inquiry among AN students. We introduced a partnership between the University of Alaska Fairbank's Rural Student Services (RSS and the Center for Alaska Native Health Research (CANHR within which we conducted the “What makes life good?” study aimed towards developing a QOL measure for AN students. Equally important was building a legacy of research trust among AN partners. Study design. We describe Phase I of a 2-phase study that employed a sequential mixed methods approach. Discussed are facilitators, challenges and lessons learned while striving to adhere to the principles of community-based participatory research (CBPR. Methods. Phase I included formative focus groups and QOL measurement development. The research involved the interplay among activities that were co-developed with the goal of enhancing trust and research capacity. Emphasis was placed on ensuring that data collection and analyses were student driven. Conclusions. All partners resided at the same university. However, trust and collaboration could not be assumed. Working within a collaborative framework, our partnership achieved the aim of developing a culturally informed QOL measure, while also creating an empowering experience for all partners who became co-investigators in a process that might normally be regarded with mistrust.

  4. Text de-identification for privacy protection: a study of its impact on clinical text information content.

    Science.gov (United States)

    Meystre, Stéphane M; Ferrández, Óscar; Friedlin, F Jeffrey; South, Brett R; Shen, Shuying; Samore, Matthew H

    2014-08-01

    As more and more electronic clinical information is becoming easier to access for secondary uses such as clinical research, approaches that enable faster and more collaborative research while protecting patient privacy and confidentiality are becoming more important. Clinical text de-identification offers such advantages but is typically a tedious manual process. Automated Natural Language Processing (NLP) methods can alleviate this process, but their impact on subsequent uses of the automatically de-identified clinical narratives has only barely been investigated. In the context of a larger project to develop and investigate automated text de-identification for Veterans Health Administration (VHA) clinical notes, we studied the impact of automated text de-identification on clinical information in a stepwise manner. Our approach started with a high-level assessment of clinical notes informativeness and formatting, and ended with a detailed study of the overlap of select clinical information types and Protected Health Information (PHI). To investigate the informativeness (i.e., document type information, select clinical data types, and interpretation or conclusion) of VHA clinical notes, we used five different existing text de-identification systems. The informativeness was only minimally altered by these systems while formatting was only modified by one system. To examine the impact of de-identification on clinical information extraction, we compared counts of SNOMED-CT concepts found by an open source information extraction application in the original (i.e., not de-identified) version of a corpus of VHA clinical notes, and in the same corpus after de-identification. Only about 1.2-3% less SNOMED-CT concepts were found in de-identified versions of our corpus, and many of these concepts were PHI that was erroneously identified as clinical information. To study this impact in more details and assess how generalizable our findings were, we examined the overlap between

  5. Rational clinical evaluation of suspected acute coronary syndromes: The value of more information.

    Science.gov (United States)

    Hancock, David G; Chuang, Ming-Yu Anthony; Bystrom, Rebecca; Halabi, Amera; Jones, Rachel; Horsfall, Matthew; Cullen, Louise; Parsonage, William A; Chew, Derek P

    2017-12-01

    Many meta-analyses have provided synthesised likelihood ratio data to aid clinical decision-making. However, much less has been published on how to safely combine clinical information in practice. We aimed to explore the benefits and risks of pooling clinical information during the ED assessment of suspected acute coronary syndrome. Clinical information on 1776 patients was collected within a randomised trial conducted across five South Australian EDs between July 2011 and March 2013. Bayes theorem was used to calculate patient-specific post-test probabilities using age- and gender-specific pre-test probabilities and likelihood ratios corresponding to the presence or absence of 18 clinical factors. Model performance was assessed as the presence of adverse cardiac outcomes among patients theoretically discharged at a post-test probability less than 1%. Bayes theorem-based models containing high-sensitivity troponin T (hs-troponin) outperformed models excluding hs-troponin, as well as models utilising TIMI and GRACE scores. In models containing hs-troponin, a plateau in improving discharge safety was observed after the inclusion of four clinical factors. Models with fewer clinical factors better approximated the true event rate, tended to be safer and resulted in a smaller standard deviation in post-test probability estimates. We showed that there is a definable point where additional information becomes uninformative and may actually lead to less certainty. This evidence supports the concept that clinical decision-making in the assessment of suspected acute coronary syndrome should be focused on obtaining the least amount of information that provides the highest benefit for informing the decisions of admission or discharge. © 2017 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  6. Information technology for clinical, translational and comparative effectiveness research. Findings from the section clinical research informatics.

    Science.gov (United States)

    Daniel, C; Choquet, R

    2013-01-01

    To summarize advances of excellent current research in the new emerging field of Clinical Research Informatics. Synopsis of four key articles selected for the IMIA Yearbook 2013. The selection was performed by querying PubMed and Web of Science with predefined keywords. From the original set of 590 papers, a first subset of 461 articles which was in the scope of Clinical Research Informatics was refined into a second subset of 79 relevant articles from which 15 articles were retained for peer-review. The four selected articles exemplify current research efforts conducted in the areas of data representation and management in clinical trials, secondary use of EHR data for clinical research, information technology platforms for translational and comparative effectiveness research and implementation of privacy control. The selected articles not only illustrate how innovative information technology supports classically organized randomized controlled trials but also demonstrate that the long promised benefits of electronic health care data for research are becoming a reality through concrete platforms and projects.

  7. The role of effective communication in achieving informed consent for clinical trials.

    Science.gov (United States)

    Pick, Andrew; Gilbert, Kayleigh; McCaul, James

    2014-11-11

    Informed consent is fundamental to the protection of the rights, safety and wellbeing of patients in clinical research. For consent to be valid, patients must first be given all the information they need about the proposed research to be able to decide whether they would like to take part. This material should be presented in a way that is easy for them to understand. This article explores the importance of communication in clinical research, and how more effective communication with patients during the informed consent process can ensure they are fully informed.

  8. Radiation legacy of nuclear tests at the Semipalatinsk test site in the light of requirements ensuring radiation safety performance

    International Nuclear Information System (INIS)

    Logachev, V.A.; Logacheva, L.A.

    2005-01-01

    Peculiarities of nuclear tests radiation legacy at the Semipalatinsk test site (STS) are shown in the light of performance of requirements ensuring radiation safety, decrease radiation contamination levels in environment and minimize exposure of radiation for population residing contaminated areas by radioactive fallout. The paper provides data on characterization of peculiarities of the STS operation legacy based on review of archival data of the former 3-d General Administration under USSR Ministry of Health. (author)

  9. Offline analysis of the SuperNova Legacy Survey data

    International Nuclear Information System (INIS)

    Bazin, Gurvan

    2008-01-01

    This thesis aims at developing a photometry-based procedure for the selection of Type Ia Supernovae. More precisely, a first objective is to confirm possible biases in the spectroscopic selection of the SuperNova Legacy Survey (SNLS), and to determine their consequence on the distance module. A second one is to to study the feasibility of a purely photometric analysis within the perspective of future large projects in cosmology. After a presentation of supernovae, of their physical properties, and more particularly those which are used in cosmology, i.e. Type Ia Supernovae (SNe Ia), the author presents the cosmological framework, and the parameters of the standard cosmological model (Hubble constant, matter density, black energy density). The experimental context is then presented with measurements of the Canada France Hawaii Telescope Legacy Survey (CFHTLS), and a method used to search for SNe Ia. In the next part, the author describes the different steps of the differed procedure of data processing, from raw images directly extracted from the telescope to the characterisation of light curves of detected objects. Different tools are presented: the SALT2 model of light curves, the simulation of SNe Ia light curves, and an image simulation. The purely photometric selection of SNe Ia is then presented along with steps used to eliminate background noise. Obtained results are then discussed and compared with real time analysis [fr

  10. Development of a clinical information tool for the electronic medical record: a case study.

    Science.gov (United States)

    Epstein, Barbara A; Tannery, Nancy H; Wessel, Charles B; Yarger, Frances; LaDue, John; Fiorillo, Anthony B

    2010-07-01

    What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center? The development took place at the University of Pittsburgh Health Sciences Library System. The clinical information tool developed is a search box with subject tabs to provide quick access to designated full-text information resources. Each subject tab offers a federated search of a different pool of resources. Search results are organized "on the fly" into meaningful categories using clustering technology and are directly accessible from the results page. After more than a year of discussion and planning, a clinical information tool was embedded in the academic medical center's electronic health record. The library successfully developed a clinical information tool, called Clinical-e, for use at the point of care. Future development will refine the tool and evaluate its impact and effectiveness.

  11. OLAP: A Fast, Easy, Affordable Executive Information System--Finally!

    Science.gov (United States)

    Stewart, Henry M.

    1995-01-01

    The University of Rochester's experience with online analytical processing (OLAP), part of its executive information system, is reported. The server, a multiuser, local area network (LAN)-based database loaded from legacy systems or a data warehouse, can rapidly manipulate and display data, and allows quick creation and changing of analytical…

  12. Sediment contributions from floodplains and legacy sediments to Piedmont streams of Baltimore County, Maryland

    Science.gov (United States)

    Donovan, Mitchell; Miller, Andrew; Baker, Matthew; Gellis, Allen

    2015-04-01

    Disparity between watershed erosion rates and downstream sediment delivery has remained an important theme in geomorphology for many decades, with the role of floodplains in sediment storage as a common focus. In the Piedmont Province of the eastern USA, upland deforestation and agricultural land use following European settlement led to accumulation of thick packages of overbank sediment in valley bottoms, commonly referred to as legacy deposits. Previous authors have argued that legacy deposits represent a potentially important source of modern sediment loads following remobilization by lateral migration and progressive channel widening. This paper seeks to quantify (1) rates of sediment remobilization from Baltimore County floodplains by channel migration and bank erosion, (2) proportions of streambank sediment derived from legacy deposits, and (3) potential contribution of net streambank erosion and legacy sediments to downstream sediment yield within the Mid-Atlantic Piedmont. We calculated measurable gross erosion and deposition rates within the fluvial corridor along 40 valley segments from 18 watersheds with drainage areas between 0.18 and 155 km2 in Baltimore County, Maryland. We compared stream channel and floodplain morphology from lidar-based digital elevation data collected in 2005 with channel positions recorded on 1:2400 scale topographic maps from 1959-1961 in order to quantify 44-46 years of channel change. Sediment bulk density and particle size distributions were characterized from streambank and channel deposit samples and used for volume to mass conversions and for comparison with other sediment sources. Average annual lateral migration rates ranged from 0.04 to 0.19 m/y, which represented an annual migration of 2.5% (0.9-4.4%) channel width across all study segments, suggesting that channel dimensions may be used as reasonable predictors of bank erosion rates. Gross bank erosion rates varied from 43 to 310 Mg/km/y (median = 114) and were

  13. Operation of chemical incinerator for disposal of legacy chemicals

    International Nuclear Information System (INIS)

    Singhal, R.K.; Basu, H.; Saha, S.; Pimple, M.V.; Naik, P.D.

    2017-01-01

    For safe disposal of age-old legacy and unused chemicals in BARC, Trombay, oil-fired chemical incinerator with a capacity of 20 kg h"-"1 for solid and liquid chemical is installed adjacent to trash incinerator near RSMS, Gamma Field. The Incinerator was supplied by M/s B. L. Engineering Works, Ahmedabad. Commission of the same at Trombay site was carried out, under the supervision of Civil Engineering (CED), Technical Services Division (TSD) and Analytical Chemistry Division (custodian of the facility)

  14. The legacy of the Olympics: economic burden or boon?

    OpenAIRE

    Ricketts, Lowell R.; Wolla, Scott A.

    2012-01-01

    Competition, sportsmanship, and national pride are the foundations of the Olympics, but how much do the Olympics cost the host city and country? What are some of the economic benefits and costs? Is the investment in the Olympics worth it in the end? Read about previous host experiences with the economic side of the Olympics in this month's Page One Economics Newsletter “The Legacy of the Olympics: Economic Burden or Boon?” (see related graph: "Olympics-Related Temporary Increase in Employment...

  15. The Own Education: Between Catholic Legacies and Ethnical Demands

    Directory of Open Access Journals (Sweden)

    María Isabel González Terreros

    2013-04-01

    Full Text Available This paper points a proposal of own education which is implemented in the department of Cauca, in Colombia, which was born from the intention of strengthening the Indian movement and recuperating its culture, which is submerged in a traditional, confessional model of education. These conflicting perspectives –ethnical/confessional- in the mere way they are analyzed in the study, are part of a social-cultural conflict that underlies own education, in which also merge different sectors, stories, legacies and proposals.

  16. Legacy systems: managing evolution through integration in a distributed and object-oriented computing environment.

    Science.gov (United States)

    Lemaitre, D; Sauquet, D; Fofol, I; Tanguy, L; Jean, F C; Degoulet, P

    1995-01-01

    Legacy systems are crucial for organizations since they support key functionalities. But they become obsolete with aging and the apparition of new techniques. Managing their evolution is a key issue in software engineering. This paper presents a strategy that has been developed at Broussais University Hospital in Paris to make a legacy system devoted to the management of health care units evolve towards a new up-to-date software. A two-phase evolution pathway is described. The first phase consists in separating the interface from the data storage and application control and in using a communication channel between the individualized components. The second phase proposes to use an object-oriented DBMS in place of the homegrown system. An application example for the management of hypertensive patients is described.

  17. Legacy nitrogen may prevent achievement of water quality goals in the Gulf of Mexico

    Science.gov (United States)

    Van Meter, K. J.; Van Cappellen, P.; Basu, N. B.

    2018-04-01

    In August 2017, the Gulf of Mexico’s hypoxic zone was declared to be the largest ever measured. It has been estimated that a 60% decrease in watershed nitrogen (N) loading may be necessary to adequately reduce eutrophication in the Gulf. However, to date there has been no rigorous assessment of the effect of N legacies on achieving water quality goals. In this study, we show that even if agricultural N use became 100% efficient, it would take decades to meet target N loads due to legacy N within the Mississippi River basin. Our results suggest that both long-term commitment and large-scale changes in agricultural management practices will be necessary to decrease Mississippi N loads and to meet current goals for reducing the size of the Gulf hypoxic zone.

  18. Cassini: The Journey and the Legacy

    KAUST Repository

    Porco, Carolyn

    2018-01-15

    An international mission to explore, in depth, the Saturnian system ヨthe planet Saturn and its magnetosphere, glorious rings, and many moons- begun over 27 years ago. After seven years of development, the Cassini spacecraft was launched in 1997, spent seven years trekking to Saturn, and finally entered Saturn orbit in the summer of 2004. In the course of its 13 years orbiting this ring world, Cassini returned over 450 thousand images, 635GB of data, and invaluable insights on the solar systemメs most splendid and scientifically rich planetary system. In this lecture, Carolyn Porco, the leader of the imaging science team on NASA\\'s Cassini mission, will delight her audience with a retrospective look at what has been learned from this profoundly successful mission and what its final legacy is likely to be.

  19. Legacies and Traditions of Counseling Psychology: When the Past Is Our Future

    Science.gov (United States)

    Cook, Stephen W.; Vacha-Haase, Tammi

    2010-01-01

    The Legacies & Traditions Forum has a rich past of documenting individual contributions to the profession of counseling psychology. The history of this forum, as well as early contributors and journal articles, are identified. Themes that emerged from a review of past oral biographies include changes in the work setting for counseling…

  20. Taking the Next Step: Confronting the Legacies of Slavery at Historic Sites

    Science.gov (United States)

    Grim, Linnea; Wickens, K. Allison; Jecha, Jackie; Powell, Linda; Hawkins, Callie; Flanagan, Candra

    2017-01-01

    "Slavery is the ground zero of race relations," declared James and Lois Horton in their groundbreaking book, "Slavery and Public History." Engaging the history and legacy of slavery is a crucial step in understanding current U.S. society especially race relations. Historic sites that have connections to slavery have begun to…

  1. Independent regulatory control and monitoring of the environment at the uranium legacy sites under reclamation

    International Nuclear Information System (INIS)

    Shandala, N.K.; Titov, A.V.; Kiselev, S.M.; Isaev, D.V.; Aladova, R.A.

    2012-01-01

    -tern continuous monitoring of radiation parameters and public doses in the vicinity of radiation hazardous facilities. Arrangement of monitoring should be prescribed at the early stage of reclamation and continued after reclamation completing taking into account special features of the legacy site allocation and contamination nature. Radiation monitoring is based on experimental studies of physical and chemical properties of radionuclides controlled, which promote prediction of their sorption and migration activities within ecosystems. The extent of control and monitoring should be sufficient to solve the following tasks: determine the extent of compliance with the principles of radiation safety; obtain the necessary information about the dynamics of the impact of contamination sources on the environment; calculate annual effective dose to the public on the basis of radiation monitoring data of the environmental media, foodstuffs and drinking water, taking into account local features of nutrition, water supplying and dietary habits of the public. Development of some quantitative radiation and ecological criteria and regulations for remediation/reclamation of areas affected by the uranium mining is necessary for proper regulatory supervision of the uranium legacy sites.

  2. Ecological and human impact assessment in the legacy enhanced and naturally occurring radiation areas - human and ecological impact assessment in the legacy enhanced and naturally occurring radiation areas

    Energy Technology Data Exchange (ETDEWEB)

    Mrdakovic Popic, Jelena [Norwegian Radiation Protection Authority, P.O. Box 55, N-1332 Oesteraas (Norway); Salbu, Brit; Skipperud, Lindis [Norwegian University of Life Sciences, Centre for Environmental radioactivity CERAD, P.O. Box 5003, 1430 Aas (Norway)

    2014-07-01

    The Fen Complex in Norway is an area well-known with its specific magmatic bedrock rich in thorium (Th), iron (Fe), niobium (Nb) and rare earth elements (REE). During several past centuries, intensive mining was conducted at sites in the area, giving rise to enhanced radioactivity levels. Previous human health studies demonstrated exposure doses among the highest in Europe. In the current work, contamination status with respect to radionuclides ({sup 232}Th, uranium ({sup 238}U)) and trace elements (arsenic (As), chromium (Cr) and lead (Pb)) and possible impact on humans and biota were investigated at legacy NORM and undisturbed surrounding NOR rich sites in the Fen Complex area. Significantly heterogeneous radionuclides ({sup 232}Th, {sup 238}U, and daughters) distribution was found in soil at both legacy NORM and undisturbed NOR rich sites. Thorium activity concentration levels exceeded screening levels for radioactive waste material given by Norwegian Pollution Control Act. Based on sequential extraction results, mobility of {sup 232}Th and trace elements were low, although higher at legacy NORM than at undisturbed NOR rich sites. Uranium was present at considerable levels (up to 50 %) in pH and redox sensitive soil fraction, as well as bound to soil organic compounds. However, no further transport towards biggest water source Norsjoe Lake was observed, as concentration levels of all investigated elements in water samples were extremely low. Long-term surveys of outdoor terrestrial gamma dose rates, thoron ({sup 220}Rn) and radon ({sup 222}Rn) concentrations in the air demonstrated elevated values (up to 9.2 μGy/h, 5000 Bq/m{sup 3} and 200 Bq/m{sup 3}, respectively) with significant seasonal variation. Calculated annual exposure doses to humans due to outdoor exposure could exceed 10 mSv, i.e., be higher than 1 mSv dose constraint given by ICRP. Roughly summarized with previously published data on indoor doses for Fen village population, total annual exposure

  3. [Informed consent process in clinical trials: Insights of researchers, patients and general practitioners].

    Science.gov (United States)

    Giménez, Nuria; Pedrazas, David; Redondo, Susana; Quintana, Salvador

    2016-10-01

    Adequate information for patients and respect for their autonomy are mandatory in research. This article examined insights of researchers, patients and general practitioners (GPs) on the informed consent process in clinical trials, and the role of the GP. A cross-sectional study using three questionnaires, informed consent reviews, medical records, and hospital discharge reports. GPs, researchers and patients involved in clinical trials. Included, 504 GPs, 108 researchers, and 71 patients. Consulting the GP was recommended in 50% of the informed consents. Participation in clinical trials was shown in 33% of the medical records and 3% of the hospital discharge reports. GPs scored 3.54 points (on a 1-10 scale) on the assessment of the information received by the principal investigator. The readability of the informed consent sheet was rated 8.03 points by researchers, and the understanding was rated 7.68 points by patients. Patient satisfaction was positively associated with more time for reflection. GPs were not satisfied with the information received on the participation of patients under their in clinical trials. Researchers were satisfied with the information they offered to patients, and were aware of the need to improve the information GPs received. Patients collaborated greatly towards biomedical research, expressed satisfaction with the overall process, and minimised the difficulties associated with participation. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  4. Information systems as a quality management tool in clinical laboratories

    Science.gov (United States)

    Schmitz, Vanessa; Rosecler Bez el Boukhari, Marta

    2007-11-01

    This article describes information systems as a quality management tool in clinical laboratories. The quality of laboratory analyses is of fundamental importance for health professionals in aiding appropriate diagnosis and treatment. Information systems allow the automation of internal quality management processes, using standard sample tests, Levey-Jennings charts and Westgard multirule analysis. This simplifies evaluation and interpretation of quality tests and reduces the possibility of human error. This study proposes the development of an information system with appropriate functions and costs for the automation of internal quality control in small and medium-sized clinical laboratories. To this end, it evaluates the functions and usability of two commercial software products designed for this purpose, identifying the positive features of each, so that these can be taken into account during the development of the proposed system.

  5. Information systems as a quality management tool in clinical laboratories

    International Nuclear Information System (INIS)

    Schmitz, Vanessa; Boukhari, Marta Rosecler Bez el

    2007-01-01

    This article describes information systems as a quality management tool in clinical laboratories. The quality of laboratory analyses is of fundamental importance for health professionals in aiding appropriate diagnosis and treatment. Information systems allow the automation of internal quality management processes, using standard sample tests, Levey-Jennings charts and Westgard multirule analysis. This simplifies evaluation and interpretation of quality tests and reduces the possibility of human error. This study proposes the development of an information system with appropriate functions and costs for the automation of internal quality control in small and medium-sized clinical laboratories. To this end, it evaluates the functions and usability of two commercial software products designed for this purpose, identifying the positive features of each, so that these can be taken into account during the development of the proposed system

  6. Integration of Hospital Information and Clinical Decision Support Systems to Enable the Reuse of Electronic Health Record Data.

    Science.gov (United States)

    Kopanitsa, Georgy

    2017-05-18

    The efficiency and acceptance of clinical decision support systems (CDSS) can increase if they reuse medical data captured during health care delivery. High heterogeneity of the existing legacy data formats has become the main barrier for the reuse of data. Thus, we need to apply data modeling mechanisms that provide standardization, transformation, accumulation and querying medical data to allow its reuse. In this paper, we focus on the interoperability issues of the hospital information systems (HIS) and CDSS data integration. Our study is based on the approach proposed by Marcos et al. where archetypes are used as a standardized mechanism for the interaction of a CDSS with an electronic health record (EHR). We build an integration tool to enable CDSSs collect data from various institutions without a need for modifications in the implementation. The approach implies development of a conceptual level as a set of archetypes representing concepts required by a CDSS. Treatment case data from Regional Clinical Hospital in Tomsk, Russia was extracted, transformed and loaded to the archetype database of a clinical decision support system. Test records' normalization has been performed by defining transformation and aggregation rules between the EHR data and the archetypes. These mapping rules were used to automatically generate openEHR compliant data. After the transformation, archetype data instances were loaded into the CDSS archetype based data storage. The performance times showed acceptable performance for the extraction stage with a mean of 17.428 s per year (3436 case records). The transformation times were also acceptable with 136.954 s per year (0.039 s per one instance). The accuracy evaluation showed the correctness and applicability of the method for the wide range of HISes. These operations were performed without interrupting the HIS workflow to prevent the HISes from disturbing the service provision to the users. The project results have proven that

  7. Advanced Instrumentation, Information, and Control Systems Technologies Research in Support of Light Water Reactors

    International Nuclear Information System (INIS)

    Hallbert, Bruce P.; Kenneth, Thomas

    2014-01-01

    The Advanced Instrumentation, Information, and Control (II and C) Systems Technologies Pathway conducts targeted research and development (R and D) to address aging and reliability concerns with the legacy instrumentation and control and related information systems of the U.S. operating light water reactor (LWR) fleet. This work involves two major goals to ensure that legacy analog II and C systems are not life-limiting issues for the LWR fleet, and to implement digital II and C technology in a manner that enables broad innovation and business improvement in the nuclear power plant operating model. Resolving long-term operational concerns with the II and C systems contributes to the long-term sustainability of the LWR fleet, which is vital to the nation's energy and environmental security

  8. Advanced Instrumentation, Information, and Control Systems Technologies Research in Support of Light Water Reactors

    Energy Technology Data Exchange (ETDEWEB)

    Hallbert, Bruce P.; Kenneth, Thomas [Idaho National Laboratory, Idaho (United States)

    2014-08-15

    The Advanced Instrumentation, Information, and Control (II and C) Systems Technologies Pathway conducts targeted research and development (R and D) to address aging and reliability concerns with the legacy instrumentation and control and related information systems of the U.S. operating light water reactor (LWR) fleet. This work involves two major goals to ensure that legacy analog II and C systems are not life-limiting issues for the LWR fleet, and to implement digital II and C technology in a manner that enables broad innovation and business improvement in the nuclear power plant operating model. Resolving long-term operational concerns with the II and C systems contributes to the long-term sustainability of the LWR fleet, which is vital to the nation's energy and environmental security.

