Long Term Outcomes of a Geriatric Liaison Intervention in Frail Elderly Cancer Patients.

Directory of Open Access Journals (Sweden)

Liesbeth Hempenius

Full Text Available The aim of this study was to evaluate the long term effects after discharge of a hospital-based geriatric liaison intervention to prevent postoperative delirium in frail elderly cancer patients treated with an elective surgical procedure for a solid tumour. In addition, the effect of a postoperative delirium on long term outcomes was examined.A three month follow-up was performed in participants of the Liaison Intervention in Frail Elderly study, a multicentre, prospective, randomized, controlled trial. Patients were randomized to standard treatment or a geriatric liaison intervention. The intervention consisted of a preoperative geriatric consultation, an individual treatment plan targeted at risk factors for delirium and daily visits by a geriatric nurse during the hospital stay. The long term outcomes included: mortality, rehospitalisation, Activities of Daily Living (ADL functioning, return to the independent pre-operative living situation, use of supportive care, cognitive functioning and health related quality of life.Data of 260 patients (intervention n = 127, Control n = 133 were analysed. There were no differences between the intervention group and usual-care group for any of the outcomes three months after discharge. The presence of postoperative delirium was associated with: an increased risk of decline in ADL functioning (OR: 2.65, 95% CI: 1.02-6.88, an increased use of supportive assistance (OR: 2.45, 95% CI: 1.02-5.87 and a decreased chance to return to the independent preoperative living situation (OR: 0.18, 95% CI: 0.07-0.49.A hospital-based geriatric liaison intervention for the prevention of postoperative delirium in frail elderly cancer patients undergoing elective surgery for a solid tumour did not improve outcomes 3 months after discharge from hospital. The negative effect of a postoperative delirium on late outcome was confirmed.Nederlands Trial Register, Trial ID NTR 823.

Clinical and demographic profile of cancer patients in a consultation-liaison psychiatric service

Directory of Open Access Journals (Sweden)

Vanessa de Albuquerque Citero

Full Text Available ABSTRACT CONTEXT: An almost 50% prevalence of psychiatric disorders among cancer patients has prompted a series of studies on consultation-liaison psychiatry. Nonetheless, there are few reports on the epidemiological factors involving comorbidity between cancer and psychiatric disorders. OBJECTIVE: To evaluate the epidemiological profile of cancer inpatients referred to the consultation-liaison psychiatric service in an oncology hospital during its first year of activity. TYPE OF STUDY: Descriptive study. SETTING: Tertiary-care teaching hospital. PARTICIPANTS: 319 patients referred 412 times to the consultation-liaison psychiatry service. PROCEDURES: From August 97 to July 98, an appraisal was made of data on all admissions registered at the Hospital do Câncer, and also all referrals registered at the consultation-liaison psychiatry service. MAIN MEASUREMENTS: The demographics and patients' clinical data, the type and flow of the request, and the evaluation conducted by the service were analyzed and comparisons with the hospital data were made. The distribution of the number of referrals was used to construct a profile of patients who had repeatedly used the service. RESULTS: Psychiatric diagnoses were found in 59% of the cases. Forty-three percent of these required medication, 18.3% needed psychotherapy, 22.1% family intervention and 20.5% guidance from the staff. Over 22.8% of the consultations were reevaluations, mainly involving younger male patients with worst prognoses. These patients required lengthier and more elaborate intervention, and had higher prevalence of depressive and behavioral disorders. CONCLUSION: A younger and mainly male population of non-surgical oncological cases was referred to the consultation-liaison psychiatric service during its first year of activity. The psychiatric disorder prevalence was higher than expected, and consisted predominantly of mood disorders. We detected a priority group, namely the reevaluated

An advisory statement from the Pediatric Working Group of the International Liaison Committee on Resuscitation.

