Sample records for levan-green joann benisch

  1. Joanne Charette | IDRC - International Development Research Centre

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

    Joanne Charette is IDRC's Vice-President, Corporate Strategy and Communications. Joanne's extensive public affairs and strategic communication experience includes, most recently, her role as Communications Advisor and Official Spokesperson to the Governor General of Canada, and Director, Public Affairs at the ...

  2. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Date(s):. 2016-03-10. Destination(s):. Montreal. Airfare: $0.00. Other. Transportation: $236.85. Accommodation: $0.00. Meals and. Incidentals: $24.96. Other: $0.00. Total: $261.81. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and Communications.

  3. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Destination(s):. Ghana, Tanzania, Uganda, Kenya. Airfare: $11,661.09. Other. Transportation: $35.15. Accommodation: $2,629.22. Meals and. Incidentals: $773.08. Other: $547.65. Total: $15,646.19. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy ...

  4. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Ottawa. Billet d'avion. 0.00 $. Frais de transport au sol ou autrement. 0.00 $. Frais de logement. 0.00 $. Repas et frais divers. 73.66 $. Autre frais. 0.00 $. Total. 73.66 $. Commentaires. 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and Communications.

  5. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Destination(s):. Delhi (India). Airfare: $11,659.58. Other. Transportation: $106.70. Accommodation: $2,913.67. Meals and. Incidentals: $847.77. Other: $259.25. Total: $15,786.97. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and Communications.

  6. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Montreal, Toronto, Vancouver. Airfare: $968.74. Other. Transportation: $248.71. Accommodation: $461.37. Meals and. Incidentals: $302.96. Other: $0.00. Total: $1,981.78. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and Communications.

  7. 2017-2018 Travel Expense Reports for Joanne Charette, Vice ...

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


    2017-06-11 to 2017-06-14. Destination(s):. Montreal. Airfare: $0.00. Other. Transportation: $170.23. Accommodation: $793.75. Meals and. Incidentals: $103.67. Other: $0.00. Total: $1,067.65. Comments: 2017-2018 Travel Expense Reports for Joanne. Charette, Vice-President, Corporate Strategy and Communications.

  8. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Destination(s):. Paris, France. Airfare: $6,339.00. Other. Transportation: $449.22. Accommodation: $1,641.66. Meals and. Incidentals: $1,322.69. Other: $0.00. Total: $9,752.57. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and Communications.

  9. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Date(s):. 2016-01-26. Destination(s):. Toronto. Airfare: $471.79. Other. Transportation: $56.46. Accommodation: $0.00. Meals and. Incidentals: $23.08. Other: $0.00. Total: $551.33. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and Communications.

  10. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Date(s):. 2015-11-13. Destination(s):. Ottawa. Airfare: $0.00. Other. Transportation: $0.00. Accommodation: $0.00. Meals and. Incidentals: $73.66. Other: $0.00. Total: $73.66. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and Communications.

  11. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Date(s):. 2016-01-21. Destination(s):. Montreal. Airfare: $0.00. Other. Transportation: $258.65. Accommodation: $0.00. Meals and. Incidentals: $24.48. Other: $0.00. Total: $283.13. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and Communications.

  12. 2015-2016 Travel and Hospitality Expense Reports for Joanne ...

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

    Ruxandra Staicu

    Date(s):. 2015-10-29 to 2015-10-30. Destination(s):. Toronto. Airfare: $473.19. Other. Transportation: $35.63. Accommodation: $188.91. Meals and. Incidentals: $60.62. Other: $0.00. Total: $758.35. Comments: 2015-2016 Travel and Hospitality Expense. Reports for Joanne Charette, Vice-President,. Corporate Strategy and ...

  13. 2014-2015 Expense report for Joanne Charette | IDRC ...

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

    2014-2015 Expense report for Joanne Charette. Travel and Hospitality Expenses 2014-2015 · What we do · Funding · Resources · About IDRC. Knowledge. Innovation. Solutions. Careers · Contact Us · Site map. Sign up now for IDRC news and views sent directly to your inbox each month. Subscribe · Copyright · Open ...

  14. 2016-2017 Travel Expense Report for Joanne Charette, Vice ...

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

    Beata Bialic

    04-12. Destination(s):. Miami, USA. Airfare: $503.09. Other. Transportation: $76.14. Accommodation: $673.75. Meals and. Incidentals: $435.36. Other: $0.00. Total: $1,688.34. Comments: 2016-2017 Travel Expense Report for Joanne. Charette ...

  15. 2017-2018 Travel Expense Reports for Joanne Charette, Vice ...

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


    Purpose: Attend the World Strategic Forum. Date(s):. 2017-04-18 to 2017-04-20. Destination(s):. Miami, USA. Airfare: $399.92. Other. Transportation: $101.41. Accommodation: $0.00. Meals and. Incidentals: $466.55. Other: $0.00. Total: $967.88. Comments: 2017-2018 Travel Expense Reports for Joanne. Charette ...

  16. 2017-2018 Travel Expense Reports for Joanne Charette, Vice ...

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


    Purpose: Meeting with stakeholders. Date(s):. 2017-05-28 to 2017-06-04. Destination(s):. Guatemala/Honduras. Airfare: $3,069.59. Other. Transportation: $317.65. Accommodation: $2,136.60. Meals and. Incidentals: $532.40. Other: $0.00. Total: $6,056.24. Comments: 2017-2018 Travel Expense Reports for Joanne.

  17. 2016-2017 Travel Expense Reports for Joanne Charette, Vice ...

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

    Beata Bialic

    ):. 2016-11-03. Destination(s):. Montreal. Airfare: $0.00. Other. Transportation: $288.32. Accommodation: $0.00. Meals and. Incidentals: $45.60. Other: $0.00. Total: $333.92. Comments: 2016-2017 Travel Expense Reports for Joanne. Charette ...

  18. 75 FR 23745 - Jo-Ann Stores, Inc., Provisional Acceptance of a Settlement Agreement and Order (United States)


    ... Acceptance of a Settlement Agreement and Order AGENCY: Consumer Product Safety Commission. ACTION: Notice... under the laws of the State of Ohio, with its principal offices located in Hudson, Ohio. At all times relevant hereto, Jo-Ann imported, offered for sale and sold various children's products. Staff Allegations...

  19. Recycler l'orientalisme: 'Le Chat du rabbin' de Joann Sfar

    NARCIS (Netherlands)

    van der Poel, I.


    The complete edition of Le Chat du rabbin (The Rabbi’s Cat), the graphic novel created by Joann Sfar, appeared in 2011, followed by a 3D film version in the same year. It tells the story of the author’s ancestors, Sephardic Jews, who lived in Algeria under French colonial rule during the Interwar

  20. Sporen van Tollius : Leven en werken van de Amersfoortse musicus Joannes Tollius (ca. 1555-ca. 1620)

    NARCIS (Netherlands)

    Groot, Simon Hendrikus


    Joannes Tollius was a singer and composer, born in Amersfoort around 1555. Already at an early age he was appointed music director of the chapel of Our Lady in his native town. In 1579 the city joined the Dutch Revolt. At that moment the chapel was assigned to the Protestants and thus Tollius lost

  1. Rapport de frais de 2015-2016 pour Joanne Charette | CRDI ...

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

    Rapport de frais de 2015-2016 pour Joanne Charette. Total des frais de déplacement : CAD$47,347.81. Conférences pancanadiennes sur la transition démocratique avec le chercheur et coéditeur du livre. 30 mars 2016 au 3 avril 2016. CAD$1,981.78. Visite au Bureau régional de l'Asie. 26 février 2016 au 8 mars 2016.

  2. The Implementation of Scaffolding in Writing Recount Texts in SMP Joannes Bosco Yogyakarta

    Directory of Open Access Journals (Sweden)

    Tiara Maria Dewi


    Full Text Available In this research, scaffolding is implemented in English class of the 8th grade students of SMP Joannes Bosco Yogyakarta when they learn about recount text. This research aims to find out the process of how scaffolding is implemented and to know what the benefits of scaffolding in writing recount text. There were two research problems. The first was “How is scaffolding for the 8th grade students of SMP Joannes Bosco in writing a recount text?” and the second was “What are the benefits of scaffolding in writing a recount text in SMP Joannes Bosco Yogyakarta?” The writers conducted a descriptive qualitative research in this study. The data was gathered by interviewing the English teacher, writing on the field notes, distributing the questionnaires, and interviewing the students. Analyzing the students’ writings was used as the supplementary data to make the result stronger. The result of this study showed that the implementation of scaffolding gave benefits for the students. The benefits were challenging the students through deep learning and discovery, engaging the students in meaningful and dynamic discussions in the small and the large classes, and motivating the learners to become better students. In conclusion, scaffolding does give benefits for the students so that teachers are able to use scaffolding as one of the effective teaching techniques.   DOI:

  3. Des Guides Joanne au Guide Vert Michelin : points, lignes, surfaces

    Directory of Open Access Journals (Sweden)

    Marie-Vic Ozouf-Marignier


    Full Text Available Cet article étudie la perception de l’espace dans les guides touristiques de la fin du XIXe siècle à nos jours. Il compare trois collections de guides français : les Guides Joanne, les Guides Bleus Hachette et les Guides Verts Michelin. Nous avons identifié trois moments majeurs. Dans une première période, le voyage en chemin de fer détermine une représentation linéaire de l’espace agrémentée de quelques coups d’œil à l’intérieur du paysage à l’endroit des stations. Dans une seconde période, le déplacement en voiture permet à une appréhension régionale de se développer. L’école française de géographie influence alors l’écriture des introductions de guide. Les rédacteurs introduisent de plus en plus de cartes dans ces ouvrages. L’unité régionale devient sensible, notamment du point de vue naturaliste. Toutefois, la recherche des curiosités, musées églises, châteaux et ruines se maintient également. De nos jours, l’autoroute, le train à grande vitesse et l’industrie touristique ont changé les pratiques et représentations de l’espace. Les touristes semblent apprécier le fait de collectionner les sites de visite et de faire des circuits à thème.This article deals with tourist perception of the space from the end of the nineteenth century to our days. It compares three collections of French tourist guides: Guides Joanne, blue guides Hachette and Guides Verts Michelin. Three main periods can be distinguished. First, railway travel determines linear representation of the landscape, with a few glances on the countryside at the stations. In a second period, the car mobility makes possible a surrounding vision of regions. French school of geography influences the prefaces of the guides. Editors introduce more and more maps inside the guides. Regional cohesion becomes perceptible, especially from a naturalistic point of view. Interesting sights, museums, churches, castles and ruins remain

  4. Teamwork: The methodology for successfully drilling the Judy/Joanne development

    International Nuclear Information System (INIS)

    Kelly, J.H.


    A non-integrated approach was used to manage development drilling of the Judy/Joanne field. Phillips Petroleum Company United Kingdom Limited (the Operator) elected to retain the role of project and operations coordinator. Others have felt it necessary to integrate the provision of drilling services to achieve operational effectiveness. The Operator approached the management of the operation on a more traditional tack but with the same goal. The management emphasis was on team building and ensuring each party's contribution was optimized. The non-integrated approach to service provision enabled the Operator to maximize the value of in-house experience, to select the preferred suppliers based on safety and operational performance, and to maintain the leading role required of the lease holder. An incentive contract with the drilling contractor rewarded and penalized performance. It provided a win/win arrangement. Contracts with the third party companies were awarded on the basis of best for purpose. The non-integrated approach has proven cost effective and an operational success

  5. The Research of Dr. Joanne Simpson: Fifty Years Investigating Hurricanes, Tropical Clouds and Cloud Systems (United States)

    Tao, W. -K.; Halverson, J.; Adler, R.; Garstang, M.; Houze, R., Jr.; LeMone, M.; Pielke, R., Sr.; Woodley, W.; O'C.Starr, David (Technical Monitor)


    This AMS Meteorological Monographs is dedicated to Dr. Joanne Simpson for her many pioneering research efforts in tropical meteorology during her fifty-year career. Dr. Simpson's major areas of scientific research involved the "hot tower" hypothesis and its role in hurricanes, structure and maintenance of trade winds, air-sea interaction, and observations and the mechanism for hurricanes and waterspouts. She was also a pioneer in cloud modeling with the first one-dimensional model and had the first cumulus model on a computer. She also played a major role in planning and leading observational experiments on convective cloud systems. The launch of the Tropical Rainfall Measuring Mission (TRMM) satellite, a joint U.S.-Japan project, in November of 1997 made it possible for quantitative measurements of tropical rainfall to be obtained on a continuous basis over the entire global tropics. Dr. Simpson was the TRAM Project Scientist from 1986 until its launch in 1997. Her efforts during this crucial period ensured that the mission was both well planned scientifically and well engineered as well as within budget. In this paper, Dr. J. Simpson's nine specific accomplishments during her fifty-year career: (1) hot tower hypothesis, (2) hurricanes, (3) airflow and clouds over heated islands, (4) cloud models, (5) trade winds and their role in cumulus development, (6) air-sea interaction, (7) cloud-cloud interactions and mergers, (8) waterspouts, and (9) TRMM science, will be described and discussed.

  6. Summary of Symposium on Cloud Systems, Hurricanes and TRMM: Celebration of Dr. Joanne Simpson's Career, The First Fifty Years (United States)

    Tao, W.-K.; Adler, R.; Braun, S.; Einaudi, F.; Ferrier, B.; Halverson, J.; Heymsfield, G.; Kummerow, C.; Negri, A.; Kakar, R.; hide


    A symposium celebrating the first 50 years of Dr. Joanne Simpson's career took place at the NASA/Goddard Space Flight Center from December 1 - 3, 1999. This symposium consisted of presentations that focused on: historical and personal points of view concerning Dr. Simpson's research career, her interactions with the American Meteorological Society, and her leadership in TRMM; scientific interactions with Dr. Simpson that influenced personal research; research related to observations and modeling of clouds, cloud systems and hurricanes; and research related to the Tropical Rainfall Measuring Mission (TRMM). There were a total of 36 presentations and 103 participants from the US, Japan and Australia. The specific presentations during the symposium are summarized in this paper.

  7. Joannes Jacobus Smith

    NARCIS (Netherlands)

    Lam, H.J.


    J. J. Smith was born June 29th, 1867, at Antwerp, where his father was the director of the Netherlands’ Railway Post Office. In 1872 the family moved to Utrecht and in 1875 to Amsterdam. Smith spent his school days in the capital. His leisure hours were occupied by growing and sketching plants and

  8. [Proceedings of the VII international symposium 'Cultural heritage in geosciences, mining and metallurgy : libraries, archives, museums' : "Museums and their collections" held at the Nationaal Natuurhistorisch Museum Leiden (The Netherlands), 19-23 May, 2003 / Cor F. Winkler Prins and Stephen K. Donovan (editors)]: The 2003 Peter Schmidt award presented to Joanne Lerud

    NARCIS (Netherlands)

    Winkler Prins, C.F.


    It was decided 'en petit comite' to present the Peter Schmidt award for 2003 to Joanne Lerud, a dear friend who attended many of the 'Erbe Symposia' and made valuable contributions to them. The award is especially for organising in such an excellent way the Fifth International Symposium 'Cultural

  9. Joanne Charette | CRDI - Centre de recherches pour le ...

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

    Carrières · Communiquez avec nous · Plan du site. Abonnez-vous à notre bulletin pour recevoir les nouvelles du CRDI chaque mois. Abonnez-vous · Droits d'auteur · Éthique de la recherche · Politique de libre accès · Politique de confidentialité · Transparence · Utilisation du site Web. Suivez-nous; Facebook · Twitter ...

  10. 2016-2017 Expense report for Joanne Charette | IDRC ...

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


    Meet with representatives from Québec Science and L'actualité November 3, 2016 CA$333.92. Attend ACFAS Award Gala. October 18, 2016 to October 19, 2016. CA$884.99. Orientation on research impact for new Governors. August 13, 2016 to August 23, 2016. CA$10,839.99. International Economic Forum of the ...

  11. 2016-2017 Travel Expense Report for Joanne Charette, Vice ...

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

    Beata Bialic

    s):. 2016-06-12 to 2016-06-15. Destination(s):. Montreal. Airfare: $0.00. Other. Transportation: $252.70. Accommodation: $924.63. Meals and. Incidentals: $144.56. Other: $0.00. Total: $1,321.89. Comments: 2016-2017 Travel Expense Report ...

  12. 2017-2018 Travel Expense Reports for Joanne Charette, Vice ...

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

    Chantal Taylor

    Purpose: Attend staff meetings at the Middle East and North Africa Regional Office. Date(s):. 2017-10-09 to 2017-10-13. Destination(s):. Cairo, Egypt. Airfare: $4,512.88. Other. Transportation: $118.45. Accommodation: $494.52. Meals and. Incidentals: $300.00. Other: $114.20. Total: $5,540.05. Comments: 2017-2018 Travel ...

  13. 2017-2018 Travel Expense Reports for Joanne Charette, Vice ...

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

    07-12. Destination(s):. Kenya, Uganda and Tanzania. Airfare: $5,885.73. Other. Transportation: $70.60. Accommodation: $2,983.48. Meals and. Incidentals: $1,053.24. Other: $334.93. Total: $10,327.98. Comments: 2017-2018 Travel Expense ...

  14. 2016-2017 Travel Expense Reports for Joanne Charette, Vice ...

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

    Beata Bialic

    13 to 2016-08-23. Destination(s):. Peru/Colombia. Airfare: $7,475.56. Other. Transportation: $0.00. Accommodation: $2,313.89. Meals and. Incidentals: $742.12. Other: $308.42. Total: $10,839.99. Comments: 2016-2017 Travel Expense Reports ...

  15. Rapport de frais de 2017-2018 pour Joanne Charette | CRDI ...

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

    Total des frais de déplacement : CAD$25,291.54. Assister à une rencontre du Strategic Risk Council du Conference Board du Canada. 14 novembre 2017 au 15 novembre 2017. CAD$973.86. articiper à une conférence organisée par le Conseil des relations internationales de Montréal 27 octobre 2017 CAD$357.88.

  16. Healing Trauma and Reasserting Identity through Remembrance in Joanne Fedler’s The Dreamcloth

    Directory of Open Access Journals (Sweden)

    Abdullah Md Abu Shahid


    Full Text Available The aim of this article is to analyse the role of memory in generating, transmitting and coming to terms with trauma, and the importance of exploring history, and talking about and sharing traumatic events in the process of healing in Joan Fedler’s The Dreamcloth (2005. In the novel, Maya’s memories of her unrequited lesbian relationship with her beloved Rochel, oppression by the traditional structures of her family and Jewish community, her forced marriage with Yankel, and her being raped by him are responsible for her trauma on a personal level, whereas her forced relocation to South Africa in order to flee from the Holocaust is responsible for her trauma on a communal level. Mia, the protagonist and the grand-daughter of Maya, suffers from the transgenerational trauma of her grandmother, is haunted by her ghost, and also symbolically represents the traumatized Jewish community. She cannot relate to her own Jewish South African identity and thus tries to avoid being reminded of her historical background. Mia recovers from her trauma by exploring her history, solving the riddles of the past and sharing the traumatic memories of the past.

  17. Cognitive Style and Learning Strategies JoAnn Salvisberg looks at current SLA theories and their possible applications to the classroom situation

    Institute of Scientific and Technical Information of China (English)

    JoAnn Salvisberg


    @@ People learn and process new information in different ways. For decades researchers have been studying and comparing the personality traits any cognitive learning styles of students to discover any distinguishing trait patterns(i. e. more characteristic of academically successful students than other learners) . Moreover, many believe that if the classroom environment and even the teachers' teaching style can be tailored to meet the students' learning styles, learning as well as the students' self-concept as a learner will increase (Corzza, Gustin and Edelkind, 1995). This article will offer a brief overview of differences in style and strategies and discuss the implications for teaching.

  18. Commentary on "The Effects of Musical Fit On Choice Between Competing Pairs of Cultural Products" by Joanne P.S. Yeoh & Adrian C. North

    Directory of Open Access Journals (Sweden)

    Warren Brodsky


    Full Text Available Yeoh and North (2009 believe their findings are a clear indication that musical fit can influence product choice among a non-Western sample; pieces of Indian and Malay music primed the selection of one corresponding type of product over another, while when there was no music played the choices indicated no reliable preference for either Indian or Malay items. However, a closer look at their methods of sampling, stimuli, procedures, and results, makes it clear that these conclusions are unfounded.

  19. Joannès (F.), (Dir.), Rendre la justice en Mésopotamie, Archives judiciaires du Proche-Orient ancien (IIIe-Ier millénaires avant J.-C)


    Klock-Fontanille, Isabelle


    Pour celui qui s'intéresse aux droits cunéiformes, il existe un matériel épigra-phique très riche. Mais d'une part, ce matériel n'est pas facilement accessible et d'autre part ce qui est surtout connu, ce sont les lois, comme les lois d'Ur-Nammu ou le code de Hammurabi. Or, comme l'annonce le sous-titre, ce n'est pas ce type de texte que vise ce livre : il sera question de documentation judiciaire au sens large, incluant, comme le rappelle Sophie Lafont, « non seulement les minutes de procès,...