  9. The eugenic legacy in psychology and psychiatry.

    Science.gov (United States)

    Pilgrim, David

    2008-05-01

    Assumptions about genetic differences in human mental characteristics can be traced in large part to the eugenic movement, ascendant at the turn of the 20th century. This paper offers historical case studies, of 'innate general cognitive ability' and 'psychiatric genetics', in order to appraise the eugenic legacy in current psychology and psychiatry. Reviewing the work of representatives, Cyril Burt, Franz Kallmann and Eliot Slater, along with their research networks, it is argued that eugenics remains a quiet but powerful background influence in modern-day psychology and psychiatry. At the turn of the 21st century, eugenics remains an important area of inquiry, reflection and education for those in the inter-disciplinary field of social psychiatry.

  10. 77 FR 38634 - Request for Information: Collection and Use of Patient Work Information in the Clinical Setting...

    Science.gov (United States)

    2012-06-28

    ... (specialty) health care: At your clinical facility, how is the patient's work information collected... the Clinical Setting: Electronic Health Records AGENCY: The National Institute for Occupational Safety... Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), Department of...

  11. Extraction of state machines of legacy C code with Cpp2XMI

    NARCIS (Netherlands)

    Brand, van den M.G.J.; Serebrenik, A.; Zeeland, van D.; Serebrenik, A.

    2008-01-01

    Analysis of legacy code is often focussed on extracting either metrics or relations, e.g. call relations or structure relations. For object-oriented programs, e.g. Java or C++ code, such relations are commonly represented as UML diagrams: e.g., such tools as Columbus [1] and Cpp2XMI [2] are capable

  12. Distributed Storage Inverter and Legacy Generator Integration Plus Renewable Solution for Microgrids

    Science.gov (United States)

    2015-07-01

    Observation ................. 5 2.1.5 PV Inverter with Microgrid Controls .......................................................... 5 2.2 TECHNOLOGY... CONTROL OF PV POWER RAMP RATE FOR GENERATOR STABILITY ..................... 27 6.11 DEMONSTRATION 11: MICROGRID VOLTAGE SUPPORT FROM PV INVERTER...power delivery optimized storage, transiently rated inverters, integration with legacy generator controls , and microgrid compatible inverters for PV

  13. Differentiating drought legacy effects on vegetation growth over the temperate Northern Hemisphere

    Czech Academy of Sciences Publication Activity Database

    Wu, X.; Liu, H.; Li, X.; Ciais, P.; Babst, F.; Guo, W.; Zhang, C.; Magliulo, V.; Pavelka, Marian; Liu, S.; Huang, Y.; Wang, P.; Shi, C. D.; Ma, Y.

    2018-01-01

    Roč. 24, č. 1 (2018), s. 504-516 ISSN 1354-1013 EU Projects: European Commission(XE) 640176 Institutional support: RVO:86652079 Keywords : drought legacy effect * drought resilience * ecohydrological responses * extreme drought * plant functional groups * rooting system * stomatal conductance * vegetation growth Subject RIV: EH - Ecology, Behaviour Impact factor: 8.502, year: 2016

  14. A proposed clinical decision support architecture capable of supporting whole genome sequence information.

    Science.gov (United States)

    Welch, Brandon M; Loya, Salvador Rodriguez; Eilbeck, Karen; Kawamoto, Kensaku

    2014-04-04

    Whole genome sequence (WGS) information may soon be widely available to help clinicians personalize the care and treatment of patients. However, considerable barriers exist, which may hinder the effective utilization of WGS information in a routine clinical care setting. Clinical decision support (CDS) offers a potential solution to overcome such barriers and to facilitate the effective use of WGS information in the clinic. However, genomic information is complex and will require significant considerations when developing CDS capabilities. As such, this manuscript lays out a conceptual framework for a CDS architecture designed to deliver WGS-guided CDS within the clinical workflow. To handle the complexity and breadth of WGS information, the proposed CDS framework leverages service-oriented capabilities and orchestrates the interaction of several independently-managed components. These independently-managed components include the genome variant knowledge base, the genome database, the CDS knowledge base, a CDS controller and the electronic health record (EHR). A key design feature is that genome data can be stored separately from the EHR. This paper describes in detail: (1) each component of the architecture; (2) the interaction of the components; and (3) how the architecture attempts to overcome the challenges associated with WGS information. We believe that service-oriented CDS capabilities will be essential to using WGS information for personalized medicine.

  15. YouTube Videos as a Source of Information About Clinical Trials: Observational Study.

    Science.gov (United States)

    Hillyer, Grace Clarke; MacLean, Sarah A; Beauchemin, Melissa; Basch, Corey H; Schmitt, Karen M; Segall, Leslie; Kelsen, Moshe; Brogan, Frances L; Schwartz, Gary K

    2018-06-26

    Clinical trials are essential to the advancement of cancer treatment but fewer than 5% of adult cancer patients enroll in a trial. A commonly cited barrier to participation is the lack of understanding about clinical trials. Since the internet is a popular source of health-related information and YouTube is the second most visited website in the world, we examined the content of the top 115 YouTube videos about clinical trials to evaluate clinical trial information available through this medium. YouTube videos posted prior to March 2017 were searched using selected keywords. A snowballing technique was used to identify videos wherein sequential screening of the autofill search results for each set of keywords was conducted. Video characteristics (eg, number of views and video length) were recorded. The content was broadly grouped as related to purpose, phases, design, safety and ethics, and participant considerations. Stepwise multivariable logistic regression analysis was conducted to assess associations between video type (cancer vs noncancer) and video characteristics and content. In total, 115 videos were reviewed. Of these, 46/115 (40.0%) were cancer clinical trials videos and 69/115 (60.0%) were noncancer/general clinical trial videos. Most videos were created by health care organizations/cancer centers (34/115, 29.6%), were oriented toward patients (67/115, 58.3%) and the general public (68/115, 59.1%), and were informational (79/115, 68.7%); altruism was a common theme (31/115, 27.0%). Compared with noncancer videos, cancer clinical trials videos more frequently used an affective communication style and mentioned the benefits of participation. Cancer clinical trial videos were also much more likely to raise the issue of costs associated with participation (odds ratio [OR] 5.93, 95% CI 1.15-29.46) and advise patients to communicate with their physician about cancer clinical trials (OR 4.94, 95% CI 1.39-17.56). Collectively, YouTube clinical trial videos

  16. Ethics in clinical research: need for assessing comprehension of informed consent form?

    Science.gov (United States)

    Shafiq, Nusrat; Malhotra, Samir

    2011-03-01

    Comprehension of informed consent form has not achieved the attention it deserves. We made a 24-item questionnaire to assess clinical research participants' comprehension of informed consent form (Contemp Clin Trials 2009;30:427-30). Due to repeated requests by clinical researchers in our country and abroad, we are publishing the questionnaire in this article. Copyright © 2010 Elsevier Inc. All rights reserved.

  17. Legacy Radioactive Waste Management Program in the Netherlands: An Overview

    International Nuclear Information System (INIS)

    Ménard, Gaël

    2016-01-01

    Petten site legacy waste: • sorted on waste streams, from the less to the more heterogeneous; • footprint reduction by sorting according to activity; • first two waste streams: limited number of material; • characterized using gamma measurements and computational nuclide vectors. •Waste acceptance criteria: modus vivendi with the storage facility and third parties (based on characterization results); • More heterogeneous waste: more complex by definition → optimization, development and adaptation of the characterization

  18. Sustainable Remediation of Legacy Mine Drainage: A Case Study of the Flight 93 National Memorial

    Science.gov (United States)

    Emili, Lisa A.; Pizarchik, Joseph; Mahan, Carolyn G.

    2016-03-01

    Pollution from mining activities is a global environmental concern, not limited to areas of current resource extraction, but including a broader geographic area of historic (legacy) and abandoned mines. The pollution of surface waters from acid mine drainage is a persistent problem and requires a holistic and sustainable approach to addressing the spatial and temporal complexity of mining-specific problems. In this paper, we focus on the environmental, socio-economic, and legal challenges associated with the concurrent activities to remediate a coal mine site and to develop a national memorial following a catastrophic event. We provide a conceptual construct of a socio-ecological system defined at several spatial, temporal, and organizational scales and a critical synthesis of the technical and social learning processes necessary to achieving sustainable environmental remediation. Our case study is an example of a multi-disciplinary management approach, whereby collaborative interaction of stakeholders, the emergence of functional linkages for information exchange, and mediation led to scientifically informed decision making, creative management solutions, and ultimately environmental policy change.

  19. THE CHANDRA COSMOS LEGACY SURVEY: OPTICAL/IR IDENTIFICATIONS

    Energy Technology Data Exchange (ETDEWEB)

    Marchesi, S.; Civano, F.; Urry, C. M. [Yale Center for Astronomy and Astrophysics, 260 Whitney Avenue, New Haven, CT 06520 (United States); Elvis, M. [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States); Salvato, M. [Max-Planck-Institut für extraterrestrische Physik, Giessenbachstrasse 1, D-85748 Garching bei München (Germany); Brusa, M.; Lanzuisi, G.; Vignali, C. [Dipartimento di Fisica e Astronomia, Università di Bologna, viale Berti Pichat 6/2, I-40127 Bologna (Italy); Comastri, A.; Gilli, R.; Zamorani, G.; Cappelluti, N. [INAF—Osservatorio Astronomico di Bologna, via Ranzani 1, I-40127 Bologna (Italy); Hasinger, G. [Institute for Astronomy, 2680 Woodlawn Drive, University of Hawaii, Honolulu, HI 96822 (United States); Miyaji, T. [Instituto de Astronomía sede Ensenada, Universidad Nacional Autónoma de México, Km. 103, Carret. Tijunana-Ensenada, Ensenada, BC (Mexico); Treister, E. [Universidad de Concepción, Departamento de Astronomía, Casilla 160-C, Concepción (Chile); Allevato, V.; Finoguenov, A. [Department of Physics, University of Helsinki, Gustaf Hällströmin katu 2a, FI-00014 Helsinki (Finland); Cardamone, C. [Department of Science, Wheelock College, Boston, MA 02215 (United States); Griffiths, R. E. [Physics and Astronomy Dept., Natural Sciences Division, University of Hawaii at Hilo, 200 W. Kawili Street, Hilo, HI 96720 (United States); Karim, A. [Argelander-Institut für Astronomie, Universität Bonn, Auf dem Hügel 71, D-53121 Bonn (Germany); and others

    2016-01-20

    We present the catalog of optical and infrared counterparts of the Chandra  COSMOS-Legacy  Survey, a 4.6 Ms Chandra  program on the 2.2 deg{sup 2} of the COSMOS field, combination of 56 new overlapping observations obtained in Cycle 14 with the previous C-COSMOS survey. In this Paper we report the i, K, and 3.6 μm identifications of the 2273 X-ray point sources detected in the new Cycle 14 observations. We use the likelihood ratio technique to derive the association of optical/infrared (IR) counterparts for 97% of the X-ray sources. We also update the information for the 1743 sources detected in C-COSMOS, using new K and 3.6 μm information not available when the C-COSMOS analysis was performed. The final catalog contains 4016 X-ray sources, 97% of which have an optical/IR counterpart and a photometric redshift, while ≃54% of the sources have a spectroscopic redshift. The full catalog, including spectroscopic and photometric redshifts and optical and X-ray properties described here in detail, is available online. We study several X-ray to optical (X/O) properties: with our large statistics we put better constraints on the X/O flux ratio locus, finding a shift toward faint optical magnitudes in both soft and hard X-ray band. We confirm the existence of a correlation between X/O and the the 2–10 keV luminosity for Type 2 sources. We extend to low luminosities the analysis of the correlation between the fraction of obscured AGNs and the hard band luminosity, finding a different behavior between the optically and X-ray classified obscured fraction.

  20. Legacies of flood reduction on a dryland river

    Science.gov (United States)

    Stromberg, J.C.; Shafroth, P.B.; Hazelton, A.F.

    2012-01-01

    The Bill Williams (Arizona) is a regulated dryland river that is being managed, in part, for biodiversity via flow management. To inform management, we contrasted riparian plant communities between the Bill Williams and an upstream free-flowing tributary (Santa Maria). Goals of a first study (1996-1997) were to identify environmental controls on herbaceous species richness and compare richness among forest types. Analyses revealed that herbaceous species richness was negatively related to woody stem density, basal area and litter cover and positively related to light levels. Introduced Tamarix spp. was more frequent at the Bill Williams, but all three main forest types (Tamarix, Salix/Populus, Prosopis) had low understory richness, as well as high stem density and low light, on the Bill Williams as compared to the Santa Maria. The few edaphic differences between rivers (higher salinity at Bill Williams) had only weak connections with richness. A second study (2006-2007) focused on floristic richness at larger spatial scales. It revealed that during spring, and for the study cumulatively (spring and fall samplings combined), the riparian zone of the unregulated river had considerably more plant species. Annuals (vs. herbaceous perennials and woody species) showed the largest between-river difference. Relative richness of exotic (vs. native) species did not differ. We conclude that: (1) The legacy of reduced scouring frequency and extent at the Bill Williams has reduced the open space available for colonization by annuals; and (2) Change in forest biomass structure, more so than change in forest composition, is the major driver of changes in plant species richness along this flow-altered river. Our study informs dryland river management options by revealing trade-offs that exist between forest biomass structure and plant species richness. ?? 2010 John Wiley & Sons, Ltd.

  1. Informed Consent for Inclusion into Clinical Trials: A Serious Subject ...

    African Journals Online (AJOL)

    Informed Consent for Inclusion into Clinical Trials: A Serious Subject to Note in the Developing World Morteza. ... Arab Journal of Nephrology and Transplantation ... in developed countries, with every effort taken to enhance and maintain the autonomy of patients and their right to make an informed choice of whether to ...

  2. Applying geochemical signatures of atmospheric dust to distinguish current mine emissions from legacy sources

    Science.gov (United States)

    Dong, Chenyin; Taylor, Mark Patrick

    2017-07-01

    Resolving the source of environmental contamination is the critical first step in remediation and exposure prevention. Australia's oldest silver-zinc-lead mine at Broken Hill (>130 years old) has generated a legacy of contamination and is associated with persistent elevated childhood blood lead (Pb) levels. However, the source of environmental Pb remains in dispute: current mine emissions; remobilized mine-legacy lead in soils and dusts; and natural lead from geological weathering of the gossan ore body. Multiple lines of evidence used to resolve this conundrum at Broken Hill include spatial and temporal variations in dust Pb concentrations and bioaccessibility, Pb isotopic compositions, particle morphology and mineralogy. Total dust Pb loading (mean 255 μg/m2/day) and its bioaccessibility (mean 75% of total Pb) is greatest adjacent to the active mining operations. Unweathered galena (PbS) found in contemporary dust deposits contrast markedly to Pb-bearing particles from mine-tailings and weathered gossan samples. Contemporary dust particles were more angular, had higher sulfur content and had little or no iron and manganese. Dust adjacent to the mine has Pb isotopic compositions (208Pb/207Pb: 2.3197; 206Pb/207Pb: 1.0406) that are a close match (99%) to the ore body with values slightly lower (94%) at the edge of the city. The weight of evidence supports the conclusion that contemporary dust Pb contamination in Broken Hill is sourced primarily from current mining activities and not from weathering or legacy sources.

  3. To compare PubMed Clinical Queries and UpToDate in teaching information mastery to clinical residents: a crossover randomized controlled trial.

    Science.gov (United States)

    Sayyah Ensan, Ladan; Faghankhani, Masoomeh; Javanbakht, Anna; Ahmadi, Seyed-Foad; Baradaran, Hamid Reza

    2011-01-01

    To compare PubMed Clinical Queries and UpToDate regarding the amount and speed of information retrieval and users' satisfaction. A cross-over randomized trial was conducted in February 2009 in Tehran University of Medical Sciences that included 44 year-one or two residents who participated in an information mastery workshop. A one-hour lecture on the principles of information mastery was organized followed by self learning slide shows before using each database. Subsequently, participants were randomly assigned to answer 2 clinical scenarios using either UpToDate or PubMed Clinical Queries then crossed to use the other database to answer 2 different clinical scenarios. The proportion of relevantly answered clinical scenarios, time to answer retrieval, and users' satisfaction were measured in each database. Based on intention-to-treat analysis, participants retrieved the answer of 67 (76%) questions using UpToDate and 38 (43%) questions using PubMed Clinical Queries (PPubMed Clinical Queries (PPubMed Clinical Queries users (PPubmed Clinical Queries can lead to not only a higher proportion of relevant answer retrieval within a shorter time, but also a higher users' satisfaction. So, addition of tutoring pre-appraised sources such as UpToDate to the information mastery curricula seems to be highly efficient.

  4. Quantifying Ancient Maya Land Use Legacy Effects on Contemporary Rainforest Canopy Structure

    Directory of Open Access Journals (Sweden)

    Jessica N. Hightower

    2014-11-01

    Full Text Available Human land use legacies have significant and long-lasting ecological impacts across landscapes. Investigating ancient (>400 years legacy effects can be problematic due to the difficulty in detecting specific, historic land uses, especially those hidden beneath dense canopies. Caracol, the largest (~200 km2 Maya archaeological site in Belize, was abandoned ca. A.D. 900, leaving behind myriad structures, causeways, and an extensive network of agricultural terraces that persist beneath the architecturally complex tropical forest canopy. Airborne LiDAR enables the detection of these below-canopy archaeological features while simultaneously providing a detailed record of the aboveground 3-dimensional canopy organization, which is indicative of a forest’s ecological function. Here, this remote sensing technology is used to determine the effects of ancient land use legacies on contemporary forest structure. Canopy morphology was assessed by extracting LiDAR point clouds (0.25 ha plots from LiDAR-identified terraced (n = 150 and non-terraced (n = 150 areas on low (0°–10°, medium (10°–20°, and high (>20° slopes. We calculated the average canopy height, canopy openness, and vertical diversity from the LiDAR returns, with topographic features (i.e., slope, elevation, and aspect as covariates. Using a PerMANOVA procedure, we determined that forests growing on agricultural terraces exhibited significantly different canopy structure from those growing on non-terraced land. Terraces appear to mediate the effect of slope, resulting in less structural variation between slope and non-sloped land and yielding taller, more closed, more vertically diverse forests. These human land uses abandoned >1000 years ago continue to impact contemporary tropical rainforests having implications related to arboreal habitat and carbon storage.

  5. Conservation Lands and Preserves, Agricultural, Rural Legacy Easements & Area Boundary: The most common use is for the interpretation of land protected with the Rural Legacy program. The Rural Legacy Area protects farmland, forests and Civil War sites, within view of the Washington Monument State Park,, Published in 2008, 1:7200 (1in=600ft) scale, Washington County Government.

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — Conservation Lands and Preserves, Agricultural dataset current as of 2008. Rural Legacy Easements & Area Boundary: The most common use is for the interpretation...

  6. Impact and user satisfaction of a clinical information portal embedded in an electronic health record.

    Science.gov (United States)

    Tannery, Nancy H; Epstein, Barbara A; Wessel, Charles B; Yarger, Frances; LaDue, John; Klem, Mary Lou

    2011-01-01

    In 2008, a clinical information tool was developed and embedded in the electronic health record system of an academic medical center. In 2009, the initial information tool, Clinical-e, was superseded by a portal called Clinical Focus, with a single search box enabling a federated search of selected online information resources. To measure the usefulness and impact of Clinical Focus, a survey was used to gather feedback about users' experience with this clinical resource. The survey determined what type of clinicians were using this tool and assessed user satisfaction and perceived impact on patient care decision making. Initial survey results suggest the majority of respondents found Clinical Focus easy to navigate, the content easy to read, and the retrieved information relevant and complete. The majority would recommend Clinical Focus to their colleagues. Results indicate that this tool is a promising area for future development.

  7. Clinical information has low sensitivity for postmortem diagnosis of heart valve disease.

    Science.gov (United States)

    Coffey, Sean; Harper, Andrew R; Cairns, Benjamin J; Roberts, Ian Sd; Prendergast, Bernard D

    2017-07-01

    Accuracy of routinely collected information concerning cause of death is essential for public health and health systems planning. Since clinical examination has relatively low sensitivity for detection of valvular heart disease (VHD), mortality data based on clinical information alone might routinely underestimate the number of deaths due to VHD. We compared autopsy findings against premortem clinical information for 8198 consecutive adult postmortems (mean age 69.1 years, 61.3% men), performed in a single UK tertiary referral centre with on-site cardiac surgical facilities over a 10-year period (2004-2013) during which 21% of the adult population underwent postmortem examination. Following postmortem, VHD was the principal cause of death in 165 individuals (2.0%), a principal or contributory cause ('any cause') of death in 326 (4.0%) and an incidental (ie, non-causal) finding in a further 346 (4.2%). Clinical documentation of VHD before death was highly specific but relatively insensitive for postmortem identification of VHD as the principal (specificity 96.8%; 95% CI 96.4% to 97.2%; sensitivity 69.7%, 95% CI 62.1% to 76.6%) or any (specificity 98.1%; 95% CI 97.8% to 98.4%; sensitivity 68.4%, 95% CI 63.1% to 73.4%) cause of death. VHD (principally aortic stenosis, endocarditis and rheumatic heart disease) was newly noted at postmortem and listed as a cause of death in 142 individuals (1.7%). Clinical information recorded premortem is highly specific but relatively insensitive for the cause of death established at autopsy. Population-based mortality statistics that depend on premortem clinical information are likely to routinely underestimate the mortality burden of VHD. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  8. Belowground legacies of Pinus contorta invasion and removal result in multiple mechanisms of invasional meltdown.

    Science.gov (United States)

    Dickie, Ian A; St John, Mark G; Yeates, Gregor W; Morse, Chris W; Bonner, Karen I; Orwin, Kate; Peltzer, Duane A

    2014-01-01

    Plant invasions can change soil biota and nutrients in ways that drive subsequent plant communities, particularly when co-invading with belowground mutualists such as ectomycorrhizal fungi. These effects can persist following removal of the invasive plant and, combined with effects of removal per se, influence subsequent plant communities and ecosystem functioning. We used field observations and a soil bioassay with multiple plant species to determine the belowground effects and post-removal legacy caused by invasion of the non-native tree Pinus contorta into a native plant community. Pinus facilitated ectomycorrhizal infection of the co-occurring invasive tree, Pseudotsuga menziesii, but not conspecific Pinus (which always had ectomycorrhizas) nor the native pioneer Kunzea ericoides (which never had ectomycorrhizas). Pinus also caused a major shift in soil nutrient cycling as indicated by increased bacterial dominance, NO3-N (17-fold increase) and available phosphorus (3.2-fold increase) in soils, which in turn promoted increased growth of graminoids. These results parallel field observations, where Pinus removal is associated with invasion by non-native grasses and herbs, and suggest that legacies of Pinus on soil nutrient cycling thus indirectly promote invasion of other non-native plant species. Our findings demonstrate that multi-trophic belowground legacies are an important but hitherto largely unconsidered factor in plant community reassembly following invasive plant removal. Published by Oxford University Press on behalf of the Annals of Botany Company.