Science.gov (United States)

Kattwinkel, J; Niermeyer, S; Nadkarni, V; Tibballs, J; Phillips, B; Zideman, D; Van Reempts, P; Osmond, M

1999-04-01

The International Liaison Committee on Resuscitation (ILCOR), with representation from North America, Europe, Australia, New Zealand, Africa, and South America, was formed in 1992 to provide a forum for liaison between resuscitation organizations in the developed world. This consensus document on resuscitation extends previously published ILCOR advisory statements on resuscitation to address the unique and changing physiology of the newly born infant within the first few hours after birth and the techniques for providing advanced life support. After careful review of the international resuscitation literature and after discussion of key and controversial issues, consensus was reached on almost all aspects of neonatal resuscitation, and areas of controversy and high priority for additional research were delineated. Consensus on resuscitation for the newly born infant included the following principles: Common or controversial medications (epinephrine, volume expansion, naloxone, bicarbonate), special resuscitation circumstances affecting care of the newly born, continuing care of the newly born after resuscitation, and ethical considerations for initiation and discontinuation of resuscitation are discussed. There was agreement that insufficient data exist to recommend changes to current guidelines regarding the use of 21% versus 100% oxygen, neuroprotective interventions such as cerebral hypothermia, use of a laryngeal mask versus endotracheal tube, and use of high-dose epinephrine. Areas of controversy are identified, as is the need for additional research to improve the scientific justification of each component of current and future resuscitation guidelines.

Embeddedness Creates Opportunities for Enhanced Library Liaison Services and Relationships

Directory of Open Access Journals (Sweden)

Richard Hayman

2017-03-01

Full Text Available A Review of: O’Toole, E., Barham, R., & Monahan, J. (2016. The impact of physically embedded librarianship on academic departments. portal: Libraries and the Academy, 16(3, 529-556. http://dx.doi.org/10.1353/pla.2016.0032 Objective – To examine whether liaison librarian interactions increase when librarians are physically embedded in their liaison areas. Design – Natural experiment using quantitative measures. Setting – A large, public university in the United States of America. Subjects – Liaison librarian reference interactions. Methods – This research is organized around four primary research questions that examine the effect of liaison librarian physical, co-located embeddedness on the following: 1 the frequency of walk-up reference transactions of the embedded location versus the service desk; 2 the frequency of reference and instructional transactions with liaison areas after the implementation of embedded services; 3 the frequency of walk-up transactions at embedded sites compared to the number of reference and instructional transactions after embeddedness began; and 4 liaison librarian participation in new collaborative or integrative activities with their liaison areas. Researchers used data collected between Fall 2012 and Spring 2014 and compared this to data collected in the pre-embedded period for Fall 2010 to Fall 2011. Data sources included the library’s locally developed reference services statistics tracking tool, individual librarians’ calendar appointment records, and librarian performance agreements. The analysis uses descriptive statistics. Main Results – Researchers discovered a decrease in the frequency of liaison librarians’ walk-up reference transactions at the service desk, as tracked by transactions per hour, occurring before the transition, during the transition, and after the transition to embedded librarianship. They note a decrease of 45% in the number of walk-up interactions at service points

Making reasonable and achievable adjustments: the contributions of learning disability liaison nurses in 'Getting it right' for people with learning disabilities receiving general hospitals care.

Science.gov (United States)

MacArthur, Juliet; Brown, Michael; McKechanie, Andrew; Mack, Siobhan; Hayes, Matthew; Fletcher, Joan