  20. Administrative Services Division - Alaska Department of Law (United States)

    accounting practices and procedures. JoAnn Pelayo Finance Officer Email: Tel: (907 Tel: (907) 465-3674 Fiscal and Accounting Provide centralized fiscal and accounting functions for , inter-departmental payments for core services, payroll accounting adjustments and oversight, and grant

  1. Elementary, Middle, and High School Students Vary in Frequency and Purpose When Using Online Digital References. A review of: Silverstein, Joanne. “Just Curious: Children’s Use of Digital Reference for Unimposed Queries and Its Importance in Informal Education.” Library Trends 54.2 (Fall 2005: 228‐44.

    Directory of Open Access Journals (Sweden)

    Julie Stephens


    Full Text Available Objective – To determine 1 how and with what frequency children use digital references to answer their own unimposed questions; 2 whether digital reference services support their self‐initiated learning; 3 whether digital reference services support the transfer of student motivation and curiosity from the formal to the informal; and 4 what instructional and software designers should consider in creating tools that support learning.Design – Inductive analysis.Setting – Virtual Reference Desk’s (VRD Learning Center ( and the National Science Foundation’s (NSFdigital reference service ( during Excellence in Science, Technology, Engineering, and Mathematics Education Week (ESTEME, April 11‐16, 2005.Subjects – Elementary (K‐5, middle (6‐8,and high school (9‐12 students from the general public. One hundred fourteen questions were analyzed, however there is no indication of the number of different students who submitted the questions.Methods – This study was conducted using a pool of 600 questions from students, teachers, parents, and the general public that were submitted to two digital reference services intended for students. Three hundred experts in the fields of Math and Science volunteered to answer the submitted questions during Excellence in Science, Technology, Engineering, and Mathematics Education Week. Because the digital services employed a pull‐down menu to describe the user as a student, teacher, parent, etc., the questions could be narrowed to those submitted by students. The questions were also narrowed to those marked as “just curious” from a question purpose menu that contained categories including “written report,” “science fair project,” and “just curious.” A total of 114 unique questions from elementary, middle, and high school students were analyzed to determine the study objectives. The 114 questions were loaded into a qualitative software application (HyperResearch for inductive analysis. Questions from students were coded as elementary, middle, or high school and only those questions derived from students’ self‐initiated interests were analyzed.Main results – Analysis revealed that elementary students submitted a large portion of the questions. Middle school students asked the most questions, of which some questions were compound (more than one question in a given query. Older students submitted the least amount of questions. an unanticipated finding was that students’ grade levels correlated to the foci of their queries, which regarded “My Life,” “My Stuff,” “Other People,” “The World,”“The Universe,” or “Abstract Thought.” High school students were interested in the narrowest foci pertaining to their immediate circumstance rather than the larger topics of other people, the world, and the universe.T he majority of middle school students were interested in abstract concepts, and 45% of elementary school students’ queries were about how the world works. Although this study was not longitudinal, results suggest that student curiosity may shift over time. Results also indicated that younger children demonstrated interests outside the classroom that were related to formal learning previously introduced within the classroom. This carry over of interest declined in upper grades. Queries that were unimposed but related to an academic subject such as science or social studies were most evident in questions submitted by elementary students, while questions dealing more with career planning, health, death, and anxiety were most frequently addressed by middle school students. The findings also indicated that the use of digital reference services is at its highest in elementary school, peaks in middle school, and falls drastically in high school.Conclusion – 1 How and with what frequency do children use digital reference services to answer their own unimposed questions? The results of this study revealed a trend on the frequency and purpose of use of digital references when seeking answers to self‐initiated questions. Elementary students tend to use the digital reference services more often and for answers to questions that may be related to classroom curriculum. Middle school students utilize digital references to look for information pertaining to careers, health and welfare, death and anxiety. High school students submitted questions pertaining to their immediate circumstances (“My Life and My World” rather than focusing on others. 2Do digital reference services support self initiated learning? Of the original 2,258q uestions submitted, 13% were considered “informal.” These findings indicate that digital reference services support self initiated learning. 3 Could digital reference services support the transfer of student motivation and curiosity from formal to informal education and learning? The frequency of questions from elementary students that were coded as “Curriculum Related Interest” leads one to conclude that digital reference services can indeed support the transfer of student interest from formal to informal education. 4 What should instructional and software designers consider when creating tools that support the notion of transformed education and learning? Although it is impossible to actually know the nature of the difficulties experienced by users, duplicate questions from the same user were received by the reference services, which suggests that theu ser may be experiencing difficulty with the software or that the software may actually be malfunctioning during usage. Compound questions were also frequently submitted. Software designers should take note of these findings to design services that are age appropriate,especially regarding the type of questions each age group tends to ask, and that support the needs of elementary, middle, and high school students. Software designers should perhaps even consult with students who use these services during the design process.

  2. Elementary, Middle, and High School Students Vary in Frequency and Purpose When Using Online Digital References. A review of: Silverstein, Joanne. “Just Curious: Children’s Use of Digital Reference for Unimposed Queries and Its Importance in Informal Education.” Library Trends 54.2 (Fall 2005): 228‐44.


    Julie Stephens


    Objective – To determine 1) how and with what frequency children use digital references to answer their own unimposed questions; 2) whether digital reference services support their self‐initiated learning; 3) whether digital reference services support the transfer of student motivation and curiosity from the formal to the informal; and 4) what instructional and software designers should consider in creating tools that support learning.Design – Inductive analysis.Setting – Virtual Reference De...

  3. Do Clinical Librarians Matter? The First Randomized Controlled Trial in Librarianship. A review of: Marshall, Joanne Gard, and Victor R. Neufeld. “A Randomized Controlled Trial of Librarian Educational Participation in Clinical Settings.” Journal of Medical Education 56.5 (1981: 409‐16.

    Directory of Open Access Journals (Sweden)

    Jonathan Eldredge


    Full Text Available Objectives – To determine whether clinical librarian services cause healthcare providers to change their information seeking behaviors. To evaluate librarians’ educational roles for clinicians, patients, and patients’ families.Design – Randomized controlled trial.Setting – An academic, health‐sciences center, teaching hospital in Canada.Subjects – A total of eight teams, each consisting of at least eight members who represented at least three different types of health professionals. Four teams (rheumatology, obstetrics, neurology, and pediatrics were randomized into the intervention group to receive clinical librarian services for a six‐month period,and four teams (hematology, diabetic day care, pain clinic, and community psychiatry were randomized into the control group that did not receive clinical librarian services.Methods – Two half‐time clinical librarians attended the intervention groups’ rounds, clinics, and conferences identified as having educational components or where questions would likely arise related to patient care. The two clinical librarians handled 600perceived or actual information requests, delivered 1,200 documents, and provided over 3,000 references during the twelve month study period of September 1978 to August 1979. The typical service consisted of the clinical librarian securing one or two articles relevant to the question raised along with pertinent references placed in a “hot topics” ring binder located in the clinical wards. Healthcare providers were alerted to or reminded about the clinical librarian service through a brochure and an exhibit. The brochure also advertised the clinical librarian service to patients or their families. Approximately 24% of all information requests fielded by the clinical librarians originated from patients or their families. The remaining information requests originated from physicians (40%, allied health professionals (21%, and nurses (15% belonging to these interdisciplinary intervention group teams.Main Results – Trained impartial interviewers conducted in‐depth interviews with members of both the intervention group teams and the control group teams immediately following the first six‐month study period and then again three months after the end of the study period. Following the initial six months of the study period, 67% of the members of the intervention group compared to 37% of the members of the study group used the library’s reference services. Three months after the study period had ended, 76% of the members of the intervention group compared to 49% of the members of the study group had used the reference services. The authors reported in a one‐sentence page note that these findings were statistically significant beyond the .05 level as measured by chi‐square and analysis of variance tests. Three months after the study period had ended, 60% of the members of the intervention group compared to 38% of the members of the study group reported rating highly the useof library resources. In addition, three months after the study period had ended, 36% of the members of the intervention group compared to 27% of the members of the study group reported rating highly the use of reference librarians. Although patients or their families were generally positive in rating the clinical librarians’services, they proved to be a difficult population upon which to conduct a comprehensive follow‐up evaluation study once patients had left the hospital.Conclusion – The authors conclude that the clinical librarian services to the four intervention groups had changed the group members’ information seeking behavior.

  4. Mainstreaming Informal Employment and Gender in Poverty Reduction

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

    Book cover Mainstreaming Informal Employment and Gender in Poverty Reduction: ... of the global population that survives on less than $1 a day by the year 2015. ... Joann Vanek is a sociologies who specializes in social and gender statistics ...

  5. Phytophthora capsici - Loss of Heterozygosity (LOH): A Widespread Mechanism for Rapid Adaptation (7th Annual SFAF Meeting, 2012)

    Energy Technology Data Exchange (ETDEWEB)

    Mudge, Joanne


    Joanne Mudge on "Phytophthora capsici - Loss of Heterozygosity (LOH): A Widespread Mechanism for Rapid Mutation" at the 2012 Sequencing, Finishing, Analysis in the Future Meeting held June 5-7, 2012 in Santa Fe, New Mexico.

  6. Seltskond

    Index Scriptorium Estoniae


    Tele2 ja Jazzkaare koostööna "Valitud Palad"-üritusest Rotermanni Soolalaos 25. oktoobril.Esines maailmakuulus jazztrio Three Ladies of Blues, koosseisus Joan Falkner, Cynthia Utterbach ja Joanne Bell

  7. Harry Potter jõudis ekraanile / Ilona Martson

    Index Scriptorium Estoniae

    Martson, Ilona, 1970-


    Eile oli Londonis Joanne Rowling'u lasteraamatu "Harry Potter ja Tarkade kivi" ekraniseeringu esilinastus. Selle 125 miljonit dollarit maksnud USA filmi režissöör on Chris Columbus ja peaosas 12-aastane Daniel Radcliff

  8. Võlurpoiss Potter teeb ekraanidel imetrikke / Neeme Raud

    Index Scriptorium Estoniae

    Raud, Neeme, 1969-


    Joanne Rowling'u lasteraamatu "Harry Potter ja Tarkade kivi" ekraniseering "Harry Potter and the Philosopher's Stone" esimese kolme linastuspäeva kassatulu USAs ja Kanadas purustas kõik rekordid. Ka kassafilmide esikümne nimekiri

  9. Improving Surgical Skills of OBGYN Residents through Partnership ...

    African Journals Online (AJOL)

    Improving Surgical Skills of OBGYN Residents through Partnership with Rural Hospitals: Experience from Southeast Nigeria. Odidika Ugochukwu Joannes Umeora, Azubuike Kanario Onyebuchi, Nkechi Bridget Emma-Echiegu, Justus Ndulue Eze, Paul Olisaemeka Ezeonu ...

  10. Search Results | Page 853 | IDRC - International Development ...

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

    Results 8521 - 8530 of 8531 ... Joanne Charette is IDRC's Vice-President, Corporate Strategy and Communications. ... Alanna is the Vice-President, Public and Corporate Affairs at ... He is a columnist for Maclean's magazine and the President of ...

  11. Putting Science FIRST: Memories of Family Science Experiences. (United States)

    Science and Children, 1996


    Presents anecdotes from prominent citizens including Bill Clinton, Alan Alda, Carl Sagan, Gerald Wheeler, JoAnne Vasquez, and Lynn Margulis in which they reminisce about interesting science experiences with their families. (JRH)

  12. Prescott’s Microbiology, Eighth Edition


    Dobbins, Joanne J.


    Review of: Prescott’s Microbiology, Eighth Edition. Joanne M. Willey, Linda M. Sherwood, and Christopher J. Woolverton. 2011. McGraw-Hill Higher Education, NewYork, NY. 1070 pages. ISBN- 978-0-07-337526-7.

  13. 75 FR 25312 - Requested Administrative Waiver of the Coastwise Trade Laws (United States)


    ... World Wide Web at . FOR FURTHER INFORMATION CONTACT: Joann Spittle, U.S... sport fishing trips carrying passengers only.'' Geographic Region: ``Florida.'' Privacy Act Anyone is...

  14. Harry, kes vallutab maailma / Jaanus Noormets

    Index Scriptorium Estoniae

    Noormets, Jaanus


    Joanne Rowling'u lasteraamatu "Harry Potter ja Tarkade kivi" ekraniseeringu esilinastus Eestis on 21. detsembril Coca-Cola Plazas. Selle USA filmi režissöör on Chris Columbus ja peaosas 12-aastane Daniel Radcliffe

  15. Mälestusi Walter Masingust

    Index Scriptorium Estoniae


    Erich Asumäe, Ahto Tihkani, Aivi Rossi, Aigar Saliste, Joann Lillemägi, Henno Viili meenutusi professor Walter Masingust, kes aastatel 1956-1959 oli EOQC-i (Euroopa Kvaliteedikontrolli organisatsioon) president

  16. Bukowskisel tuleb 533. oksjon / Õnne Pärl

    Index Scriptorium Estoniae

    Pärl, Õnne, 1965-


    Skandinaavia suurimast Bukowskise oksjonifirmast. Eesti kunsti müügist Bukowskise-Hörhammeri oksjonitel. Oksjonitel on olnud väliseestlaste Herman Talviku, Joann-Voldemar Saarniidu, Hugo Lepiku ja Veronika Keerdoja teoseid

  17. Fission time-scale from the measurement of pre-scission light ...

    Indian Academy of Sciences (India)

    and hence can only probe a part of the fission time distribution. .... with the conclusion of recent fission time-scale measurements using the fission probability ... using the statistical model code JOANNE2 suitably modified to include the GDR ...

  18. Accelerating research through reagent repositories: the genome editing example. (United States)

    Joung, J Keith; Voytas, Daniel F; Kamens, Joanne


    Keith Joung, Dan Voytas and Joanne Kamens share insights into how the genome editing field was advanced by early access to biological resources and the role in this process that plasmid repositories play.


    Directory of Open Access Journals (Sweden)



    Full Text Available The goal of the research is to find out the origin of names used in the Harry Potter series by Joanne Rowling, to learn historical, cultural, linguistic aspects of it. The ways of the research are the studying of the dictionaries (linguistic, non-linguistic, general and specific ones, articles and the Internet sources that are connected to the theme of the paper, Joanne Rowling’s interviews; juxtaposition between this data and characters’ lots and natures, the purpose of the objects in the novel; social survey.

  20. Harry Potter ja Scarlett käivad kohut / Ilona Martson

    Index Scriptorium Estoniae

    Martson, Ilona, 1970-


    Alice Randalli romaan "Tuul on läinud" - samad sündmused kui Margaret Mitchelli romaanis "Tuulest viidud", ainult neegerorjade vaatevinklist. Nancy Stofferi raamatud "Larry Potter ja tema parim sõber Lilly" ja "Legend Rah'ist ja Mugudest" ilmusid 1984. a. Joanne Kathleen Rowlingi "Harry Potter" lood aga valmisid hiljem

  1. Korralik inimene ostab jõulukingid raamatupoest / Valner Valme, Rebekka Lotman, Merit Kask

    Index Scriptorium Estoniae

    Valme, Valner, 1970-


    Peatselt ilmuvatest raamatutest: Kareva, Doris. Lõige : [luuletused] ; Rowling, Joanne Kathleen. Harry Potter ja surma vägised ; Sild, Ivar. Tantsiv linn ; Lee, Maria. Äramõte ; Christensen, Lars Saabye. Modell / tõlkinud Eha Vain ; Murakami, Haruki. Kafka mererannas / tõlkinud Kati Lindström

  2. 78 FR 67333 - Performance Review Board Membership (United States)


    ... DEPARTMENT OF COMMERCE Performance Review Board Membership AGENCY: Economics and Statistics... eligible to serve on the Performance Review Board (PRB) in accordance with the Economics and Statistics.... Arnold William G. Bostic, Jr. Stephen B. Burke Joanne Buenzli Crane Susan R. Helper Ron S. Jarmin Enrique...

  3. 78 FR 7791 - Center for Scientific Review; Notice of Closed Meetings (United States)


    ...; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended (5...: Doubletree Hotel Washington, 1515 Rhode Island Avenue NW., Washington, DC 20005. Contact Person: Joanne T.... Place: Washington Plaza Hotel, 10 Thomas Circle NW., Washington, DC 20005. Contact Person: Jin Huang, Ph...

  4. 75 FR 16817 - 2010 Scientific Meeting of the National Antimicrobial Resistance Monitoring System; Public... (United States)


    ...: 404- 588-4137. Contact Person: Joanne Kla, Center for Veterinary Medicine (HFV- 12), Food and Drug..., and present research on the microbiology and epidemiology of resistance. The agenda for the public meeting will be made available on the agency's Web site at

  5. Caring for the Caregiver: The Use of Music and Music Therapy in Grief and Trauma (United States)

    Loewy, Joanne V., Ed.; Hara, Andrea Frisch, Ed.


    A collection of reflections on music therapy interventions provided as a part of the New York City Music Therapy Relief Project, sponsored by AMTA and the Recording Academy after September 11th, 2001. Edited by Joanne V. Loewy and Andrea Frisch Hara. Each chapter is written by a different therapist involved in the project.

  6. Radiotherapy for esophageal cancer

    International Nuclear Information System (INIS)

    Rich, T.A.; Ajani, J.A.


    These proceedings contain 33 papers grouped under the headings of: Heath memorial award lecture; Large bowel cancer; Esophageal cancer; Pancreatic, Endocrime, and Hepatobiliary cancer; Gastric cancer; Joanne Vandenberge hill award and William O. Russell lectureship in anatomic pathology; and Jeffrey A. Gottlieb memorial lecture

  7. Robust Decision Making for Improved Mission Assurance (United States)


    Abduction-Based Inquiry” Sub-Project Contributors: - RH: Adam Bryant, Scott Douglass, Jo-Ann Hamilton, Jeff Luehrs, Veda Setlur, Rachel Taylor - RI... Veda Setlur developed a RML model/agent specification environment called “ModelerStudio.” The specification environment is web-delivered for easy

  8. Harry Potter - raamat, mis kõik enda ümber kullaks muudab

    Index Scriptorium Estoniae


    Alates 21. juulist saab osta seitsmendat ja ühtlasi viimast J. K. Rowlingu Potteri-sarja raamatut "Harry Potter and the Deathly Hallows". Raamatu ilmumise ja äsja esilinastunud Harry Potteri viienda filmi "Harry Potter ja Fööniksi ordu" taustal kirjanik Joanne Rowlingu elust ja Potteri filmide fenomenist

  9. Harry Potter tungib peale igast suunast / Hindrek Riikoja

    Index Scriptorium Estoniae

    Riikoja, Hindrek


    Eesti kauplustes saadab suur müügiedu kõikvõimalikke mänguasju, kleepse ja muud atribuutikat mis seondub Joanne Rowling'u Potteri-raamatutega ja nüüd ka meie kinno jõudnud "Harry Potter ja Tarkade kivi" ekraniseeringuga

  10. 77 FR 61379 - Performance Review Board Membership (United States)


    ... DEPARTMENT OF COMMERCE Performance Review Board Membership AGENCY: Economics and Statistics... eligible to serve on the Performance Review Board (PRB) in accordance with the Economics and Statistics.... Arnold William G. Bostic, Jr. Joanne Buenzli Crane Justin R. Ehrenwerth Ron S. Jarmin Theodore A. Johnson...

  11. Is it acceptable for people to be paid to adhere to medication? No


    Shaw, Joanne


    Plans to give drug users shopping vouchers to attend treatment programmes and stay clean have been unveiled by NICE. Joanne Shaw believes that payment creates perverse incentives, whereas Tom Burns says rewarding patients for cooperation is consistent with good medical practice

  12. Is it acceptable for people to be paid to adhere to medication? Yes


    Burns, Tom


    Plans to give drug users shopping vouchers to attend treatment programmes and stay clean have been unveiled by NICE. Joanne Shaw believes that payment creates perverse incentives, whereas Tom Burns says rewarding patients for cooperation is consistent with good medical practice

  13. 78 FR 36231 - 60-Day Notice of Proposed Information Collection: FHA-Disclosure of Adjustable Rate Mortgages... (United States)


    ... Relay Service at (800) 877-8339. FOR FURTHER INFORMATION CONTACT: Joanne Kuzma, Director, Office of... calling the toll-free Federal Relay Service at (800) 877-8339. Copies of available documents submitted to... techniques or other forms of information technology, e.g., permitting electronic submission of responses. HUD...