  9. The Phenomenal Legacy of Rabindranath Tagore

    Directory of Open Access Journals (Sweden)

    Ketaki Kushari Dyson

    2010-12-01

    Full Text Available Belonging to a generation of Bengalis who received Tagore as an acknowledged classic of their tradition, I grew up reading his books, listening to his music, watching his dance-dramas, and writing poetry under the inspiration of his words. This youthful appreciation of Tagore eventually led to a deeper understanding of his stature as an artist and thinker, but it was only when I entered Tagore studies in a more formal manner that I realized how truly spectacular his achievements were from an international perspective. Tagore was fortunate in that his time, place, and circumstances allowed him to give a good run to the natural versatility and fecundity of his genius. He has thereby secured a rich and diverse legacy for us, which tends to mean different things to different groups of people.

  10. Bringing Legacy Visualization Software to Modern Computing Devices via Application Streaming

    Science.gov (United States)

    Fisher, Ward

    2014-05-01

    Planning software compatibility across forthcoming generations of computing platforms is a problem commonly encountered in software engineering and development. While this problem can affect any class of software, data analysis and visualization programs are particularly vulnerable. This is due in part to their inherent dependency on specialized hardware and computing environments. A number of strategies and tools have been designed to aid software engineers with this task. While generally embraced by developers at 'traditional' software companies, these methodologies are often dismissed by the scientific software community as unwieldy, inefficient and unnecessary. As a result, many important and storied scientific software packages can struggle to adapt to a new computing environment; for example, one in which much work is carried out on sub-laptop devices (such as tablets and smartphones). Rewriting these packages for a new platform often requires significant investment in terms of development time and developer expertise. In many cases, porting older software to modern devices is neither practical nor possible. As a result, replacement software must be developed from scratch, wasting resources better spent on other projects. Enabled largely by the rapid rise and adoption of cloud computing platforms, 'Application Streaming' technologies allow legacy visualization and analysis software to be operated wholly from a client device (be it laptop, tablet or smartphone) while retaining full functionality and interactivity. It mitigates much of the developer effort required by other more traditional methods while simultaneously reducing the time it takes to bring the software to a new platform. This work will provide an overview of Application Streaming and how it compares against other technologies which allow scientific visualization software to be executed from a remote computer. We will discuss the functionality and limitations of existing application streaming

  11. A Proposed Clinical Decision Support Architecture Capable of Supporting Whole Genome Sequence Information

    Directory of Open Access Journals (Sweden)

    Brandon M. Welch

    2014-04-01

    Full Text Available Whole genome sequence (WGS information may soon be widely available to help clinicians personalize the care and treatment of patients. However, considerable barriers exist, which may hinder the effective utilization of WGS information in a routine clinical care setting. Clinical decision support (CDS offers a potential solution to overcome such barriers and to facilitate the effective use of WGS information in the clinic. However, genomic information is complex and will require significant considerations when developing CDS capabilities. As such, this manuscript lays out a conceptual framework for a CDS architecture designed to deliver WGS-guided CDS within the clinical workflow. To handle the complexity and breadth of WGS information, the proposed CDS framework leverages service-oriented capabilities and orchestrates the interaction of several independently-managed components. These independently-managed components include the genome variant knowledge base, the genome database, the CDS knowledge base, a CDS controller and the electronic health record (EHR. A key design feature is that genome data can be stored separately from the EHR. This paper describes in detail: (1 each component of the architecture; (2 the interaction of the components; and (3 how the architecture attempts to overcome the challenges associated with WGS information. We believe that service-oriented CDS capabilities will be essential to using WGS information for personalized medicine.

  12. Education and the Social Order: Re-Visioning the Legacy of Brian Simon

    Science.gov (United States)

    Cunningham, Peter; Martin, Jane

    2004-01-01

    A conference to honour the memory of Brian Simon (1915-2002) was a privilege and a challenge for its organizing committee. Simon was an educationist and an activist, a chronicler and a critic. His intellectual field encompassed psychology, pedagogy and politics as well as history. His legacy was both to education and to its history. Any…

  13. Method Ideology and State: Approximations based on Marx’s legacy

    Directory of Open Access Journals (Sweden)

    Davi Machado Perez

    2018-02-01

    Full Text Available This essay is the fruit of bibliographic research and offers reflections about the Marxist concepts of method, ideology and state, to question the idea that there is an economic determinism in the work of Karl Marx. It then dialogs with current Marxist authors who address the state in the era of monopoly capitalism, reaffirming Marx’s legacy as an essential starting point for the development of studies about the modern and contemporary state.

  14. Sediment contributions from floodplains and legacy sediments to Piedmont streams of Baltimore County, Maryland

    Science.gov (United States)

    Donovan, Mitchell; Miller, Andrew; Baker, Matthew; Gellis, Allen C.

    2015-01-01

    Disparity between watershed erosion rates and downstream sediment delivery has remained an important theme in geomorphology for many decades, with the role of floodplains in sediment storage as a common focus. In the Piedmont Province of the eastern USA, upland deforestation and agricultural land use following European settlement led to accumulation of thick packages of overbank sediment in valley bottoms, commonly referred to as legacy deposits. Previous authors have argued that legacy deposits represent a potentially important source of modern sediment loads following remobilization by lateral migration and progressive channel widening. This paper seeks to quantify (1) rates of sediment remobilization from Baltimore County floodplains by channel migration and bank erosion, (2) proportions of streambank sediment derived from legacy deposits, and (3) potential contribution of net streambank erosion and legacy sediments to downstream sediment yield within the Mid-Atlantic Piedmont.We calculated measurable gross erosion and deposition rates within the fluvial corridor along 40 valley segments from 18 watersheds with drainage areas between 0.18 and 155 km2 in Baltimore County, Maryland. We compared stream channel and floodplain morphology from lidar-based digital elevation data collected in 2005 with channel positions recorded on 1:2400 scale topographic maps from 1959–1961 in order to quantify 44–46 years of channel change. Sediment bulk density and particle size distributions were characterized from streambank and channel deposit samples and used for volume to mass conversions and for comparison with other sediment sources.Average annual lateral migration rates ranged from 0.04 to 0.19 m/y, which represented an annual migration of 2.5% (0.9–4.4%) channel width across all study segments, suggesting that channel dimensions may be used as reasonable predictors of bank erosion rates. Gross bank erosion rates varied from 43 to 310 Mg/km/y (median = 114) and

  15. Peer Review of Clinical Information Models: A Web 2.0 Crowdsourced Approach.

    Science.gov (United States)

    Leslie, Heather; Ljosland Bakke, Silje

    2017-01-01

    Over the past 8 years the openEHR Clinical Model program has been developing a Web 2.0 approach and tooling to support the development, review and governance of atomic clincial information models, known as archetypes. This paper describes the background and review process, and provides a practical example where cross standards organisation collaboration resulted in jointly agreed clinical content which was subsequently represented in different implementation formalisms that were effectively semantically aligned. The discussion and conclusions highlight some of the socio-technical benefits and challenges facing organisations who seek to govern automic clinical information models in a global and collaborative online community.

  16. Natural language processing systems for capturing and standardizing unstructured clinical information: A systematic review.

    Science.gov (United States)

    Kreimeyer, Kory; Foster, Matthew; Pandey, Abhishek; Arya, Nina; Halford, Gwendolyn; Jones, Sandra F; Forshee, Richard; Walderhaug, Mark; Botsis, Taxiarchis

    2017-09-01

    We followed a systematic approach based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses to identify existing clinical natural language processing (NLP) systems that generate structured information from unstructured free text. Seven literature databases were searched with a query combining the concepts of natural language processing and structured data capture. Two reviewers screened all records for relevance during two screening phases, and information about clinical NLP systems was collected from the final set of papers. A total of 7149 records (after removing duplicates) were retrieved and screened, and 86 were determined to fit the review criteria. These papers contained information about 71 different clinical NLP systems, which were then analyzed. The NLP systems address a wide variety of important clinical and research tasks. Certain tasks are well addressed by the existing systems, while others remain as open challenges that only a small number of systems attempt, such as extraction of temporal information or normalization of concepts to standard terminologies. This review has identified many NLP systems capable of processing clinical free text and generating structured output, and the information collected and evaluated here will be important for prioritizing development of new approaches for clinical NLP. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Fertilizer legacies meet saltwater incursion: challenges and constraints for coastal plain wetland restoration

    Directory of Open Access Journals (Sweden)

    Marcelo Ardón

    2017-07-01

    Full Text Available Coastal wetland restoration is an important tool for climate change adaptation and excess nutrient runoff mitigation. However, the capacity of restored coastal wetlands to provide multiple ecosystem services is limited by stressors, such as excess nutrients from upstream agricultural fields, high nutrient legacies on-site, and rising salinities downstream. The effects of these stressors are exacerbated by an accelerating hydrologic cycle, expected to cause longer droughts punctuated by more severe storms. We used seven years of surface water and six years of soil solution water chemistry from a large (440 ha restored wetland to examine how fertilizer legacy, changes in hydrology, and drought-induced salinization affect dissolved nutrient and carbon concentrations. To better understand the recovery trajectory of the restored wetland, we also sampled an active agricultural field and two mature forested wetlands. Our results show that nitrogen (N and phosphorus (P concentrations in soil solution were 2–10 times higher in the restored wetland compared to two mature forested wetlands, presumably due to legacy fertilizer mobilized by reflooding. Despite elevated nutrient concentrations relative to reference wetlands, the restored wetland consistently attenuated N and P pulses delivered from an upstream farm. Even with continued loading, N and P concentrations in surface water throughout the restored wetland have decreased since the initial flooding. Our results suggest that high nutrient concentrations and export from wetlands restored on agricultural lands may be a severe but temporary problem. If field to wetland conversion is to become a more widespread method for ameliorating nutrient runoff and adapting coastal plain ecosystems to climate change, we should adopt new methods for minimizing the initial export phase of wetland restoration efforts.

  18. Fabrication of a Sludge-Conditioning System for processing legacy wastes from the Gunite and Associated Tanks

    International Nuclear Information System (INIS)

    Randolph, J.D.; Lewis, B.E.; Farmer, J.R.; Johnson, M.A.

    2000-01-01

    The Sludge Conditioning System (SCS) for the Gunite and Associated Tanks (GAATs) is designed to receive, monitor, characterize and process legacy waste materials from the South Tank Farm tanks in preparation for final transfer of the wastes to the Melton Valley Storage Tanks (MVSTs), which are located at Oak Ridge National Laboratory. The SCS includes (1) a Primary Conditioning System (PCS) Enclosure for sampling and particle size classification, (2) a Solids Monitoring Test Loop (SMTL) for slurry characterization, (3) a Waste Transfer Pump to retrieve and transfer waste materials from GAAT consolidation tank W-9 to the MVSTs, (4) a PulsAir Mixing System to provide mixing of consolidated sludges for ease of retrieval, and (5) the interconnecting piping and valving. This report presents the design, fabrication, cost, and fabrication schedule information for the SCS

  19. Controlling Beryllium Contaminated Material And Equipment For The Building 9201-5 Legacy Material Disposition Project

    International Nuclear Information System (INIS)

    Reynolds, T.D.; Easterling, S.D.

    2010-01-01

    This position paper addresses the management of beryllium contamination on legacy waste. The goal of the beryllium management program is to protect human health and the environment by preventing the release of beryllium through controlling surface contamination. Studies have shown by controlling beryllium surface contamination, potential airborne contamination is reduced or eliminated. Although there are areas in Building 9201-5 that are contaminated with radioactive materials and mercury, only beryllium contamination is addressed in this management plan. The overall goal of this initiative is the compliant packaging and disposal of beryllium waste from the 9201-5 Legacy Material Removal (LMR) Project to ensure that beryllium surface contamination and any potential airborne release of beryllium is controlled to levels as low as practicable in accordance with 10 CFR 850.25.

  20. The regulation of informed consent to participation in clinical ...

    African Journals Online (AJOL)

    participation in clinical research by mentally ill persons – the discussion on informed consent .... usually lay persons without scientific and medical knowledge. It is .... is not defined by the Mental Health Care Act; nor is it stated anywhere in the ...

  1. Quantitative metrics for evaluating the phased roll-out of clinical information systems.

    Science.gov (United States)

    Wong, David; Wu, Nicolas; Watkinson, Peter

    2017-09-01

    We introduce a novel quantitative approach for evaluating the order of roll-out during phased introduction of clinical information systems. Such roll-outs are associated with unavoidable risk due to patients transferring between clinical areas using both the old and new systems. We proposed a simple graphical model of patient flow through a hospital. Using a simple instance of the model, we showed how a roll-out order can be generated by minimising the flow of patients from the new system to the old system. The model was applied to admission and discharge data acquired from 37,080 patient journeys at the Churchill Hospital, Oxford between April 2013 and April 2014. The resulting order was evaluated empirically and produced acceptable orders. The development of data-driven approaches to clinical Information system roll-out provides insights that may not necessarily be ascertained through clinical judgment alone. Such methods could make a significant contribution to the smooth running of an organisation during the roll-out of a potentially disruptive technology. Unlike previous approaches, which are based on clinical opinion, the approach described here quantitatively assesses the appropriateness of competing roll-out strategies. The data-driven approach was shown to produce strategies that matched clinical intuition and provides a flexible framework that may be used to plan and monitor Clinical Information System roll-out. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  2. Leveraging protein binding and the EPR effect in legacy chemotherapy regimens

    Directory of Open Access Journals (Sweden)

    Shireesh Apte

    2016-12-01

    Full Text Available Legacy chemotherapy regimens have the potential to be significantly more effective and less toxic if the dosage is titrated so that the mole ratio of drugs to circulating albumin is less than or equal to 1 and the order of administration of the drugs within each course of the regimen follows the sequence most hydrophobic (usually the least dose to least hydrophobic (usually the largest dose

  3. Legacy of the Pacific Islander cancer control network.

    Science.gov (United States)

    Hubbell, F Allan; Luce, Pat H; Afeaki, William P; Cruz, Lee Ann C; McMullin, Juliet M; Mummert, Angelina; Pouesi, June; Reyes, Maria Lourdes; Taumoepeau, Leafa Tuita; Tu'ufuli, Galeai Moali'itele; Wenzel, Lari

    2006-10-15

    The groundwork for the Pacific Islander cancer control network (PICCN) began in the early 1990s with a study of the cancer control needs of American Samoans. The necessity for similar studies among other Pacific Islander populations led to the development of PICCN. The project's principal objectives were to increase cancer awareness and to enhance cancer control research among American Samoans, Tongans, and Chamorros. PICCN was organized around a steering committee and 6 community advisory boards, 2 from each of the targeted populations. Membership included community leaders, cancer control experts, and various academic and technical organizations involved with cancer control. Through this infrastructure, the investigators developed new culturally sensitive cancer education materials and distributed them in a culturally appropriate manner. They also initiated a cancer control research training program, educated Pacific Islander students in this field, and conducted pilot research projects. PICCN conducted nearly 200 cancer awareness activities in its 6 study sites and developed cancer educational materials on prostate, colorectal, lung, breast, and cervical cancer and tobacco control in the Samoan, Tongan, and Chamorro languages. PICCN trained 9 students who conducted 7 pilot research projects designed to answer important questions regarding the cancer control needs of Pacific Islanders and to inform interventions targeting those needs. The legacy of PICCN lies in its advancement of improving cancer control among Pacific Islanders and setting the stage for interventions that will help to eliminate cancer-related health disparities. Cancer 2006. (c) 2006 American Cancer Society.

  4. Geochemical legacies and the future health of cities: A tale of two neurotoxins in urban soils

    Science.gov (United States)

    Fillipelli, Gabriel M.; Risch, Martin R.; Laidlaw, Mark A. S.; Nichols, Deborah E.; Crewe, Julie

    2015-01-01

    The past and future of cities are inextricably linked, a linkage that can be seen clearly in the long-term impacts of urban geochemical legacies. As loci of population as well as the means of employment and industry to support these populations, cities have a long history of co-locating contaminating practices and people, sometimes with negative implications for human health. Working at the intersection between environmental processes, communities, and human health is critical to grapple with environmental legacies and to support healthy, sustainable, and growing urban populations. An emerging area of environmental health research is to understand the impacts of chronic exposures and exposure mixtures—these impacts are poorly studied, yet may pose a significant threat to population health.

  5. Federally qualified health center dental clinics: financial information.

    Science.gov (United States)

    Bailit, Howard L; Devitto, Judy; Myne-Joslin, Ronnie; Beazoglou, Tryfon; McGowan, Taegan

    2013-01-01

    Federally Qualified Health Center (FQHC) dental clinics are a major component of the dental safety net system, providing care to 3.75 million patients annually. This study describes the financial and clinical operations of a sample of FQHCs. In cooperation with the National Network for Oral Health Access, FQHC dental clinics that could provide 12 months of electronic dental record information were asked to participate in the study. Based on data from 28 dental clinics (14 FQHCs), 50 percent of patients were under 21 years of age. The primary payers were Medicaid (72.4 percent) and sliding-scale/self-pay patients (17.5 percent). Sites averaged 3.1 operatories, 0.66 dental hygienists, and 1.9 other staff per dentist. Annually, each FTE dentist and hygienist provided 2,801 and 2,073 patient visits, respectively. Eighty percent of services were diagnostic, preventive, and restorative. Patient care accounted for 82 percent of revenues, and personnel (64.2 percent) and central administration (13.4 percent) accounted for most expenses. Based on a small convenience sample of FQHC dental clinics, this study presents descriptive data on their clinical and financial operations. Compared with data from the UDS (Uniform Data System) report, study FQHCs were larger in terms of space, staff, and patients served. However, there was substantial variation among clinics for almost all measures. As the number and size of FQHC dental clinics increase, the Health Resources and Services Administration needs to provide them access to comparative data that they can use to benchmark their operations. © 2013 American Association of Public Health Dentistry.

  6. Clinical Information Systems Integration in New York City's First Mobile Stroke Unit.

    Science.gov (United States)

    Kummer, Benjamin R; Lerario, Michael P; Navi, Babak B; Ganzman, Adam C; Ribaudo, Daniel; Mir, Saad A; Pishanidar, Sammy; Lekic, Tim; Williams, Olajide; Kamel, Hooman; Marshall, Randolph S; Hripcsak, George; Elkind, Mitchell S V; Fink, Matthew E

    2018-01-01

    Mobile stroke units (MSUs) reduce time to thrombolytic therapy in acute ischemic stroke. These units are widely used, but the clinical information systems underlying MSU operations are understudied. The first MSU on the East Coast of the United States was established at New York Presbyterian Hospital (NYP) in October 2016. We describe our program's 7-month pilot, focusing on the integration of our hospital's clinical information systems into our MSU to support patient care and research efforts. NYP's MSU was staffed by two paramedics, one radiology technologist, and a vascular neurologist. The unit was equipped with four laptop computers and networking infrastructure enabling all staff to access the hospital intranet and clinical applications during operating hours. A telephone-based registration procedure registered patients from the field into our admit/discharge/transfer system, which interfaced with the institutional electronic health record (EHR). We developed and implemented a computerized physician order entry set in our EHR with prefilled values to permit quick ordering of medications, imaging, and laboratory testing. We also developed and implemented a structured clinician note to facilitate care documentation and clinical data extraction. Our MSU began operating on October 3, 2016. As of April 27, 2017, the MSU transported 49 patients, of whom 16 received tissue plasminogen activator (t-PA). Zero technical problems impacting patient care were reported around registration, order entry, or intranet access. Two onboard network failures occurred, resulting in computed tomography scanner malfunctions, although no patients became ineligible for time-sensitive treatment as a result. Thirteen (26.5%) clinical notes contained at least one incomplete time field. The main technical challenges encountered during the integration of our hospital's clinical information systems into our MSU were onboard network failures and incomplete clinical documentation. Future

  7. Modularization of Legacy Features by Relocation and Reconceptualization: How Much is Enough?

    DEFF Research Database (Denmark)

    Olszak, Andrzej; Jørgensen, Bo Nørregaard

    2012-01-01

    and reconceptualization of classes during a migration of the NDVis neuroscience application to the NetBeans module system. We do this by comparing the manually-modularized version of NDVis with three automatically-optimized designs that exhibit various degrees of relocation and reconceptualization. The obtained findings...... shed new light on the actual extent and impact of relocation and reconceptualization during modularization of legacy features....

  8. The Legacy of the Teaching American History Grants: Statues on Easter Island?

    Science.gov (United States)

    Olwell, Russell

    2007-01-01

    It is not too early to ask what legacy the Teaching American History grants will leave behind. Put another way, when all the money is spent, when all the seminars are done, when all the professional development has ended, what evidence will there be that the program ever existed? Will historians in the future look back at the evidence left behind…

  9. Micro-costing the provision of emotional support and information in UK eye clinics.

    Science.gov (United States)

    Gillespie-Gallery, Hanna; Subramanian, Ahalya; Conway, Miriam L

    2013-11-19

    Sight loss has wide ranging implications for an individual in terms of education, employment, mobility and mental health. Therefore there is a need for information and support to be provided in eye clinics at the point of diagnosis of sight threatening conditions, but these aspects of care are often missing from clinics. To meet these needs, some clinics employ an Eye Clinic Liaison Officer (ECLO) but the position has yet to be widely implemented. The aims of this study were:(1) To evaluate the forms of advice and emotional support in eye clinics provided by ECLOs.(2) To determine the cost of the ECLO service per patient. Micro-costing was carried out using interviews, a survey and administrative data. The survey was completed by 18 of the 49 accredited ECLOs in the UK (37%) and provided information on the activities performed by ECLOs, numbers of patients seen per day, training costs incurred and the salary of the ECLOs. ECLOs provided information about the services in eye clinics and the community, referral to social services, emotional support to patients and also other advice. The cost of an ECLO per patient per contact was £17.94 based on an average annual ECLO salary of £23,349.60 per year, reviewing on average 9.1 patients per day, in a 42 week year. This study provides the first costing of support services in hospital eye clinics, providing a range of estimates to suit the circumstances of different clinics. The information can be used by local decision makers to estimate the cost of implementing an ECLO service.

  10. The future of mega sport events : Examining the ‘Dutch Approach’ to legacy planning

    NARCIS (Netherlands)

    Hartman, S.; Zandberg, T.

    2015-01-01

    Purpose – Mega sport events (MSE) are immensely popular but also highly criticized because these nclude large public budgets and involve politically sensitive topics. In this context, there is an increasing attention toward legacy planning, the effort to confer long-term benefits to a host

  11. 75 FR 64318 - Notice of Issuance of Final Determination Concerning Fairplay Legacy Electric Vehicles

    Science.gov (United States)

    2010-10-19

    ... H118435 HkP CATEGORY: Marking Mr. Keith Andrews, President Fairplay Electric Cars 743 Horizon Ct., Suite..., requesting a final determination on behalf of Fairplay Electric Cars, LLC (``Fairplay''), pursuant to subpart... Determination Concerning Fairplay Legacy Electric Vehicles AGENCY: U.S. Customs and Border Protection...

  12. Mining legacy data: digitizing well logs leads to bypassed pay opportunities

    Energy Technology Data Exchange (ETDEWEB)

    Polczer, S.

    1999-10-01

    International Datashare Corporation's (iDc) computer software that filters graphic data through an algorithm programmed to recognize pre-set patterns, a process similar to optical character recognition, is described. The software is particularly well suited to large volumes of legacy data because it does not recognize numbers or calculations. Instead, it scans well log files as high-resolution raster files, strips them of all numeric data to isolate hydrocarbon signatures. This pattern recognition is expected to expose (to trained professionals) significant bypassed oil and gas pay that at the time of first development of the well were considered worthless due to lack of markets and transportation infrastructure. iDc plans to distribute the raster well log library of nearly one million records by making it available online. iDc also intends to rasterize and index other data sets such as drill stem data and fluids data , and combine the information into a complete solutions package to mark the company's 50 years in business. This new 'data mining' application is intended to enable operators to locate and develop hydrocarbon reserves that were originally bypassed. 1 photo, 1 fig.

  13. Practitioner-Customizable Clinical Information Systems: A Case Study to Ground Further Research and Development Opportunities

    Directory of Open Access Journals (Sweden)

    Cecily Morrison

    2010-01-01

    Full Text Available The uptake of electronic records and information technology support in intensive care medicine has been slower than many people predicted. One of the engineering challenges to overcome has been the subtle, but important, variation in clinical practice in different units. A relatively recent innovation that addresses this challenge is practitioner-customizable clinical information systems, allowing clinicians wide scope in adjusting their systems to suit their clinical practice. However, these systems present a significant design challenge, not only of added technical complexity, but in providing tools that support clinicians in doing many of the tasks of a software engineer. This paper reviews the use of a commercially available clinical information system that is intended to be practitioner-customizable, and considers the further design and development of tools to support healthcare practitioners doing end-user customization on their own clinical information systems.