2015-07-01

To examine the role of learning disability liaison nurses in facilitating reasonable and achievable adjustments to support access to general hospital services for people with learning disabilities. Mixed methods study involving four health boards in Scotland with established Learning Disability Liaison Nurses (LDLN) Services. Quantitative data of all liaison nursing referrals over 18 months and qualitative data collected from stakeholders with experience of using the liaison services within the previous 3-6 months. Six liaison nurses collected quantitative data of 323 referrals and activity between September 2008-March 2010. Interviews and focus groups were held with 85 participants included adults with learning disabilities (n = 5), carers (n = 16), primary care (n = 39), general hospital (n = 19) and liaison nurses (n = 6). Facilitating reasonable and achievable adjustments was an important element of the LDLNs' role and focussed on access to information; adjustments to care; appropriate environment of care; ensuring equitable care; identifying patient need; meeting patient needs; and specialist tools/resources. Ensuring that reasonable adjustments are made in the general hospital setting promotes person-centred care and equal health outcomes for people with a learning disability. This view accords with 'Getting it right' charter produced by the UK Charity Mencap which argues that healthcare professionals need support, encouragement and guidance to make reasonable adjustments for this group. LDLNs have an important and increasing role to play in advising on and establishing adjustments that are both reasonable and achievable. © 2015 John Wiley & Sons Ltd.

Nurse-led liaison mental health service for older adults: service development using lean thinking methodology.

Science.gov (United States)

Atkinson, Paula; Mukaetova-Ladinska, Elizabeta B

2012-04-01

Liaison Psychiatric Services for Older Adults in the UK have been established over the last decade, with rather divergent team composition and involvement. The latest documents (National Dementia Strategy, Who Cares Wins) set the gold standard for liaison services for older adults in England, requiring a proactive approach to services and integrating assessment and treatment of mental disorder into routine general hospital practice. This requires a physical presence of liaison services in the hospital, with collaboration with medical colleagues. We have adopted the above strategy in a nurse-led liaison service working in a General District Hospital, and used the Toyota Production System. In the current study we reflect on the 5 day rapid progress improvement workshops event for the liaison branch of the project, and describe the process of identifying real situation problems for the care of the medically ill, the involvement of the liaison team in their clinical care, and a feedback on the change in practice. The novel approach of identifying areas for change in an ongoing nurse-led Liaison service for Older Adults resulted in improving access to mental health services for elderly medically ill inpatients and improved quality of their overall care. Copyright © 2011 Elsevier Inc. All rights reserved.

Homeless Liaisons' Awareness about the Implementation of the McKinney-Vento Act

Science.gov (United States)

Wilkins, Brittany Taylor; Mullins, Mary H.; Mahan, Amber; Canfield, James P.

2016-01-01

The federal government enacted the McKinney--Vento Homeless Assistance Act (MVA) to equip schools with services to help alleviate the many barriers students experiencing homelessness face in pursuit of educational opportunities. Educational agencies use federally mandated liaisons to uphold the provisions of the MVA. Despite the homeless liaisons'…

Office of Communications and Public Liaison

Science.gov (United States)

The NCI Office of Communications and Public Liaison (OCPL) supports NCI by disseminating cancer research findings, providing evidence-based information on cancer for the public, including patients, caregivers, health professionals, researchers, advocates, the news media, and other stakeholders, and disseminating cancer research findings, clinical trials and funding opportunities.

A Systematic Review of the Liaison Nurse Role on Patient's Outcomes after Intensive Care Unit Discharge.

Science.gov (United States)

Tabanejad, Zeinab; Pazokian, Marzieh; Ebadi, Abbas

2014-10-01

This review focuses on the impact of liaison nurse in nursing care of patient after ICU discharge on patient's outcomes, compared with patients that are not taken care of by liaison nurses. The role of the ICU liaison nurse has transpired to solve the gap between intensive care unit and wards. Therefore, we aimed to review the outcomes of all studies in this field. A systematic review of intervention studies between 2004 and 2013 was undertaken using standard and sensitive keywords such as liaison nurse, intensive care unit, and patient outcomes in the following databases: Science direct, PubMed, Scopus, Ovid, Oxford, Wiley, Scholar, and Mosby. Then, the articles which had the inclusion criteria after quality control were selected for a systematic review. From 662 retrieved articles, six articles were analyzed in a case study and four articles showed a statistically significant effect of the liaison nurse on the patient's outcomes such as reducing delays in patient discharge, effective discharge planning, improvement in survival for patients at the risk for readmission. Liaison nurses have a positive role on the outcomes of patients who are discharged from the ICU and more research should be done to examine the exact function of liaison nurses and other factors that influence outcomes in patients discharged from ICU.