  14. Exploring Diversity at GCSE: Making a First World War Battlefields Visit Meaningful to All Students (United States)

    Philpott, Joanne; Guiney, Daniel


    Having already reflected on ways of improving their students' understanding of historical diversity at Key Stage 3, Joanne Philpott and Daniel Guiney set themselves the challenge of extending this to post-14 students by means of fieldwork activities at First World War battlefields sites. In addition, they wanted to link the study of past diversity…

  15. Potteri-filmile osteti 5000 eelmüügipiletit / Hindrek Riikoja

    Index Scriptorium Estoniae

    Riikoja, Hindrek


    Joanne Rowling'u lasteraamatu "Harry Potter ja Tarkade kivi" ekraniseeringu esilinastus Eestis on 21. detsembril Coca-Cola Plazas. Eduka piletimüügi eelduseks on kindlasti ka 4 eesti keelde tõlgitud Potteri-raamatu läbimüük - 43 000 eksemplari

  16. Harry Potteri film jõudis Eestisse / Ilona Martson

    Index Scriptorium Estoniae

    Martson, Ilona, 1970-


    Joanne Rowling'u lasteraamatu "Harry Potter ja Tarkade kivi" ekraniseeringu esilinastus Eestis on 21. detsembril Coca Cola Plazas. Selle 125 miljonit dollarit maksnud USA filmi režissöör on Chris Columbus ja peaosas 12-aastane Daniel Radcliff

  17. The Influence of Direct and Indirect Speech on Mental Representations

    NARCIS (Netherlands)

    A. Eerland (Anita); J.A.A. Engelen (Jan A.A.); R.A. Zwaan (Rolf)


    textabstractLanguage can be viewed as a set of cues that modulate the comprehender's thought processes. It is a very subtle instrument. For example, the literature suggests that people perceive direct speech (e.g., Joanne said: 'I went out for dinner last night') as more vivid and perceptually

  18. Potteri-raamatut esitletakse teemakohaste üritustega / Mari Rebane, Helen Uldrich

    Index Scriptorium Estoniae

    Rebane, Mari


    26. nov. korraldavad suuremad raamatukauplused Tallinnas, Tartus ja Pärnus Potteri teemalisi üritusi seoses Joanne Kathleen Rowling'i "Harry Potter ja segavereline prints" ilmumisega eesti keeles (tlk. Krista ja Kaisa Kaer). Vt. ka Postimees, 24. nov., lk. 18, SL Õhtuleht, 24. nov., lk. 14

  19. See lihtne ja keeruline naivism / Maire Toom

    Index Scriptorium Estoniae

    Toom, Maire


    Kondase Keskusest, mille juhatajaks on Mari Vallikivi. Avanäitusel esitati Paul Kondase, Jaan Oadi, Venera Malinovskaja, Osvald Raba, Maks Raudsepa ja Boris Pau maale ning Joann Sõstra puunikerdusi. 7. maist näeb soome naivisti Kaija-Riitta Iivoneni töid

  20. Vene teoloogia eripärast XX sajandil / Tauno Teder

    Index Scriptorium Estoniae

    Teder, Tauno


    Vene teoloogia keskustest Välis-Venes: Püha Sergiuse Instituut Pariisis ja Püha Vladimiri Instituut Ameerika Ühendriikides. Liberaalsest ja konservatiivsest koolkonnast välisvene teoloogias. Eestist pärit usuteadlastest Aleksander Schmemannist ja Joann Meyendorffist

  1. Eesti esinaivisti 100. sünniaastapäev / Tiiu Männiste

    Index Scriptorium Estoniae

    Männiste, Tiiu, 1959-


    Paul Kondase 100. sünniaastapäeva puhul tema maalide näitus Viljandi kunstisaalis. Avamisel demonstreeris Mark Soosaar oma filmi "Pühapäevamaalijad". Kilpkonna galeriis näitusel "Veel naiviste" Joan (?Joann) Sõstra (1913-1992) (puuskulptuurid), Osvald Raba (1909-1996) ja Arnold Vihmandi (1912) looming.

  2. ABCs of Being Smart: S Is for Supporting (United States)

    Foster, Joanne


    Joanne Foster's article "R We There Yet?" was first published in "Parenting for High Potential" ("PHP") in 2006, which became the springboard for the "ABCs of Being Smart" series of columns. At that time, Foster invited "PHP" readers to think about their own versions of the "ABCs of Being…

  3. Die russische baltische Historiographie in der zweiten Hälfte des 19. und zu Beginn des 20. Jahrhunderts / Tiit Rosenberg

    Index Scriptorium Estoniae

    Rosenberg, Tiit, 1946-


    Vene balti historiograafiast 19. sajandi teisel poolel ja 20. saj. algul. Evgraf Tsheshihhin, Joann Jürgens, Georgi Forsten, Vassili Blagoveshtshenski, Stepan Sivitski, Vassili Ivanov, Aleksandr Nevzorov, Aleksandr Brückner, Anton Budilovitsh, Aleksandr Tshumikov, Ivan Lutshitski, Konstantin Vojenski jt.

  4. 77 FR 51824 - Environmental and Related Services (United States)


    ... . FOR FURTHER INFORMATION CONTACT: Project Leader Jennifer Powell (202- 205-3450 or [email protected] ) or Deputy Project Leader Joann Peterson (202-205-3032 or [email protected] ) for... related services, that, to the extent practicable: Estimates the size of the U.S. and global markets for...

  5. IEEE International Semiconductor Laser Conference (14th) Held in Maui, Hawaii on September 19-23, 1994 (United States)


    subcommittee chairs, Tom Koch, James Whiteaway and Yasuhiko Arakawa, for their efforts. The other Conference Committee members, Gary Evans, Joanne...Academy of Sciences, St. Petersburg, Russia Asia end Ausat/agla K. Ikeda Chair: Yasuhiko Arakawa Mitsubishi Electric Corporation, Hyogo, Japan University

  6. 76 FR 16420 - Ocean Transportation Intermediary License; Applicants (United States)


    ...), Andrew P. Bottomley, Managing Partner, Application Type: QI Change and Add OFF Service. All Transport... Type: New NVO & OFF License. Andrea Bigi dba AB Global Logistics Consulting (OFF), 1010 19th Street, 10.... Officers: Joanne Kirkpatrick, International Logistics Officer (Qualifying Individual), Jack R. Lentz, CEO...

  7. Formaatidevaheline kunstisündmus

    Index Scriptorium Estoniae


    1. XI Kanuti gildis üritusteseeria "1+1=1" hooaja avaüritus. Esinevad kuraatorid Hanno Soans ja Andres Lõo (võrguväljaande tutvustus), Ieva Auzina (Läti, Haralds Elcerise film "Matti Miliuse hull manifest" (1988) jm.), Suzanne van de Ven (Kassel). A. Lõo, Kiwa, Joanne Richardson (Rumeenia), Enrico Glerean (Itaalia) esinevad heliloenguga, Ene- Liis Semper, Mark Raidpere, Jaan Toomik videoportreedega

  8. Synergistic Mechanisms Between Traumatic Brain Injury and Migraine (United States)


    Departmental seminar series), as well as locally at a Chicago chapter Society for Neuroscience conference. We will also present our studies in a poster to...We have started a collaboration with a MD from the local VA hospital. Dr. Joanne Tobacman is a specialist in brain extracellular matrix and...neurological diseases. She will examine tissue from the site of injury from mTBI mice and determine if there are any changes in extracellular matrix

  9. Army AL&T, July-September 2008 (United States)


    Northern Region — Wanda Reed (PCO), Joann Langston (PARC), Debbie Emerson (Alt. to PARC) Southern Region — Julie Silva (PCO), Carol Lowman (Direc- tor/PARC...Charles Jaber (PCO), Roger Engebretson, (Director/PARC), Sharon Oishi (Alt. to PARC) U.S. Army Contracting Command, Southwest Asia — Carol Estes (PCO...Robyn Villafranco, Margarita Ramirez, Diana Fernandez, Donna Reed, Michely Walton, Elisa Mendez , Cynariah Wilkins, Deinor Bolanos, Belinda Kent

  10. US Army Morale, Welfare and Recreation (MWR) Programmes : Links to Readiness and Retention (United States)


    Morale, Welfare and Recreation (MWR) Programmes : Links to Readiness and Retention Authors/ Auteurs Joanne Marshall-Mies is President & theory (Blau, 1964) and the norm of reciprocity (Gouldner, 1960). Actions on the part of the organization such as support services, and actions on...A Theory of Performance”, in N. Schmitt & W.C. Borman (eds.), Personnel Selection in Organizations, San Francisco, CA, Jossey-Bass, 1993

  11. Tallinna XIII graafikatriennaali grand prix' pälvis leedu graafik Egle Kuckaite

    Index Scriptorium Estoniae


    Kolm võrdset preemiat: Sang-gon Chung Lõuna-Koreast, Krishs Salmanis Lätist ja Joanne Soroka Shotimaalt. Diplomid: Anonymous Boh ja Eve Kiiler Eestist, Pete Nevin Inglismaalt, Hanna Oinonen Soomest ja venetsueela-soome kunstnik Sandra Vina de Karila. Tallinna linna preemia: John Smith (Marko Mäetamm & Kaido Ole) Eestist. Eesti Kunstimuuseumi preemia: Markus Lampinen Soomest. Eesti Panga preemia: Leonards Laganovskis Lätist

  12. When the Guns Fall Silent: a Leader’s Guide to Understanding Defensive Coping Mechanisms (United States)


    can result in a person creating behaviors to make 73Gregory and Smeltzer, 9. 74Joanna Bourke , An Intimate History of Killing (London: Basic Books...mentality. Joann Bourke writes of a Vietnam veteran, who remarked, “I thought people were… uh… I mean I was kind of paranoid. I thought everybody knew...friend is almost like betraying lost comrades once a Soldier has returned home. 81 Kaplan and Sadock, 305. 82 Bourke ,217. 26

  13. Free-lance nursing in Italy. (United States)

    Galli, E; Lindsay, J S


    In 1987 Registered Nurses Ernesta 'Tina' Galli and Joanne Lindsay embarked on a unique venture--a private agency* organized and run by nurses that engages free-lance nurses to fill the need for nursing assistance both at home and in public and private institutions. The response has been overwhelming. Today they have branches throughout Italy and have expanded their services to include research and primary health care. Below, their story.

  14. Draft Environmental Impact Statement. Peacekeeper in Minuteman Silos, 90th Strategic MIssile Wing, F. E. Warren Air Force Base (United States)


    P. Miles Kathleen Talgoom Kimball, NE Green River, WY Paul A. Moyer Joann Tall Timnath, CO Porcupine , SD Diana Savoy-Marcos Frances Towner Wheatland...during more than one season, but is most important to the herd during winter. Big Game Winter-Yearlong Habitat: habitat occupied by animals during...more than one season, but is most important to the herd during winter. Big Game Yearlong Habitat: includes areas where all or part of a herd is found

  15. 50 quantum physics ideas you really need to know

    CERN Document Server

    Baker, Joanne


    Following on from the highly successful 50 Physics Ideas You Really Need to Know, author Joanne Baker consolidates the foundation concepts of physics and moves on to present clear explanations of the most cutting-edge area of science: quantum physics. With 50 concise chapters covering complex theories and their advanced applications - from string theory to black holes, and quarks to quantum computing - alongside informative two-colour illustrations, this book presents key ideas in straightforward, bite-sized chunks. Ideal for the layperson, this book will challenge the way you understand the world. The ideas explored include: Theory of relativity; Schrodinger's cat; Nuclear forces: fission and fusion; Antimatter; Superconductivity.

  16. KSC-03PD-1205 (United States)


    KENNEDY SPACE CENTER, FLA. - JoAnn Morgan, director, External Relations and Business Development, speaks to the students of MESA, the New Mexico Mathematics, Engineering and Science Achievement Program. The students are visiting KSC, touring facilities and meeting with mentors. MESA students, high school seniors who hold grade-point averages of at least 3.2 and who tutor other students in math and science, have made the spring trip for the past 14 years. The MESA program has close ties to the NASA Training Project at the University of New Mexico.

  17. KSC-03PD-1204 (United States)


    KENNEDY SPACE CENTER, FLA. - JoAnn Morgan, director, External Relations and Business Development, speaks to the students of MESA, the New Mexico Mathematics, Engineering and Science Achievement Program. The students are visiting KSC, touring facilities and meeting with mentors. MESA students, high school seniors who hold grade-point averages of at least 3.2 and who tutor other students in math and science, have made the spring trip for the past 14 years. The MESA program has close ties to the NASA Training Project at the University of New Mexico.

  18. KSC-03PD-1203 (United States)


    KENNEDY SPACE CENTER, FLA. - JoAnn Morgan, director, External Relations and Business Development, speaks to the students of MESA, the New Mexico Mathematics, Engineering and Science Achievement Program. The students are visiting KSC, touring facilities and meeting with mentors. MESA students, high school seniors who hold grade-point averages of at least 3.2 and who tutor other students in math and science, have made the spring trip for the past 14 years. The MESA program has close ties to the NASA Training Project at the University of New Mexico.

  19. Taking a position on intramembrane proteolysis. (United States)

    Lemieux, M Joanne


    Decades of work have contributed to our in-depth mechanistic understanding of soluble proteases, but much less is known about the catalytic mechanism of intramembrane proteolysis due to inherent difficulties in both preparing and analyzing integral membrane enzymes and transmembrane substrates. New work from Naing et al. tackles this challenge by examining the catalytic parameters of an aspartyl intramembrane protease homologous to the enzyme that cleaves amyloid precursor protein, finding that both chemistry and register contribute to specificity in substrate cleavage. © 2018 Joanne Lemieux.

  20. Math know-how answers to your most persistent teaching issues, grades 3-5

    CERN Document Server

    Adams, Thomasenia L


    From two math coaches who really know how Have you ever wished there were a single resource to help you tackle your most persistent teaching issues once and for all? To engage students in more meaningful ways? To provide the tools you need to increase students' understanding of key mathematical concepts? All at the same time! Math coaches Thomasenia Lott Adams and Joanne LaFramenta have just written it. With the help of this book, you'll be armed with the know-how to employ strategies to achieve the CCSS, especially the Mathematical Practices make purposeful teaching decisions facilitate differentiated instruction teach and learn with manipulatives use technology appropriately.

  1. Digital Snaps

    DEFF Research Database (Denmark)

    Sandbye, Mette; Larsen, Jonas

    . Distance as the New Punctum / Mikko Villi -- pt. II. FAMILY ALBUMS IN TRANSITION -- ch. 4. How Digital Technologies Do Family Snaps, Only Better / Gillian Rose -- ch. 5. Friendship Photography: Memory, Mobility and Social Networking / Joanne Garde-Hansen -- ch. 6. Play, Process and Materiality in Japanese...... -- ch. 9. Retouch Yourself: The Pleasures and Politics of Digital Cosmetic Surgery / Tanya Sheehan -- ch. 10. Virtual Selves: Art and Digital Autobiography / Louise Wolthers -- ch. 11. Mobile-Media Photography: New Modes of Engagement / Michael Shanks and Connie Svabo....

  2. Commodo e i suoi apologeti

    Directory of Open Access Journals (Sweden)

    Gabriele Marasco


    Full Text Available The laudatory judgment on Commodus by the Christian poet Dracontius, contrary to the widespread historical tradition, springs [rom a favourable tradition diffused not only in the Christian sphere: the examination of contemporary inscriptions and of literary sources, such as Joannes Malalas and Eusebius, allows to reconstruct a wide favourable tradition, also in the pagan sphere, which praised Commodus' victories, exalted his reign as an age of universal peace and showed off, contrary to the senatorial tradition, the noteworthy advantages granted by the Emperor to the provinces. ibis tradition must have been very strong in Africa, where Dracontius lived, through the memory of Commodus' policy in favour of the African provinces

  3. Annual Conference on Human Retrovirus Testing (7th) held in Chicago, IL on March 3-5, 1992 (United States)


    Ph.D.; Charles Sehable, M.S.; Judith Wethers , M.S.; Judith Wilber, Ph.D. This conference was supported, in part, by a firancial graot from the...Westerman Bill Roberts Judith Wethers , M.S. U Col Chester Roberts, Ph.D. Julianne Wiese Jeanette V Roman Helen Wiprud Gene F Robertson, Ph.D. JoAnn L Yee...RHgmor Thorstensson, Ph.D., National Judith Wethers , M.S., Director of Testing Bacteriological Lab Services. Retrovirology Lab.. New York Ralph

  4. GRACE under fire. (United States)

    Stewart, Sheena


    On May 1, 2016, a wildfire broke out south of Fort McMurray, Alberta. Although fires aren't uncommon at this time of year in northern Alberta, a dry winter followed by an even drier spring had turned the countryside around the city into tinder. By May 3, whipped on by high winds and 32° heat, the wildfire grew out of control, forcing a mandatory evacuation of almost 90,000 people in the city and surrounding communities. It also necessitated an emergency evacuation of the patients at the Northern Lights Regional Health Centre, where registered nurse JoAnn Cluney was on shift in the emergency department.

  5. I would like to know who I am: Self-identification strategies through fetishes

    Directory of Open Access Journals (Sweden)

    Massimo Scotti


    Full Text Available This essay shows the role of the fetish in the path of appropriation of their individualities by the heroes of the novels. In order to do it literary examples focused on education will be used: not only children’s books, but stories focused on the self-individuation, referring to a Jungian Selbst in relation to the Shadow. The authors examined are Virginia Woolf, Jules Renard, James Matthew Barrie, Joanne K. Rowling e Arthur Schnitzler. The aim is to highlight parallels between the classics that have modelled the Western imagery and their Eastern roots in heroic sagas such as Gilgamesh and other myths.

  6. Historia, mito, memoria: armas del presente y pilares de identidad. La política de la memoria. Interpretación indigena de la historia de los Andes Colombianos

    Directory of Open Access Journals (Sweden)

    Sonia M. Jaimes


    Full Text Available Historia, mito, memoria: armas del presente y pilares de identidad Joanne Rappaport, La Política de la Memoria. Interpretación Indígena de la Historia en los Andes Colombianos. Popayán: Editorial Universidad del Cauca-Serie Estudios Sociales, 2000. Traducción de José Ramón Martín. Pp: 260. Entre 1978 Y1982 la antropóloga norteamericana Joanne Rappaport visitó la región del Suroccidente colombiano con el propósito de llevar a cabo una investigación sobre la concepción del espacio sagrado de una comunidad indígena. Su objeto de estudio: los paeces, hoy conocidos como Nasa nombre que apela a una reivindicación identitaria ancestral. De acuerdo a Rappaport remitirse al estudio de una comunidad indígena, exige que el ejercicio se haga bajo una mirada de carácter «totalizante», en gran medida por la estructura misma del pensamiento y la cosmovisión indígena.

  7. Cine club

    CERN Document Server

    Cine club


    Wednesday 1st March 2017 at 20:00 CERN Council Chamber Fish Tank Directed by Andrea Arnold UK, 2009, 123 minutes Mia, an aggressive fifteen-year-old girl, lives on an Essex estate with her tarty mother, Joanne, and precocious little sister Tyler. She has been thrown out of school and is awaiting admission to a referrals unit and spends her days aimlessly. She begins an uneasy friendship with Joanne's slick boyfriend, Connor, who encourages her one interest, dancing. Original version English; French subtitles In collaboration with the Women In Technology Community Wednesday 8 March 2017 at 20:00 CERN Council Chamber Suffragette Directed by Sarah Gavron UK, 2015, 106 minutes A drama that tracks the story of the foot soldiers of the early feminist movement, women who were forced underground to pursue a dangerous game of cat and mouse with an increasingly brutal State. These were primarily working-class women who had seen peaceful protest achieve nothing. Turning to violence as the only route to chan...

  8. Golden Hadron awards for the LHC's top suppliers.

    CERN Multimedia

    Maximilien Brice


    The following firms have been selected to receive a GOLDEN HADRON AWARD 2003, in recognition of their outstanding achievement: JDL TECHNOLOGIES, Belgium "in producing automatic cable inspection systems", FURUKAWA ELECTRIC COMPANY, Japan "in producing high quality superconducting cable", IHI Corporation, Japan, and LINDE KRYOTECHNIK, Switzerland "in producing novel 1.8 K refrigeration units based on advanced cold compressor technology" for the Large Hadron Collider.Photos 01, 02: Recipients of the 2003 Golden Hadron awards at the presentation ceremony on 16 May.Photo 03: LHC project leader Lyn Evans updates the award recipients on work for CERN's new accelerator.Photo 04: René Joannes of JDL Technologies (left) receives a Golden Hadron award from LHC project leader Lyn Evans.Shinichiro Meguro, managing director of Furukawa Electric Company, receives a Golden Hadron award from LHC project leader Lyn Evans.Photo 06: Kirkor Kurtcuoglu of Linde Kryotechnik (left) and Motoki Yoshinaga, associate director of IHI...

  9. On the Representation of an Early Modern Dutch Storm in Two Poems

    Directory of Open Access Journals (Sweden)

    Katrin Pfeifer


    Full Text Available On 19th December 1660, a severe storm raged over the Dutch isle of Texel, causing severe damage. It proceeded to destroy parts of the city of Amsterdam. Both the sailor and merchant Gerrit Jansz Kooch and the priest Joannes Vollenhove wrote a poem about this natural disaster, presumably independently of each other. The poets perceived the storm differently: Kooch, an eyewitness of the storm, matter-of-factly portrays the calamity and details a feud between his son-in-law and a colleague to commemorate the day of the disaster. In contrast, Vollenhove personifies the winter storm and struggles to understand it. Their poems are valuable sources for a cultural historical analysis. After a brief review of historical severe storm research, I will analyse these poems from a cultural historical point of view. I will shed light on how this severe storm was represented poetically in the Early Modern Period.