  14. Developing a Workflow Composite Score to Measure Clinical Information Logistics. A Top-down Approach.

    Science.gov (United States)

    Liebe, J D; Hübner, U; Straede, M C; Thye, J

    2015-01-01

    Availability and usage of individual IT applications have been studied intensively in the past years. Recently, IT support of clinical processes is attaining increasing attention. The underlying construct that describes the IT support of clinical workflows is clinical information logistics. This construct needs to be better understood, operationalised and measured. It is therefore the aim of this study to propose and develop a workflow composite score (WCS) for measuring clinical information logistics and to examine its quality based on reliability and validity analyses. We largely followed the procedural model of MacKenzie and colleagues (2011) for defining and conceptualising the construct domain, for developing the measurement instrument, assessing the content validity, pretesting the instrument, specifying the model, capturing the data and computing the WCS and testing the reliability and validity. Clinical information logistics was decomposed into the descriptors data and information, function, integration and distribution, which embraced the framework validated by an analysis of the international literature. This framework was refined selecting representative clinical processes. We chose ward rounds, pre- and post-surgery processes and discharge as sample processes that served as concrete instances for the measurements. They are sufficiently complex, represent core clinical processes and involve different professions, departments and settings. The score was computed on the basis of data from 183 hospitals of different size, ownership, location and teaching status. Testing the reliability and validity yielded encouraging results: the reliability was high with r(split-half) = 0.89, the WCS discriminated between groups; the WCS correlated significantly and moderately with two EHR models and the WCS received good evaluation results by a sample of chief information officers (n = 67). These findings suggest the further utilisation of the WCS. As the WCS does not

  15. An Automated Medical Information Management System (OpScan-MIMS) in a Clinical Setting

    Science.gov (United States)

    Margolis, S.; Baker, T.G.; Ritchey, M.G.; Alterescu, S.; Friedman, C.

    1981-01-01

    This paper describes an automated medical information management system within a clinic setting. The system includes an optically scanned data entry system (OpScan), a generalized, interactive retrieval and storage software system(Medical Information Management System, MIMS) and the use of time-sharing. The system has the advantages of minimal hardware purchase and maintenance, rapid data entry and retrieval, user-created programs, no need for user knowledge of computer language or technology and is cost effective. The OpScan-MIMS system has been operational for approximately 16 months in a sexually transmitted disease clinic. The system's application to medical audit, quality assurance, clinic management and clinical training are demonstrated.

  16. Automated Methods to Extract Patient New Information from Clinical Notes in Electronic Health Record Systems

    Science.gov (United States)

    Zhang, Rui

    2013-01-01

    The widespread adoption of Electronic Health Record (EHR) has resulted in rapid text proliferation within clinical care. Clinicians' use of copying and pasting functions in EHR systems further compounds this by creating a large amount of redundant clinical information in clinical documents. A mixture of redundant information (especially outdated…

  17. The Need for Clinical Decision Support Integrated with the Electronic Health Record for the Clinical Application of Whole Genome Sequencing Information

    Directory of Open Access Journals (Sweden)

    Brandon M. Welch

    2013-12-01

    Full Text Available Whole genome sequencing (WGS is rapidly approaching widespread clinical application. Technology advancements over the past decade, since the first human genome was decoded, have made it feasible to use WGS for clinical care. Future advancements will likely drive down the price to the point wherein WGS is routinely available for care. However, were this to happen today, most of the genetic information available to guide clinical care would go unused due to the complexity of genetics, limited physician proficiency in genetics, and lack of genetics professionals in the clinical workforce. Furthermore, these limitations are unlikely to change in the future. As such, the use of clinical decision support (CDS to guide genome-guided clinical decision-making is imperative. In this manuscript, we describe the barriers to widespread clinical application of WGS information, describe how CDS can be an important tool for overcoming these barriers, and provide clinical examples of how genome-enabled CDS can be used in the clinical setting.

  18. The value of pathogen information in treating clinical mastitis

    NARCIS (Netherlands)

    Cha, Elva; Smith, Rebecca L.; Kristensen, Anders R.; Hertl, Julia A.; Schukken, Ynte H.; Tauer, Loren W.; Welcome, Frank L.; Gröhn, Yrjö T.

    2016-01-01

    The objective of this study was to determine the economic value of obtaining timely and more accurate clinical mastitis (CM) test results for optimal treatment of cows. Typically CM is first identified when the farmer observes recognisable outward signs. Further information of whether the

  19. The value of pathogen information in treating clinical mastitis

    NARCIS (Netherlands)

    Cha, Elva; Smith, Rebecca L.; Kristensen, Anders R.; Hertl, Julia A.; Schukken, Ynte H.; Tauer, Loren W.; Welcome, Frank L.; Gröhn, Yrjö T.

    2016-01-01

    The objective of this study was to determine the economic value of obtaining timely and more accurate clinical mastitis (CM) test results for optimal treatment of cows. Typically CM is first identified when the farmer observes recognisable outward signs. Further information of whether the pathogen

  20. Using language models to identify relevant new information in inpatient clinical notes.

    Science.gov (United States)

    Zhang, Rui; Pakhomov, Serguei V; Lee, Janet T; Melton, Genevieve B

    2014-01-01

    Redundant information in clinical notes within electronic health record (EHR) systems is ubiquitous and may negatively impact the use of these notes by clinicians, and, potentially, the efficiency of patient care delivery. Automated methods to identify redundant versus relevant new information may provide a valuable tool for clinicians to better synthesize patient information and navigate to clinically important details. In this study, we investigated the use of language models for identification of new information in inpatient notes, and evaluated our methods using expert-derived reference standards. The best method achieved precision of 0.743, recall of 0.832 and F1-measure of 0.784. The average proportion of redundant information was similar between inpatient and outpatient progress notes (76.6% (SD=17.3%) and 76.7% (SD=14.0%), respectively). Advanced practice providers tended to have higher rates of redundancy in their notes compared to physicians. Future investigation includes the addition of semantic components and visualization of new information.

  1. American Association of Orthodontists Foundation Craniofacial Growth Legacy Collection: Overview of a powerful tool for orthodontic research and teaching.

    Science.gov (United States)

    Baumrind, Sheldon; Curry, Sean

    2015-08-01

    This article reports on the current status of the American Association of Orthodontists Foundation (AAOF) Craniofacial Growth Legacy Collection--an AAOF-supported multi-institutional project that uses the Internet and cloud computing to collect and share craniofacial images and data for orthodontic research and education. The project gives investigators and clinicians all over the world online access to longitudinal information on craniofacial development in untreated children with malocclusions of various types. It also is a unique source of control samples for testing the validity of consensually accepted beliefs about the effects of orthodontic treatment or of failure to treat. Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  2. Confidence and Information Access in Clinical Decision-Making: An Examination of the Cognitive Processes that affect the Information-seeking Behavior of Physicians.

    Science.gov (United States)

    Uy, Raymonde Charles; Sarmiento, Raymond Francis; Gavino, Alex; Fontelo, Paul

    2014-01-01

    Clinical decision-making involves the interplay between cognitive processes and physicians' perceptions of confidence in the context of their information-seeking behavior. The objectives of the study are: to examine how these concepts interact, to determine whether physician confidence, defined in relation to information need, affects clinical decision-making, and if information access improves decision accuracy. We analyzed previously collected data about resident physicians' perceptions of information need from a study comparing abstracts and full-text articles in clinical decision accuracy. We found that there is a significant relation between confidence and accuracy (φ=0.164, p<0.01). We also found various differences in the alignment of confidence and accuracy, demonstrating the concepts of underconfidence and overconfidence across years of clinical experience. Access to online literature also has a significant effect on accuracy (p<0.001). These results highlight possible CDSS strategies to reduce medical errors.

  3. Environmental radioactivity and mitigation of radiological impact at legacy uranium sites in Portugal

    International Nuclear Information System (INIS)

    Carvalho, F.

    2014-01-01

    Uranium legacy sites in the country contain large amounts of milling tailings, mining waste, old infrastructures and acid mine drainage with high radioactivity concentrations. Radioactivity surveillance of these sites has been maintained for many years and institutional control kept beyond cessation of Portuguese uranium mining in 2001. A research programme (2003-2006) requested by the government to assess environmental contamination and public health risks in these regions advised implementing environmental remediation measures. A national programme was approved for remediation of abandoned mine sites, including radioactive and non-radioactive mines, that started in 2005 and since has completed significant remediation works in several old uranium mines. One amongst these sites, the Urgeiriça mine and milling site, was re-engineered, tailings were covered, the mine was closed, the area of mine and milling facilities cleaned, and an automated contaminated water treatment plant installed. Environmental radioactivity surveys carried out in this region showed reduced ambient radiation doses, lower radon concentrations in surface air, return to background radioactivity in surface air aerosols, and decrease of radionuclide concentrations in the river receiving water discharges from the mine site, resulting in a reduced radiation exposure to members of the public. Other legacy uranium mines without milling tailings, were mainly remediated for landscape engineering and the adopted solutions included, for example, preservation of non-contaminated ponds for public leisure. Although not completed yet in many sites, the remediation works implemented contributed already to a significant abatement of radiation exposure allowing for safer implementation of activities, such as agriculture and cattle grazing, in the surroundings of legacy sites. Environmental remediation and abatement of radiation exposure contributed to revitalize socio-economic activities of the region and

  4. Legacy nitrogen may prevent achievement of water quality goals in the Gulf of Mexico.

    Science.gov (United States)

    Van Meter, K J; Van Cappellen, P; Basu, N B

    2018-04-27

    In August 2017, the Gulf of Mexico's hypoxic zone was declared to be the largest ever measured. It has been estimated that a 60% decrease in watershed nitrogen (N) loading may be necessary to adequately reduce eutrophication in the Gulf. However, to date there has been no rigorous assessment of the effect of N legacies on achieving water quality goals. In this study, we show that even if agricultural N use became 100% efficient, it would take decades to meet target N loads due to legacy N within the Mississippi River basin. Our results suggest that both long-term commitment and large-scale changes in agricultural management practices will be necessary to decrease Mississippi N loads and to meet current goals for reducing the size of the Gulf hypoxic zone. Copyright © 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  5. Clinical decision support for whole genome sequence information leveraging a service-oriented architecture: a prototype.

    Science.gov (United States)

    Welch, Brandon M; Rodriguez-Loya, Salvador; Eilbeck, Karen; Kawamoto, Kensaku

    2014-01-01

    Whole genome sequence (WGS) information could soon be routinely available to clinicians to support the personalized care of their patients. At such time, clinical decision support (CDS) integrated into the clinical workflow will likely be necessary to support genome-guided clinical care. Nevertheless, developing CDS capabilities for WGS information presents many unique challenges that need to be overcome for such approaches to be effective. In this manuscript, we describe the development of a prototype CDS system that is capable of providing genome-guided CDS at the point of care and within the clinical workflow. To demonstrate the functionality of this prototype, we implemented a clinical scenario of a hypothetical patient at high risk for Lynch Syndrome based on his genomic information. We demonstrate that this system can effectively use service-oriented architecture principles and standards-based components to deliver point of care CDS for WGS information in real-time.

  6. Hospital clinicians' information behaviour and attitudes towards the 'Clinical Informationist': an Irish survey.

    LENUS (Irish Health Repository)

    Flynn, Maura G

    2012-02-01

    BACKGROUND: Hospital clinicians are increasingly expected to practice evidence-based medicine (EBM) in order to minimize medical errors and ensure quality patient care, but experience obstacles to information-seeking. The introduction of a Clinical Informationist (CI) is explored as a possible solution. AIMS: This paper investigates the self-perceived information needs, behaviour and skill levels of clinicians in two Irish public hospitals. It also explores clinicians\\' perceptions and attitudes to the introduction of a CI into their clinical teams. METHODS: A questionnaire survey approach was utilised for this study, with 22 clinicians in two hospitals. Data analysis was conducted using descriptive statistics. RESULTS: Analysis showed that clinicians experience diverse information needs for patient care, and that barriers such as time constraints and insufficient access to resources hinder their information-seeking. Findings also showed that clinicians struggle to fit information-seeking into their working day, regularly seeking to answer patient-related queries outside of working hours. Attitudes towards the concept of a CI were predominantly positive. CONCLUSION: This paper highlights the factors that characterise and limit hospital clinicians\\' information-seeking, and suggests the CI as a potentially useful addition to the clinical team, to help them to resolve their information needs for patient care.

  7. A fitting LEGACY – modelling Kepler's best stars

    Directory of Open Access Journals (Sweden)

    Aarslev Magnus J.

    2017-01-01

    Full Text Available The LEGACY sample represents the best solar-like stars observed in the Kepler mission[5, 8]. The 66 stars in the sample are all on the main sequence or only slightly more evolved. They each have more than one year's observation data in short cadence, allowing for precise extraction of individual frequencies. Here we present model fits using a modified ASTFIT procedure employing two different near-surface-effect corrections, one by Christensen-Dalsgaard[4] and a newer correction proposed by Ball & Gizon[1]. We then compare the results obtained using the different corrections. We find that using the latter correction yields lower masses and significantly lower χ2 values for a large part of the sample.

  8. Information disclosure in clinical informed consent: "reasonable" patient's perception of norm in high-context communication culture.

    Science.gov (United States)

    Hammami, Muhammad M; Al-Jawarneh, Yussuf; Hammami, Muhammad B; Al Qadire, Mohammad

    2014-01-10

    The current doctrine of informed consent for clinical care has been developed in cultures characterized by low-context communication and monitoring-style coping. There are scarce empirical data on patients' norm perception of information disclosure in other cultures. We surveyed 470 adults who were planning to undergo or had recently undergone a written informed consent-requiring procedure in a tertiary healthcare hospital in Saudi Arabia. Perceptions of norm and current practice were explored using a 5-point Likert scale (1 = strongly agree with disclosure) and 30 information items in 7 domains: practitioners' details, benefits, risks, complications' management, available alternatives, procedure's description, and post-procedure's issues. Respondents' mean (SD) age was 38.4 (12.5); 50.2% were males, 57.2% had ≥ college education, and 37.9% had undergone a procedure. According to norm perception, strongly agree/agree responses ranged from 98.0% (major benefits) to 50.5% (assistant/trainee's name). Overall, items related to benefits and post-procedure's issues were ranked better (more agreeable) than items related to risks and available alternatives. Ranking scores were better in post-procedure respondents for 4 (13.3%) items (p s name) to 13.9% (lead practitioner's training place), ranking scores were worse for all items compared to norm perception (p norm, 2) the focus of the desired information is closer to benefits and post-procedure's issues than risks and available alternatives, 3) male, post-procedure, and older patients are in favor of more information disclosure, 4) male, older, and more educated patients may be particularly dissatisfied with current information disclosure. The focus and extent of information disclosure for clinical informed consent may need to be adjusted if a "reasonable" patient's standard is to be met.

  9. Factors Influencing Electronic Clinical Information Exchange in Small Medical Group Practices

    Science.gov (United States)

    Kralewski, John E.; Zink, Therese; Boyle, Raymond

    2012-01-01

    Purpose: The purpose of this study was to identify the organizational factors that influence electronic health information exchange (HIE) by medical group practices in rural areas. Methods: A purposive sample of 8 small medical group practices in 3 experimental HIE regions were interviewed to determine the extent of clinical information exchange…

  10. A quantitative study of seven historically informed performances of Bach's BWV1007 Prelude

    NARCIS (Netherlands)

    Vaquero, C.

    2015-01-01

    In the field of early music, the urge to realize historically informed interpretations has led to new perspectives about our musical legacy from scholars and performers alike. Consequently, different schools of early music performance practice have been developed through the 20th and 21st centuries.

  11. Age structure and disturbance legacy of North American forests

    Directory of Open Access Journals (Sweden)

    Y. Pan

    2011-03-01

    Full Text Available Most forests of the world are recovering from a past disturbance. It is well known that forest disturbances profoundly affect carbon stocks and fluxes in forest ecosystems, yet it has been a great challenge to assess disturbance impacts in estimates of forest carbon budgets. Net sequestration or loss of CO2 by forests after disturbance follows a predictable pattern with forest recovery. Forest age, which is related to time since disturbance, is a useful surrogate variable for analyses of the impact of disturbance on forest carbon. In this study, we compiled the first continental forest age map of North America by combining forest inventory data, historical fire data, optical satellite data and the dataset from NASA's Landsat Ecosystem Disturbance Adaptive Processing System (LEDAPS project. A companion map of the standard deviations for age estimates was developed for quantifying uncertainty. We discuss the significance of the disturbance legacy from the past, as represented by current forest age structure in different regions of the US and Canada, by analyzing the causes of disturbances from land management and nature over centuries and at various scales. We also show how such information can be used with inventory data for analyzing carbon management opportunities. By combining geographic information about forest age with estimated C dynamics by forest type, it is possible to conduct a simple but powerful analysis of the net CO2 uptake by forests, and the potential for increasing (or decreasing this rate as a result of direct human intervention in the disturbance/age status. Finally, we describe how the forest age data can be used in large-scale carbon modeling, both for land-based biogeochemistry models and atmosphere-based inversion models, in order to improve the spatial accuracy of carbon cycle simulations.

  12. Innovating information-delivery for potential clinical trials participants. What do patients want from multi-media resources?

    Science.gov (United States)

    Shneerson, Catherine; Windle, Richard; Cox, Karen

    2013-01-01

    To discover whether the provision of clinical trials information via a multi-media platform could better meet the needs, preferences and practices of potential cancer trial participants. A mixed qualitative and quantitative questionnaire was delivered to 72 participants from cancer support groups to elicit views on the provision and design features of multimedia resources in delivering clinical trials information. Perceived lack of information is an expressed barrier to clinical trials participation. Multimedia resources were viewed positively as a way to address this barrier by most potential clinical trials participants; in particular by helping to align information to individual needs, promote active engagement with information, and by allowing more control of the learning experience. Whilst text remained the most valued attribute of any resource, other highly rated attributes included the resource being simple to use, easily accessible, having a clear focus, incorporating examples and visual aids, and being interactive. Provision of support for the learning resource was also rated highly. As in other areas, such as education, multimedia resources may enhance the delivery and acceptance of information regarding clinical trials. Better alignment of information may have a positive impact on recruitment and retention into clinical trials. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  13. What Clinical Information Is Valuable to Doctors Using Mobile Electronic Medical Records and When?

    Science.gov (United States)

    Kim, Junetae; Lee, Yura; Lim, Sanghee; Kim, Jeong Hoon; Lee, Byungtae; Lee, Jae-Ho

    2017-10-18

    There has been a lack of understanding on what types of specific clinical information are most valuable for doctors to access through mobile-based electronic medical records (m-EMRs) and when they access such information. Furthermore, it has not been clearly discussed why the value of such information is high. The goal of this study was to investigate the types of clinical information that are most valuable to doctors to access through an m-EMR and when such information is accessed. Since 2010, an m-EMR has been used in a tertiary hospital in Seoul, South Korea. The usage logs of the m-EMR by doctors were gathered from March to December 2015. Descriptive analyses were conducted to explore the overall usage patterns of the m-EMR. To assess the value of the clinical information provided, the usage patterns of both the m-EMR and a hospital information system (HIS) were compared on an hourly basis. The peak usage times of the m-EMR were defined as continuous intervals having normalized usage values that are greater than 0.5. The usage logs were processed as an indicator representing specific clinical information using factor analysis. Random intercept logistic regression was used to explore the type of clinical information that is frequently accessed during the peak usage times. A total of 524,929 usage logs from 653 doctors (229 professors, 161 fellows, and 263 residents; mean age: 37.55 years; males: 415 [63.6%]) were analyzed. The highest average number of m-EMR usage logs (897) was by medical residents, whereas the lowest (292) was by surgical residents. The usage amount for three menus, namely inpatient list (47,096), lab results (38,508), and investigation list (25,336), accounted for 60.1% of the peak time usage. The HIS was used most frequently during regular hours (9:00 AM to 5:00 PM). The peak usage time of the m-EMR was early in the morning (6:00 AM to 10:00 AM), and the use of the m-EMR from early evening (5:00 PM) to midnight was higher than during regular

  14. The Legacy of Nazism and the History Curriculum in the East German Secondary Schools.

    Science.gov (United States)

    Wegner, Gregory P.

    1992-01-01

    Examines the Marxist-Leninist curriculum assumptions about history instruction in East German schools on the legacy of Nazism. Suggests that questions raised to legitimize history instruction for East German students are relevant for students in capitalist countries. Discusses Hitler's rise to power, Soviet contributions to defeat fascism,…

  15. The Legacy of Christianity in West Africa, with Special Reference to Burkina Faso

    Science.gov (United States)

    Ouedraogo, Philippe

    2010-01-01

    In the following paper, I am going to discuss education and religion and consider the legacy of Christianity in education in West Africa with particular reference to the Evangelical churches in Burkina Faso. The paper will start with a general introduction to West Africa and the place of missionaries' activities in the region. I will then attempt…

  16. Latin America: Essays Interpretating Colonial Legacy

    Directory of Open Access Journals (Sweden)

    María Pia López

    2013-12-01

    Full Text Available A large part of the Latin–American literature of the 19th and 20th century tried to deal with the national question intertwining different dimensions: the weight of colonial legacy, the cultural peculiarity of the nation and the inner relations between social classes and ethnic groups. Thinking the nation implied, in any case, to think the difference and the conflict with others, as well as the inner conflict and the logic of local colonialism. Analyzing some of these essays that played a central role in such process of recasting the origin of the nation, the author moves around three main axes: the formulation of dualist writings (colonial/national; white /indigenous; civilization/wilderness, the issue of language (the language inherited from the colonial experience versus the multilingual nature of indigenous Latin American societies, and the hypothesis about the birth of the nation – appointed to different groups – and its normal functioning as legitimization of the order sprung from independences.

  17. John Napier life, logarithms, and legacy

    CERN Document Server

    Havil, Julian

    2014-01-01

    John Napier (1550–1617) is celebrated today as the man who invented logarithms—an enormous intellectual achievement that would soon lead to the development of their mechanical equivalent in the slide rule: the two would serve humanity as the principal means of calculation until the mid-1970s. Yet, despite Napier’s pioneering efforts, his life and work have not attracted detailed modern scrutiny. John Napier is the first contemporary biography to take an in-depth look at the multiple facets of Napier’s story: his privileged position as the eighth Laird of Merchiston and the son of influential Scottish landowners; his reputation as a magician who dabbled in alchemy; his interest in agriculture; his involvement with a notorious outlaw; his staunch anti-Catholic beliefs; his interactions with such peers as Henry Briggs, Johannes Kepler, and Tycho Brahe; and, most notably, his estimable mathematical legacy. Julian Havil explores Napier’s original development of logarithms, the motivations for his approa...

  18. Comprehensive process model of clinical information interaction in primary care: results of a "best-fit" framework synthesis.

    Science.gov (United States)

    Veinot, Tiffany C; Senteio, Charles R; Hanauer, David; Lowery, Julie C

    2018-06-01

    To describe a new, comprehensive process model of clinical information interaction in primary care (Clinical Information Interaction Model, or CIIM) based on a systematic synthesis of published research. We used the "best fit" framework synthesis approach. Searches were performed in PubMed, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Library and Information Science Abstracts, Library, Information Science and Technology Abstracts, and Engineering Village. Two authors reviewed articles according to inclusion and exclusion criteria. Data abstraction and content analysis of 443 published papers were used to create a model in which every element was supported by empirical research. The CIIM documents how primary care clinicians interact with information as they make point-of-care clinical decisions. The model highlights 3 major process components: (1) context, (2) activity (usual and contingent), and (3) influence. Usual activities include information processing, source-user interaction, information evaluation, selection of information, information use, clinical reasoning, and clinical decisions. Clinician characteristics, patient behaviors, and other professionals influence the process. The CIIM depicts the complete process of information interaction, enabling a grasp of relationships previously difficult to discern. The CIIM suggests potentially helpful functionality for clinical decision support systems (CDSSs) to support primary care, including a greater focus on information processing and use. The CIIM also documents the role of influence in clinical information interaction; influencers may affect the success of CDSS implementations. The CIIM offers a new framework for achieving CDSS workflow integration and new directions for CDSS design that can support the work of diverse primary care clinicians.