Stroke liaison workers for stroke patients and carers: an individual patient data meta-analysis.

Science.gov (United States)

Ellis, Graham; Mant, Jonathan; Langhorne, Peter; Dennis, Martin; Winner, Simon

2010-05-12

Many patients experience depression, social isolation and anxiety post stroke. These are associated with a poorer outcome. Ameliorating these problems may improve patient wellbeing. To evaluate the impact of a healthcare worker or volunteer whose multi-dimensional roles have been grouped under the title 'stroke liaison worker'. We searched the Cochrane Stroke Group Trials Register (searched February 2009), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 1, 2009), MEDLINE (1966 to 2009), EMBASE (1980 to 2009) and four other databases. We performed a cited reference search, searched conference proceedings and trials registers, checked reference lists and contacted authors and trial investigators. Randomised controlled trials investigating the impact of a stroke liaison worker versus usual care. We invited trialists to participate in a review of individual patient data. Primary outcomes for patients were subjective health status and extended activities of daily living. Primary outcomes for carers were subjective health status including measures of carer strain. We included 16 trials involving 4759 participants. Analysis did not show a significant overall difference for subjective health status (standardised mean difference (SMD) -0.03, 95% confidence interval (CI) -0.11 to 0.04, P = 0.34) or extended activities of daily living (SMD 0.04, 95% CI -0.03 to 0.11, P = 0.22). There was no overall significant effect for the outcome of carer subjective health status (SMD 0.04, 95% CI -0.05 to 0.14, P = 0.37). Patients with mild to moderate disability (Barthel 15 to 19) had a significant reduction in dependence (odds ratio (OR) 0.62, 95% CI 0.44 to 0.87, P = 0.006). This would equate to 10 fewer dependent patients (95% CI 17 fewer to 4 fewer) for every 100 patients seen by the stroke liaison worker. Similar results were seen for the outcome of death or dependence for the subgroup with Barthel 15 to 19 (OR 0.55, 95% CI 0.38 to 0.81, P

45 years of INIS Liaison Officer Meetings

International Nuclear Information System (INIS)

Kunz, Rebecca

2015-01-01

The IAEA’s mandate to “foster the exchange of scientific and technical information on peaceful uses of atomic energy”, as stated in Article III, paragraph A.3 of the Statute of the Agency, and in Article VIII, paragraph C that the “Agency …shall take positive steps to encourage the exchange among its members of information relating to the nature and peaceful uses of atomic energy and shall serve as an intermediary among its members for this purpose” , was the catalyst in the 1960’s for the Agency’s undertaking to provide a comprehensive computerized system for the retrieval and storage of information related to the peaceful uses of nuclear science and technology. The establishment of an International Nuclear Information System, a decentralized information system to foster the exchange of nuclear information, began to take concrete shape in 1966 with the formation, at the direction of the IAEA’s Director General, Dr. Eklund, of a Working Group on International Nuclear Information System (INIS). The vision was to centralize the processing of the information, as well as the output products, while decentralizing the selection, scanning, cataloguing, indexing and abstracts of the information, which would be done by participating Member States and international organizations. Each country would provide bibliographic input for literature produced within their geographic territories. Following the approval of INIS by the IAEA’s Board of Governors in 1969 and at the invitation of the IAEA’s Director General, Member States (MS) were invited to designate a national INIS Liaison Officer (ILO) to act as the official contact for the INIS Secretariat, which would be located at IAEA Headquarters in Vienna. The Member States were encouraged to submit input to the system by April 1970. Thus began many years of fruitful partnership and cooperation between INIS and its Members. INIS Liaison Officers are instrumental in deciding the path along which INIS evolves

Impact d'une modulation duale sur les performances d'une liaison ...

African Journals Online (AJOL)

Le présent document présente la technique de modulation duale Fréquence - Amplitude dans le cas d'une liaison optique du type IM-DD. Ce travail révèle que la modulation duale Fréquence - Amplitude permet de générer un signal à bande latérale unique. Les performances d'une liaison optique IM-DD basée sur cette ...