  10. Study of fission time scale from measurement of pre-scission light particle and γ-ray multiplicities

    International Nuclear Information System (INIS)

    Ramachandran, K.; Chatterjee, A.; Navin, A.


    This work presents the result of a simultaneous measurement of pre-scission multiplicities and analysis using the statistical model code JOANNE2 which includes deformation effects. Evaporation residue cross-sections has also been measured for the same system and analyzed in a consistent manner. The neutron, charged particle, GDR γ-ray and ER data could be explained consistently. The emission of neutrons seems to be favored towards larger deformation as compared to charged particles. The pre-scission time scale is deduced as 0-2 x 10 -21 s whereas the saddle-to-scission time scale is 36-39 x 10 -21 s. The total fission time scale is deduced as 36-41 x 10 -21 s

  11. Harry Potter en latin


    Elfassi, Jacques


    En 2003 et en 2007 ont été publiées les traductions latines des deux premiers tomes de Harry Potter de Joanne Kathleen Rowling : Harry Potter à l’école des sorciers et Harry Potter et la chambre des secrets . Sans doute ne faut-il pas accorder à ces traductions une importance disproportionnée. Ce ne sont certainement pas elles qui ont créé le succès de Harry Potter, elles ne font que l’accompagner ; et bien qu’on ne puisse pas les réduire à cette seule caractéristique, ce sont aussi des produ...

  12. Obituary: Robert H. Koch (1929-2010) (United States)

    Koch, Joanne; Corcoran, Michael; Holenstein, Bruce; Sion, Edward


    Robert H. Koch, emeritus professor of astronomy and astrophysics at the University of Pennsylvania, passed away at his home in Ardmore, Pennsylvania on 11 October 2010 after a brief illness. Bob was 80 years old and remained sharp and intellectually engaged with the astronomical community up until the onset of complications from a brain tumor. Bob was born in York, Pennsylvania on 19 December 1929, and graduated from York Catholic High School in 1947. He attended the University of Pennsylvania on a senatorial scholarship, graduating in 1951. After two years in the United States Army, he enrolled in graduate school at the University of Pennsylvania, doing his doctoral research on the photoelectric photometry of R CMa, AO Cas, AS Eri, and XY Leo at the Steward Observatory, University of Arizona in Tucson. Bob would continue this exploration of close binary stars, their atmospheres and interactions, for the rest of his career. Bob met his future spouse, Joanne C. Underwood, while in graduate school in 1957 and they were married in 1959. Bob received his PhD in astronomy in 1959 and moved to Amherst, Massachusetts, where he taught as a member of the Four College Astronomy Department until 1966. Following a year at the University of New Mexico in Albuquerque, Bob joined the Astronomy Department at Penn, teaching and doing research there until his retirement in 1996. Bob's main interests were the study of close and eclipsing binary stars, stellar envelopes and winds, intrinsic variables, transits and occultations, and the Milky Way Galaxy, producing well over 100 refereed publications. Bob was partial to photoelectric photometry and polarimetry, conducting most of his observational research at the University of Pennsylvania Flower and Cook Observatory, and at other ground- and space-based observatories. As an international figure in the area of binary stars, Bob had widespread collaborations with scientists at other institutions, in the US and throughout the world, and

  13. Les guides européens et leurs auteurs : clefs de lecture

    Directory of Open Access Journals (Sweden)

    Goulven Guilcher


    Full Text Available Après avoir expliqué comment se constitue une collection de guides en relation avec une recherche universitaire, cette contribution décrit le contexte d’apparition des trois grandes collections européennes de guides du XIXe siècle : Murray, Baedeker et Joanne. À travers une analyse comparative très fine, Goulven Guilcher montre ce qui fait leur spécificité et ce qui les distingue. Il s’intéresse aussi à la place que laissent ces collections à d’autres types de guides, à l’influence qu’exercent les auteurs de guides et directeurs de collections sur le contenu de ces publications. L’œil attentif du spécialiste décèle la manière dont les guides de voyage rendent compte des pratiques et des usages touristiques à travers les conseils fournis et les publicités. Le bibliophile, quant à lui, apprécie les cartes et les gravures dont se dotent les guides pour donner à voir les territoires décrits.After explaining how a collection of guides is built up in connection with research at university level this article studies the genesis of the main three european collections of guidebooks in the XIXth century: Murray, Baedeker and Joanne-Hachette. By means of a detailed comparative analysis GoulvenGuilcher describes the features that characterize them. He also deals with the room left by these collections for other types of guides and the influence exerted by the authors of the guides and the heads of collections over the contents of these publications. By close scrutiny the specialist is able to determine in what way guidebooks take into account the uses of tourism, at the same time by means of advice to travellers and through advertisements. The bibliophile assesses maps and illustrations offeredin the guides in order to give an image of the countries they describe.

  14. The role of extended scope physiotherapists in managing patients with inflammatory arthropathies: a systematic review

    Directory of Open Access Journals (Sweden)

    Stanhope J


    Full Text Available Jessica Stanhope,1 Kate Beaton,1 Karen Grimmer-Somers,1 Joanne Morris21International Centre for Allied Health Evidence (iCAHE, University of South Australia, Adelaide, South Australia; 2ACT Government Health Directorate, Canberra, Australian Capital Territory, AustraliaObjectives: To review the literature to identify whether, and how, physiotherapists working in extended scope of practice (ESP engage with patients with inflammatory arthropathies. Measures of effectiveness of ESP were particularly sought.Methods: A comprehensive library database search was conducted to identify English language studies published in full text in peer-reviewed journals during the years 2002–2012. Studies were allocated into the National Health and Medical Research Council hierarchy of evidence, but were not critically appraised. Data was extracted on conditions treated, ESP roles and responsibilities, and effectiveness. Data was analyzed and reported descriptively.Results: We identified 123 studies, and included four. All were low hierarchy (highest being one level III_2 study. Commonly reported conditions were rheumatoid arthritis and ankylosing spondylitis. Information was provided on activities of role extension, such as triaging patients, monitoring and recommending changes to medications, referring to other health and medical professionals, and ordering and interpreting imaging. There was blurring between ESP and non-ESP roles. No study reported measures of effectiveness.Conclusion: There are descriptors of ESP physiotherapy activities, but no evidence of effectiveness of ESP physiotherapy in managing patients with inflammatory arthropathies.Keywords: ESP, extended scope, rheumatoid arthritis, ankylosing spondylitis, inflammatory arthropathy, physiotherapy

  15. A fresh look into the pathophysiology of ischemia-induced complications in patients with chronic kidney disease undergoing hemodialysis

    Directory of Open Access Journals (Sweden)

    Honore PM


    Full Text Available Patrick M Honore,1 Rita Jacobs,1 Elisabeth De Waele,1 Viola Van Gorp,1 Jouke De Regt,1 Olivier Joannes-Boyau,2 Willem Boer,3 Herbert D Spapen1 1Intensive Care Department, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium; 2Intensive Care Unit, Haut Leveque University Hospital of Bordeaux, University of Bordeaux 2, Pessac, France; 3Intensive Care Department, Ziekenhuis Oost Limburg, Genk, Belgium Abstract: Recent case reports of acute esophageal necrosis in patients with chronic kidney disease (CKD undergoing hemodialysis encouraged us to look beyond hypoperfusion/ischemia as a sole explanation for this dramatic complication. At least three intriguing pathways, ie, accumulation of protein-bound toxins, endotoxin translocation, and altered mucosal defense mechanisms, have been proposed to explain the inherent susceptibility of CKD patients to developing ischemia-related and cardiovascular events. Interestingly, all the proposed pathways can be potentially antagonized or attenuated. At present, however, it is not known whether one pathway predominates or if any interaction exists between these pathways. More solid experimental and clinical data are warranted to acquire a better insight into the complex pathogenesis of CKD-associated ischemia. Keywords: chronic kidney disease, ischemia, pathophysiology, cardiovascular events

  16. Biomarkers in critical illness: have we made progress?

    Directory of Open Access Journals (Sweden)

    Honore PM


    Full Text Available Patrick M Honore,1 Rita Jacobs,1 Inne Hendrickx,1 Elisabeth De Waele,1 Viola Van Gorp,1 Olivier Joannes-Boyau,2 Jouke De Regt,1 Willem Boer,3 Herbert D Spapen1 1Intensive Care Unit, Universitair Ziekenhuis Brussel, VUB University, Brussels, Belgium; 2Intensive Care Unit, Hopital Haut Leveque, University of Bordeaux 2, Bordeaux, France; 3Intensive Care Unit, Ziekenhuis Oost-Limburg, Genk, Belgium Abstract: Biomarkers have emerged as exemplary key players in translational medicine. Many have been assessed for timely recognition, early treatment, and adequate follow-up for a variety of pathologies. Biomarker sensitivity has improved considerably over the last years but specificity remains poor, in particular when two “marker-sensitive” conditions overlap in one patient. Biomarker research holds an enormous potential for diagnostic and prognostic purposes in postoperative and critically ill patients who present varying degrees of inflammation, infection, and concomitant (subacute organ dysfunction or failure. Despite a remarkable progress in development and testing, biomarkers are not yet ready for routine use at the bedside. Keywords: biomarkers, acute kidney injury, sepsis, ARDS

  17. "Tabula Sinvs Venetici" von W. Barents und ihre Geschichtilische und Geographische Bedeutung

    Directory of Open Access Journals (Sweden)

    Mithad Kozličić


    Full Text Available In der wissenschaftlichen Literatur sind zwei Varianten der Seekarte der Adria vom niederländischen Seefahrer und Polarforscher Willem Barents (1550-1597 bekannt. Die erste, in diesem Aufsatz als K-1 bezeichnete Karte, wurde in Amsterdam 1595 hergestellt und gedruckt. Sie hatte anfänglich eine praktisch-navigatorische Funktion. Die zweite, K-2, ins Jahr 1595 datierte (1637-1662 Karte, wurde als geostrategische Karte der Adria und der südlichen Teile Europas ausgenützt. An den adriatischen Nordküsten, besonders in ihrem Hinterland, geschahen mit dem Durchbruch der Türken seit der Hälfte des 16. Jahrhunderts wichtige militärische und politische Änderungen. In den “Atlanten” des Niederländers Jan (Johann; Joannes Janssonius (1588-1664 fehlte gerade solch eine Karte, die auch mehrmals in Amsterdam gedruckt wurde, aber zwischen 1637 und 1662. Die K-1 von Barents, deren Druckplatte Janssonius zur Verfügung hatte, konnte diese Funktion befriedigen. Deswegen machte Janssonius nur die nötigen dem darstellenden Standard der ersten Hälfte des 17. Jahrhunderts entsprechenden Änderungen, und als solche wurde sie gedruckt. Die K-2 verlor ihre ursprüngliche praktisch-navigatorische Funktion und wurde eine Karte von geostrategischer Bedeutung. Mit diesen Grundfragen befaßt sich dieser Aufsatz.

  18. Acquired resistance of malarial parasites against artemisinin-based drugs: social and economic impacts

    Directory of Open Access Journals (Sweden)

    Johanna M Porter-Kelley


    Full Text Available Johanna M Porter-Kelley1, Joann Cofie2, Sophonie Jean2, Mark E Brooks1, Mia Lassiter1, DC Ghislaine Mayer21Life Sciences Department, ­Winston-Salem State University, Winston Salem, NC, USA; 2Department of Biology, Virginia Commonwealth University, Richmond, VA, USAAbstract: Malaria, a disease of poverty and high morbidity and mortality in the tropical world, has led to a worldwide search for control measures. To that end, good antimalarial chemotherapies have been difficult to find in the global market and those that seem to be most effective are rapidly becoming ineffective due to the emergence and spread of drug resistance. Artemisinin, a very effective yet expensive antimalarial, has quickly become the recommended drug of choice when all other possibilities fail. However, for all its promise as the next great antimalarial, the outlook is bleak. Resistance is developing to artemisinin while another effective antimalarial is not in sight. Malaria endemic areas which are mostly in developing countries must deal with the multifaceted process of changing and implementing new national malaria treatment guidelines. This requires complex interactions between several sectors of the affected society which in some cases take place within the context of political instability. Moreover, the cost associated with preventing and containing the spread of antimalarial resistance is detrimental to economic progress. This review addresses the impact of artemisinin resistance on the socioeconomic structure of malaria endemic countries.Keywords: artemisinin-based drugs, social, economic, malarial parasite resistance

  19. Recent advances in noninvasive glucose monitoring

    Directory of Open Access Journals (Sweden)

    So CF


    Full Text Available Chi-Fuk So,1 Kup-Sze Choi,1 Thomas KS Wong,2 Joanne WY Chung2,31Centre for Integrative Digital Health, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, 2Department of Nursing and Health Sciences, Tung Wah College, Hong Kong, 3Department of Health and Physical Education, The Hong Kong Institute of Education, Hong KongAbstract: The race for the next generation of painless and reliable glucose monitoring for diabetes mellitus is on. As technology advances, both diagnostic techniques and equipment improve. This review describes the main technologies currently being explored for noninvasive glucose monitoring. The principle of each technology is mentioned; its advantages and limitations are then discussed. The general description and the corresponding results for each device are illustrated, as well as the current status of the device and the manufacturer; internet references for the devices are listed where appropriate. Ten technologies and eleven potential devices are included in this review. Near infrared spectroscopy has become a promising technology, among others, for blood glucose monitoring. Although some reviews have been published already, the rapid development of technologies and information makes constant updating mandatory. While advances have been made, the reliability and the calibration of noninvasive instruments could still be improved, and more studies carried out under different physiological conditions of metabolism, bodily fluid circulation, and blood components are needed.Keywords: noninvasive, glucose monitoring, diabetes mellitus, blood glucose measurement

  20. Managing and mitigating conflict in healthcare teams: an integrative review. (United States)

    Almost, Joan; Wolff, Angela C; Stewart-Pyne, Althea; McCormick, Loretta G; Strachan, Diane; D'Souza, Christine


    To review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict. Providing quality care requires positive, collaborative working relationships among healthcare team members. In today's increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management. Integrative literature review. CINAHL, MEDLINE, PsycINFO, Proquest ABI/Inform, Cochrane Library and Joanne Briggs Institute Library were searched for empirical studies published between 2002-May 2014. The review was informed by the approach of Whittemore and Knafl. Findings were extracted, critically examined and grouped into themes. Forty-four papers met the inclusion criteria. Several antecedents influence conflict and choice of conflict management style including individual characteristics, contextual factors and interpersonal conditions. Sources most frequently identified include lack of emotional intelligence, certain personality traits, poor work environment, role ambiguity, lack of support and poor communication. Very few published interventions were found. By synthesizing the knowledge and identifying antecedents, this review offers evidence to support recommendations on managing and mitigating conflict. As inevitable as conflict is, it is the responsibility of everyone to increase their own awareness, accountability and active participation in understanding conflict and minimizing it. Future research should investigate the testing of interventions to minimize these antecedents and, subsequently, reduce conflict. © 2016 John Wiley & Sons Ltd.

  1. Tools to Help Society in Decision Making: Legal and Policy Trends. Proceedings of a Topical Session

    International Nuclear Information System (INIS)

    Vari, Anna; Caddy, Joanne; ); Kotra, Janet P.; Pancher, Bertrand; Tromans, Stephan


    As part of its programme of work the OECD/NEA Forum on Stakeholder Confidence continues to investigate the theme of 'Tools and Processes to Help Society in Decision Making'. Following a presentation in June 2007 of environmental law and its implications for stakeholder involvement in decision making, the FSC decided to take a look at a variety of legal and policy issues. In particular, interest was expressed in seeing how law and policy may define which stakeholders must be consulted or engaged, and to consider when and whether that is helpful. A topical session was held on June 5, 2008 during the FSC's ninth regular meeting. Case studies were presented from the US, the UK, and France. An international survey of means for open and inclusive policy making was presented by the OECD Government directorate. The results of a questionnaire filled by FSC members served as the basis of the introductory presentation. Two sub-groups retired to discuss the material and a Rapporteur from each delivered feedback in plenary. These proceedings include a summary of the findings and discussions (Anna Vari), and the slides (some with accompanying text) provided for each case study: 1 - Open and Inclusive Policy Making: Emerging Practice in OECD Countries (Joanne Caddy); 2 - Deciding Whether to Authorized Construction at Yucca Mountain Explaining NRC's Process (Janet P. Kotra); 3 - Rights and Obligations under International Conventions (Stephan Tromans); 4 - Setting Criteria for the Representativeness of NGO/CSOs: Report on Hearings at the Request of France's Prime Minister (Bertrand Pancher)

  2. The North African Middle Stone Age and its place in recent human evolution. (United States)

    Scerri, Eleanor M L


    The North African Middle Stone Age (NAMSA, ∼300-24 thousand years ago, or ka) features what may be the oldest fossils of our species as well as extremely early examples of technological regionalization and 'symbolic' material culture (d'Errico, Vanhaeren, Barton, Bouzouggar, Mienis, Richter, Hublin, McPherron, Louzouet, & Klein, ; Scerri, ; Richter, Grün, Joannes-Boyau, Steele, Amani, Rué, Fernandes, Raynal, Geraads, Ben-Ncer Hublin, McPherron, ). The geographic situation of North Africa and an increased understanding of the wet-dry climatic pulses of the Sahara Desert also show that North Africa played a strategic role in continental-scale evolutionary processes by modulating human dispersal and demographic structure (Drake, Blench, Armitage, Bristow, & White, ; Blome, Cohen, Tryon, Brooks, & Russell, ). However, current understanding of the NAMSA remains patchy and subject to a bewildering array of industrial nomenclatures that mask underlying variability. These issues are compounded by a geographic research bias skewed toward non-desert regions. As a result, it has been difficult to test long-established narratives of behavioral and evolutionary change in North Africa and to resolve debates on their wider significance. In order to evaluate existing data and identify future research directions, this paper provides a critical overview of the component elements of the NAMSA and shows that the timing of many key behaviors has close parallels with others in sub-Saharan Africa and Southwest Asia. © 2017 Wiley Periodicals, Inc.

  3. [The fate of the wood of the Fabrica of 1543]. (United States)

    Chevallier, Jacques; Neidhardt, Jean-Christophe


    Destiny of the wood blocks which have been used for engraving of illustrations of 1543 edition of the Fabrica is really outstanding. Several times lost and found again, they were transported over Europe in a surprising conservation state, for more than four centuries. Made by the famous Venitian wood-cutters, the blocks cross the Alps to join up Basel in Switzerland and Joannes Oporinus, the printer. Felix Platter uses 48 Vesalian wood-blocks for his own treaty in 1583. These blocks reappear in Augsburg in 1706, at the printer Andreas Maschenbauer's; they are found again by Von Wollter from Ingolstadt: they are used to illustrate Leveling's anatomy book in 1781 and 1783. Ingolstadt university and the blocks will be transferred to Landshut because of Napoleon's war, then to Munich in 1826. But in 1892 147 blocks are found again in the library; and are forgotten again. Forty years after, 230 blocks are discovered again! Icones anatomicae represent the last and fabulous edition made in 1934. The Second World War closes this epic with the library fire on July 13th 1944: none of these precious blocks remains today.

  4. Comparison of the peripheral blood eosinophil count using near-patient testing and standard automated laboratory measurement in healthy, asthmatic and COPD subjects

    Directory of Open Access Journals (Sweden)

    Hambleton K


    Full Text Available Kirsty Hambleton, Clare M Connolly, Catherine Borg, Joanne H Davies, Helen P Jeffers, Richard EK Russell, Mona Bafadhel Respiratory Medicine Unit, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK Abstract: Near-patient testing (NPT allows clinical decisions to be made in a rapid and convenient manner and is often cost effective. In COPD the peripheral blood eosinophil count has been demonstrated to have utility in providing prognostic information and predicting response to treatment during an acute exacerbation. For this potential to be achieved having a reliable NPT of blood eosinophil count would be extremely useful. Therefore, we investigated the use of the HemoCue® WBC Diff System and evaluated its sensitivity and specificity in healthy, asthmatic and COPD subjects. This method requires a simple skin prick of blood and was compared to standard venepuncture laboratory analysis. The HemoCue® WBC Diff System measured the peripheral blood eosinophil count in healthy, asthma and COPD subjects with very close correlation to the eosinophil count as measured by standard venepuncture. The correlations were unaffected by disease status. This method for the measurement of the peripheral blood eosinophil count has the potential to provide rapid near-patient results and thus influence the speed of management decisions in the treatment of airway diseases. Keywords: asthma, chronic obstructive pulmonary disease, eosinophils, near-patient testing

  5. American nuclear theatre, 1946-1984

    International Nuclear Information System (INIS)

    Hostetter, R.D.