  19. Improvements in Clinical Trials Information Will Improve the Reproductive Health and Fertility of Cancer Patients.

    Science.gov (United States)

    Dauti, Angela; Gerstl, Brigitte; Chong, Serena; Chisholm, Orin; Anazodo, Antoinette

    2017-06-01

    There are a number of barriers that result in cancer patients not being referred for oncofertility care, which include knowledge about reproductive risks of antineoplastic agents. Without this information, clinicians do not always make recommendations for oncofertility care. The objective of this study was to describe the level of reproductive information and recommendations that clinicians have available in clinical trial protocols regarding oncofertility management and follow-up, and the information that patients may receive in clinical trials patient information sheets or consent forms. A literature review of the 71 antineoplastic drugs included in the 68 clinical trial protocols showed that 68% of the antineoplastic drugs had gonadotoxic animal data, 32% had gonadotoxic human data, 83% had teratogenic animal data, and 32% had teratogenic human data. When the clinical trial protocols were reviewed, only 22% of the protocols reported the teratogenic risks and 32% of the protocols reported the gonadotoxic risk. Only 56% of phase 3 protocols had gonadotoxic information and 13% of phase 3 protocols had teratogenic information. Nine percent of the protocols provided fertility preservation recommendations and 4% provided reproductive information in the follow-up and survivorship period. Twenty-six percent had a section in the clinical trials protocol, which identified oncofertility information easily. When gonadotoxic and teratogenic effects of treatment were known, they were not consistently included in the clinical trial protocols and the lack of data for new drugs was not reported. Very few protocols gave recommendations for oncofertility management and follow-up following the completion of cancer treatment. The research team proposes a number of recommendations that should be required for clinicians and pharmaceutical companies developing new trials.

  20. Strategies for the cost effective treatment of Oak Ridge legacy wastes

    International Nuclear Information System (INIS)

    Compere, A.L.; Griffith, W.L.; Huxtable, W.P.; Wilson, D.F.

    1998-03-01

    Research and development treatment strategies for treatment or elimination of several Oak Ridge plant liquid, solid, and legacy wastes are detailed in this report. Treatment strategies for volumetrically contaminated nickel; enriched uranium-contaminated alkali metal fluorides; uranium-contaminated aluminum compressor blades; large, mercury-contaminated lithium isotope separations equipment; lithium process chlorine gas streams; high-concentration aluminum nitrate wastes, and high-volume, low-level nitrate wastes are discussed. Research needed to support engineering development of treatment processes is detailed

  1. Validation of Patient-Reported Outcomes Measurement Information System Short Forms for Use in Childhood-Onset Systemic Lupus Erythematosus.

    Science.gov (United States)

    Jones, Jordan T; Carle, Adam C; Wootton, Janet; Liberio, Brianna; Lee, Jiha; Schanberg, Laura E; Ying, Jun; Morgan DeWitt, Esi; Brunner, Hermine I

    2017-01-01

    To validate the pediatric Patient-Reported Outcomes Measurement Information System short forms (PROMIS-SFs) in childhood-onset systemic lupus erythematosus (SLE) in a clinical setting. At 3 study visits, childhood-onset SLE patients completed the PROMIS-SFs (anger, anxiety, depressive symptoms, fatigue, physical function-mobility, physical function-upper extremity, pain interference, and peer relationships) using the PROMIS assessment center, and health-related quality of life (HRQoL) legacy measures (Pediatric Quality of Life Inventory, Childhood Health Assessment Questionnaire, Simple Measure of Impact of Lupus Erythematosus in Youngsters [SMILEY], and visual analog scales [VAS] of pain and well-being). Physicians rated childhood-onset SLE activity on a VAS and completed the Systemic Lupus Erythematosus Disease Activity Index 2000. Using a global rating scale of change (GRC) between study visits, physicians rated change of childhood-onset SLE activity (GRC-MD1: better/same/worse) and change of patient overall health (GRC-MD2: better/same/worse). Questionnaire scores were compared in support of validity and responsiveness to change (external standards: GRC-MD1, GRC-MD2). In this population-based cohort (n = 100) with a mean age of 15.8 years (range 10-20 years), the PROMIS-SFs were completed in less than 5 minutes in a clinical setting. The PROMIS-SF scores correlated at least moderately (Pearson's r ≥ 0.5) with those of legacy HRQoL measures, except for the SMILEY. Measures of childhood-onset SLE activity did not correlate with the PROMIS-SFs. Responsiveness to change of the PROMIS-SFs was supported by path, mixed-model, and correlation analyses. To assess HRQoL in childhood-onset SLE, the PROMIS-SFs demonstrated feasibility, internal consistency, construct validity, and responsiveness to change in a clinical setting. © 2016, American College of Rheumatology.

  2. Introduction: Untold Legacies of the First World War in Britain.

    Science.gov (United States)

    Fell, Alison S; Meyer, Jessica

    2015-05-01

    The current centenary of the First World War provides an unrivalled opportunity to uncover some of the social legacies of the war. The four articles which make up this special issue each examine a different facet of the war's impact on British society to explore an as yet untold story. The subjects investigated include logistics, the history of science, the social history of medicine and resistance to war. This article introduces the four which follow, locating them in the wider historiographic debates around the interface between warfare and societies engaged in war.

  3. Social vs. Clinical Perspectives on the Use of Information: Implications for School-based Information Systems. Systemic Evaluation Project.

    Science.gov (United States)

    Sirotnik, Kenneth A.; And Others

    This paper presents a study of the contrast of social and clinical perspectives on the selection and use of information by school staff, including: (1) an outline of the context and activities of the study; (2) a definition and discussion of the basic distinction between social and clinical perspectives; (3) an examination of case material…

  4. Assessing Resistance to Change During Shifting from Legacy to Open Web-Based Systems in the Air Transport Industry

    Science.gov (United States)

    Brewer, Denise

    The air transport industry (ATI) is a dynamic, communal, international, and intercultural environment in which the daily operations of airlines, airports, and service providers are dependent on information technology (IT). Many of the IT legacy systems are more than 30 years old, and current regulations and the globally distributed workplace have brought profound changes to the way the ATI community interacts. The purpose of the study was to identify the areas of resistance to change in the ATI community and the corresponding factors in change management requirements that minimize product development delays and lead to a successful and timely shift from legacy to open web-based systems in upgrading ATI operations. The research questions centered on product development team processes as well as the members' perceived need for acceptance of change. A qualitative case study approach rooted in complexity theory was employed using a single case of an intercultural product development team dispersed globally. Qualitative data gathered from questionnaires were organized using Nvivo software, which coded the words and themes. Once coded, themes emerged identifying the areas of resistance within the product development team. Results of follow-up interviews with team members suggests that intercultural relationship building prior to and during project execution; focus on common team goals; and, development of relationships to enhance interpersonal respect, understanding and overall communication help overcome resistance to change. Positive social change in the form of intercultural group effectiveness evidenced in increased team functioning during major project transitions is likely to result when global managers devote time to cultural understanding.

  5. Sampling and Analysis Plan for Disposition of the Standing Legacy Wastes in the 105-B, -D, -H, -KE, and -KW Reactor Buildings

    International Nuclear Information System (INIS)

    McGuire, J. J.

    1999-01-01

    This sampling and analysis plan (SAP) presents the rationale and strategy for the sampling and analysis activities that support disposition of legacy waste in the Hanford Site's 105-B, 105-D, 105-H,105-KE, 105-KW Reactor buildings. For the purpose of this SAP, legacy waste is identified as any item present in a facility that is not permanently attached to the facility and is easily removed without the aid of equipment larger than a standard forklift

  6. Sampling and Analysis Plan for Disposition of the Standing Legacy Wastes in the 105-B, -D, -H, -KE, and -KW Reactor Buildings

    International Nuclear Information System (INIS)

    McGuire, J.J.

    1999-01-01

    This sampling and analysis plan (SAP) presents the rationale and strategy for the sampling and analysis activities that support disposition of legacy waste in the Hanford Site's 105-B, 105-D, 105-H, 105-KE, 105-KW Reactor buildings. For the purpose of this SAP, legacy waste is identified as any item present in a facility that is not permanently attached to the facility and is easily removed without the aid of equipment larger than a standard forklift

  7. Evaluation of clinical information modeling tools.

    Science.gov (United States)

    Moreno-Conde, Alberto; Austin, Tony; Moreno-Conde, Jesús; Parra-Calderón, Carlos L; Kalra, Dipak

    2016-11-01

    Clinical information models are formal specifications for representing the structure and semantics of the clinical content within electronic health record systems. This research aims to define, test, and validate evaluation metrics for software tools designed to support the processes associated with the definition, management, and implementation of these models. The proposed framework builds on previous research that focused on obtaining agreement on the essential requirements in this area. A set of 50 conformance criteria were defined based on the 20 functional requirements agreed by that consensus and applied to evaluate the currently available tools. Of the 11 initiative developing tools for clinical information modeling identified, 9 were evaluated according to their performance on the evaluation metrics. Results show that functionalities related to management of data types, specifications, metadata, and terminology or ontology bindings have a good level of adoption. Improvements can be made in other areas focused on information modeling and associated processes. Other criteria related to displaying semantic relationships between concepts and communication with terminology servers had low levels of adoption. The proposed evaluation metrics were successfully tested and validated against a representative sample of existing tools. The results identify the need to improve tool support for information modeling and software development processes, especially in those areas related to governance, clinician involvement, and optimizing the technical validation of testing processes. This research confirmed the potential of these evaluation metrics to support decision makers in identifying the most appropriate tool for their organization. Los Modelos de Información Clínica son especificaciones para representar la estructura y características semánticas del contenido clínico en los sistemas de Historia Clínica Electrónica. Esta investigación define, prueba y valida

  8. Measurement of tributyl phosphate (TBP) in groundwater at a legacy radioactive waste site and its possible role in contaminant mobilisation.

    Science.gov (United States)

    Rowling, Brett; Kinsela, Andrew S; Comarmond, M Josick; Hughes, Catherine E; Harrison, Jennifer J; Johansen, Mathew P; Payne, Timothy E

    2017-11-01

    At many legacy radioactive waste sites, organic compounds have been co-disposed, which may be a factor in mobilisation of radionuclides at these sites. Tri-butyl phosphate (TBP) is a component of waste streams from the nuclear fuel cycle, where it has been used in separating actinides during processing of nuclear fuels. Analyses of ground waters from the Little Forest Legacy Site (LFLS) in eastern Australia were undertaken using solid-phase extraction (SPE) followed by gas chromatographic mass spectrometry (GCMS). The results indicate the presence of TBP several decades after waste disposal, with TBP only being detected in the immediate vicinity of the main disposal area. TBP is generally considered to degrade in the environment relatively rapidly. Therefore, it is likely that its presence is due to relatively recent releases of TBP, possibly stemming from leakage due to container degradation. The ongoing presence and solubility of TBP has the potential to provide a mechanism for nuclide mobilisation, with implications for long term management of LFLS and similar legacy waste sites. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  9. Nordic School of Public Health NHV and its legacy in global health

    DEFF Research Database (Denmark)

    Krettek, A.; Eklund Karlsson, Leena; Toan, T. K.

    2015-01-01

    This article describes the legacy of the Nordic School of Public Health NHV (NHV) in global health. We delineate how this field developed at NHV and describe selected research and research training endeavours with examples from Vietnam and Nepal as well as long-term teaching collaborations...... such as BRIMHEALTH (Baltic RIM Partnership for Public HEALTH) in the Baltic countries and Arkhangelsk International School of Public Health in Russia....

  10. Clinical psychology service users' experiences of confidentiality and informed consent: a qualitative analysis.

    Science.gov (United States)

    Martindale, S J; Chambers, E; Thompson, A R

    2009-12-01

    To explore and describe the experience of clinical psychology service users in relation to the processes associated with confidentiality and the generation of informed consent in individual therapy. A qualitative interview-based study employing interpretative phenomenological analysis was conducted with service users. User researchers were active collaborators in the study. A focus group of four users was convened to explore issues related to confidentiality and consent, which then informed the development of the semi-structured interview schedule. Twelve users of community mental health clinical psychology services were interviewed by user researchers. A user researcher and a clinical psychologist undertook joint analysis of the data. A second clinical psychologist facilitated reflexivity and wider consideration of validity issues. Four main themes were identified from the data: being referred; the participant's feelings, mental health difficulties, and their impact; relationships with workers and carers; and autonomy. The meaningfulness of processes of discussing confidentiality, and generating informed consent, can be improved by psychologists placing a greater emphasis on choice, control, autonomy, individual preferences, and actively involving the user in dialogue on repeated occasions.

  11. Negative legacy of obesity.

    Directory of Open Access Journals (Sweden)

    Kohsuke Shirakawa

    Full Text Available Obesity promotes excessive inflammation, which is associated with senescence-like changes in visceral adipose tissue (VAT and the development of type 2 diabetes (T2DM and cardiovascular diseases. We have reported that a unique population of CD44hi CD62Llo CD4+ T cells that constitutively express PD-1 and CD153 exhibit cellular senescence and cause VAT inflammation by producing large amounts of osteopontin. Weight loss improves glycemic control and reduces cardiovascular disease risk factors, but its long-term effects on cardiovascular events and longevity in obese individuals with T2DM are somewhat disappointing and not well understood. High-fat diet (HFD-fed obese mice were subjected to weight reduction through a switch to a control diet. They lost body weight and visceral fat mass, reaching the same levels as lean mice fed a control diet. However, the VAT of weight reduction mice exhibited denser infiltration of macrophages, which formed more crown-like structures compared to the VAT of obese mice kept on the HFD. Mechanistically, CD153+ PD-1+ CD4+ T cells are long-lived and not easily eliminated, even after weight reduction. Their continued presence maintains a self-sustaining chronic inflammatory loop via production of large amounts of osteopontin. Thus, we concluded that T-cell senescence is essentially a negative legacy effect of obesity.

  12. President's Committee on the Arts and the Humanities 2009-2016: A Legacy of Action

    Science.gov (United States)

    President's Committee on the Arts and the Humanities, 2016

    2016-01-01

    The "President's Committee on the Arts and the Humanities 2009-2016: A Legacy of Action" highlights the results of the synergy of collaboration the President's Committee on the Arts and the Humanities (PCAH) forged with the private sector and each of the cultural agencies--National Endowment for the Arts, National Endowment for the…

  13. Ubiquitous information for ubiquitous computing: expressing clinical data sets with openEHR archetypes.

    Science.gov (United States)

    Garde, Sebastian; Hovenga, Evelyn; Buck, Jasmin; Knaup, Petra

    2006-01-01

    Ubiquitous computing requires ubiquitous access to information and knowledge. With the release of openEHR Version 1.0 there is a common model available to solve some of the problems related to accessing information and knowledge by improving semantic interoperability between clinical systems. Considerable work has been undertaken by various bodies to standardise Clinical Data Sets. Notwithstanding their value, several problems remain unsolved with Clinical Data Sets without the use of a common model underpinning them. This paper outlines these problems like incompatible basic data types and overlapping and incompatible definitions of clinical content. A solution to this based on openEHR archetypes is motivated and an approach to transform existing Clinical Data Sets into archetypes is presented. To avoid significant overlaps and unnecessary effort during archetype development, archetype development needs to be coordinated nationwide and beyond and also across the various health professions in a formalized process.

  14. Public-private partnerships as a strategy against HIV/AIDS in South Africa: the influence of historical legacies.

    Science.gov (United States)

    Brunne, Viviane

    2009-09-01

    In the face of the extreme challenges posed by the South African HIV/AIDS epidemic, collaboration between public and private partners is often called for in an attempt to mobilise additional resources and generate synergies. This paper shows that the ability to successfully use public-private partnerships to address complex challenges, such as an HIV/AIDS epidemic, is influenced by the fabric of society, one important aspect being historical legacies. The first part of the article shows how South Africa's apartheid past affects the ability of public and private partners to collaborate in a response to HIV and AIDS today. It also takes into account how reconciliation and nation-building policies in the immediate post-transformation period have affected the ability to form and sustain partnerships concerning HIV/AIDS issues. The second part of the article analyses more recent developments regarding the information that these hold as to the feasibility of public-private partnerships and whether these continue to be affected by the legacies of the past. Two events with symbolic political value in South Africa, namely the 2010 FIFA World Cup soccer event and the recent changes in government, are systematically examined on the basis of three analytical queries, regarding: the impact of the event on nation-building and transcending cleavages in society; the event's impact on the ability to form public-private partnerships in general; and the role of HIV/AIDS in connection with the event. Conclusions are drawn a propos the influence of historic factors on the ability of South African society to effectively use public-private partnerships in the response to HIV and AIDS, and the continued dynamics and likely future directions of these partnerships.

  15. Designing a clinical dashboard to fill information gaps in the emergency department.

    Science.gov (United States)

    Swartz, Jordan L; Cimino, James J; Fred, Matthew R; Green, Robert A; Vawdrey, David K

    2014-01-01

    Data fragmentation within electronic health records causes gaps in the information readily available to clinicians. We investigated the information needs of emergency medicine clinicians in order to design an electronic dashboard to fill information gaps in the emergency department. An online survey was distributed to all emergency medicine physicians at a large, urban academic medical center. The survey response rate was 48% (52/109). The clinical information items reported to be most helpful while caring for patients in the emergency department were vital signs, electrocardiogram (ECG) reports, previous discharge summaries, and previous lab results. Brief structured interviews were also conducted with 18 clinicians during their shifts in the emergency department. From the interviews, three themes emerged: 1) difficulty accessing vital signs, 2) difficulty accessing point-of-care tests, and 3) difficulty comparing the current ECG with the previous ECG. An emergency medicine clinical dashboard was developed to address these difficulties.

  16. TOWARDS A CONCEPTUALIZATION OF THE TRANSLATOR’S LEGACY

    Directory of Open Access Journals (Sweden)

    María Constanza Guzmán

    2009-06-01

    Full Text Available This article investigates ways of theorizing the figure of the translator and its legacy within translation studies. It focuses on contemporary theoretical approaches, largely drawn from poststructuralist perspectives, which find the question of the translating subject to be a crucial one for translation and literary studies and propose important ways to approach it. It interrogates notions such as the idea of the sacralized original, the relationship between authorship and property, the ideal of transparent meaning, and the tension between translation and original writing. Particular attention is given to the importance of historicizing the translator's practice, recognizing the translator as a visible agent, and conceptualizing translation as a form of writing that unfolds within complex interactions and negotiations.

  17. Information management to enable personalized medicine: stakeholder roles in building clinical decision support.

    Science.gov (United States)

    Downing, Gregory J; Boyle, Scott N; Brinner, Kristin M; Osheroff, Jerome A

    2009-10-08

    Advances in technology and the scientific understanding of disease processes are presenting new opportunities to improve health through individualized approaches to patient management referred to as personalized medicine. Future health care strategies that deploy genomic technologies and molecular therapies will bring opportunities to prevent, predict, and pre-empt disease processes but will be dependent on knowledge management capabilities for health care providers that are not currently available. A key cornerstone to the potential application of this knowledge will be effective use of electronic health records. In particular, appropriate clinical use of genomic test results and molecularly-targeted therapies present important challenges in patient management that can be effectively addressed using electronic clinical decision support technologies. Approaches to shaping future health information needs for personalized medicine were undertaken by a work group of the American Health Information Community. A needs assessment for clinical decision support in electronic health record systems to support personalized medical practices was conducted to guide health future development activities. Further, a suggested action plan was developed for government, researchers and research institutions, developers of electronic information tools (including clinical guidelines, and quality measures), and standards development organizations to meet the needs for personalized approaches to medical practice. In this article, we focus these activities on stakeholder organizations as an operational framework to help identify and coordinate needs and opportunities for clinical decision support tools to enable personalized medicine. This perspective addresses conceptual approaches that can be undertaken to develop and apply clinical decision support in electronic health record systems to achieve personalized medical care. In addition, to represent meaningful benefits to personalized

  18. Information management to enable personalized medicine: stakeholder roles in building clinical decision support

    Directory of Open Access Journals (Sweden)

    Brinner Kristin M

    2009-10-01

    Full Text Available Abstract Background Advances in technology and the scientific understanding of disease processes are presenting new opportunities to improve health through individualized approaches to patient management referred to as personalized medicine. Future health care strategies that deploy genomic technologies and molecular therapies will bring opportunities to prevent, predict, and pre-empt disease processes but will be dependent on knowledge management capabilities for health care providers that are not currently available. A key cornerstone to the potential application of this knowledge will be effective use of electronic health records. In particular, appropriate clinical use of genomic test results and molecularly-targeted therapies present important challenges in patient management that can be effectively addressed using electronic clinical decision support technologies. Discussion Approaches to shaping future health information needs for personalized medicine were undertaken by a work group of the American Health Information Community. A needs assessment for clinical decision support in electronic health record systems to support personalized medical practices was conducted to guide health future development activities. Further, a suggested action plan was developed for government, researchers and research institutions, developers of electronic information tools (including clinical guidelines, and quality measures, and standards development organizations to meet the needs for personalized approaches to medical practice. In this article, we focus these activities on stakeholder organizations as an operational framework to help identify and coordinate needs and opportunities for clinical decision support tools to enable personalized medicine. Summary This perspective addresses conceptual approaches that can be undertaken to develop and apply clinical decision support in electronic health record systems to achieve personalized medical care. In

  19. The information needs and behaviour of clinical researchers: a user-needs analysis.

    Science.gov (United States)

    Korjonen-Close, Helena

    2005-06-01

    As part of the strategy to set up a new information service, including a physical Resource Centre, the analysis of information needs of clinical research professionals involved with clinical research and development in the UK and Europe was required. It also aimed to identify differences in requirements between the various roles of professionals and establish what information resources are currently used. A user-needs survey online of the members of The Institute. Group discussions with specialist subcommittees of members. Two hundred and ninety members responded to the online survey of 20 questions. This makes it a response rate of 7.9%. Members expressed a lack of information in their particular professional area, and lack the skills to retrieve and appraise information. The results of the survey are discussed in more detail, giving indications of what the information service should collect, what types of materials should be provided to members and what services should be on offer. These were developed from the results of the needs analysis and submitted to management for approval. Issues of concern, such as financial constraint and staff constraints are also discussed. There is an opportunity to build a unique collection of clinical research material, which will promote The Institute not only to members, but also to the wider health sector. Members stated that the most physical medical libraries don't provide what they need, but the main finding through the survey and discussions is that it's pointless to set up 'yet another medical library'.

  20. Pediatric Clinical Trials Conducted in South Korea from 2006 to 2015: An Analysis of the South Korean Clinical Research Information Service, US ClinicalTrials.gov and European Clinical Trials Registries.

    Science.gov (United States)

    Choi, Sheung-Nyoung; Lee, Ji-Hyun; Song, In-Kyung; Kim, Eun-Hee; Kim, Jin-Tae; Kim, Hee-Soo

    2017-12-01

    The status of pediatric clinical trials performed in South Korea in the last decade, including clinical trials of drugs with unapproved indications for children, has not been previously examined. The aim was to provide information regarding the current state of pediatric clinical trials and create a basis for future trials performed in South Korea by reviewing three databases of clinical trials registrations. We searched for pediatric clinical studies (participants South Korea between 2006 and 2015 registered on the Clinical Research Information Service (CRIS), ClinicalTrials.gov, and the European Clinical Trials Registry (EuCTR). Additionally, we reviewed whether unapproved indications were involved in each trial by comparing the trials with a list of authorized trials provided by the Ministry of Food and Drug Safety (MFDS). The primary and secondary outcomes were to determine the change in number of pediatric clinical trials with unapproved indications over time and to assess the status of unauthorized pediatric clinical trials from the MFDS and the publication of articles after these clinical trials, respectively. We identified 342 clinical studies registered in the CRIS (n = 81), ClinicalTrials.gov (n = 225), and EuCTR (n = 36), of which 306 were reviewed after excluding duplicate registrations. Among them, 181 studies were interventional trials dealing with drugs and biological agents, of which 129 (71.3%) involved unapproved drugs. Of these 129 trials, 107 (82.9%) were authorized by the MFDS. Pediatric clinical trials in South Korea aiming to establish the safety and efficacy of drugs in children are increasing; however, non-MFDS-authorized studies remain an issue.