Mental Health promotion of a hospital through the nurse in the liaison psychiatry team

Directory of Open Access Journals (Sweden)

Natalia Cámara Conde

2008-09-01

Full Text Available We show a proposal to increase the quality of nursing cares, improving mental health care of hospitalized patients by creating the figure of the liaison nurse within the liaison psychiatry team. This nurse would not only be a reference to support the nursing staff at the level of patient care, but also the psycho-emotional self-care professional.Objectives: Justifying the need to include the figure of the specialist mental health team liaison psychiatry nurse. Method: The rotation as residents, for a month, with the interconsultation team psychiatric hospital Gregorio Marañón and literature review. Results: There have been partially unmet needs, these could be covered with the existence of a nurse specialist in mental health consultation in this hospital. Discussion: Possibly it poses difficulties in defining the roles of various liaison team professionals, which we expect can be defined at the start implementing the new member.The hospital itself has an own field defined, articulated through the NANDA, NIC, NOC methodology, which covers aspects that so far have not being made, there is not a nurse figure into the psychiatric consultation liaison team.

'Being the bridge and the beacon': a qualitative study of the characteristics and functions of the liaison role in child and family health services in Australia.

Science.gov (United States)

Olley, Hannah; Psaila, Kim; Fowler, Cathrine; Kruske, Sue; Homer, Caroline; Schmied, Virginia

2017-01-01

This article explores the characteristics and functions of the liaison role in child and family health services in Australia. Liaison roles are increasingly being used to improve communication between health services and professionals and to facilitate access to support for individuals and families in need. Nurses are commonly, although not always, the professionals who undertake these roles. Research on the role and outcomes of liaison positions in child and family health services is limited in Australia and internationally. A qualitative interpretive design informed this study. Interviews and focus groups were conducted with 40 liaison and other health professionals, primarily nurses, working with families with newborn and young children in two Australian States. Data were analysed thematically. Three major themes were identified reflecting the importance of defining the role and tasks which included building bridges between services and professionals, supporting families during transition between services and supporting clinicians. Several facilitators and barriers were identified, including concerns about sustainability of the roles. Professionals working in a liaison role in child and family health services emphasise that these positions have the potential to link services and professionals, thereby providing more effective care pathways for children and families especially for those with complex and multiple vulnerabilities. While a few children and family health services in Australia provide liaison services, the extent of liaison support and the outcomes for families in Australia is unknown. Nurses working with children and families are the most likely health professionals to undertake a liaison role. In many nursing contexts, liaison roles are relatively new and those in the role have the responsibility to define the key purpose of their role. Liaison roles are multifaceted requiring the nurse to have excellent communication and negotiation skills to

An Analysis of Potential Contributions of the Host Country National Local Liaison Role in Global Knowledge Management

DEFF Research Database (Denmark)

Vance, Charles; Vaiman, Vlad; Andersen, Torben

2011-01-01

This paper builds on the existing conceptualization of MNC knowledge transfer by exploring the all-important liaison role in global knowledge management played by host country nationals (HCNs), especially those working directly to with expatriate managers. We first discuss this proposed HCN local...... liaison role between expatriate and local employees within theoretical constructs of network theory and absorptive capacity. Then we consider several possible important components and related behavioral functions of this liaison role, including cultural interpreter, communication manager, information...... resource broker, talent developer, and internal change agent. We also consider benefits and limitations of this HCN local liaison role, as well as areas for future exploratory field research to help validate and elucidate this present model of the HCN local liaison role. This model also provides some...

Data collection in consultation-liaison psychiatry: an evaluation of Casemix.