    This dissertation examines the American nuclear theatre - works that directly explore nuclear technology (weapons and energy). Background chapters describe the history of nuclear development, discourse, and strategy; the response of the arts; and the history of the American nuclear theatre, which began in 1946 and burgeoned after 1980. Five recent, representative productions - four stage dramas and one nonviolent symbolic action - are examined as theatrical strategies: Dead End Kids: a History of Nuclear Power (1980), by JoAnne Akalaitis/Mabour Mines; the Story of One Who Set Out to Study Fear (1981), by Peter Schumann/Bread and Puppet Theater; Factwino vs. Armageddonman (1982), by the San Francisco Mime Troupe ; Ashes, Ashes, We All Fall Down (1982), by Martha Beosing/At the Foot of the Mountain; and the Plowshares 8 events (1980-1984). All five productions were created collaboratively. All assaulted the boundaries between art and life. All were dialectical and tried to create a fundamental shift in consciousness about nuclear weapons. All suggested that the nuclear age is a new historical situation: war and business are interconnected with a new technology which makes possible the end of the world. Three productions employed historical images of mass death to provide emotional and moral comparisons. All finally called for each audience member to take responsibility for the current nuclear situation

  6. Photoreceptor inner segment ellipsoid band integrity on spectral domain optical coherence tomography

    Directory of Open Access Journals (Sweden)

    Saxena S


    Full Text Available Sandeep Saxena,1 Khushboo Srivastav,1 Chui M Cheung,2 Joanne YW Ng,3 Timothy YY Lai3 1Retina Service, Department of Ophthalmology, King George’s Medical University Lucknow, India; 2Singapore National Eye Centre, Singapore; 3Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Kowloon, Hong Kong Abstract: Spectral domain optical coherence tomography cross-sectional imaging of the macula has conventionally been resolved into four bands. However, some doubts were raised regarding authentication of the existence of these bands. Recently, a number of studies have suggested that the second band appeared to originate from the inner segment ellipsoids of the foveal cone photoreceptors, and therefore the previously called inner segment-outer segment junction is now referred to as inner segment ellipsoidband. Photoreceptor dysfunction may be a significant predictor of visual acuity in a spectrum of surgical and medical retinal diseases. This review aims to provide an overview and summarizes the role of the photoreceptor inner segment ellipsoid band in the management and prognostication of various vitreoretinal diseases. Keywords: spectral domain optical coherence tomography, inner segment-outer segment junction, external limiting membrane, macular hole, diabetic macular edema, age relate macular degeneration

  7. Variations in the sleep–wake cycle from childhood to adulthood: chronobiological perspectives

    Directory of Open Access Journals (Sweden)

    Carpenter JS


    Full Text Available Joanne S Carpenter, Rébecca Robillard, Ian B HickieClinical Research Unit, Brain and Mind Research Institute, University of Sydney, Camperdown, NSW, AustraliaAbstract: Changes in the sleep–wake cycle across development from childhood to adulthood, typically involve a steady shortening of the sleep period and a delay of sleep phase, with a period of more rapid change across adolescence. Accompanying these changes is the maturation of neuroendocrine rhythms such as melatonin, cortisol, and pubertal hormones. These endogenous rhythms are closely associated with behavioral changes in rest and activity rhythms, although environmental factors such as light exposure and academic and social demands likely play an interactive role. Other behavioral aspects, such as physical activity and eating behaviors, are also associated with changes in sleep–wake rhythms, and may be mediational factors in the development of physical illnesses. The sleep–wake cycle and related factors are implicated in the development of mental illnesses. There are several potential avenues of future research that may be valuable in terms of improving interventions and treatments for both mental and physical illnesses.Keywords: circadian rhythm, developmental, adolescence, youth

  8. Klismaphilia--a physiological perspective. (United States)

    Agnew, J


    Dr. Joanne Denko coined the work klismaphilia to describe the practices of some of her patients who enjoyed the use of enemas as a sexual stimulant. Since then questions occasionally appear in the professional literature asking about the relationship between enemas and sexual pleasure. This paper considers some of the physiological aspects of the human sexual apparatus that relate to anal sensitivity and explores why klismaphilia can be sexually grafifying. The paper starts with a discussion of the physiological basis for anal sensitivity and anal masturbation in both the human male and the human female. The paper then goes on to relate all this to the sexual sensations received from an enema, and discusses the similarities and differences between all these types of stimulation. Some of the psychological aspects of klismaphilia are also considered in relationship to the physiology involved. The paper concludes with a brief discussion of masked anal masturbation among the population at large. A comprehensive list of references from the literature is given to support these findings.

  9. Industrial Pastoral: Lake Macquarie Coal Miners’ Holidays

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    Russell McDougall


    Full Text Available As Stephen Page and Joanne Connell note in their mapping of the field, leisure studies is a largely post-war development, evolving internationally out of geography, economics, sociology and a range of other disciplines mostly in the social sciences rather than the humanities. Historians have not ignored the subject – there are plenty of historical studies of sports and recreation, the development of national parks, and so on. Yet, while leisure clearly has a vital and dynamic relation to work – culturally, politically, psychologically – labour historians in Australia appear to have been less interested in this area of research. We, the authors of this article, are primarily literary scholars rather than historians, but we have been puzzled by this apparent neglect. It is not our brief to examine the contemporary meanings of ‘leisure’ in relation to ‘work’ (or ‘forced labour,’ to adopt Guy Standing’s important twenty-first century distinction. Instead, our own study of coal miners’ holidays around Lake Macquarie from the late nineteenth and into the second half of the twentieth century considers the bygone rituals and activities of their holidaying from the vantage point of our own present location in an age where ‘simulation and nostalgia lie at the heart of everyday life.’ The article includes memoir and creative writing along with theory and analysis.

  10. ‘Snapewives’ and ‘Snapeism’: A Fiction-Based Religion within the Harry Potter Fandom

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    Zoe Alderton


    Full Text Available The book and film franchise of Harry Potter has inspired a monumental fandom community with a veracious output of fanfiction and general musings on the text and the vivid universe contained therein. A significant portion of these texts deal with Professor Severus Snape, the stern Potions Master with ambiguous ethics and loyalties. This paper explores a small community of Snape fans who have gone beyond a narrative retelling of the character as constrained by the work of Joanne Katherine Rowling. The ‘Snapewives’ or ‘Snapists’ are women who channel Snape, are engaged in romantic relationships with him, and see him as a vital guide for their daily lives. In this context, Snape is viewed as more than a mere fictional creation. He is seen as a being that extends beyond the Harry Potter texts with Rowling perceived as a flawed interpreter of his supra-textual essence. While a Snape religion may be seen as the extreme end of the Harry Potter fandom, I argue that religions of this nature are not uncommon, unreasonable, or unprecedented. Popular films are a mechanism for communal bonding, individual identity building, and often contain their own metaphysical discourses. Here, I plan to outline the manner in which these elements resolve within extreme Snape fandom so as to propose a nuanced model for the analysis of fandom-inspired religion without the use of unwarranted veracity claims.

  11. Transforming nursing education: a review of stressors and strategies that support students' professional socialization

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    Del Prato D


    Full Text Available Darlene Del Prato1, Esther Bankert2, Patricia Grust1, Joanne Joseph31Department of Nursing and Health Professions; 2Provost; 3Department of Psychology, State University of New York, Institute of Technology, Utica, NY, USAAbstract: Nurse educators are facing the challenge of creating new ways of teaching and facilitating enhanced learning experiences in clinical practice environments that are inherently complex, highly demanding, and unpredictable. The literature consistently reports the negative effects of excess stress and unsupportive relationships on wellbeing, self-efficacy, self-esteem, learning, persistence, and success. However, understanding contributing factors of stress, such as the student's experiences of uncaring and oppressive interactions, is clearly not adequate. The transformation of nursing education requires a paradigm shift that embraces collegiality, collaboration, caring, and competence for students and the faculty. This paper reviews the literature on stress and its effects on nursing students. Grounded in theory related to stress and human caring, this paper focuses on the clinical environment and faculty-student relationships as major sources of students' stress and offers strategies for mitigating stress while fostering learning and professional socialization of future nurses.Keywords: stress, faculty-student relationships, stress management, caring learning environment, incivility

  12. Bylocks Drakskeppstrilogi – analogi och kulturmöten

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    Ingemansson, Mary


    Full Text Available In my thesis “It could just as well have happened today”: Maj Bylock's Drakskeppstrilogi and historical consciousness in ten- to twelve-year-olds, I provide a textual, thematic analysis of the three novels from 1997–1998. Further, in an empirical study I have documented the reading of Bylock's fictitious, historical trilogy about the Viking era as done by 11-year-old children, whose thematic work and development of a historical consciousness also have been part of the study. This article deals only with the textual analysis aspect, which purpose is to show what in the texts might produce a historical consciousness in children as well as how the characters are portrayed in order for children to identify with them. Two functions of the novels are studied: knowledge and analogy. The focus is on the main character Petite/Åsa and her development with a view to gender, ethnicity and class as seen from an intersectional perspective. I use postcolonial concepts such as diaspora and hybrid identity in order to describe cultural encounters brought on by migration. I portray female characters gaining a higher level of empowerment, a term used by Joanne Brown and Nancy St. Clair. Bylock claims that she is reflecting the present in her historical texts and that this is more straightforwardly achieved when the events are set several hundred years ago. As a result irrelevant details can be removed and the focus be placed on timeless, human phenomena, for instance cultural encounters. In the light of the above and ideas about how best to describe cultural encounters I analyse the cultural contexts in which the main character finds herself focusing on her transition from a girl into a woman and her quest for a multicultural identity. I elaborate on the concepts mentioned in the previous by describing two cultural encounters which provide an analogy with the present.

  13. Profile and microbiological isolates of asymptomatic bacteriuria among pregnant women in Abakaliki, Nigeria

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    Onu FA


    Full Text Available Fidelis Agwu Onu,1 Leonard Ogbonna Ajah,1 Paul Olisaemeka Ezeonu,1 Odidika Ugochukwu Joannes Umeora,1 Perpetus Chudi Ibekwe,1 Monique Iheoma Ajah2 1Department of Obstetrics and Gynaecology, Federal Teaching Hospital, 2Department of Microbiology, Ebonyi State University, Abakaliki, Nigeria Background: Detecting and treating asymptomatic bacteriuria (ASB prevents urinary tract infection and its consequences. The cost-effectiveness of routine screening for ASB in pregnancy is controversial. In populations with high prevalence, however, it is worthwhile and justifiable. Aim: To determine the profile, prevalence, microbiological isolates, and risk factors of ASB among booking antenatal clinic attendees in Abakaliki, Nigeria. Materials and methods: This was a cross-sectional study involving booking antenatal clinic attendees at the Federal Teaching Hospital, Abakaliki, who met the inclusion criteria. This study occurred between January and December, 2012. The midstream urine samples of these women were subjected to microscopy, culture, and sensitivity. Results: A total of 300 randomly selected booking antenatal clinic attendees participated in the study; 74 of them had ASB, giving a prevalence of 24.7%. With the exception of rural residence, sociodemographic and obstetric characteristics did not influence the risk of ASB among the participants in this study. Staphylococcus aureus was the commonest organism isolated. The majority of the organisms were sensitive to ofloxacin and ceftriaxone. Conclusion: There is a high prevalence of ASB among pregnant women in Abakaliki. With the exception of rural dwelling, sociodemographic and obstetric characteristics did not significantly influence the risk of ASB among these pregnant women. Therefore, routine ASB screening of pregnant women is recommended in our environment. Keywords: asymptomatic bacteriuria, pregnant women, Abakaliki

  14. Asma (Vitis Vinifera L' de Scar Markörleri Aracılığıyla Gen Haritalarının Birbirine Bağlanması (İngilizce

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    Gökhan Söylemezoğlu


    Full Text Available Bu araştırma asmada (Vitis vinifera L önemli özelliklere karşı çıkarılan genom haritalarının SCAR markörleriyle birbirine bağlanması amacıyla gerçekleştirilmiştir. Bu amaçla interspesifik hibrit olan Cayuga White ve Aurore üzüm çeşitleri arasında oluşturulmuş olan genom haritasındaki RAPD markörleri kullanılmıştır. Bu genom haritasındaki III. kromozom üzerinde bulunan 4 RAPD markörü (p36f, OP10d, BC 389b and P232c ve IX. Kromozom üzerinde bulunan 2 RAPD markörü ( 374a and HB 374d kullanılmıştır. Bu markörler SCAR markörlerine dönüştürülmüş ve farklı üç populasyonda test edilmiştir. Bunlar 88.0514 Horizon x lllinoi 547-1, 89.064 Swenson Red x Flame Seedless, and Joannes Seyve 23-416 x lllinoi 547-1. Araştırma sonucunda, RAPD markörlerinden geliştirilmiş olan SCAR markörlerden iki tanesi çalışmış, fakat diğerleri ise kendi populasyonu dışındaki populasyonlarda çalışmadığı belirlenmiştir.

  15. Nanostructured systems containing babassu (Orbignya speciosa oil as a potential alternative therapy for benign prostatic hyperplasia

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    de Sousa VP


    Full Text Available Valeria Pereira de Sousa,1 Joanne Crean,2 Vinícius Raphael de Almeida Borges,1 Carlos Rangel Rodrigues,1 Lidia Tajber,2 Fabio Boylan,2 Lucio Mendes Cabral1 1Department of Pharmaceutics, Faculty of Pharmacy, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; 2School of Pharmacy and Pharmaceutical Sciences and Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland Abstract: The oil of babassu tree nuts (Orbignya speciosa is a potential alternative for treatment and prophylaxis of benign prostatic hyperplasia. Improved results can be obtained by drug vectorization to the hyperplastic tissue. The main objective of this work was the preparation and characterization of poly(lactic-co-glycolic acid (PLGA nanoparticle and clay nanosystems containing babassu oil (BBS. BBS was extracted from the kernels of babassu tree nuts and characterized by gas chromatography-mass spectrometry as well as 1H and 13C nuclear magnetic resonance. BBS-clay nanosystems were obtained by adding polyvinylpyrrolidone, Viscogel B8®, and BBS at a 2:1:1 mass ratio and characterized by X-ray diffraction, thermogravimetric analysis, infrared spectroscopy, and laser diffraction. The PLGA-BBS nanoparticles were prepared by the precipitation-solvent evaporation method. Mean diameter, polydispersity, zeta potential, and scanning electron microscopic images of the nanosystems were analyzed. Thermogravimetric analysis showed successful formation of the nanocomposite. PLGA nanoparticles containing BBS were obtained, with a suitable size that was confirmed by scanning electron microscopy. Both nanostructured systems showed active incorporation yields exceeding 90%. The two systems obtained represent a new and potentially efficient therapy for benign prostatic hyperplasia. Keywords: babassu oil, nanocomposite, poly(lactic-co-glycolic acid, nanoparticles, benign prostatic hyperplasia, treatment, nanotechnology

  16. Skills escalator in allied health: a time for reflection and refocus

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    Gilmore LG


    Full Text Available Lisa G Gilmore1, Joanne H Morris1, Karen Murphy2, Karen Grimmer-Somers3, Saravana Kumar31The Canberra Hospital, ACT Government Health Directorate, Canberra, ACT; 2ACT Government Health Directorate, Canberra, ACT; 3International Centre for Allied Evidence, University of South Australia, Adelaide, SA, AustraliaAbstract: It is abundantly clear that the health workforce of tomorrow will meet a number of unique challenges. There are a number of drivers for this, including the changing demographics of patients and health professionals, changing working patterns and mobility of the health workforce, evolving models of care, emerging evidence base, altering funding models, and the need to underpin health care service delivery with safety, effectiveness, patient centeredness, efficiency, equity, and timeliness. It is in this time of change that role extension within health disciplines is seen as an important tool to meet some of these challenges. Role extension is viewed as a skills escalator, where practitioners move up the skills escalator within the scope of their discipline, to advance it and then, with training, extend it. Within allied health, in some disciplines, advanced and extended scope of practice initiatives have mushroomed. Often these initiatives have been ad hoc, and opportunistically created in response to local needs and requirements. As these initiatives are local and context-dependent, to date there is very little uniformity or congruency between these initiatives. This has led to variability in implementation, lack of rigorous evaluations and, ultimately, poor long-term sustainability. In this paper, we reflect on a number of key issues, drawing on our own experiences in undertaking such initiatives, which need to be taken into account when considering advanced and extended scope of practice for allied health.Keywords: allied health, skill escalation, extended scope of practice, advanced scope of practice

  17. Cytokine biomarkers in tear film for primary open-angle glaucoma

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    Gupta D


    Full Text Available Divakar Gupta,1,* Joanne C Wen,2,* Janet L Huebner,3 Sandra Stinnett,1 Virginia B Kraus,3,4 Henry C Tseng,1 Molly Walsh1 1Department of Ophthalmology, Duke University Medical Center, Durham, NC, 2Department of Ophthalmology, University of Washington, Seattle, WA, 3Duke Molecular Physiology Institute, 4Division of Rheumatology, Department of Medicine, Duke University School of Medicine, Durham, NC, USA *These authors contributed equally to this work Purpose: To determine the utility of tear film cytokines as biomarkers for early primary open-angle glaucoma (POAG. Methods: Patients without POAG and eye drop-naïve patients with newly diagnosed POAG were recruited from an academic hospital-based glaucoma practice. Tear films of recruited patients were obtained and analyzed using a multiplex, high-sensitivity electrochemiluminescent enzyme-linked immunosorbent assay for proinflammatory cytokines (IFNγ, IL-10, IL-12p70, IL-13, IL-1β, IL-2, IL-4, IL-6, IL-8, and TNFα. Results: Mean concentrations of tear film cytokines were lower in the glaucoma group for 8 of 10 cytokines tested. IL-12p70 (3.94±2.19 pg/mL in control vs 2.31±1.156 pg/mL in POAG; P=0.035 was significantly lower in the tear film of patients with newly diagnosed POAG. Conclusion: Proinflammatory cytokines were lower in eye drop-naïve newly diagnosed glaucoma patients. Tear film cytokine profiles may be used as biomarkers of early POAG. Keywords: glaucoma, biomarkers, tear film, cytokines, glaucoma diagnosis, lower limit of detection

  18. Dancing and Parkinson’s disease: updates on this creative approach to therapy

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    Shanahan J


    Full Text Available Joanne Shanahan,1 Meg E Morris,2 Orfhlaith Ní Bhriain,3 Daniele Volpe,4 Amanda M Clifford1 1Department of Clinical Therapies, Faculty of Education and Health Sciences, University of Limerick, Co. Limerick, Ireland; 2Department of Physiotherapy, School of Allied Health, La Trobe University, Bundoora, Australia; 3Irish World Academy of Music and Dance, Department of Arts Humanities and Social Sciences, University of Limerick, Co. Limerick, Ireland; 4Department of Neurorehabilitation, Casa di Cura Villa Margherita, Vicenza, Italy Introduction: Parkinson’s disease (PD is associated with slowness of movement and balance disturbance. Anxiety and social isolation are common and quality of life (QoL can be compromised. Dancing enables people with PD to participate in an enjoyable form of exercise within a group. This review provides an updated synthesis of the literature comparing dance to other interventions in people with PD. Methods: Six databases were electronically searched. Relevant articles were identified using inclusion criteria. Data on participants, the dance intervention, and outcomes were extracted from suitable articles. Results: Methodological limitations were evident in 13 included articles. The evidence reviewed suggests that dancing is enjoyable and can improve balance, motor function, and QoL. Further research is needed to determine the effect of dancing on cognition and depression in this population. Longer term dance interventions may be needed to achieve more meaningful benefits in mobility. Conclusion: Dancing can be a feasible and beneficial physical activity and improve the wellness of individuals with PD. Keywords: Parkinson’s disease, dance, physical activity

  19. Prophylactic intracameral levofloxacin in cataract surgery – an evaluation of safety

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    Espiritu CR


    Full Text Available Cesar Ramon G Espiritu,1,2,* Joanne G Bolinao1,* 1American Eye Center, Mandaluyong, 2Department of Ophthalmology, Manila Doctors Hospital, Manila, Philippines *The authors contributed equally to this work Purpose: To evaluate posterior and anterior segment safety of an intracameral injection of levofloxacin 0.5% ophthalmic solution as prophylaxis for patients undergoing cataract extraction and intraocular lens implantation.Setting: This study was conducted at Manila Doctors Hospital, Ermita, Manila, Philippines.Design: This was a prospective interventional study.Methods: Eyes undergoing standard phacoemulsification cataract surgery with intraocular lens implantation were treated with intracameral levofloxacin 0.5% at the conclusion of surgery. Safety parameters, including best-corrected visual acuity (BCVA, endothelial cell counts, anterior chamber cells and flare, and central foveal thickness, were evaluated preoperatively and at 1 day and 1 week postoperatively.Results: A total of 50 eyes of 50 patients were included in the analysis. At 1 week postoperatively, all eyes demonstrated BCVA of 20/30 or better and 19 eyes (38% achieved BCVA of 20/20 or better. On the first postoperative day, no corneal edema was observed, and trace to +2 cells and flare in the anterior chamber were noted in all eyes. After 1 week, all eyes had a quiet anterior chamber and endothelial cell counts decreased by an average of 225 cells/mm2, which was marginally significant (p=0.0525 when compared to other time points. Optical coherence tomography results showed no statistically significant differences between central foveal thickness measurements before and after surgery. There were also no statistically significant differences in preoperative and postoperative pachymetry. No study-related adverse events occurred.Conclusion: There were no safety concerns associated with intracameral injection of levofloxacin 0.5%, prophylactically, following cataract surgery