  1. It’s Nakba, Not a Party: Re-Stating the (Continued) Legacy of the Oslo Accords

    DEFF Research Database (Denmark)

    Sen, Somdeep

    2015-01-01

    Two decades later, how should we conceptualize the relevance of the Oslo Accords today? This article reconstitutes our understanding of the Accords through three parameters and purports that the legacy of the Interim Agreement is one that oscillates between what it has failed to achieve with regard...

  2. B. F. Skinner’s legacy twenty years after (1990-2010: Behavior analysis in Ibero-America

    Directory of Open Access Journals (Sweden)

    Wilson M. López López

    2010-01-01

    Full Text Available Twenty years after his death (August 18th 1990,B. F. Skinner leaves five major living legacies: 1radical behaviorism; 2 the experimental analysis ofbehavior; 3 applied behavior analysis; 4 the Skinnerbox; 5 the Horcones community (Mexico.Behavior analysis is recognized for its internationalactive presence. Its growth provides a set of opportunitiesfor knowledge and technology transferenceand reminds us the importance of working for thedevelopment of educational and research programsand the arrangement of contingencies which enableits advance. In Ibero-America, behavior analysis, asa Skinnerian legacy, has been an important traditionwithin psychology. In this article we will presenta current synthesis of the central Ibero-Americancontributions to Behavior analysis. The panoramaof Behavior analysis in Ibero-America will beanalyzed according to the following dimensions:1 the most relevant figures; 2 the academic communityrelated to the Behavior Analytic tradition;and 3 the most important research lines. Finally,some of the most general characteristics of Ibero-American Behavior analysis are included.

  3. Post-Event Volunteering Legacy: Did the London 2012 Games Induce a Sustainable Volunteer Engagement?

    Directory of Open Access Journals (Sweden)

    Niki Koutrou

    2016-11-01

    Full Text Available The hosting of the London 2012 Olympic Games was seen as an opportunity to harness the enthusiasm of the 70,000 volunteers involved and to provide a post-event volunteer legacy. A total of 77 individuals who had acted as volunteers in London 2012 were contacted approximately four years after the Games and agreed to complete a web-based open-ended survey. The participants were asked to indicate their level of current volunteering engagement and whether volunteering at the Games had an impact on their current volunteering levels. The study found that the London Olympics were the first volunteer experience for most of the volunteers who completed the survey, with the main motivation to volunteer being anything related to the Olympic Games. Just over half of the respondents are currently volunteering. Lack of time is shown to be the main barrier towards further volunteering commitment. Only half of respondents had been contacted by a volunteering scheme after London 2012. The implications of the findings for a potential volunteering legacy are then explored.

  4. Informed consent for clinical trials: a review | Lema | East African ...

    African Journals Online (AJOL)

    Data sources: Published original research findings and reviews in the English literature, together with anecdotal information from our current professional experiences with clinical trials. Design: Review of peer-reviewed articles. Data extraction: Online searches were done and requests for reprints from corresponding ...

  5. AUTOIMMUNE DISEASE DURING PREGNANCY AND THE MICROCHIMERISM LEGACY OF PREGNANCY

    Science.gov (United States)

    Adams Waldorf, Kristina M.; Nelson, J. Lee

    2009-01-01

    Pregnancy has both short-term effects and long-term consequences. For women who have an autoimmune disease and subsequently become pregnant, pregnancy can induce amelioration of the mother’s disease, such as in rheumatoid arthritis, while exacerbating or having no effect on other autoimmune diseases like systemic lupus erythematosus. That pregnancy also leaves a long-term legacy has recently become apparent by the discovery that bi-directional cell trafficking results in persistence of fetal cells in the mother and of maternal cells in her offspring for decades after birth. The long-term persistence of a small number of cells (or DNA) from a genetically disparate individual is referred to as microchimerism. While microchimerism is common in healthy individuals and is likely to have health benefits, microchimerism has been implicated in some autoimmune diseases such as systemic sclerosis. In this paper, we will first discuss short-term effects of pregnancy on women with autoimmune disease. Pregnancy-associated changes will be reviewed for selected autoimmune diseases including rheumatoid arthritis, systemic lupus erythematosus and autoimmune thyroid disease. The pregnancy-induced amelioration of rheumatoid arthritis presents a window of opportunity for insights into both immunological mechanisms of fetal-maternal tolerance and pathogenic mechanisms in autoimmunity. A mechanistic hypothesis for the pregnancy-induced amelioration of rheumatoid arthritis will be described. We will then discuss the legacy of maternal-fetal cell transfer from the perspective of autoimmune diseases. Fetal and maternal microchimerism will be reviewed with a focus on systemic sclerosis (scleroderma), autoimmune thyroid disease, neonatal lupus and type I diabetes mellitus. PMID:18716941

  6. THE SPITZER LOCAL VOLUME LEGACY: SURVEY DESCRIPTION AND INFRARED PHOTOMETRY

    International Nuclear Information System (INIS)

    Dale, D. A.; Cohen, S. A.; Johnson, L. C.; Schuster, M. D.; Calzetti, D.; Engelbracht, C. W.; Kennicutt, R. C.; Block, M.; Marble, A. R.; Gil de Paz, A.; Lee, J. C.; Begum, A.; Dalcanton, J. J.; Funes, J. G.; Gordon, K. D.; Johnson, B. D.; Sakai, S.; Skillman, E. D.; Van Zee, L.; Walter, F.

    2009-01-01

    The survey description and the near-, mid-, and far-infrared flux properties are presented for the 258 galaxies in the Local Volume Legacy (LVL). LVL is a Spitzer Space Telescope legacy program that surveys the local universe out to 11 Mpc, built upon a foundation of ultraviolet, Hα, and Hubble Space Telescope imaging from 11HUGS (11 Mpc Hα and Ultraviolet Galaxy Survey) and ANGST (ACS Nearby Galaxy Survey Treasury). LVL covers an unbiased, representative, and statistically robust sample of nearby star-forming galaxies, exploiting the highest extragalactic spatial resolution achievable with Spitzer. As a result of its approximately volume-limited nature, LVL augments previous Spitzer observations of present-day galaxies with improved sampling of the low-luminosity galaxy population. The collection of LVL galaxies shows a large spread in mid-infrared colors, likely due to the conspicuous deficiency of 8 μm polycyclic aromatic hydrocarbon emission from low-metallicity, low-luminosity galaxies. Conversely, the far-infrared emission tightly tracks the total infrared emission, with a dispersion in their flux ratio of only 0.1 dex. In terms of the relation between the infrared-to-ultraviolet ratio and the ultraviolet spectral slope, the LVL sample shows redder colors and/or lower infrared-to-ultraviolet ratios than starburst galaxies, suggesting that reprocessing by dust is less important in the lower mass systems that dominate the LVL sample. Comparisons with theoretical models suggest that the amplitude of deviations from the relation found for starburst galaxies correlates with the age of the stellar populations that dominate the ultraviolet/optical luminosities.

  7. Nutrient pressures and legacies in a small agricultural karst catchment

    Science.gov (United States)

    Fenton, Owen; Mellander, Per-Erik; Daly, Karen; Wall, David P.; Jahangir, Mohammad M.; Jordan, Phil; Hennessey, Deirdre; Huebsch, Manuela; Blum, Philipp; Vero, Sara; Richards, Karl G.

    2017-04-01

    Catchments with short subsurface hydrologic time lags are commonly at risk for leached losses of nitrogen (N) and phosphorus (P). Such catchments are suitable for testing the efficacy of mitigation measures as management changes. In some sites, however, N and P may be retained in the soil and subsoil layers, and then leached, mobilised or attenuated over time. This biogeochemical time lag may therefore have enduring effects on the water quality. The aim of this study was to improve the understanding of N and P retention, attenuation and distribution of subsurface pathway in an intensively managed agricultural karst catchment with an oxidised aquifer setting, and also to inform how similar sites can be managed in the future. Results showed that in the years pre-2000 slurry from an on-site integrated pig production unit had been applied at rates of 33 t/ha annually, which supplied approximately 136 kg/ha total N and approximately 26 kg/ha total P annually. This practice contributed to large quantities of N (total N and NH4-N) and elevated soil test P (Morgan extractable P), present to a depth of 1 m. This store was augmented by recent surpluses of 263 kg N/ha, with leached N to groundwater of 82.5 kg N/ha and only 2.5 kg N/ha denitrified in the aquifer thereafter. Sub hourly spring data showed the largest proportion of N loss from small (54-88%) and medium fissure pathways (7- 21%) with longer hydrologic time lags, with smallest loads from either large fissure (1-13%) or conduit (1-10%) pathways with short hydrologic time lags (reaction time at the spring from onset of a rainfall event is within hours). Although soils were saturated in P and in mobile forms to 0.5 m, dissolved reactive P concentrations in groundwater remained low due to Ca and Mg limestone chemistry. Under these conditions a depletion of the legacy store, with no further inputs, would take approximately 50 years and with NO3-N concentrations in the source area dropping to levels that could sustain

  8. SANDS: a service-oriented architecture for clinical decision support in a National Health Information Network.

    Science.gov (United States)

    Wright, Adam; Sittig, Dean F

    2008-12-01

    In this paper, we describe and evaluate a new distributed architecture for clinical decision support called SANDS (Service-oriented Architecture for NHIN Decision Support), which leverages current health information exchange efforts and is based on the principles of a service-oriented architecture. The architecture allows disparate clinical information systems and clinical decision support systems to be seamlessly integrated over a network according to a set of interfaces and protocols described in this paper. The architecture described is fully defined and developed, and six use cases have been developed and tested using a prototype electronic health record which links to one of the existing prototype National Health Information Networks (NHIN): drug interaction checking, syndromic surveillance, diagnostic decision support, inappropriate prescribing in older adults, information at the point of care and a simple personal health record. Some of these use cases utilize existing decision support systems, which are either commercially or freely available at present, and developed outside of the SANDS project, while other use cases are based on decision support systems developed specifically for the project. Open source code for many of these components is available, and an open source reference parser is also available for comparison and testing of other clinical information systems and clinical decision support systems that wish to implement the SANDS architecture. The SANDS architecture for decision support has several significant advantages over other architectures for clinical decision support. The most salient of these are:

  9. Are Clinical Trial Experiences Utilized?: A Differentiated Model of Medical Sites’ Information Transfer Ability

    DEFF Research Database (Denmark)

    Smed, Marie; Schultz, Carsten; Getz, Kenneth A.

    2015-01-01

    The collaboration with medical professionals in pharmaceutical clinical trials facilitates opportunities to gain valuable market information concerning product functionality issues, as well as issues related to market implementation and adoption. However, previous research on trial management lacks......’ information transfer ability, their methods of communicating, are included. The model is studied on a unique dataset of 395 medical site representatives by applying Rasch scale modeling to differentiate the stickiness of the heterogenic information issues. The results reveal that economic measures...... a differentiated perspective on the potential for information transfer from site to producer. An exploration of the variation in stickiness of information, and therefore the complexity of information transfer in clinical trials, is the main aim of this study. To further enrich the model of the dispersed sites...

  10. The Legacy Effect: Understanding How Segregation and Environmental Injustice Unfold over Time in Baltimore

    Science.gov (United States)

    Morgan Grove; Laura Ogden; Steward Pickett; Chris Boone; Geoff Buckley; Dexter H. Locke; Charlie Lord; Billy Hall

    2018-01-01

    Legacies of social and environmental injustices can leave an imprint on the present and constrain transitions for more sustainable futures. In this article, we ask this question: What is the relationship of environmental inequality and histories of segregation? The answer for Baltimore is complex, where past practices of de jure and de facto segregation have created...

  11. Transmitted Holocaust trauma: curse or legacy? The aggravating and mitigating factors of Holocaust transmission.

    Science.gov (United States)

    Kellermann, Natan P F

    2008-01-01

    For children of Holocaust survivors, the trauma of their parents can be perceived both as a curse and as a legacy. On the one hand, it may fill their inner lives with terrible anxiety-provoking associations; on the other, it may be a source of creative inspiration that motivates them to make the world a better place. As a result, most of them struggle with the contradictory forces of vulnerability and resilience that they inherited from their parents. Since there is such a wide spectrum of adaptive reactions to the Holocaust, it is important to identify the various aggravating and mitigating factors that are assumed to increase or decrease the risk of children to absorb the trauma of their parents and to develop specific second-generation psychopathology as a result. In an effort to understand more clearly some of the aggravating factors, a demographic study of a clinical sub-population of the "Second Generation" was conducted. Results indicated that most of this clinical population was born soon after the war ended, to parents who were both Holocaust survivors, and that they were mostly female, married, highly educated, working as teachers or in the helping professions, were the first or the second child, and had parents who were inclined not to share their Holocaust experiences with their children. Parents were mostly rated as fully functioning, without severe mental and physical disease and as not overly preoccupied with the Holocaust.

  12. Effects of legacy sediment removal on hydrology and biogeochemistryin a first order stream in Pennsylvania, USA

    Science.gov (United States)

    Historic forest conversion to agriculture and associated stream impoundments built for hydropower led to extensive burial of valley bottoms throughout the mid-Atlantic region of the US. These so-called legacy sediments are sources of nutrient and sediment pollutant loads to down...

  13. Software exorcism a handbook for debugging and optimizing legacy code

    CERN Document Server

    Blunden, Bill

    2013-01-01

    Software Exorcism: A Handbook for Debugging and Optimizing Legacy Code takes an unflinching, no bulls and look at behavioral problems in the software engineering industry, shedding much-needed light on the social forces that make it difficult for programmers to do their job. Do you have a co-worker who perpetually writes bad code that you are forced to clean up? This is your book. While there are plenty of books on the market that cover debugging and short-term workarounds for bad code, Reverend Bill Blunden takes a revolutionary step beyond them by bringing our atten

  14. Informed consent in clinical research; Do patients understand what they have signed?

    Directory of Open Access Journals (Sweden)

    Elena Villamañán

    2016-05-01

    Full Text Available Informed consent is an essential element of research, and signing this document is required to conduct most clinical trials. Its aim is to inform patients what their participation in the study will involve. However, increasingly, their complexity and length are making them difficult to understand, which might lead patients to give their authorization without having read them previously or without having understood what is stated. In this sense, the Ethics Committees for Clinical Research, and Pharmacists specialized in Hospital Pharmacy and Primary Care in their capacity as members of said committees, play an important and difficult role in defending the rights of patients. These Committees will review thoroughly these documents to guarantee that all legal requirements have been met and, at the same time, that they are easy to understand by the potential participants in a clinical trial

  15. Social Marketing as a Framework for Youth Physical Activity Initiatives: a 10-Year Retrospective on the Legacy of CDC's VERB Campaign.

    Science.gov (United States)

    Huhman, Marian; Kelly, Ryan P; Edgar, Timothy

    2017-06-01

    In 2002, the U.S. Centers for Disease Control and Prevention (CDC) launched the VERB. It's what you do! campaign to increase physical activity among tweens and concomitantly respond to the rise in childhood obesity. This retrospective study summarizes the history of the VERB campaign's social marketing approach and its effectiveness in promoting behavior change in the targeted population. The legacy of VERB, which ended in 2006, is discussed, with an emphasis on examining initiatives over the last decade and the degree to which they followed (or did not follow) the structural and thematic lead of the campaign. The article ends with suggestions for how VERB still has the potential to inform other social marketing campaigns going forward.

  16. Stakeholder participation for the legacy ponds and legacy silos (LP and LS) facility at Sellafield, Cumbria. UK: the nature and effectiveness of the dialogue - 16030

    International Nuclear Information System (INIS)

    Whitton, John

    2009-01-01

    The Legacy Ponds and Silos (LP and S) facilities are part of the UK nuclear legacy located at the Sellafield Site, Cumbria. There are four individual facilities containing nuclear wastes that have accumulated over a period of approximately 50 years. Waste retrieval and conditioning, in preparation for decommissioning, is currently being carried out by the site operator. LP and S have recently proposed a re-engagement with stakeholders following the initial engagement in December 2005. This paper reviews this earlier engagement in terms of the nature of dialogue that was carried out when compared against definitions of deliberation provided in the literature. The aim of this paper is to provide those planning future engagement with a better understanding of how the nature of dialogue can vary and uses participation and deliberation as indicators of effective engagement. A concern of those working towards a programme of effective stakeholder participation in 2005 was how to ensure genuine dialogue and stakeholder representation in such a strictly controlled and regulated environment with a technical complexity that challenges technical specialist and lay person alike. LP and S recognised that effective dialogue with stakeholders on the available technical options and their associated societal impacts would form a significant part of this process if options were to prove resilient. However, the challenge presented to LP and S was how to engage stakeholders on a variety of projects, whilst ensuring the output could be used by the projects as part of their technical decision making. Initial contact was made with stakeholders in December 2005, as part of a 'Baseline' Best Practicable Environmental Option (BPEO) study. A BPEO study leads to decisions on waste management based on an integrated assessment of alternative options, on the basis of factors such as the occupational and environmental risks, the environmental impacts, costs and social implications of the options

  17. Climate Golden Age or Greenhouse Gas Dark Age Legacy?

    Science.gov (United States)

    Carter, P.

    2016-12-01

    Relying on the IPCC Assessments, this paper assesses legacy from total committed global warming over centuries, correlated with comprehensive projected impacts. Socio-economic inertia, climate system inertia, atmospheric greenhouse gas (GHG) concentrations, amplifying feedback emissions, and unmasking of cooling aerosols are determinants. Stabilization of global temperature (and ocean acidification for CO2) requires emissions of "long lived greenhouse gases" to be "about zero," including feedbacks. "The feedback … is positive" this century; many large feedback sources tend to be self- and inter-reinforcing. Only timely total conversion of all fossil fuel power to clean, virtually zero-carbon renewable power can achieve virtual zero carbon emissions. This results in multiple, increasing benefits for the entire world population of today's and all future generations, as laid out here. Conversions of methane- and nitrous oxide-emitting sources have large benefits. Without timely conversion to virtual zero emissions, the global climate and ocean disruptions are predicted to become progressively more severe and practically irreversible. "Continued emission of greenhouse gases will increase the likelihood of severe, pervasive and irreversible impacts for people and ecosystems." Crop yields in all main food-producing regions are projected to decline progressively with rising temperature (as proxy to multiple adverse effects) (AR5). Ocean heating, acidification, and de-oxygenation are projected to increase under all scenarios, as is species extinction. The legacy for humanity depends on reducing long-lived global emissions fast enough to virtual zero. Today's surface warming with unprecedented and accelerating atmospheric GHG concentrations requires an immediate response. The only IPCC scenario to possibly meet this and not exceed 2ºC by and after 2100 is the best-case RCP2.6, which requires CO2 eq. emissions to peak right away and decline at the latest by 2020.

  18. The History and Legacy of BATSE

    Science.gov (United States)

    Fishman, Gerald J.

    2012-01-01

    The BATSE experiment on the Compton Gamma-ray Observatory was the first large detector system specifically designed for the study of gamma-ray bursts. The eight large-area detectors allowed full-sky coverage and were optimized to operate in the energy region of the peak emission of most GRBs. BATSE provided detailed observations of the temporal and spectral characteristics of large samples of GRBs, and it was the first experiment to provide rapid notifications of the coarse location of many them. It also provided strong evidence for the cosmological distances to GRBs through the observation of the sky distribution and intensity distribution of numerous GRBs. The large number of GRBs observed with the high- sensitivity BATSE detectors continues to provide a database of GRB spectral and temporal properties in the primary energy range of GRB emission that will likely not be exceeded for at least another decade. The origin and development of the BATSE experiment, some highlights from the mission and its continuing legacy are described in this paper.

  19. Three decades (1983-2010) of contaminant trends in East Greenland polar bears (Ursus maritimus). Part 1: legacy organochlorine contaminants.

    Science.gov (United States)

    Dietz, Rune; Rigét, Frank F; Sonne, Christian; Born, Erik W; Bechshøft, Thea; McKinney, Melissa A; Letcher, Robert J

    2013-09-01

    Legacy organochlorine contaminants were determined in adipose tissues from 294 polar bears (Ursus maritimus) sampled in East Greenland in 23 of the 28years between 1983 and 2010. Of 19 major legacy contaminants and congeners (ΣPCB, 4 PCB congeners (CB153, 180, 170/190), ΣDDT, p,p'-DDE, p,p' -DDD and p,p'-DDT, α- and β-hexachlorocyclohexane (HCH), HCB, octachlorostyrene, dieldrin, oxychlordane, cis- and trans-chlordane, cis- and trans-nonachlor, heptachlor epoxide and BB-153), 18 showed statistically significant average yearly declines of -4.4% (range: -2.0 to -10.8%/year) among subadult polar bears (i.e. femalespolar bear tissues. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. Conversion of HSPF Legacy Model to a Platform-Independent, Open-Source Language

    Science.gov (United States)

    Heaphy, R. T.; Burke, M. P.; Love, J. T.

    2015-12-01

    Since its initial development over 30 years ago, the Hydrologic Simulation Program - FORTAN (HSPF) model has been used worldwide to support water quality planning and management. In the United States, HSPF receives widespread endorsement as a regulatory tool at all levels of government and is a core component of the EPA's Better Assessment Science Integrating Point and Nonpoint Sources (BASINS) system, which was developed to support nationwide Total Maximum Daily Load (TMDL) analysis. However, the model's legacy code and data management systems have limitations in their ability to integrate with modern software, hardware, and leverage parallel computing, which have left voids in optimization, pre-, and post-processing tools. Advances in technology and our scientific understanding of environmental processes that have occurred over the last 30 years mandate that upgrades be made to HSPF to allow it to evolve and continue to be a premiere tool for water resource planners. This work aims to mitigate the challenges currently facing HSPF through two primary tasks: (1) convert code to a modern widely accepted, open-source, high-performance computing (hpc) code; and (2) convert model input and output files to modern widely accepted, open-source, data model, library, and binary file format. Python was chosen as the new language for the code conversion. It is an interpreted, object-oriented, hpc code with dynamic semantics that has become one of the most popular open-source languages. While python code execution can be slow compared to compiled, statically typed programming languages, such as C and FORTRAN, the integration of Numba (a just-in-time specializing compiler) has allowed this challenge to be overcome. For the legacy model data management conversion, HDF5 was chosen to store the model input and output. The code conversion for HSPF's hydrologic and hydraulic modules has been completed. The converted code has been tested against HSPF's suite of "test" runs and shown

  1. The Effectiveness and Clinical Usability of a Handheld Information Appliance

    Directory of Open Access Journals (Sweden)

    Patricia A. Abbott

    2012-01-01

    Full Text Available Clinical environments are complex, stressful, and safety critical—heightening the demand for technological solutions that will help clinicians manage health information efficiently and safely. The industry has responded by creating numerous, increasingly compact and powerful health IT devices that fit in a pocket, hook to a belt, attach to eyeglasses, or wheel around on a cart. Untethering a provider from a physical “place” with compact, mobile technology while delivering the right information at the right time and at the right location are generally welcomed in clinical environments. These developments however, must be looked at ecumenically. The cognitive load of clinicians who are occupied with managing or operating several different devices during the process of a patient encounter is increased, and we know from decades of research that cognitive overload frequently leads to error. “Technology crowding,” enhanced by the plethora of mobile health IT, can actually become an additional millstone for busy clinicians. This study was designed to gain a deeper understanding of clinicians’ interactions with a mobile clinical computing appliance (Motion Computing C5 designed to consolidate numerous technological functions into an all-in-one device. Features of usability and comparisons to current methods of documentation and task performance were undertaken and results are described.

  2. Hubble 2020: Outer Planet Atmospheres Legacy (OPAL) Program

    Science.gov (United States)

    Simon, Amy

    2017-08-01

    Long time base observations of the outer planets are critical in understanding the atmospheric dynamics and evolution of the gas giants. We propose yearly monitoring of each giant planet for the remainder of Hubble's lifetime to provide a lasting legacy of increasingly valuable data for time-domain studies. The Hubble Space Telescope is a unique asset to planetary science, allowing high spatial resolution data with absolute photometric knowledge. For the outer planets, gas/ice giant planets Jupiter, Saturn, Uranus and Neptune, many phenomena happen on timescales of years to decades, and the data we propose are beyond the scope of a typical GO program. Hubble is the only platform that can provide high spatial resolution global studies of cloud coloration, activity, and motion on a consistent time basis to help constrain the underlying mechanics.