  20. Etanercept (Enbrel® alternative storage at ambient temperature

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    Shannon E


    Full Text Available Edel Shannon,1 Joanne Daffy,2 Heather Jones,3 Andrea Paulson,4 Steven M Vicik5 1Global Chemistry, Manufacturing, and Controls Regulatory, 2Contract Operations Quality Assurance, Pfizer Ireland Pharmaceuticals, Clondalkin, Dublin, Ireland; 3Medical Affairs, Pfizer, Collegeville, PA, USA; 4Pharmaceutical Research and Development, 5Global Supply Product Portfolio Management, Pfizer Biotech, Andover, MA, USA Background: Biologic disease-modifying antirheumatic drugs, including tumor necrosis factor inhibitors such as etanercept (Enbrel®, have improved outcomes for patients with rheumatic and other inflammatory diseases, with sustained remission being the optimal goal for patients with rheumatoid arthritis. Flexible and convenient treatment options, compatible with modern lifestyle, are important in helping patients maintain treatment and manage their disease. Etanercept drug product (DP is available in lyophilized powder (Lyo for solution injection, prefilled syringe, and prefilled pen presentations and is typically stored under refrigerated conditions. We aimed to generate a comprehensive analytical data package from stability testing of key quality attributes, consistent with regulatory requirements, to determine whether the product profile of etanercept is maintained at ambient temperature. Methods: Test methods assessing key attributes of purity, quality, potency, and safety were performed over time, following storage of etanercept DP presentations under a range of conditions. Results: Results and statistical analysis from stability testing (based on size exclusion high-performance liquid chromatography, hydrophobic interaction chromatography, and sodium dodecyl sulfate-polyacrylamide gel electrophoresis Coomassie across all etanercept presentations (10 and 25 mg/vial Lyo DP; 25 and 50 mg prefilled syringe DP; 50 mg prefilled pen DP showed key stability-indicating parameters were within acceptable limits through the alternative storage

  1. Transition from pre-diabetes to diabetes and predictors of risk in Mexican-Americans

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    Wu SH


    Full Text Available Shenghui Wu,1 Joseph B McCormick,2 Joanne E Curran,3 Susan P Fisher-Hoch2 1Department of Epidemiology and Biostatistics, University of Texas Health at San Antonio-Laredo Campus, Laredo, 2Division of Epidemiology, University of Texas Health Science Center-Houston, School of Public Health, Brownsville Campus, Brownsville, 3South Texas Diabetes and Obesity Institute, School of Medicine, University of Texas Rio Grande Valley, Brownsville Campus, Brownsville, TX, USA Background: No studies have examined risk factors for the transition from pre-diabetes to diabetes in populations with widespread obesity and diabetes. We determined proximal changes and factors affecting the transition among Mexican-Americans with pre-diabetes.Methods: Participants with pre-diabetes (n=285 were recruited from our randomly sampled population-based Cameron County Hispanic Cohort. These participants were followed for an average of 27 months with repeat examination every 3 to 4 months. Metabolic health was defined as having less than 2 metabolic abnormalities (e.g., hypertension, elevated low-density lipoprotein, etc. Diabetes was identified as fasting blood glucose ≥126 mg/dL, glycated hemoglobin ≥6.5% and/or on hypoglycemic medication.Results: Ninety-six of 285 (33.7% participants transitioned to overt diabetes. The increased risk of diabetes in the metabolically unhealthy varying with follow-up time was 81% (adjusted odds ratio [OR]: 1.81; 95% CI: 1.09–3.02. The risk of diabetes increased 8% for each kg/m2 of increase in body mass index (BMI, OR: 1.08; 95% CI: 1.05–1.11 independent of covariates. Transition to diabetes was accompanied by a mean increase in BMI of 0.28 kg/m2, and deterioration in metabolic health of 9% (OR: 1.09; 95% CI: 1.003–1.18 compared with those who did not transition.Conclusions: Deteriorating metabolic health and/or increasing BMI significantly raises the risk of transitioning from pre-diabetes to diabetes. Transition itself was

  2. Targeting the kidney and glucose excretion with dapagliflozin: preclinical and clinical evidence for SGLT2 inhibition as a new option for treatment of type 2 diabetes mellitus

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    Whaley JM


    Full Text Available Jean M Whaley,1 Mark Tirmenstein,2 Timothy P Reilly,2 Simon M Poucher,3 JoAnne Saye,4 Shamik Parikh,5 James F List61Bristol-Myers Squibb, Metabolic Disease Discovery Biology, Research and Development, Princeton, NJ, USA; 2Bristol-Myers Squibb, Drug Safety Evaluation, Research and Development, New Brunswick and Princeton, NJ, USA; 3AstraZeneca, Cardiovascular and Gastrointestinal Innovative Medicines Science Unit, Alderley Park, Macclesfield, Cheshire, UK; 4AstraZeneca, Global Safety Assessment, Research and Development, Wilmington, DE, USA; 5AstraZeneca, Cardiovascular, Clinical Development, Wilmington, DE, USA; 6Bristol-Myers Squibb, Global Clinical Development, Research and Development, Princeton, NJ, USAAbstract: Sodium-glucose cotransporter-2 (SGLT2 inhibitors are a novel class of glucuretic, antihyperglycemic drugs that target the process of renal glucose reabsorption and induce glucuresis independently of insulin secretion or action. In patients with type 2 diabetes mellitus, SGLT2 inhibitors have been found to consistently reduce measures of hyperglycemia, including hemoglobin A1c, fasting plasma glucose, and postprandial glucose, throughout the continuum of disease. By inducing the renal excretion of glucose and its associated calories, SGLT2 inhibitors reduce weight and have the potential to be disease modifying by addressing the caloric excess that is believed to be one of the root causes of type 2 diabetes mellitus. Additional benefits, including the possibility for combination with insulin-dependent antihyperglycemic drugs, a low potential for hypoglycemia, and the ability to reduce blood pressure, were anticipated from the novel mechanism of action and have been demonstrated in clinical studies. Mechanism-related risks include an increased incidence of urinary tract and genital infections and the possibility of over-diuresis in volume-sensitive patients. Taken together, the results of Phase III clinical studies generally point to a

  3. Unlocking the “black box” of practice improvement strategies to implement surgical safety checklists: a process evaluation

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    Gillespie BM


    Full Text Available Brigid M Gillespie,1–3 Kyra Hamilton,4 Dianne Ball,5 Joanne Lavin,6 Therese Gardiner,6 Teresa K Withers,7 Andrea P Marshall1–3 1School of Nursing & Midwifery, Griffith University, Gold Coast, 2Gold Coast University Hospital and Health Service, Southport, 3Nursing & Midwifery Education & Research Unit (NMERU, National Centre of Research Excellence in Nursing, Menzies Health Institute of Queensland, Griffith University, Gold Coast, 4School of Applied Psychology, Griffith University, Mt Gravatt, 5Communio Pty Ltd, Sydney, 6Nursing & Midwifery Education & Research Unit, 7Surgical and Procedural Services, Gold Coast University Hospital and Health Service, Southport, Australia Background: Compliance with surgical safety checklists (SSCs has been associated with improvements in clinical processes such as antibiotic use, correct site marking, and overall safety processes. Yet, proper execution has been difficult to achieve.Objectives: The objective of this study was to undertake a process evaluation of four knowledge translation (KT strategies used to implement the Pass the Baton (PTB intervention which was designed to improve utilization of the SSC. Methods: As part of the process evaluation, a logic model was generated to explain which KT strategies worked well (or less well in the operating rooms of a tertiary referral hospital in Queensland, Australia. The KT strategies implemented included change champions/opinion leaders, education, audit and feedback, and reminders. In evaluating the implementation of these strategies, this study considered context, intervention and underpinning assumptions, implementation, and mechanism of impact. Observational and interview data were collected to assess implementation of the KT strategies relative to fidelity, feasibility, and acceptability. Results: Findings from 35 structured observations and 15 interviews with 96 intervention participants suggest that all of the KT strategies were consistently

  4. Improving Transition to Employment for Youth With Physical Disabilities: Protocol for a Peer Electronic Mentoring Intervention. (United States)

    Lindsay, Sally; Stinson, Jennifer; Stergiou-Kita, Mary; Leck, Joanne


    Pvjc). ©Sally Lindsay, Jennifer Stinson, Mary Stergiou-Kita, Joanne Leck. Originally published in JMIR Research Protocols (, 16.11.2017.

  5. Development of an Internet-Administered Cognitive Behavior Therapy Program (ENGAGE) for Parents of Children Previously Treated for Cancer: Participatory Action Research Approach. (United States)

    Wikman, Anna; Kukkola, Laura; Börjesson, Helene; Cernvall, Martin; Woodford, Joanne; Grönqvist, Helena; von Essen, Louise


    future studies testing and evaluating the intervention were discussed; consensus was not reached for all aspects. To the best of our knowledge, this study is the first use of a participatory action research approach to develop a psychological intervention for parents of children previously treated for cancer and to identify acceptable study procedures. Involvement of parents with lived experience was vital in the development of a potentially relevant and acceptable intervention for this population. ©Anna Wikman, Laura Kukkola, Helene Börjesson, Martin Cernvall, Joanne Woodford, Helena Grönqvist, Louise von Essen. Originally published in the Journal of Medical Internet Research (, 18.04.2018.

  6. Measuring medicine-related experiences from the patient perspective: a systematic review

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    Katusiime B


    Full Text Available Barbra Katusiime,1 Sarah Corlett,1 Joanne Reeve,2 Janet Krska1 1Medway School of Pharmacy, The Universities of Kent and Greenwich, Chatham, Maritime, Kent, UK; 2Warwick Medical School, University of Warwick, Coventry, UK Background: There is an increasing drive to measure and so improve patients’ experiences and outcomes of health care. This also applies to medicines, given their ubiquity as health care interventions. Patients’ experiences of using medicines vary, and instruments which measure these are seen as an essential component to improve care. We aimed to identify generic measures of patients’ experiences of using prescription medicines and to examine their properties and suitability for use in research or practice. Methods: Multiple electronic databases were searched: MEDLINE, Embase, PsycINFO, PsycARTICLES, CINHAL Plus, PROQOLID®, and Google Scholar. We identified, critically appraised, and summarized generic questionnaires assessing one or more aspects of the medicine use experience among adult patients using prescription medicines for chronic conditions, and the process of questionnaire development, degree of patient involvement, and/or validation processes. Results: Fifteen questionnaires were included. Of these, nine measures were multidimensional, covering various aspects of medicine use. Six instruments covered only a single domain, assessing a specific facet of using medicines. Domains covered were the following: effectiveness; convenience, practicalities, and/or managing medicines; information, knowledge, and/or understanding; side effects; relationships and/or communication with health professionals; impact on daily living and/or social life; general satisfaction; attitudes; beliefs, concerns, and/or perceptions; medical follow-up and/or adherence-related issues; treatment- and/or medicine-related burden, perceived control, or autonomy; self-confidence about medicine use; availability and accessibility; and medicine

  7. Development of an allergy management support system in primary care

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    Flokstra - de Blok BMJ


    Full Text Available Bertine MJ Flokstra - de Blok,1,2 Thys van der Molen,1,2 Wianda A Christoffers,3 Janwillem WH Kocks,1,2 Richard L Oei,4 Joanne NG Oude Elberink,2,4 Emmy M Roerdink,5 Marie Louise Schuttelaar,3 Jantina L van der Velde,1,2 Thecla M Brakel,1,6 Anthony EJ Dubois2,5 1Department of General Practice, 2GRIAC Research Institute, 3Department of Dermatology, 4Department of Allergology, 5Department of Pediatric Pulmonology and Pediatric Allergy, University of Groningen, University Medical Center Groningen, 6Teaching Unit, Department of Social Psychology, University of Groningen, Groningen, The Netherlands Background: Management of allergic patients in the population is becoming more difficult because of increases in both complexity and prevalence. Although general practitioners (GPs are expected to play an important role in the care of allergic patients, they often feel ill-equipped for this task. Therefore, the aim of this study was to develop an allergy management support system (AMSS for primary care. Methods: Through literature review, interviewing and testing in secondary and primary care patients, an allergy history questionnaire was constructed by allergists, dermatologists, GPs and researchers based on primary care and specialists’ allergy guidelines and their clinical knowledge. Patterns of AMSS questionnaire responses and specific immunoglobulin E (sIgE-test outcomes were used to identify diagnostic categories and develop corresponding management recommendations. Validity of the AMSS was investigated by comparing specialist (gold standard and AMSS diagnostic categories. Results: The two-page patient-completed AMSS questionnaire consists of 12 (mainly multiple choice questions on symptoms, triggers, severity and medication. Based on the AMSS questionnaires and sIgE-test outcome of 118 patients, approximately 150 diagnostic categories of allergic rhinitis, asthma, atopic dermatitis, anaphylaxis, food allergy, hymenoptera allergy and other

  8. The Paget Trial: A Multicenter, Observational Cohort Intervention Study for the Clinical Efficacy, Safety, and Immunological Response of Topical 5% Imiquimod Cream for Vulvar Paget Disease. (United States)

    van der Linden, Michelle; Meeuwis, Kim; van Hees, Colette; van Dorst, Eleonora; Bulten, Johan; Bosse, Tjalling; IntHout, Joanna; Boll, Dorry; Slangen, Brigitte; van Seters, Manon; van Beurden, Marc; van Poelgeest, Mariëtte; de Hullu, Joanne


    assessed by evaluation of adverse events and tolerability of treatment. To evaluate the immunological response, various immunological markers will be tested on biopsy specimens taken before, during, and after treatment. Quality of life will be assessed with three questionnaires taken before, during, and after treatment. First results are expected in the summer of 2018. NCT02385188; (Archived by WebCite at ©Michelle van der Linden, Kim Meeuwis, Colette van Hees, Eleonora van Dorst, Johan Bulten, Tjalling Bosse, Joanna IntHout, Dorry Boll, Brigitte Slangen, Manon van Seters, Marc van Beurden, Mariëtte van Poelgeest, Joanne de Hullu. Originally published in JMIR Research Protocols (, 06.09.2017.

  9. Keele Aches and Pains Study protocol: validity, acceptability, and feasibility of the Keele STarT MSK tool for subgrouping musculoskeletal patients in primary care

    Directory of Open Access Journals (Sweden)

    Campbell P


    Full Text Available Paul Campbell,1 Jonathan C Hill,1 Joanne Protheroe,1 Ebenezer K Afolabi,1 Martyn Lewis,1 Ruth Beardmore,1 Elaine M Hay,1 Christian D Mallen,1 Bernadette Bartlam,1 Benjamin Saunders,1 Danielle A van der Windt,1 Sue Jowett,2 Nadine E Foster,1 Kate M Dunn1 1Arthritis Research UK Primary Care Centre, Research Institute of Primary Care and Health Sciences, Keele University, Keele, 2Health Economics Unit, University of Birmingham, Birmingham, UK Abstract: Musculoskeletal conditions represent a considerable burden worldwide, and are predominantly managed in primary care. Evidence suggests that many musculoskeletal conditions share similar prognostic factors. Systematically assessing patient’s prognosis and matching treatments based on prognostic subgroups (stratified care has been shown to be both clinically effective and cost-effective. This study (Keele Aches and Pains Study aims to refine and examine the validity of a brief questionnaire (Keele STarT MSK tool designed to enable risk stratification of primary care patients with the five most common musculoskeletal pain presentations. We also describe the subgroups of patients, and explore the acceptability and feasibility of using the tool and how the tool is best implemented in clinical practice. The study design is mixed methods: a prospective, quantitative observational cohort study with a linked qualitative focus group and interview study. Patients who have consulted their GP or health care practitioner about a relevant musculoskeletal condition will be recruited from general practice. Participating patients will complete a baseline questionnaire (shortly after consultation, plus questionnaires 2 and 6 months later. A subsample of patients, along with participating GPs and health care practitioners, will be invited to take part in qualitative focus groups and interviews. The Keele STarT MSK tool will be refined based on face, discriminant, construct, and predictive validity at baseline and 2

  10. Impact of enteral protein supplementation in premature infants

    Directory of Open Access Journals (Sweden)

    Barrus DM


    Full Text Available David M Barrus1, Joann Romano-Keeler2, Christopher Carr3, Kira Segebarth4, Betty Claxton2, William F Walsh2, Paul J Flakoll51Department of Neonatology, Saint Francis Hospital–Bartlett, Memphis, TN, 2Department of Pediatrics, Vanderbilt Medical Center, Nashville, TN, 3Department of Surgery, Naval Hospital Bremerton, Bremerton, WA, 4Pediatric and Diabetes Specialists, Carolinas Medical Center, Charlotte, NC, 5Department of Surgery, Vanderbilt Medical Center, Nashville, TN, USAObjective: The quantity of enteral protein supplementation required by premature infants to optimize growth has not been determined. This study compares the growth of premature infants fed the current standard intake of protein (3.5 g/kg/day with the growth of those fed a higher amount (4.0 g/kg/day.Study design: Fifty-two infants <1500 g and <33 weeks gestational age participated in a blinded, single-center, prospective randomized control trial to compare growth between two groups of different protein-intake levels. Primary outcomes were average daily weight gain (g/kg/day, head-circumference (cm/kg/week and linear growth velocity (cm/kg/week. Secondary outcomes were serum indices of protein tolerance and plasma amino acid concentrations.Results: Infants receiving higher amounts of protein had higher rates of growth for body weight (18.2 ± 0.7 versus 16.2 ± 1.0 g/kg/day; P < 0.05 and head circumference (0.87 ± 0.08 versus 0.62 ± 0.07 cm/kg/week; P < 0.05, with no differences in blood protein or plasma amino acid concentrations. Length of hospital stay was 14 days shorter for the higher-protein group (51.4 ± 4.0 versus 65.9 ± 6.3 days.Conclusion: Increasing premature infant enteral protein supplementation from a calculated intake of 3.5–4.0 g/kg/day improved growth in a safe manner.Keywords: human milk, human milk fortifier, growth, low birth weight

  11. Fixed-dose combinations at the front line of multimodal pain management: perspective of the nurse-prescriber

    Directory of Open Access Journals (Sweden)

    O'Brien J


    Full Text Available Joanne O’Brien,1 Joseph V Pergolizzi Jr,2 Mart van de Laar3, Hans-Ulrich Mellinghoff,4 Ignacio Morón Merchante,5 Srinivas Nalamachu,6 Serge Perrot,7 Robert B Raffa81Department of Pain Medicine, Beaumont Hospital, Beaumont, Dublin, Ireland; 2Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; Association of Chronic Pain Patients, Houston, TX; Department of Pharmacology, Temple University School of Medicine, Philadelphia, PA, USA; 3Arthritis Center Twente, Enschede, The Netherlands; 4Department of Endocrinology, Diabetology and Osteology, Kantonsspital St Gallen, Switzerland; 5Centro de Salud Universitario Goya, Madrid, Spain; 6Kansas University Medical Center, Kansas City, and International Clinic Research, Leawood, KS, USA; 7Service de Médecine Interne et Consultation de la Douleur, Hôpital Hotel Dieu, Paris Descartes University, Paris, France; 8Department of Pharmaceutical Sciences, Temple University School of Pharmacy, Philadelphia PA, USAAbstract: Pain should be treated promptly and effectively to restore the patient to full function, avoid pain chronification, and preserve quality of life. A recent pain specialists' meeting discussed the use of different pharmacological treatment options, such as topical analgesics, nonopioid agents (such as paracetamol and nonsteroidal anti-inflammatory drugs, weak and strong opioids, and fixed-dose combination products in the management of moderate to severe pain from different etiologies. One of the topics discussed in, and subsequent to, this meeting was the role of fixed-dose combination products for nurse-prescribers who are in many ways at the front line of managing both acute and chronic pain syndromes. The panel agreed that proper product selection should take into account the patient's age, condition, type of pain, and comorbidities, as well as balance safety with effectiveness. Although nurse-prescribers need to be aware of cumulative paracetamol dosing, fixed

  12. Principles to guide sustainable implementation of extended-scope-of-practice physiotherapy workforce redesign initiatives in Australia: stakeholder perspectives, barriers, supports, and incentives

    Directory of Open Access Journals (Sweden)

    Morris J


    Full Text Available Joanne Morris,1 Karen Grimmer,2 Lisa Gilmore,1 Chandima Perera,3 Gordon Waddington,4 Greg Kyle,4 Bryan Ashman,5 Karen Murphy61The Physiotherapy Department, The Canberra Hospital, ACT Health, Canberra, ACT, Australia; 2International Centre for Allied Health Evidence, University of South Australia, Adelaide, SA, Australia; 3Department of Rheumatology, The Canberra Hospital, Canberra, ACT, Australia; 4The Faculty of Health, University of Canberra, Canberra, ACT, Australia; 5Department of Surgical Services, The Canberra Hospital, Canberra, ACT, Australia; 6Office of Allied Health Advisor, ACT Health, Canberra, ACT, AustraliaAbstract: Sustainable implementation of new workforce redesign initiatives requires strategies that minimize barriers and optimize supports. Such strategies could be provided by a set of guiding principles. A broad understanding of the concerns of all the key stakeholder groups is required before effective strategies and initiatives are developed. Many new workforce redesign initiatives are not underpinned by prior planning, and this threatens their uptake and sustainability. This study reports on a cross-sectional qualitative study that sought the perspectives of representatives of key stakeholders in a new workforce redesign initiative (extended-scope-of-practice physiotherapy in one Australian tertiary hospital. The key stakeholder groups were those that had been involved in some way in the development, management, training, funding, and/or delivery of the initiative. Data were collected using semistructured questions, answered individually by interview or in writing. Responses were themed collaboratively, using descriptive analysis. Key identified themes comprised: the importance of service marketing; proactively addressing barriers; using readily understood nomenclature; demonstrating service quality and safety, monitoring adverse events, measuring health and cost outcomes; legislative issues; registration; promoting viable

  13. Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes in Singapore: Protocol for a Randomized Controlled Trial. (United States)

    Shorey, Shefaly; Ng, Yvonne Peng Mei; Siew, An Ling; Yoong, Joanne; Mörelius, Evalotte


    :// ©Shefaly Shorey, Yvonne Peng Mei Ng, An Ling Siew, Joanne Yoong, Evalotte Mörelius. Originally published in JMIR Research Protocols (, 10.01.2018.

  14. An mHealth App for Decision-Making Support in Wound Dressing Selection (WounDS): Protocol for a User-Centered Feasibility Study. (United States)

    Jordan, Scott; McSwiggan, Jane; Parker, Joanne; Halas, Gayle A; Friesen, Marcia


    DS include the potential to improve healthcare providers' competency in wound management and to improve wound healing through better alignment with evidence-based best practices in wound dressing selection, consistency in care from primary to community care, and subsequent downstream impacts in quality of life for patients. ©Scott Jordan, Jane McSwiggan, Joanne Parker, Gayle A. Halas, Marcia Friesen. Originally published in JMIR Research Protocols (, 24.04.2018.

  15. Ninth workshop on geothermal reservoir engineering: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    Ramey, H.J. Jr.; Kruger, P.; Miller, F.G.; Horne, R.N.; Brigham, W.E.; Gudmundsson, J.S. (Stanford Geothermal Program)


    (Reservoir Chemistry), Malcolm Mossman (Reservoir Chemistry), Greg Raasch (Production), Manny Nathenson (Injection), Susan Petty (Injection), Subir Sanyal (Simulation), Marty Molloy (Petrothermal), and Allen Moench (Reservoir Physics). The Workshop was organized by the Stanford Geothermal Program faculty, staff and students. We would like to thank Jean Cook, Joanne Hartford, Terri Ramey, Amy Osugi, and Marilyn King for their valued help with the Workshop arrangements and the Proceedings. We also owe thanks to the program students who arranged and operated the audio-visual equipment. The Ninth Workshop was supported by the Geothermal and Hydropower Technologies Division of the U . S . Department of Energy through contract DE-AT03-80SF11459. We deeply appreciate this continued support. H. J. Ramey, Jr., R. N. Horne, P. Kruger, W. E. Brigham, F. G. Miller, J. S . Gudmundsson -vii

  16. Web-Delivered Cognitive Behavioral Therapy for Distressed Cancer Patients: Randomized Controlled Trial. (United States)

    Chambers, Suzanne K; Ritterband, Lee M; Thorndike, Frances; Nielsen, Lisa; Aitken, Joanne F; Clutton, Samantha; Scuffham, Paul A; Youl, Philippa; Morris, Bronwyn; Baade, Peter D; Dunn, Jeff


    , Frances Thorndike, Lisa Nielsen, Joanne F Aitken, Samantha Clutton, Paul A Scuffham, Philippa Youl, Bronwyn Morris, Peter D Baade, Jeff Dunn. Originally published in the Journal of Medical Internet Research (, 31.01.2018.

  17. Phylogenetic lineages in Pseudocercospora. (United States)

    Crous, P W; Braun, U; Hunter, G C; Wingfield, M J; Verkley, G J M; Shin, H-D; Nakashima, C; Groenewald, J Z


    morphology, within the same geographic region, frequently differed phylogenetically, indicating that the application of European and American names to Asian taxa, and vice versa, was often not warranted. New genera - Pallidocercospora Crous, Phaeomycocentrospora Crous, H.D. Shin & U. Braun; New species - Cercospora eucommiae Crous, U. Braun & H.D. Shin, Microcyclospora quercina Crous & Verkley, Pseudocercospora ampelopsis Crous, U. Braun & H.D. Shin, Pseudocercospora cercidicola Crous, U. Braun & C. Nakash., Pseudocercospora crispans G.C. Hunter & Crous, Pseudocercospora crocea Crous, U. Braun, G.C. Hunter & H.D. Shin, Pseudocercospora haiweiensis Crous & X. Zhou, Pseudocercospora humulicola Crous, U. Braun & H.D. Shin, Pseudocercospora marginalis G.C. Hunter, Crous, U. Braun & H.D. Shin, Pseudocercospora ocimi-basilici Crous, M.E. Palm & U. Braun, Pseudocercospora plectranthi G.C. Hunter, Crous, U. Braun & H.D. Shin, Pseudocercospora proteae Crous, Pseudocercospora pseudostigmina-platani Crous, U. Braun & H.D. Shin, Pseudocercospora pyracanthigena Crous, U. Braun & H.D. Shin, Pseudocercospora ravenalicola G.C. Hunter & Crous, Pseudocercospora rhamnellae G.C. Hunter, H.D. Shin, U. Braun & Crous, Pseudocercospora rhododendri-indici Crous, U. Braun & H.D. Shin, Pseudocercospora tibouchinigena Crous & U. Braun, Pseudocercospora xanthocercidis Crous, U. Braun & A. Wood, Pseudocercosporella koreana Crous, U. Braun & H.D. Shin; New combinations - Pallidocercospora acaciigena (Crous & M.J. Wingf.) Crous & M.J. Wingf., Pallidocercospora crystallina (Crous & M.J. Wingf.) Crous & M.J. Wingf., Pallidocercospora heimii (Crous) Crous, Pallidocercospora heimioides (Crous & M.J. Wingf.) Crous & M.J. Wingf., Pallidocercospora holualoana (Crous, Joanne E. Taylor & M.E. Palm) Crous, Pallidocercospora konae (Crous, Joanne E. Taylor & M.E. Palm) Crous, Pallidoocercospora irregulariramosa (Crous & M.J. Wingf.) Crous & M.J. Wingf., Phaeomycocentrospora cantuariensis (E.S. Salmon & Wormald) Crous

  18. An assessment toolkit to increase the resilience of NWE catchments to periods of drought (United States)

    La Jeunesse, Isabelle; Larrue, Corinne


    European governance assessment toolkit to define regional drought adaptation; 2) to improve the effectiveness of drought adaptation measures for NWE areas, and 3) to enhance the preparedness of regional stakeholders in NWE in drought adaptation. In this presentation, authors aim at presenting the assessment toolkit based on a combination of five regime dimensions and four regime qualities which have been operationalized into a questionnaire. The questionnaire helps to make a regime assessment of both the static situation and the dynamics. Acknowledgments This research is funded by the INTERREG IVB programme for the North Western Europe and DROP is leaded by the Regge en Dinkel Water Board in the Netherlands. The toolkit is developped in collaboration with the University of Twente and in particular with Stefan Kuks, Hans Bressers, Cheryl de Boer, Joanne Vinke and Gül Özerol. We specially acknowledge Regional partners of DROP.

  19. The role of PHD2 mutations in the pathogenesis of erythrocytosis

    Directory of Open Access Journals (Sweden)

    Gardie B


    Full Text Available Betty Gardie,1,2 Melanie J Percy,3 David Hoogewijs,4 Rasheduzzaman Chowdhury,5 Celeste Bento,6 Patrick R Arsenault,7 Stéphane Richard,1,8,9 Helena Almeida,6 Joanne Ewing,10 Frédéric Lambert,11 Mary Frances McMullin,12 Christopher J Schofield,5 Frank S Lee7 1Laboratoire de Génétique Oncologique de l'Ecole Pratique des Hautes Etudes, Villejuif, 2Unité Mixte de Recherche, Institut national de la santé et de la recherche médicale U892, Centre national de la recherche scientifique 6299, Centre de Recherche en Cancérologie Nantes/Angers, Université de Nantes, Nantes, France; 3Department of Haematology, Belfast City Hospital, Belfast, UK; 4Institute of Physiology and Zürich Center for Integrative Human Physiology, University of Zürich, Zürich, Switzerland; 5Department of Chemistry and Oxford Centre for Integrative Systems Biology, Chemistry Research Laboratory, University of Oxford, Oxford, UK; 6Department of Hematology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; 7Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; 8Institut national de la santé et de la recherche médicale U753, Institut de cancérologie Gustave Roussy (IGR, Villejuif, France; 9Faculté de Médecine Paris-Sud, Le Kremlin-Bicêtre, France; 10Heart of England NHS Trust, Birmingham, UK; 11Center for Human Genetics, Pathology Institute, UniLab-Lg, Molecular Haemato-Oncology Unit, CHU of Liege, Liege, Belgium; 12Department of Haematology, Queen's University, Belfast, UK Abstract: The transcription of the erythropoietin (EPO gene is tightly regulated by the hypoxia response pathway to maintain oxygen homeostasis. Elevations in serum EPO level may be reflected in an augmentation in the red cell mass, thereby causing erythrocytosis. Studies on erythrocytosis have provided insights into the function of the oxygen-sensing pathway and the critical proteins involved in the regulation

  20. Zadarski gotički vezeni antependij u Budimpešti

    Directory of Open Access Journals (Sweden)

    Silvija Banić


    Full Text Available U Muzeju primijenjenih umjetnosti (Iparművészeti Múzeum u Budimpešti čuva se vezeni gotički antependij podrijetlom iz crkve benediktinskog samostana Sv. Krševana u Zadru. Antependij je u nepoznato vrijeme postao dijelom zbirke biskupa, povjesničara umjetnosti i kolekcionara Zsigmunda Bubicsa (biskup u Košicama u današnjoj Slovačkoj od 1887. do 1906. godine a u Muzeju primijenjenih umjetnosti je od 1909. godine. Dimenzije mu iznose 94 x 190 centimetara. Najveću površinu antependija zauzimaju svetački likovi pod trima zašiljenim gotičkim lukovima. U središnjem polju prikazana je Bogorodica s Djetetom na prijestolju, s lijeve strane je Sv. Krševan, a s desne Sv. Benedikt. U gornjem su dijelu dva dopojasno prikazana sveca koji bi se mogli identificirati kao Sv. Grgur Papa i Sv. Donat. ''Triptih'' sa svecima s lijeve je i desne strane flankiran bordurama u čijem su središnjem dijelu umetnute niše s dvama manjim stojećim likovima okrunjenih svetica (Sv. Katarina Aleksandrijska i Sv. Margareta. Lik donatora koji kleči s rukama sklopljenim u molitvi s lijeve strane Bogorodičina prijestolja nažalost nije popraćen nikakvim natpisom, no sasvim je jasno da je odjeven u benediktinski habit, s ponešto prenaglašenom kapuljačom koja mu pada preko leđa. Identitet benediktinca-donatora mogao bi se prepoznati u nekome od opata samostana Sv. Krševana. Pomišlja se da bi mogla biti riječ o Ivanu de Ontiacu (Joannes de Onciache iz lionske biskupije, koji je bio opatom samostana Sv. Krševana od 1345. do 1377. godine. Argumentira se da je antependij nastao u nekoj od venecijanskih vezilačkih radionica i to krajem šestog odnosno početkom sedmog desetljeća XIV. stoljeća, a na temelju usporedbi sa onovremenim slikarskim djelima te proizvodima umjetničkog (vezilačkog, tkalačkog i zlatarskog obrta. Na temelju zastupljenoga ikonografskog programa te podataka poznatih iz arhivskih izvora, pretpostavlja se da je antependij izrađen za

  1. Editorial: (United States)

    Wald, Robert M.


    I am very pleased to be assuming the Editorship of Classical and Quantum Gravity for the next five years. I hope to continue the successful policies that have made this journal well known for its openness to new developments in the field, for the efficiency of its editorial process, and for the quality and importance of its articles. Classical and Quantum Gravity has truly blossomed under the guidance of its previous Editors-in-Chief, Malcolm MacCallum, Kellogg Stelle, Gary Gibbons and Hermann Nicolai. During the past 12 months, a total of 847 manuscripts have been submitted, representing an increase of nearly 50% over the past four years alone. Beginning in 2000, the frequency of publication was increased from 12 to 24 issues per year. The rate of full-text downloads is now 7200 per month, nearly a three-fold increase over four years. For regular manuscripts, the average time between receipt and first decision now stands at only 59 days, the receipt-to-acceptance time is now only 72 days, and the receipt-to-online publication time is only 116 days. The corresponding times for letters are 36 days, 44 days and 62 days, respectively. Much of the improvement in refereeing and publication times can be directly attributed to the state-of-the art Web-based refereeing system, maintained by the able administration of the IOP editorial team, consisting of Andrew Wray, Joe Tennant, Joanne Rowse and Susannah Bruce. Both the growth in journal size and the decrease in publication times have been accomplished without any decrease in quality. As one objective measure of this, the 'impact factor' index of Classical and Quantum Gravity has risen steadily over the past four years. Even more significantly, Classical and Quantum Gravity has undergone major intellectual growth since its founding. In 1984, modern string theory was in the process of being born, the subject of 'loop quantum gravity' did not exist at all, 'new inflation' truly was 'new', and the possibility of observing

  2. SRP Meeting: North west regional conference

    Energy Technology Data Exchange (ETDEWEB)

    Kennedy, Annette [NNC Limited, Manchester (United Kingdom)


    The SRP North West Regional Conference was held in the Education Centre, Christie Hospital NHS Trust in Manchester on the subject of Ionising Regulations 1999 (IRR99) two years on. The Chairman for the morning session was David Abbott from BNFL and for the afternoon was Anne Walker from Christie Hospital. Dr Joanne Nettleton, a HM Principal Specialist Inspector (Radiation) in the Field Operations Directorate, explained the view of the HSE. She outlined that the IRR99 have been in force since January 2000 after a comprehensive consultation exercise. The results that have been seen to date are, not surprisingly, no increase in exposure levels, an increased profile of radiation protection and an improved standing of RPAs. The SRP run a Continuing Professional Development scheme as a personal aid to maintain an adequate level of professionalism, demonstrate competence and as a guide to employers for them to maintain a professional Radiation Protection Service. There are currently over 300 people using the SRPs CPD scheme. They have also detailed a new mentoring system. In conclusion RPA 2000 is successfully meeting the needs of RPAs in the UK and the portfolios of evidence are improving. Overall, the SRP CPD scheme is effective and cheap. David Owen, Radiological Protection Manager responsible for policy and strategy issues in this field, gave a summary of the operation of the BNFL RPA Assessment Scheme, of which he is Secretary to the Management Board. The BNFL RPA Assessment Scheme is recognised by the HSE and has a number of subtle differences from the RPA 2000 scheme. RPAs advise on the restriction of exposure, designation of area, local rules, selection of the RPS, the training of the RPS and other staff, hazard identification, risk assessment, facility design, contingency planning, waste management and transport and any other matters relating to ionising radiation. Becoming an RPA within the medical sector is not easy. Firstly there is two years basic training

  3. Recovery of hypothalamo–pituitary–adrenal axis suppression during treatment with inhaled corticosteroids for childhood asthma

    Directory of Open Access Journals (Sweden)

    Gangadharan A


    Full Text Available Arundoss Gangadharan,1 Paul McCoy,2 Aye Phyo,1 Michael P McGuigan,3 Poonam Dharmaraj,1 Renuka Ramakrishnan,1 Paul S McNamara,2,4 Joanne Blair1 1Department of Endocrinology, 2Department of Respiratory Medicine, Alder Hey Children’s Hospital, Liverpool, 3Department of Paediatrics, Countess of Chester Hospital NHS Foundation Trust, 4Institute in the Park, University of Liverpool, Alder Hey Children’s Hospital, Liverpool, UK Objective: To describe recovery of adrenal insufficiency in asthmatic children treated with inhaled corticosteroids (ICS and cortisol replacement therapy.Design: Retrospective, observational study.Patients: A total of 113 patients, 74 male; age 10.4 (3.3–16.5 years; beclomethasone-­equivalent ICS dose, 800 µg, (100–1,000, tested by low dose short Synacthen (tetracosactide test (LDSST, were studied. Test results were classified by basal and peak cortisol concentration: “normal” (basal >100 nmol/L, peak >500 nmol/L, “suboptimal” (basal >100 nmol/L, peak 350–499 nmol/L, “abnormal” (basal <100 nmol/L and/or peak <350 nmol/L. Patients with suboptimal results received hydrocortisone during periods of stress only, and those with abnormal responses received daily hydrocortisone, increased during periods of stress. A total of 73 patients (68% had ≥2 LDSSTs over 2.2 years (0.2–7.7.Measurements: Change in cortisol response to repeat LDSST (movement between diagnostic groups, difference in basal and peak cortisol >15% [2× the inter-assay coefficient of variation], change in BMI and height standard deviation score (SDS.Results: Baseline test results were abnormal in 17 patients (15% and all of them had repeat tests. In 13 patients (76%, test results improved (normal in six, suboptimal in seven and four (24% remained abnormal. Baseline tests results were suboptimal in 54 patients (48%, of whom 50 (93% were retested. Repeat tests were normal in 36 patients (72%, remained suboptimal in 11 (22%, and were abnormal

  4. Implementation of Digital Awareness Strategies to Engage Patients and Providers in a Lung Cancer Screening Program: Retrospective Study. (United States)

    Jessup, Dana L; Glover Iv, McKinley; Daye, Dania; Banzi, Lynda; Jones, Philip; Choy, Garry; Shepard, Jo-Anne O; Flores, Efrén J


    after the digital awareness campaigns and the number of exams scheduled before and after the digital awareness campaigns being statistically significant (Pdigital awareness campaigns was associated with increased visits to institutional educational Web pages and scheduled LDCT exams. Digital platforms are an important tool to enhance health promotion activities and engagement with patients and providers. ©Dana L Jessup, McKinley Glover IV, Dania Daye, Lynda Banzi, Philip Jones, Garry Choy, Jo-Anne O Shepard, Efrén J Flores. Originally published in the Journal of Medical Internet Research (, 15.02.2018.

  5. Real-World Implementation of Video Outpatient Consultations at Macro, Meso, and Micro Levels: Mixed-Method Study. (United States)

    Greenhalgh, Trisha; Shaw, Sara; Wherton, Joseph; Vijayaraghavan, Shanti; Morris, Joanne; Bhattacharya, Satya; Hanson, Philippa; Campbell-Richards, Desirée; Ramoutar, Seendy; Collard, Anna; Hodkinson, Isabel


    a traditional encounter. Video consultations appeared to work better when the clinician and patient already knew and trusted each other. Some clinicians used Skype adaptively to respond to patient requests for ad hoc encounters in a way that appeared to strengthen supported self-management. The reality of establishing video outpatient services in a busy and financially stretched acute hospital setting proved more complex and time-consuming than originally anticipated. By the end of this study, between 2% and 22% of consultations were being undertaken remotely by participating clinicians. In the remainder, clinicians chose not to participate, or video consultations were considered impractical, technically unachievable, or clinically inadvisable. Technical challenges were typically minor but potentially prohibitive. Video outpatient consultations appear safe, effective, and convenient for patients in situations where participating clinicians judge them clinically appropriate, but such situations are a fraction of the overall clinic workload. As with other technological innovations, some clinicians will adopt readily, whereas others will need incentives and support. There are complex challenges to embedding video consultation services within routine practice in organizations that are hesitant to change, especially in times of austerity. ©Trisha Greenhalgh, Sara Shaw, Joseph Wherton, Shanti Vijayaraghavan, Joanne Morris, Satya Bhattacharya, Philippa Hanson, Desirée Campbell-Richards, Seendy Ramoutar, Anna Collard, Isabel Hodkinson. Originally published in the Journal of Medical Internet Research (, 17.04.2018.