  3. The Doctor Is In, but Is Academia? Re-Tooling II Education for a New Era in Healthcare

    Science.gov (United States)

    Lee, Andre; Moy, Lawrence; Kruck, S. E.; Rabang, Joshua

    2015-01-01

    Healthcare information technology is at a crossroads today. As legacy data systems converge with bleeding edge technologies, the technology environments of today's hospitals and clinics are evolving rapidly, producing new care delivery models. As a result, we need to reassess how information technology education is meeting the needs of healthcare…

  4. Gravitational lensing in the supernova legacy survey (SNLS)

    Science.gov (United States)

    Kronborg, T.; Hardin, D.; Guy, J.; Astier, P.; Balland, C.; Basa, S.; Carlberg, R. G.; Conley, A.; Fouchez, D.; Hook, I. M.; Howell, D. A.; Jönsson, J.; Pain, R.; Pedersen, K.; Perrett, K.; Pritchet, C. J.; Regnault, N.; Rich, J.; Sullivan, M.; Palanque-Delabrouille, N.; Ruhlmann-Kleider, V.

    2010-05-01

    Aims: The observed brightness of type Ia supernovae is affected by gravitational lensing caused by the mass distribution along the line of sight, which introduces an additional dispersion into the Hubble diagram. We look for evidence of lensing in the SuperNova Legacy Survey 3-year data set. Methods: We investigate the correlation between the residuals from the Hubble diagram and the gravitational magnification based on a modeling of the mass distribution of foreground galaxies. A deep photometric catalog, photometric redshifts, and well established mass luminosity relations are used. Results: We find evidence of a lensing signal with a 2.3σ significance. The current result is limited by the number of SNe, their redshift distribution, and the other sources of scatter in the Hubble diagram. Separating the galaxy population into a red and a blue sample has a positive impact on the significance of the signal detection. On the other hand, increasing the depth of the galaxy catalog, the precision of photometric redshifts or reducing the scatter in the mass luminosity relations have little effect. We show that for the full SuperNova Legacy Survey sample (~400 spectroscopically confirmed type Ia SNe and ~200 photometrically identified type Ia SNe), there is an 80% probability of detecting the lensing signal with a 3σ significance. Based on observations obtained with MegaPrime/MegaCam, a joint project of CFHT and CEA/DAPNIA, at the Canada-France-Hawaii Telescope (CFHT) which is operated by the National Research Council (NRC) of Canada, the Institut National des Sciences de l'Univers of the Centre National de la Recherche Scientifique (CNRS) of France, and the University of Hawaii. This work is based in part on data products produced at the Canadian Astronomy Data Centre as part of the Canada-France-Hawaii Telescope Legacy Survey, a collaborative project of NRC and CNRS. Based on observations obtained at the European Southern Observatory using the Very Large Telescope on

  5. Clinical information system based on the medical smart card.

    Science.gov (United States)

    Danon, Y L; Saiag, E

    2000-07-01

    Over the last 5 years Israel has implemented a nationwide health insurance plan covering the entire population of the country. We have developed a clinical information system based on electronic-chip health care medical smart cards. Health care cards are used in several European countries and chip smart cards have been successful in many sectors. Our project involves the community use of the MSC, thereby enabling health care professionals to skillfully employ card systems in the health care sector. This system can easily arrange electronic medical charts in clinics, facilitating the confidential sharing of personal health databases among health professionals. To develop an MSC applicable for daily use in the community and hospital system. The MSC project, currently underway in Israel and the USA, will aid in determining the costs, benefits and feasibility of the MSC. Successful implementation of the MSC in chosen clinics will promote a nationwide willingness to adopt this promising technology.

  6. Lessons learned in planning the Canadian Nuclear Legacy Liabilities Program

    International Nuclear Information System (INIS)

    Stephens, Michael E.; Brooks, Sheila M.; Miller, Joan M.; Mason, Robert A.

    2011-01-01

    In 2006, Atomic Energy of Canada Limited (AECL) and Natural Resources Canada (NRCan) began implementing a $7B CDN, 70-year Nuclear Legacy Liabilities Program (NLLP) to deal with legacy decommissioning and environmental issues at AECL nuclear sites. The objective of the NLLP is to safely and cost-effectively reduce the nuclear legacy liabilities and associated risks based on sound waste management and environmental principles in the best interest of Canadians. The liabilities include shutdown research and prototype power reactors, fuel handling facilities, radiochemical laboratories, support buildings, radioactive waste storage facilities, and contaminated lands at several sites located across eastern Canada from Quebec to Manitoba. The largest site, Chalk River Laboratories (CRL) in Ontario, will continue as an operational nuclear site for the foreseeable future. Planning and delivery of the Program is managed by the Liability Management Unit (LMU), a group that was formed within AECL for the purpose. The composition and progress of the NLLP has been reported in recent conferences. The NLLP comprises a number of interlinked decommissioning, waste management and environmental restoration activities that are being executed at different sites, and by various technical groups as suppliers to the LMU. Many lessons about planning and executing such a large, diverse Program have been learned in planning the initial five-year 'start-up' phase (which will conclude 2011 March), in planning the five-year second phase (which is currently being finalized), and in planning individual and interacting activities within the Program. The activities to be undertaken in the start-up phase were planned by a small group of AECL technical experts using the currently available information on the liabilities. Progress in executing the Program was slower than anticipated due to less than ideal alignment between some planned technical solutions and the actual requirements, as well as the

  7. Association of Informal Clinical Integration of Physicians With Cardiac Surgery Payments.

    Science.gov (United States)

    Funk, Russell J; Owen-Smith, Jason; Kaufman, Samuel A; Nallamothu, Brahmajee K; Hollingsworth, John M

    2018-05-01

    To reduce inefficiency and waste associated with care fragmentation, many current programs target greater clinical integration among physicians. However, these programs have led to only modest Medicare spending reductions. Most programs focus on formal integration, which often bears little resemblance to actual physician interaction patterns. To examine how physician interaction patterns vary between health systems and to assess whether variation in informal integration is associated with care delivery payments. National Medicare data from January 1, 2008, through December 31, 2011, identified 253 545 Medicare beneficiaries (aged ≥66 years) from 1186 health systems where Medicare beneficiaries underwent coronary artery bypass grafting (CABG) procedures. Interactions were mapped between all physicians who treated these patients-including primary care physicians and surgical and medical specialists-within a health system during their surgical episode. The level of informal integration was measured in these networks of interacting physicians. Multivariate regression models were fitted to evaluate associations between payments for each surgical episode made on a beneficiary's behalf and the level of informal integration in the health system where the patient was treated. The informal integration level of a health system. Price-standardized total surgical episode and component payments. The total 253 545 study participants included 175 520 men (69.2%; mean [SD] age, 74.51 [5.75] years) and 78 024 women (34.3%; 75.67 [5.91] years). One beneficiary of the 253 545 participants did not have sex information. The low level of informal clinical integration included 84 598 patients (33.4%; mean [SD] age, 75.00 [5.93] years); medium level, 84 442 (33.30%; 74.94 [5.87] years); and high level, 84 505 (33.34%; 74.66 [5.72] years) (P integration levels varied across health systems. After adjusting for patient, health-system, and community factors, higher levels

  8. The SCUBA-2 Cosmology Legacy Survey: 850 μm maps, catalogues and number counts

    NARCIS (Netherlands)

    Geach, J. E.; Dunlop, J. S.; Halpern, M.; Smail, Ian; van der Werf, P.; Alexander, D. M.; Almaini, O.; Aretxaga, I.; Arumugam, V.; Asboth, V.; Banerji, M.; Beanlands, J.; Best, P. N.; Blain, A. W.; Birkinshaw, M.; Chapin, E. L.; Chapman, S. C.; Chen, C.-C.; Chrysostomou, A.; Clarke, C.; Clements, D. L.; Conselice, C.; Coppin, K. E. K.; Cowley, W. I.; Danielson, A. L. R.; Eales, S.; Edge, A. C.; Farrah, D.; Gibb, A.; Harrison, C. M.; Hine, N. K.; Hughes, D.; Ivison, R. J.; Jarvis, M.; Jenness, T.; Jones, S. F.; Karim, A.; Koprowski, M.; Knudsen, K. K.; Lacey, C. G.; Mackenzie, T.; Marsden, G.; McAlpine, K.; McMahon, R.; Meijerink, R.; Michałowski, M. J.; Oliver, S. J.; Page, M. J.; Peacock, J. A.; Rigopoulou, D.; Robson, E. I.; Roseboom, I.; Rotermund, K.; Scott, Douglas; Serjeant, S.; Simpson, C.; Simpson, J. M.; Smith, D. J. B.; Spaans, M.; Stanley, F.; Stevens, J. A.; Swinbank, A. M.; Targett, T.; Thomson, A. P.; Valiante, E.; Wake, D. A.; Webb, T. M. A.; Willott, C.; Zavala, J. A.; Zemcov, M.

    2017-01-01

    We present a catalogue of ˜3000 submillimetre sources detected (≥3.5σ) at 850 μm over ˜5 deg2 surveyed as part of the James Clerk Maxwell Telescope (JCMT) SCUBA-2 Cosmology Legacy Survey (S2CLS). This is the largest survey of its kind at 850 μm, increasing the sample size of 850 μm selected

  9. Competing infant feeding information in mothers' networks: advice that supports v. undermines clinical recommendations.

    Science.gov (United States)

    Ashida, Sato; Lynn, Freda B; Williams, Natalie A; Schafer, Ellen J

    2016-05-01

    To identify the social contextual factors, specifically the presence of information that supports v. undermines clinical recommendations, associated with infant feeding behaviours among mothers in low-income areas. Cross-sectional survey evaluating social support networks and social relationships involved in providing care to the infant along with feeding beliefs and practices. Out-patient paediatric and government-funded (Women, Infants, and Children) clinics in an urban, low-income area of the south-eastern USA. Eighty-one low-income mothers of infants between 0 and 12 months old. Most mothers reported receiving both supportive and undermining advice. The presence of breast-feeding advice that supports clinical recommendations was associated with two infant feeding practices that are considered beneficial to infant health: ever breast-feeding (OR=6·7; 95% CI 1·2, 38·1) and not adding cereal in the infant's bottle (OR=15·9; 95% CI 1·1, 227·4). Advice that undermines clinical recommendations to breast-feed and advice about solid foods were not associated with these behaviours. Efforts to facilitate optimal infant feeding practices may focus on increasing information supportive of clinical recommendations while concentrating less on reducing the presence of undermining information within mothers' networks. Cultural norms around breast-feeding may be stronger than the cultural norms around the introduction of solid foods in mothers' social environments; thus, additional efforts to increase information regarding introduction of solid foods earlier in mothers' infant care career may be beneficial.

  10. 'Trial Exegesis': Methods for Synthesizing Clinical and Patient Reported Outcome (PRO Data in Trials to Inform Clinical Practice. A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Angus G K McNair

    Full Text Available The CONSORT extension for patient reported outcomes (PROs aims to improve reporting, but guidance on the optimal integration with clinical data is lacking. This study examines in detail the reporting of PROs and clinical data from randomized controlled trials (RCTs in gastro-intestinal cancer to inform design and reporting of combined PRO and clinical data from trials to improve the 'take home' message for clinicians to use in practice.The case study was undertaken in gastro-intestinal cancer trials. Well-conducted RCTs reporting PROs with validated instruments were identified and categorized into those combining PRO and clinical data in a single paper, or those separating data into linked primary and supplemental papers. Qualitative methods were developed to examine reporting of the critical interpretation of the trial results (trial exegesis in the papers in relation of the PRO and clinical outcomes and applied to each publication category. Results were used to inform recommendations for practice.From 1917 screened abstracts, 49 high quality RCTs were identified reported in 36 combined and 15 linked primary and supplemental papers. In-depth analysis of manuscript text identified three categories for understanding trial exegesis: where authors reported a "detailed", "general", or absent PRO rationale and integrated interpretation of clinical and PRO results. A total of 11 (30% and 6 (16% combined papers reported "detailed" PRO rationale and integrated interpretation of results although only 2 (14% and 1 (7% primary papers achieved the same standard respectively. Supplemental papers provide better information with 11 (73% and 3 (20% achieving "detailed" rationale and integrated interpretation of results. Supplemental papers, however, were published a median of 20 months after the primary RCT data in lower impact factor journals (median 16.8 versus 5.2.It is recommended that single papers, with detailed PRO rationale and integrated PRO and

  11. A CIS (Clinical Information System) Quality Evaluation Tool for Nursing Care Services

    Science.gov (United States)

    Lee, Seon Ah

    2010-01-01

    The purpose of this study was to develop a tool to evaluate the quality of a clinical information system (CIS) conceived by nurses and conduct a pilot test with the developed tool as an initial assessment. CIS quality is required for successful implementation in information technology (IT) environments. The study started with the realization that…

  12. German Spent Nuclear Fuel Legacy: Characteristics and High-Level Waste Management Issues

    Directory of Open Access Journals (Sweden)

    A. Schwenk-Ferrero

    2013-01-01

    Full Text Available Germany is phasing-out the utilization of nuclear energy until 2022. Currently, nine light water reactors of originally nineteen are still connected to the grid. All power plants generate high-level nuclear waste like spent uranium or mixed uranium-plutonium dioxide fuel which has to be properly managed. Moreover, vitrified high-level waste containing minor actinides, fission products, and traces of plutonium reprocessing loses produced by reprocessing facilities has to be disposed of. In the paper, the assessments of German spent fuel legacy (heavy metal content and the nuclide composition of this inventory have been done. The methodology used applies advanced nuclear fuel cycle simulation techniques in order to reproduce the operation of the German nuclear power plants from 1969 till 2022. NFCSim code developed by LANL was adopted for this purpose. It was estimated that ~10,300 tonnes of unreprocessed nuclear spent fuel will be generated until the shut-down of the ultimate German reactor. This inventory will contain ~131 tonnes of plutonium, ~21 tonnes of minor actinides, and 440 tonnes of fission products. Apart from this, ca.215 tonnes of vitrified HLW will be present. As fission products and transuranium elements remain radioactive from 104 to 106 years, the characteristics of spent fuel legacy over this period are estimated, and their impacts on decay storage and final repository are discussed.

  13. Asteroseismic inversions in the Kepler era: application to the Kepler Legacy sample

    Directory of Open Access Journals (Sweden)

    Buldgen Gaël

    2017-01-01

    Full Text Available In the past few years, the CoRoT and Kepler missions have carried out what is now called the space photometry revolution. This revolution is still ongoing thanks to K2 and will be continued by the Tess and Plato2.0 missions. However, the photometry revolution must also be followed by progress in stellar modelling, in order to lead to more precise and accurate determinations of fundamental stellar parameters such as masses, radii and ages. In this context, the long-lasting problems related to mixing processes in stellar interior is the main obstacle to further improvements of stellar modelling. In this contribution, we will apply structural asteroseismic inversion techniques to targets from the Kepler Legacy sample and analyse how these can help us constrain the fundamental parameters and mixing processes in these stars. Our approach is based on previous studies using the SOLA inversion technique [1] to determine integrated quantities such as the mean density [2], the acoustic radius, and core conditions indicators [3], and has already been successfully applied to the 16Cyg binary system [4]. We will show how this technique can be applied to the Kepler Legacy sample and how new indicators can help us to further constrain the chemical composition profiles of stars as well as provide stringent constraints on stellar ages.

  14. Asteroseismic inversions in the Kepler era: application to the Kepler Legacy sample

    Science.gov (United States)

    Buldgen, Gaël; Reese, Daniel; Dupret, Marc-Antoine

    2017-10-01

    In the past few years, the CoRoT and Kepler missions have carried out what is now called the space photometry revolution. This revolution is still ongoing thanks to K2 and will be continued by the Tess and Plato2.0 missions. However, the photometry revolution must also be followed by progress in stellar modelling, in order to lead to more precise and accurate determinations of fundamental stellar parameters such as masses, radii and ages. In this context, the long-lasting problems related to mixing processes in stellar interior is the main obstacle to further improvements of stellar modelling. In this contribution, we will apply structural asteroseismic inversion techniques to targets from the Kepler Legacy sample and analyse how these can help us constrain the fundamental parameters and mixing processes in these stars. Our approach is based on previous studies using the SOLA inversion technique [1] to determine integrated quantities such as the mean density [2], the acoustic radius, and core conditions indicators [3], and has already been successfully applied to the 16Cyg binary system [4]. We will show how this technique can be applied to the Kepler Legacy sample and how new indicators can help us to further constrain the chemical composition profiles of stars as well as provide stringent constraints on stellar ages.

  15. Genocidal gender and sexual violence. The legacy of the ICTR, Rwanda's ordinary courts and gacaca courts

    NARCIS (Netherlands)

    Kaitesi, U.

    2013-01-01

    This study has set out to investigate the legacy of post-genocide judicial institutions mandated to adjudicate cases of genocide and related offences vis-à-vis genocidal gender and sexual violence. The study takes the complex genocidal experience of victims of gender and sexual violence as the

  16. The first exposure assessment of legacy and unrestricted brominated flame retardants in predatory birds of Pakistan

    DEFF Research Database (Denmark)

    Abbasi, Naeem Akhtar; Eulaers, Igor; Jaspers, Veerle Leontina Bernard

    2017-01-01

    The exposure to legacy polybrominated diphenyl ethers (PBDEs), hexabromocyclododecanes (HBCDDs) and unrestricted 1,2-bis (2,4,6-tribromophenoxy) ethane (BTBPE), bis (2-ethylhexyl)-2,3,4,5-tetrabromophthalate (BEH-TEBP) and 2-ethylhexyl-2,3,4,5-tetrabromo-benzoate (EH-TBB) was examined in tail fea...

  17. Unconventional energy resources in a crowded subsurface: Reducing uncertainty and developing a separation zone concept for resource estimation and deep 3D subsurface planning using legacy mining data.

    Science.gov (United States)

    Monaghan, Alison A

    2017-12-01

    Over significant areas of the UK and western Europe, anthropogenic alteration of the subsurface by mining of coal has occurred beneath highly populated areas which are now considering a multiplicity of 'low carbon' unconventional energy resources including shale gas and oil, coal bed methane, geothermal energy and energy storage. To enable decision making on the 3D planning, licensing and extraction of these resources requires reduced uncertainty around complex geology and hydrogeological and geomechanical processes. An exemplar from the Carboniferous of central Scotland, UK, illustrates how, in areas lacking hydrocarbon well production data and 3D seismic surveys, legacy coal mine plans and associated boreholes provide valuable data that can be used to reduce the uncertainty around geometry and faulting of subsurface energy resources. However, legacy coal mines also limit unconventional resource volumes since mines and associated shafts alter the stress and hydrogeochemical state of the subsurface, commonly forming pathways to the surface. To reduce the risk of subsurface connections between energy resources, an example of an adapted methodology is described for shale gas/oil resource estimation to include a vertical separation or 'stand-off' zone between the deepest mine workings, to ensure the hydraulic fracturing required for shale resource production would not intersect legacy coal mines. Whilst the size of such separation zones requires further work, developing the concept of 3D spatial separation and planning is key to utilising the crowded subsurface energy system, whilst mitigating against resource sterilisation and environmental impacts, and could play a role in positively informing public and policy debate. Copyright © 2017 British Geological Survey, a component institute of NERC. Published by Elsevier B.V. All rights reserved.

  18. Micro-costing the provision of emotional support and information in UK eye clinics

    OpenAIRE

    Gillespie-Gallery, Hanna; Subramanian, Ahalya; Conway, Miriam L

    2013-01-01

    Background Sight loss has wide ranging implications for an individual in terms of education, employment, mobility and mental health. Therefore there is a need for information and support to be provided in eye clinics at the point of diagnosis of sight threatening conditions, but these aspects of care are often missing from clinics. To meet these needs, some clinics employ an Eye Clinic Liaison Officer (ECLO) but the position has yet to be widely implemented. The aims of this study were: (1) T...

  19. Exploring the Legacies of Filmed Patient Narratives

    Science.gov (United States)

    Robert, Glenn; Maben, Jill

    2015-01-01

    We trace the legacies of filmed patient narratives that were edited and screened to encourage engagement with a participatory quality improvement project in an acute hospital setting in England. Using Gabriel’s theory of “narrative contract,” we examine the initial success of the films in establishing common grounds for participatory project and later, and more varied, interpretations of the films. Over time, the films were interpreted by staff as either useful sources of learning by critical reflection, dubious (invalid or unreliable) representations of patient experience, or as “closed” items available as auditable evidence of completed quality improvement work. We find these interpretations of the films to be shaped by the effect of social distance, the differential outcomes of project work, and changing organizational agendas. We consider the wider conditions of patient narrative as a form of quality improvement knowledge with immediate potency and fragile or fluid legitimacy over time. PMID:25576480

  20. Russian Planetary Exploration History, Development, Legacy, Prospects

    CERN Document Server

    Harvey, Brian

    2007-01-01

    Russia’s accomplishments in planetary space exploration were not achieved easily. Formerly, the USSR experienced frustration in trying to tame unreliable Molniya and Proton upper stages and in tracking spacecraft over long distances. This book will assess the scientific haul of data from the Venus and Mars missions and look at the engineering approaches. The USSR developed several generations of planetary probes: from MV and Zond to the Phobos type. The engineering techniques used and the science packages are examined, as well as the nature of the difficulties encountered which ruined several missions. The programme’s scientific and engineering legacy is also addressed, as well as its role within the Soviet space programme as a whole. Brian Harvey concludes by looking forward to future Russian planetary exploration (e.g Phobos Grunt sample return mission). Several plans have been considered and may, with a restoration of funding, come to fruition. Soviet studies of deep space and Mars missions (e.g. TMK, ...

  1. Legacies from extreme drought increase ecosystem sensitivity to future extremes

    Science.gov (United States)

    Smith, M. D.; Knapp, A.; Hoover, D. L.; Avolio, M. L.; Felton, A. J.; Wilcox, K. R.

    2016-12-01

    Climate extremes, such as drought, are increasing in frequency and intensity, and the ecological consequences of these extreme events can be substantial and widespread. Although there is still much to be learned about how ecosystems will respond to an intensification of drought, even less is known about the factors that determine post-drought recovery of ecosystem function. Such knowledge is particularly important because post-drought recovery periods can be protracted depending on the extent to which key plant populations, community structure and biogeochemical processes are affected. These drought legacies may alter ecosystem function for many years post-drought and may impact future sensitivity to climate extremes. We experimentally imposed two extreme growing season droughts in a central US grassland to assess the impacts of repeated droughts on ecosystem resistance (response) and resilience (recovery). We found that this grassland was not resistant to the first extreme drought due to reduced productivity and differential sensitivity of the co-dominant C4 grass (Andropogon gerardii) and C3 forb (Solidago canadensis) species. This differential sensitivity led to a reordering of species abundances within the plant community. Yet, despite this large shift in plant community composition, which persisted post-drought, the grassland was highly resilient post-drought, due to increased abundance of the dominant C4 grass. Because of this shift to increased C4 grass dominance, we expected that previously-droughted grassland would be more resistant to a second extreme drought. However, contrary to these expectations, previously droughted grassland was more sensitive to drought than grassland that had not experienced drought. Thus, our result suggest that legacies of drought (shift in community composition) may increase ecosystem sensitivity to future extreme events.

  2. Calcium induces long-term legacy effects in a subalpine ecosystem.

    Directory of Open Access Journals (Sweden)

    Urs Schaffner

    Full Text Available Human activities have transformed a significant proportion of the world's land surface, with profound effects on ecosystem processes. Soil applications of macronutrients such as nitrate, phosphorus, potassium or calcium are routinely used in the management of croplands, grasslands and forests to improve plant health or increase productivity. However, while the effects of continuous fertilization and liming on terrestrial ecosystems are well documented, remarkably little is known about the legacy effect of historical fertilization and liming events in terrestrial ecosystems and of the mechanisms involved. Here, we show that more than 70 years after the last application of lime on a subalpine grassland, all major soil and plant calcium pools were still significantly larger in limed than in unlimed plots, and that the resulting shift in the soil calcium/aluminium ratio continues to affect ecosystem services such as primary production. The difference in the calcium content of the vegetation and the topmost 10 cm of the soil in limed vs. unlimed plots amounts to approximately 19.5 g m(-2, equivalent to 16.3% of the amount that was added to the plots some 70 years ago. In contrast, plots that were treated with nitrogen-phosphorus-potassium fertilizer in the 1930s did not differ from unfertilized plots in any of the soil and vegetation characteristics measured. Our findings suggest that the long-term legacy effect of historical liming is due to long-term storage of added calcium in stable soil pools, rather than a general increase in nutrient availability. Our results demonstrate that single applications of calcium in its carbonated form can profoundly and persistently alter ecosystem processes and services in mountain ecosystems.