  6. Enhancing the health of women living with HIV: the SMART/EST Women's Project

    Directory of Open Access Journals (Sweden)

    Stephen M Weiss


    Full Text Available Stephen M Weiss1, Jonathan N Tobin2, Michael Antoni1, Gail Ironson1, Mary Ishii1, Anita Vaughn2, Andrea Cassells2, Deborah Jones1, Neil Schneiderman1, Elizabeth Brondolo3, Arthur LaPerriere1, Maria Lopez1, Olga Villar-Loubet1, Joanne Camille2, Mahendra Kumar1, J Bryan Page1, SMART/EST Women's Project Team*1University of Miami, Miami, FL, USA; 2Clinical Directors Network, New York, NY, USA; 3St Johns University, Queens, NY, USA; *The SMART/EST Womens' Project Team: DeVieux J, Jean-Gilles M, Gousse Y, Alexander K, Bustamonte V, Lopez E, Casani J, Stanley H, Asthana D, Van Splunteren F, Goldstein A, Nasajon R, Wiesner Y, Zukerman M, Segal-Isaacson CJ, Romanowsky A, Masheb R, Coma C, Ubiera M, D'Andrea SM, Ittai N.Abstract: The principal objective of these multisite studies (Florida, New York, New Jersey: epicenters for human immunodeficiency virus [HIV] among women was to develop and implement effective combinations of behavioral interventions to optimize the health status of the most neglected and understudied population affected by the acquired immunodeficiency syndrome (AIDS epidemic in the United States: poor women of color living with HIV. The two studies enrolled nearly 900 women randomly assigned to “high intensity” (cognitive–behavioral stress management training combined with expressive–supportive therapy [CBSM]+ group or “low intensity” (individual psychoeducational program treatment conditions over a period of 9 years. The initial study of the stress management and relaxation training/expressive–supportive therapy (SMART/EST Women's Project (SWP I focused on reducing depression and anxiety, as well as improving self-efficacy and overall quality of life for women with case-defined AIDS. Findings from this study demonstrated the utility of CBSM+ in reducing distress (depression, anxiety and denial, while improving social support, self-efficacy, coping skills, and quality of life. The second study (SWP II, which included all

  7. Contraceptive prevalence and preference in a cohort of south–east Nigerian women

    Directory of Open Access Journals (Sweden)

    Egede JO


    Full Text Available John Okafor Egede,1 Robinson Chukwudi Onoh,1 Odidika Ugochukwu Joannes Umeora,1 Chukwuemeka Anthony Iyoke,2 Ikechukwu Benedict Okechukwu Dimejesi,1 Lucky Osaheni Lawani1 1Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria; 2Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria Background: Rates of fertility, population growth, and maternal deaths in Nigeria are among the highest in the world, with an estimated 4% of all births being unwanted and 7% mistimed. These are caused mainly by nonuse, inappropriate choice, and difficulty in accessing contraceptive commodities. The purpose of this study was to determine the prevalence and factors influencing the choice and sources of contraceptive options among market women in Ebonyi State, Nigeria.Methods: This was a questionnaire-based, cross-sectional, descriptive study involving 330 market women of reproductive age in Abakaliki, Ebonyi State, Nigeria. A survey was carried out to identify their knowledge, use, and sources of contraception and the factors that influence their contraceptive practices.Results: Knowledge of contraception was high (275 [83.3%], and 229 (69.4% of the study population approved of contraceptive use. However, only 93 (28.3% of the respondents were currently using any form of contraception. Fifty-four women (16.3% were using modern methods. The commonly used forms of modern contraception were the barrier method (male condoms, 27 [8.2%], the oral contraceptive pill (10 [3.0%], injectables (8 [2.5%], and the intrauterine contraceptive device (7 [2.0%]. The most common source of contraceptive products was patent medicine dealers (58 [51%]. The main barriers to use of contraception were desire for more children (86 [26.1%], religious prohibition (62 [18.8%], spousal disapproval (32 [9.7%], and the perceived side effects of modern contraceptives (25 [7.6%]. There was a

  8. Diagnostic and Prognostic Utility of the Synaptic Marker Neurogranin in Alzheimer Disease (United States)

    Tarawneh, Rawan; D’Angelo, Gina; Crimmins, Dan; Herries, Elizabeth; Griest, Terry; Fagan, Anne M.; Zipfel, Gregory J.; Ladenson, Jack H.; Morris, John C.; Holtzman, David M.


    IMPORTANCE Synaptic loss is an early pathologic substrate of Alzheimer disease (AD). Neurogranin is a postsynaptic neuronal protein that has demonstrated utility as a cerebrospinal fluid (CSF) marker of synaptic loss in AD. OBJECTIVE To investigate the diagnostic and prognostic utility of CSF neurogranin levels in a large, well-characterized cohort of individuals with symptomatic AD and cognitively normal controls. DESIGN, SETTING, AND PARTICIPANTS A cross-sectional and longitudinal observational study of cognitive decline in patients with symptomatic AD and cognitively normal controls was performed. Participants were individuals with a clinical diagnosis of early symptomatic AD and cognitively normal controls who were enrolled in longitudinal studies of aging and dementia at the Charles F. and Joanne Knight Alzheimer Disease Research Center, Washington University School of Medicine, from January 21, 2000, through March 21, 2011. Data analysis was performed from November 1, 2013, to March 31, 2015. MAIN OUTCOMES AND MEASURES Correlations between baseline CSF biomarker levels and future cognitive decline in patients with symptomatic AD and cognitively normal controls overtime. RESULTS A total of 302 individuals (mean [SE] age, 73.1 [0.4] years) were included in this study (95 patients [52 women and 43 men] with AD and 207 controls [125 women and 82 men]). The CSF neurogranin levels differentiated patients with early symptomatic AD from controls with comparable diagnostic utility (mean [SE] area under the receiver operating characteristic curve, 0.71 [0.03]; 95% CI, 0.64–0.77) to the other CSF biomarkers. The CSF neurogranin levels correlated with brain atrophy (normalized whole-brain volumes: adjusted r = −0.38, P = .02; hippocampal volumes: adjusted r = −0.36, P = .03; entorhinal volumes: adjusted r = −0.46, P = .006; and parahippocampal volumes: adjusted r = −0.47, P = .005, n = 38) in AD and with amyloid load (r = 0.39, P = .02, n = 36) in preclinical

  9. Uptake of Tailored Text Message Smoking Cessation Support in Pregnancy When Advertised on the Internet (MiQuit): Observational Study. (United States)

    Emery, Joanne L; Coleman, Tim; Sutton, Stephen; Cooper, Sue; Leonardi-Bee, Jo; Jones, Matthew; Naughton, Felix


    (median gestation 5 weeks, interquartile range 10 weeks); those initiating via Facebook were distributed more evenly across pregnancy (median gestation 16 weeks, interquartile range 14 weeks). Commercial online adverts are a feasible, likely cost-effective method for engaging pregnant smokers in digital cessation support and may generate uptake at a faster rate than noncommercial websites. As a strategy for implementing MiQuit, online advertising has large reach potential and can offer support to a hard-to-reach population of smokers. ©Joanne L Emery, Tim Coleman, Stephen Sutton, Sue Cooper, Jo Leonardi-Bee, Matthew Jones, Felix Naughton. Originally published in the Journal of Medical Internet Research (, 19.04.2018.

  10. SRP Meeting: North west regional conference

    International Nuclear Information System (INIS)

    Kennedy, Annette


    The SRP North West Regional Conference was held in the Education Centre, Christie Hospital NHS Trust in Manchester on the subject of Ionising Regulations 1999 (IRR99) two years on. The Chairman for the morning session was David Abbott from BNFL and for the afternoon was Anne Walker from Christie Hospital. Dr Joanne Nettleton, a HM Principal Specialist Inspector (Radiation) in the Field Operations Directorate, explained the view of the HSE. She outlined that the IRR99 have been in force since January 2000 after a comprehensive consultation exercise. The results that have been seen to date are, not surprisingly, no increase in exposure levels, an increased profile of radiation protection and an improved standing of RPAs. The SRP run a Continuing Professional Development scheme as a personal aid to maintain an adequate level of professionalism, demonstrate competence and as a guide to employers for them to maintain a professional Radiation Protection Service. There are currently over 300 people using the SRPs CPD scheme. They have also detailed a new mentoring system. In conclusion RPA 2000 is successfully meeting the needs of RPAs in the UK and the portfolios of evidence are improving. Overall, the SRP CPD scheme is effective and cheap. David Owen, Radiological Protection Manager responsible for policy and strategy issues in this field, gave a summary of the operation of the BNFL RPA Assessment Scheme, of which he is Secretary to the Management Board. The BNFL RPA Assessment Scheme is recognised by the HSE and has a number of subtle differences from the RPA 2000 scheme. RPAs advise on the restriction of exposure, designation of area, local rules, selection of the RPS, the training of the RPS and other staff, hazard identification, risk assessment, facility design, contingency planning, waste management and transport and any other matters relating to ionising radiation. Becoming an RPA within the medical sector is not easy. Firstly there is two years basic training

  11. 8th European Conference on Rare Diseases & Orphan Products (ECRD 2016

    Directory of Open Access Journals (Sweden)

    Michael Schlander


    Full Text Available Table of contents O1 The European Social Preferences Measurement (ESPM study project: social cost value analysis, budget impact, commercial life cycle revenue management, and the economics of biopharmaceutical Research & Development (R&D Michael Schlander, Søren Holm, Erik Nord, Jeff Richardson, Silvio Garattini, Peter Kolominsky-Rabas, Deborah Marshall, Ulf Persson, Maarten Postma, Steven Simoens, Oriol de Solà Morales, Keith Tolley, Mondher Toumi, Harry Telser O2 Newborn Screening: the potential and the challenges James R Bonham O3 Untreatable disease outcomes - how would we measure them? Helmut Hintner, Anja Diem, Martin Laimer O4 Taking Integrated Care Forward: Experiences from Canada to inspire service provision for people living with rare disease in Europe Réjean Hébert O5 Listening to the patient’s voice: social media listening for safety and benefits in rare diseases Nabarun Dasgupta, Carrie E. Pierce, Melissa Jordan O6 Via Opta: Mobile apps making visually impaired patients’ lives easier Barbara Bori, Mohanad Fors, Emilie Prazakova O7 A report of the IRDiRC “Small Population Clinical Trial” Task Force Simon Day O8 HAE patient identification and diagnosis: An innovative, ‘game changing’ collaboration Thomas J. Croce Jr. O9 Co-creating with the community: primary packaging & administration for people with haemophilia Jonas Fransson, Philip Wood O10 Go with Gaucher, taking forward the next generation. How to involve young people to create a new generation of patient advocates Anne-Grethe Lauridsen, Joanne Higgs, Vesna Stojmirova Aleksovska P1 ODAK – Orphan Drug for Acanthamoeba Keratitis Christina Olsen, Ritchie Head, Antonio Asero, Vincenzo Papa, Christa van Kan, Loic Favennec, Silvana Venturella, Michela Salvador, Alan Krol P5 Rare Navigators help people living with rare diseases to manage the social – and healthcare systems Stephanie J. Nielsen, Birthe B. Holm P6 The eAcademy for Tay-Sachs & Sandhoff disease app

  12. Medication regimen complexity in ambulatory older adults with heart failure

    Directory of Open Access Journals (Sweden)

    Cobretti MR


    Full Text Available Michael R Cobretti,1 Robert L Page II,2 Sunny A Linnebur,2 Kimberly M Deininger,1 Amrut V Ambardekar,3 JoAnn Lindenfeld,4 Christina L Aquilante1 1Department of Pharmaceutical Sciences, 2Department of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado, Aurora, CO, 3Division of Cardiology, School of Medicine, University of Colorado, Aurora, CO, 4Advanced Heart Failure and Cardiac Transplant Program, Vanderbilt Heart and Vascular Institute, Nashville, TN, USA Purpose: Heart failure prevalence is increasing in older adults, and polypharmacy is a major problem in this population. We compared medication regimen complexity using the validated patient-level Medication Regimen Complexity Index (pMRCI tool in “young-old” (60–74 years versus “old-old” (75–89 years patients with heart failure. We also compared pMRCI between patients with ischemic cardiomyopathy (ISCM versus nonischemic cardiomyopathy (NISCM.Patients and methods: Medication lists were retrospectively abstracted from the electronic medical records of ambulatory patients aged 60–89 years with heart failure. Medications were categorized into three types – heart failure prescription medications, other prescription medications, and over-the-counter (OTC medications – and scored using the pMRCI tool.Results: The study evaluated 145 patients (n=80 young-old, n=65 old-old, n=85 ISCM, n=60 NISCM, mean age 73±7 years, 64% men, 81% Caucasian. Mean total pMRCI scores (32.1±14.4, range 3–84 and total medication counts (13.3±4.8, range 2–30 were high for the entire cohort, of which 72% of patients were taking eleven or more total medications. Total and subtype pMRCI scores and medication counts did not differ significantly between the young-old and old-old groups, with the exception of OTC medication pMRCI score (6.2±4 young-old versus 7.8±5.8 old-old, P=0.04. With regard to heart failure etiology, total pMRCI scores and medication

  13. "Thanks for Letting Us All Share Your Mammogram Experience Virtually": Developing a Web-Based Hub for Breast Cancer Screening. (United States)

    Galpin, Adam; Meredith, Joanne; Ure, Cathy; Robinson, Leslie


    discussion. Health professionals and service users expressed the same broad concerns, but there were subtle differences in their opinions. Importantly, the themes were triangulated between the Facebook discussions and the survey data, supporting the validity of an online user design group. Online user design groups afford a useful method for understanding stakeholder needs. In contrast to focus groups, they afford access to users from diverse geographical locations and traverse time constraints, allowing more follow-ups to responses. The use of Facebook provides a familiar and naturalistic setting for discussion. Although we acknowledge the limitations in the sample, this approach has allowed us to understand the views of stakeholders in the user-centered design of the WoMMeN hub for breast cancer screening. ©Adam Galpin, Joanne Meredith, Cathy Ure, Leslie Robinson. Originally published in JMIR Cancer (, 27.10.2017.

  14. Common scale features of the recent Greek and Serbian church chant traditions

    Directory of Open Access Journals (Sweden)

    Peno Vesna


    defined as either major or minor. However, it ought to be said that Serbian chanters in the recent past, as well as those who take part in worship today, do not consciously connect the mode, melos or melody with scale progression, but rather with melodic patterns. In other words, neither in the 19th century nor today have Serbian chanters sung characteristic intonation formulae for their respective scale structures, when crossing from one mode to another. The reason this practice has already been mentioned: they learn complete melodies by heart, without thinking about their scale system. In this paper I looked for a proper methodology by which similarities and changes between Greek and Serbian chanting traditions could be discovered. The basis for my comparison was served by the main chant book in two, very popular versions: the Greek Anastasimatarion of Joannes Protopsaltes and the Serbian Octoechos by Stevan Mokranjac. In the analysis it was essential to abstract important data concerning differences between the natural and tempered tone systems, which originated in the natural neumatic and staff notation, respectively. Greek melodies were transcribed, but with additional sharp and flat signs to indicate the natural values of intervals. In contrast, most Serbian melos were transposed into the final tones of the respective Greek hymns. The comparison confirmed my original expectations. The scale progression of Serbian melodies correspond to the natural scale progression of Greek hymns of the first, first plagal - fifth, third, varis - the third plagal and eight modes. They have the main tones which appear at the end of melodic patterns along with other main tones which represent the framework of the melody. Obvious discrepances are present in the syllabic, so called eirmologic melos of the second, fourth and sixth modes. Serbian scribes of church melodies generally noted these hymns in major (IVth and VIth modes or major-minor (IInd mode, whereas in neumatic chant soft

  15. PREFACE: Electrostatics 2015 (United States)

    Matthews, James


    conference committee took the decision to transcribe the questions and answers to leave a lasting record of the conversations that took place after each oral presentation and they are included in the printed proceedings. I am very grateful to Keith Davies and the conference committee, and Joanne Hemstock and other IOP staff, who provided advice and assistance throughout the whole process. A peer reviewed proceedings is not possible without willing expert reviewers who are able to provide reviews on abstracts and submitted papers. I am grateful to all who undertook reviews throughout the process. I hope to see many of this year's delegates in four years time for Electrostatics 2019.

  16. Sixth workshop on geothermal reservoir engineering: Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    Ramey, H.J. Jr.; Kruger, P. (eds.)


    , making sure that everything was prepared and organized - in particular we would like to thank Jean Cook and Joanne Hartford (Petroleum Engineering Department, Stanford University) without whom there may never have been a Sixth Workshop. Henry J. Ramey, Jr. Paul Kruger Ian G. Donaldson Stanford University December 31, 1980

  17. The 15th Biannual National Congress of the South African Society of Psychiatrists, 10-14 August 2008, Fancourt, George, W Cape

    Directory of Open Access Journals (Sweden)

    Eugene Allers


    , Allison Breen, Allan J Flisher, Ritsuko Kakuma, Leslie Swartz, John Joska, Joanne Corrigall, Vikram Patel, MHaPP Research Programe Consortium 31. The cost of scaling up mental health care in low- and middle-income countries Crick Lund, Dan Chishlom, Shekhar Saxena 32. 'Tikking'Clock: The impact of a methamphetamine epidemic at a psychiatric hospital in the Western Cape P Milligan, J S Parker 33. Durban youth healh-sk behaviour: Prevalence f Violence-related behaviour D L Mkize 34. Profile of morality of patients amitted Weskoppies Psychiatric Hospital in Sout frican over a 5-Year period (2001-2005 N M Moola, N Khamker, J L Roos, P Rheeder 35. One flew over Psychiatry nest Leverne Mountany 36. The ethical relationship betwe psychiatrists and the pharmaceutical indutry Margaret  G Nair 37. Developing the frameor of a postgraduate da programme in mental health R J Nichol, B de Klerk, M M Nel, G van Zyl, J Hay 38. An unfolding story: The experience with HIV-ve patients at a Psychiatric Hospital J S Parker, P Milligan 39. Task shifting: A practical strategy for scalingup mental health care in developing countries Vikram Patel 40. Ethics: Informed consent and competency in the elderly Willie Pienaar 41. Confronting ommonmoral dilemmas. Celebrating uncertainty, while in search  patient good Willie Pienaar 42. Moral dilemmas in the treatment and repatriation of patients with psychtorders while visiting our country Duncan Ian Rodseth 43. Geriatrics workshop (Psegal symposium: Medico-legal issuess in geriatric psyhiatry Felix Potocnik 44. Brain stimulation techniques - update on recent research P J Pretorius 45. Holistic/Alternative treatments in psychiatry T Rangaka, J Dill 46. Cognitive behaviour therapy and other brief interventions for management of substances Solomon Rataemane 47. A Transtheoretical view of change Nathan P Rogerson 48. Profile of security breaches in longerm mental health care users at Weskoppies Hospital over a 6-month period Deleyn Rema, Lindiwe Mthethwa


    Directory of Open Access Journals (Sweden)

    Олена МАТУШЕК


    explore ways to preserve confessional identity in the texts of the ecclesiastical figures of the XVII-th century. This is important not only for investigation of Baroque culture, but also for understanding the contemporary church politics. The purpose of this work to study the function of sacred images in the literary discourse of the second half of the XVIIth century. In this article this icon is considered as a literary image in the books «Runo oroshennoye» of Dymytriy Tuptalo and «Bohorodytse Divo» of Ioann Maksymovych. The miraclestories are analyzed as narrative texts, in which the miracles are the main events. In these books any trip to the icon associated with the theme of changing the physical state of a person following the confession, prayer, sincere repentance and the sacrament, that are a purely religious forms of communication with God. Dymytriy Tuptalo wrote his stories by narrative prose, Joann Maksymovyc wrote his teksts by verses, but the plots of these texts were very similar. These texts have standard bubuilding, called the hero of the story, which came to the momonastery; at the margin or in the text the event calendar inindicates (usually a year, month, day or holidays of the church calendar. Each of the authors puts in its own semantic accents. Virgin transmits and directs its power through the Icon for people who need her help. So the image of Virgin is studied across its functions (Helper, Protector, Presenter and others. Also the author came to the conclusion that icon of the Virgin from the monastery of st Illya serves as a means of sacralization of Chernigiv as a spiritual center. This icon performs the functions of preservation of Orthodox identity and protection from real enemies. Further study of literary texts, features of Ukrainian Marian icons will make it possible to determine the circle of shrines and their role in the early modern Ukraine. Key words: literary discourse, mіracle-story, icon, baroque features of literary characters

  19. News & Announcements (United States)


    and establishing its role in gene regulation; for his discovery of a giant complex of 20 proteins known as the "Mediator", which regulates the transcription process; and for determining the atomic structure of RNA polymerase II. The 300,000 award salutes Kornberg's lifetime contributions to biochemistry. NSTA Teacher Awards During its 2001 national convention the National Science Teachers Association presented prizes and awards to teachers for their exemplary teaching practices and commitment to quality science education. Many appear below. Distinguished Service to Science Education Award JoAnne Vasquez, Science Consultant, Gilbert, AZ Richard F. Duncan, Beaverton Administrative Center, Beaverton, OR Mitchell E. Batoff, New Jersey City University, Jersey City, NJ Distinguished Informal Science Education Award Al Stenstrup, Wisconsin Department of Natural Resources, Madison, WI Ciba Specialty Chemicals Education Foundation Exemplary Science Teaching Award, High School Level Gerald Friday, Marquette High School, Milwaukee, WI Gustav Ohaus Innovations in Science Teaching, High School Mark Stefanski, Marin Academy, San Rafael, CA (first place) James A. Szoka, Clarke County High School, Berryville, VA (second place) Gustav Ohaus Innovations in Science Teaching, College William F. McComas, University of Southern California, Los Angeles, CA (first place) Barbara M. Lom, Davidson College, Davidson, NC (second place) Courses, Seminars, Meetings, Opportunities Proposal Deadlines Proposal Deadlines will not appear this month. Readers should consult page 876 of the July 2001 issue or JCE Online. National Educators' Workshop The National Institute of Standards and Technology's Materials Science and Engineering Laboratory will host the 16th annual National Educators' Workshop (NEW: Update): Experiments in Engineering, Materials Science, and Technology. NEW: Update is part of the NIST centennial celebration. It will be held in Gaithersburg, MD, and at the University of Maryland