  3. Critical care providers refer to information tools less during communication tasks after a critical care clinical information system introduction.

    Science.gov (United States)

    Ballermann, Mark; Shaw, Nicola T; Mayes, Damon C; Gibney, R T Noel

    2011-01-01

    Electronic documentation methods may assist critical care providers with information management tasks in Intensive Care Units (ICUs). We conducted a quasi-experimental observational study to investigate patterns of information tool use by ICU physicians, nurses, and respiratory therapists during verbal communication tasks. Critical care providers used tools less at 3 months after the CCIS introduction. At 12 months, care providers referred to paper and permanent records, especially during shift changes. The results suggest potential areas of improvement for clinical information systems in assisting critical care providers in ensuring informational continuity around their patients.

  4. A Systematic Approach to Find a Professional Audiology Clinic: Patient-Based Information

    Science.gov (United States)

    Kim, Gungu; Kim, Gibbeum; Na, Wondo

    2016-01-01

    This brief communication introduced a systematic way to find a professional audiology clinic developed for patients and professionals by the American Academy of Audiology, American Speech-Language-Hearing Association, and Healthy Hearing. Patients can access each organization's website to find professionals and/or clinics based on criteria such as location, hours, special areas, types of service, reviews and rating by previous patients, and kinds of insurance accepted. Such a system may protect the patients from information overload, guarantee accurate information, and help them find themselves professional audiologists who can assist them. We expect professional organizations to adopt this system as soon as possible and link hearing-impaired patients with professional audiologists in Korea. PMID:27626086

  5. SU-D-BRD-04: A Logical Organizational Approach to Clinical Information Management

    International Nuclear Information System (INIS)

    Shao, W; Kupelian, P; Wang, J; Low, D; Ruan, D

    2014-01-01

    Purpose: To develop a clinical information management system (CIMS) that collects, organizes physician inputs logically and supports analysis functionality. Methods: In a conventional electronic medical record system (EMR), the document manager component stores data in a pool of standalone .docx or .pdf files. The lack of a content-based logical organization makes cross-checking, reference or automatic inheritance of information challenging. We have developed an information-oriented clinical record system that addresses this shortcoming. In CIMS, a parent library predefines a set of available questions along with the data types of their expected answers. The creation of a questionnaire template is achieved by selecting questions from this parent library to form a virtual group. Instances of the same data field in different documents are linked by their question identifier. This design allows for flexible data sharing and inheritance among various forms using a longitudinal lineage of data indexed according to the modification time stamps of the documents. CIMS is designed with a web portal to facilitate querying, data entry and modification, aggregate report generation, and data adjudication. The current implementation addresses diagnostic data, medical history, vital signs, and various quantities in consult note and treatment summaries. Results: CIMS is currently storing treatment summary information of over 1,000 patients who have received treatment at UCLA Radiation Oncology between March 1, 2013 and January 31, 2014. We are in the process of incorporating a DICOM-RT dosimetry parser and patient reporting applications into CIMS, as well as continuing to define document templates to support additional forms. Conclusion: We are able to devise an alternative storage paradigm which results in an improvement in the accuracy and organizational structure of clinical information

  6. SU-D-BRD-04: A Logical Organizational Approach to Clinical Information Management

    Energy Technology Data Exchange (ETDEWEB)

    Shao, W; Kupelian, P; Wang, J; Low, D; Ruan, D [UCLA School of Medicine, Los Angeles, CA (United States)

    2014-06-01

    Purpose: To develop a clinical information management system (CIMS) that collects, organizes physician inputs logically and supports analysis functionality. Methods: In a conventional electronic medical record system (EMR), the document manager component stores data in a pool of standalone .docx or .pdf files. The lack of a content-based logical organization makes cross-checking, reference or automatic inheritance of information challenging. We have developed an information-oriented clinical record system that addresses this shortcoming. In CIMS, a parent library predefines a set of available questions along with the data types of their expected answers. The creation of a questionnaire template is achieved by selecting questions from this parent library to form a virtual group. Instances of the same data field in different documents are linked by their question identifier. This design allows for flexible data sharing and inheritance among various forms using a longitudinal lineage of data indexed according to the modification time stamps of the documents. CIMS is designed with a web portal to facilitate querying, data entry and modification, aggregate report generation, and data adjudication. The current implementation addresses diagnostic data, medical history, vital signs, and various quantities in consult note and treatment summaries. Results: CIMS is currently storing treatment summary information of over 1,000 patients who have received treatment at UCLA Radiation Oncology between March 1, 2013 and January 31, 2014. We are in the process of incorporating a DICOM-RT dosimetry parser and patient reporting applications into CIMS, as well as continuing to define document templates to support additional forms. Conclusion: We are able to devise an alternative storage paradigm which results in an improvement in the accuracy and organizational structure of clinical information.

  7. White Free Speech: The Fraser Event and its Enlightenment Legacies

    Directory of Open Access Journals (Sweden)

    Goldie Osuri

    2011-04-01

    Full Text Available This essay discusses the 2005 Australia-wide controversy about the white supremacist comments made by Macquarie University academic Associate Professor Andrew Fraser. It locates the means by which this white supremacism manifested itself not only through Fraser comments, but also through arguments surrounding free speech/academic freedom. Using whiteness theory and its examination of whiteness as an Enlightenment legacy, Osuri argues that the collusion between Fraser’s white supremacism and the free speech/academic freedom argument is based on a disavowal of how whiteness operates, as Aileen Moreton-Robinson describes it, as an epistemological and ontological a priori, an embodied form of knowledge-production, and collective white hegemony.

  8. Rotary's PolioPlus Program: Lessons Learned, Transition Planning, and Legacy.

    Science.gov (United States)

    Sever, John L; McGovern, Michael; Scott, Robert; Pandak, Carol; Edwards, Amy; Goodstone, David

    2017-07-01

    Hundreds of thousands of Rotary volunteers have provided support for polio eradication activities and continue to this day by making financial contributions to the Rotary PolioPlus program, participating in national immunization days, assisting with surveillance, working on local, national, and international advocacy programs for polio eradication, assisting at immunization posts and clinics, and mobilizing their communities for immunization activities (including poliovirus and other vaccines) and other health benefits. Rotary has contributed more than $1.61 billion for the global eradication of polio and has committed to provide an additional $35 million each year until 2018 (all dollar amounts represent US dollars). Its unwavering commitment to eradicate polio has been vital to the success of the program. Rotary is providing additional support for routine immunization and healthcare. When polio is finally gone, we will have the knowledge from the lessons learned with PolioPlus, such as the value of direct involvement by local Rotarians, the program for emergency funding, innovative tactics, and additional approaches for tackling other global issues, even those beyond public health. Rotary has already transitioned its grants program to include 6 areas of focus: disease prevention and treatment, water and sanitation, maternal and child health, basic education and literacy, economic and community development, and peace and conflict prevention/resolution. Funding for these grants in 2015-2016 was $71 million. The legacy of the polio program will be the complete eradication of poliovirus and the elimination of polio for all time. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  9. Classical Biological Control of Invasive Legacy Crop Pests: New Technologies Offer Opportunities to Revisit Old Pest Problems in Perennial Tree Crops

    Directory of Open Access Journals (Sweden)

    Mark S. Hoddle

    2014-12-01

    Full Text Available Advances in scientific disciplines that support classical biological control have provided “new tools” that could have important applications for biocontrol programs for some long-established invasive arthropod pests. We suggest that these previously unavailable tools should be used in biological control programs targeting “legacy pests”, even if they have been targets of previously unsuccessful biocontrol projects. Examples of “new tools” include molecular analyses to verify species identities and likely geographic area of origin, climate matching and ecological niche modeling, preservation of natural enemy genetic diversity in quarantine, the use of theory from invasion biology to maximize establishment likelihoods for natural enemies, and improved understanding of the interactions between natural enemy and target pest microbiomes. This review suggests that opportunities exist for revisiting old pest problems and funding research programs using “new tools” for developing biological control programs for “legacy pests” could provide permanent suppression of some seemingly intractable pest problems. As a case study, we use citricola scale, Coccus pseudomagnoliarum, an invasive legacy pest of California citrus, to demonstrate the potential of new tools to support a new classical biological control program targeting this insect.

  10. A Colonial Legacy of African Gender Inequality? Evidence from Christian Kampala, 1895-2011

    OpenAIRE

    Meier zu Selhausen, Felix; Weisdorf, Jacob

    2015-01-01

    The colonial legacy of African underdevelopment is widely debated but hard to document. We use occupational statistics from Protestant marriage registers of historical Kampala to investigate the hypothesis that African gender inequality and female disempowerment are rooted in colonial times. We find that the arrival of Europeans in Uganda ignited a century- long transformation of Kampala involving a gender Kuznets curve. Men rapidly acquired literacy and quickly found their way into white-col...

  11. Ite Boerema--surgeon and engineer with a double-Dutch legacy to medical technology.

    Science.gov (United States)

    Leopardi, Lisa N; Metcalfe, Matthew S; Forde, Allison; Maddern, Guy J

    2004-01-01

    Ite Boerema, 1902-1978: a Dutchman with a brilliant academic surgical career, and war hero, decorated for resistance to the Germans in World War II. As a man who regarded surgery as "engineering in medicine," we still feel his legacy in medical technology today, specifically with regard to his work on esophageal anastomoses and hyperbaric oxygen therapy. This biography places his major contributions to medicine in context of the man himself and of contemporary medicine.

  12. Ka sisaliku tee kivil jätab jälje. Tantsuteatri uurimise metodoloogiast Rahel Olbrei pärandi näitel / Even a Lizard’s Path on Stone Leaves a Trace: Methodological Issues on Dance Research from the Example of Rahel Olbrei's Legacy

    Directory of Open Access Journals (Sweden)

    Heili Einasto

    2014-12-01

    Full Text Available The article is dedicated to dance research methodology, using Rahel Olbrei’s legacy as an example. Rahel Olbrei (1898—1983 was an Estonian choreographer and founder of the Estonia Theatre Dance Company. A choreographer’s work, when not on stage, becomes invisible, though it leaves its trace in the cultural memory. Olbrei’s legacy exists in the memory of the people who met her personally, but also of those who have obtained their memories from them – together they form a collective memory, Tamm and Halla (2008 present five major memory transmission channels: oral narratives, written (memoirs, diaries, autobiographies, history books, etc., visual (photos in Olbrei’s case, actional (the Rahel Olbrei Annual Award and spatial channels.  Memories are not fixed; they are records of how events have been experienced. We draw key elements out of our experience and save them, and later create or form that experience anew. Remembering as a process also needs information about how something is remembered: hints, directions and any triggers that wake up some of the information saved in the brain. Oral history is a process of relation building: relations are built between narrators and listeners, between past events and present dialogue – thus, when making oral history interviews, it is essential to also record aspects outside of the interview.  Choreography will stay alive only when it is being taught from one dancer to another. This paper describes the processes of making, saving and passing on movement texts using examples by Olbrei. In a situation where Olbrei’s choreography is lost forever, we can ask: what is her legacy in Estonia theatre and ballet? This legacy is perhaps strongest in dancers trained by her who were carriers of a pre-war work ethic and Olbrei’s vision of dancers as dancing actors. Olbrei’s views on dance education and art are alive today. She was convinced that a professional dancer should be able to perform

  13. The Electronic Healthcare Record for Clinical Research (EHR4CR) information model and terminology.

    Science.gov (United States)

    Ouagne, David; Hussain, Sajjad; Sadou, Eric; Jaulent, Marie-Christine; Daniel, Christel

    2012-01-01

    A major barrier to repurposing routinely collected data for clinical research is the heterogeneity of healthcare information systems. Electronic Healthcare Record for Clinical Research (EHR4CR) is a European platform designed to improve the efficiency of conducting clinical trials. In this paper, we propose an initial architecture of the EHR4CR Semantic Interoperability Framework. We used a model-driven engineering approach to build a reference HL7-based multidimensional model bound to a set of reference clinical terminologies acting as a global as view model. We then conducted an evaluation of its expressiveness for patient eligibility. The EHR4CR information model consists in one fact table dedicated to clinical statement and 4 dimensions. The EHR4CR terminology integrates reference terminologies used in patient care (e.g LOINC, ICD-10, SNOMED CT, etc). We used the Object Constraint Language (OCL) to represent patterns of eligibility criteria as constraints on the EHR4CR model to be further transformed in SQL statements executed on different clinical data warehouses.

  14. Using information management to implement a clinical resource management program.

    Science.gov (United States)

    Rosenstein, A H

    1997-12-01

    This article provides a consultant's account of a 250-bed community hospital's experience in implementing the Clinical Resource Management (CRM) program, a four-stage process of using information to identify opportunities for improvement, developing an effective resource management team, implementing process improvement activities, and measuring the impact on outcomes of care. CASE STUDY EXAMPLE--CONGESTIVE HEART FAILURE: The chair of the departments of internal medicine and family practice selected congestive heart failure for in-depth study. A task force focused on treatment and patient disposition in the emergency room (ER), where most of the nonelective admissions originated. A set of standardized ER orders was developed that emphasized rapid and effective diuresis through the initiation of a progressive diuretic dosing schedule directly linked to patient response. Factors critical to the success of the CRM program included allocating adequate time to promote and sell the value and importance of the program, as well as securing the support of both information systems and physicians. The main barriers to success involved limitations in the information system infrastructure and delays attributable to committee review. Short-term results from the CRM program were encouraging, with average lengths of stay reduced by 0.5 days and average costs of care reduced by 12% for the ten diagnoses studied with no adverse results. Nonstudy diagnoses showed no notable improvement. Recognizing the growing importance of information management not only for clinical decision support but for accommodating all the necessary internal and external reporting requirements will require a significant commitment and investment in technology and personnel resources.

  15. An automated tuberculosis screening strategy combining X-ray-based computer-aided detection and clinical information

    Science.gov (United States)

    Melendez, Jaime; Sánchez, Clara I.; Philipsen, Rick H. H. M.; Maduskar, Pragnya; Dawson, Rodney; Theron, Grant; Dheda, Keertan; van Ginneken, Bram

    2016-04-01

    Lack of human resources and radiological interpretation expertise impair tuberculosis (TB) screening programmes in TB-endemic countries. Computer-aided detection (CAD) constitutes a viable alternative for chest radiograph (CXR) reading. However, no automated techniques that exploit the additional clinical information typically available during screening exist. To address this issue and optimally exploit this information, a machine learning-based combination framework is introduced. We have evaluated this framework on a database containing 392 patient records from suspected TB subjects prospectively recruited in Cape Town, South Africa. Each record comprised a CAD score, automatically computed from a CXR, and 12 clinical features. Comparisons with strategies relying on either CAD scores or clinical information alone were performed. Our results indicate that the combination framework outperforms the individual strategies in terms of the area under the receiving operating characteristic curve (0.84 versus 0.78 and 0.72), specificity at 95% sensitivity (49% versus 24% and 31%) and negative predictive value (98% versus 95% and 96%). Thus, it is believed that combining CAD and clinical information to estimate the risk of active disease is a promising tool for TB screening.

  16. Improved participants' understanding of research information in real settings using the SIDCER informed consent form: a randomized-controlled informed consent study nested with eight clinical trials.

    Science.gov (United States)

    Koonrungsesomboon, Nut; Tharavanij, Thipaporn; Phiphatpatthamaamphan, Kittichet; Vilaichone, Ratha-Korn; Manuwong, Sudsayam; Curry, Parichat; Siramolpiwat, Sith; Punchaipornpon, Thanachai; Kanitnate, Supakit; Tammachote, Nattapol; Yamprasert, Rodsarin; Chanvimalueng, Waipoj; Kaewkumpai, Ruchirat; Netanong, Soiphet; Kitipawong, Peerapong; Sritipsukho, Paskorn; Karbwang, Juntra

    2017-02-01

    This study aimed to test the applicability and effectiveness of the principles and informed consent form (ICF) template proposed by the Strategic Initiative for Developing Capacity in Ethical Review (SIDCER) across multiple clinical trials involving Thai research participants with various conditions. A single-center, randomized-controlled study nested with eight clinical trials was conducted at Thammasat University Hospital, Thailand. A total of 258 participants from any of the eight clinical trials were enrolled and randomly assigned to read either the SIDCER ICF (n = 130) or the conventional ICF (n = 128) of the respective trial. Their understanding of necessary information was assessed using the post-test questionnaire; they were allowed to consult a given ICF while completing the questionnaire. The primary endpoint was the proportion of the participants who had the post-test score of ≥80%, and the secondary endpoint was the total score of the post-test. The proportion of the participants in the SIDCER ICF group who achieved the primary endpoint was significantly higher than that of the conventional ICF group (60.8 vs. 41.4%, p = 0.002). The total score of the post-test was also significantly higher among the participants who read the SIDCER ICF than those who read the conventional ICF (83.3 vs. 76.0%, p study demonstrated that the SIDCER ICF was applicable and effective to improve Thai research participants' understanding of research information in diverse clinical trials. Using the SIDCER ICF methodology, clinical researchers can improve the quality of ICFs for their trials.

  17. National Legislation and Regulations in the Uranium Legacy Radiation Safety of the Former USSR

    International Nuclear Information System (INIS)

    Romanov, V.V.; Shandala, N.K.; Titov, A.V.; Seregin, V.A.; Kiselev, S.M.

    2012-01-01

    There are many uranium legacy sites in Russia and ex-Soviet republics in the Central Asia, which are decommissioned now. In Russia, there is a number of operating uranium mines and ore milling facilities to be decommissioned after termination of their life cycle. Today, the list of Russian subsoil areas of the federal significance includes 135 uranium deposits. The uranium legacy management is accompanied with the environmental impact. The intensity of such impact depends on the amount of generated waste, degree of its confining and dispersion in the environment. The whole question reduces itself to the following: to what extent this impact is harmful to the environment and human health. The proper regulation of this problem is a criterion for the safe work. Today, the advanced guidance document is under development 'Health-care requirements for design and operation of facilities for uranium ore mining and milling'. In order to enhance the regulatory framework, the following tasks are urgent: introduction of the existing exposure situation in the national laws and regulations in compliance with the ICRP statutory system; development criteria for remediation of sites and their gradual return to uncontrolled use. The similar criteria have been developed within the Russian-Norwegian cooperation for the purpose of remediation of the sites for temporary SNF and Radioactive Wastes storage; review of possibilities and methods for optimization of the remediation strategies under development; identification of the special category - R W originated from the uranium ore mining and milling. Some regulatory problems assume to be solved under the Eurasian Economic Community inter-state target programme 'Reclamation of areas of the Eurasian Economic Community member-states affected by the uranium mines'. Within this programme, by examples of the uranium legacy facilities in Kyrgyzstan and in Tajikistan, posed to trans-border disasters and required urgent remediation, the

  18. The NIAID Division of AIDS enterprise information system: integrated decision support for global clinical research programs

    Science.gov (United States)

    Gupta, Nitin; Varghese, Suresh; Virkar, Hemant

    2011-01-01

    The National Institute of Allergy and Infectious Diseases (NIAID) Division of AIDS (DAIDS) Enterprise Information System (DAIDS-ES) is a web-based system that supports NIAID in the scientific, strategic, and tactical management of its global clinical research programs for HIV/AIDS vaccines, prevention, and therapeutics. Different from most commercial clinical trials information systems, which are typically protocol-driven, the DAIDS-ES was built to exchange information with those types of systems and integrate it in ways that help scientific program directors lead the research effort and keep pace with the complex and ever-changing global HIV/AIDS pandemic. Whereas commercially available clinical trials support systems are not usually disease-focused, DAIDS-ES was specifically designed to capture and incorporate unique scientific, demographic, and logistical aspects of HIV/AIDS treatment, prevention, and vaccine research in order to provide a rich source of information to guide informed decision-making. Sharing data across its internal components and with external systems, using defined vocabularies, open standards and flexible interfaces, the DAIDS-ES enables NIAID, its global collaborators and stakeholders, access to timely, quality information about NIAID-supported clinical trials which is utilized to: (1) analyze the research portfolio, assess capacity, identify opportunities, and avoid redundancies; (2) help support study safety, quality, ethics, and regulatory compliance; (3) conduct evidence-based policy analysis and business process re-engineering for improved efficiency. This report summarizes how the DAIDS-ES was conceptualized, how it differs from typical clinical trial support systems, the rationale for key design choices, and examples of how it is being used to advance the efficiency and effectiveness of NIAID's HIV/AIDS clinical research programs. PMID:21816958

  19. Digital storytelling: an innovative legacy-making intervention for children with cancer.

    Science.gov (United States)

    Akard, Terrah Foster; Dietrich, Mary S; Friedman, Debra L; Hinds, Pamela S; Given, Barbara; Wray, Sarah; Gilmer, Mary Jo

    2015-04-01

    This study examined the feasibility of a legacy-making intervention in children with cancer and the preliminary effects on outcomes related to quality of life. Children (N = 28) ages 7-17 years completed a baseline QOL questionnaire (PedsQL) at T1. After baseline, the intervention group (n = 15) completed a randomized intervention that guided children to answer questions about legacy-making and create a digital story about themselves. A final copy of the digital story was provided to the families. A control group (n = 13) received customary care. Children repeated the questionnaire at T2. Parents (N = 22) of children who completed the intervention completed follow-up survey questions regarding intervention effects. Feasibility was strong (78% participation; 1 attrition). While differences between the groups in physical, emotional, social, or school functioning change was not statistically significant, the intervention group showed slightly better emotional and school functioning compared to controls. Parents reported that their child's digital story provided emotional comfort to them (n = 11, 46%), facilitated communication between parents and children (n = 9, 38%), and was a coping strategy for them (n = 4, 17%). Parents reported that the intervention helped children express their feelings (n = 19, 79%), cope (n = 6, 27%), and feel better emotionally (n = 5, 23%). Our intervention is feasible for children with cancer, is developmentally appropriate for children 7-17 years of age, and demonstrates promise to improve quality of life outcomes for children with cancer and their parents. © 2015 Wiley Periodicals, Inc.

  20. Efficiency achievements from a user-developed real-time modifiable clinical information system.

    Science.gov (United States)

    Bishop, Roderick O; Patrick, Jon; Besiso, Ali

    2015-02-01

    This investigation was initiated after the introduction of a new information system into the Nepean Hospital Emergency Department. A retrospective study determined that the problems introduced by the new system led to reduced efficiency of the clinical staff, demonstrated by deterioration in the emergency department's (ED's) performance. This article is an investigation of methods to improve the design and implementation of clinical information systems for an ED by using a process of clinical team-led design and a technology built on a radically new philosophy denoted as emergent clinical information systems. The specific objectives were to construct a system, the Nepean Emergency Department Information Management System (NEDIMS), using a combination of new design methods; determine whether it provided any reduction in time and click burden on the user in comparison to an enterprise proprietary system, Cerner FirstNet; and design and evaluate a model of the effect that any reduction had on patient throughput in the department. The methodology for conducting a direct comparison between the 2 systems used the 6 activity centers in the ED of clerking, triage, nursing assessments, fast track, acute care, and nurse unit manager. A quantitative study involved the 2 systems being measured for their efficiency on 17 tasks taken from the activity centers. A total of 332 task instances were measured for duration and number of mouse clicks in live usage on Cerner FirstNet and in reproduction of the same Cerner FirstNet work on NEDIMS as an off-line system. The results showed that NEDIMS is at least 41% more efficient than Cerner FirstNet (95% confidence interval 21.6% to 59.8%). In some cases, the NEDIMS tasks were remodeled to demonstrate the value of feedback to create improvements and the speed and economy of design revision in the emergent clinical information systems approach. The cost of the effort in remodeling the designs showed that the time spent on remodeling is