Science.gov (United States)

Ellen, Steven; Lacey, Cameron; Kouzma, Nadya; Sauvey, Nick; Carroll, Rhonda

2006-03-01

To evaluate the usefulness of Casemix as a data collection system for consultation-liaison psychiatry services. Health information staff were requested to code psychiatric assessments and diagnosis prospectively for admissions to the Alfred Hospital, Melbourne, between July 2002 and June 2004 using Casemix. Psychiatric assessments were requested on 2.5% of all hospital admissions (n = 2575). Casemix provided extensive demographic and hospital unit data for referred patients, is easy to set up, and is cost-free for the psychiatry service. Casemix can provide extensive meaningful data for consultation-liaison psychiatry services that could assist in the argument for greater funding of these services.

Factors predicting adherence with psychiatric follow-up appointments for patients assessed by the liaison psychiatric team in the emergency department.

LENUS (Irish Health Repository)

Agyapong, Vincent I O

2010-01-01

Several factors may predict adherence with psychiatric follow-up appointment for patients seen in the emergency department (ED) by liaison psychiatric teams. Awareness of these factors would allow for interventions targeted at vulnerable groups.

Does adding a dietician to the liaison team after discharge of geriatric patients improve nutritional outcome

DEFF Research Database (Denmark)

Beck, Anne Marie; Tolstrup Andersen, Ulla; Leedo, Eva

2015-01-01

(70 + years and at nutritional risk) at discharge. INTERVENTIONS: Participants were randomly allocated to receive discharge Liaison-Team vs. discharge Liaison-Team in cooperation with a dietician. The dietician performed a total of three home visits with the aim of developing and implementing......OBJECTIVES: The objective was to test whether adding a dietician to a discharge Liaison-Team after discharge of geriatric patients improves nutritional status, muscle strength and patient relevant outcomes. DESIGN: Twelve-week randomized controlled trial. SETTING AND SUBJECTS: Geriatric patients...... an individual nutritional care plan. The first visit took place at the day of discharge together with the discharge Liaison-Team while the remaining visits took place approximately three and eight weeks after discharge and were performed by a dietician alone. MAIN MEASURES: Nutritional status (weight...

Schools and industry - a case for better liaison

International Nuclear Information System (INIS)

Johns, G.

1985-01-01

The paper discusses the events of the last ten years concerned with the liaison between education in schools and industry. The article, written from the secondary schools' viewpoint, is aimed at those interested in the future of engineering in the United Kingdom. (U.K.)

A Systematic Review of the Liaison Nurse Role on Patient’s Outcomes after Intensive Care Unit Discharge

OpenAIRE

Tabanejad, Zeinab; Pazokian, Marzieh; Ebadi, Abbas

2014-01-01

Background: This review focuses on the impact of liaison nurse in nursing care of patient after ICU discharge on patient’s outcomes, compared with patients that are not taken care of by liaison nurses. The role of the ICU liaison nurse has transpired to solve the gap between intensive care unit and wards. Therefore, we aimed to review the outcomes of all studies in this field. Methods: A systematic review of intervention studies between 2004 and 2013 was undertaken using standard and sensitiv...

45 CFR 1230.200 - Agency and legislative liaison.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Agency and legislative liaison. 1230.200 Section 1230.200 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE NEW RESTRICTIONS ON LOBBYING Activities by Own Employees § 1230.200 Agency and legislative...

Liaison concatenation – A method to obtain feasible assembly ...

Indian Academy of Sciences (India)

non-possible assembly sequences using liaison graph. In this paper a new ... Applications (CATIA) software is a user friendly CAD tool with the feasibility of .... to perform the contact analysis to check the possibility of interference. Table 5.

Audit of an inpatient liaison psychiatry consultation service.

Science.gov (United States)

Lyne, John; Hill, Michelle; Burke, Patricia; Ryan, Martina

2009-01-01

The purpose of this paper is to examine an audit that was performed of all patients referred to a liaison psychiatry inpatient consultation service which sought to establish a baseline for demographics, type of referral, and management of referrals, with a view to introducing improved evidence-based treatments. It also aims to examine timeliness of response to referrals benchmarked against published standards. All inpatient referrals to a liaison psychiatry service were recorded over a six-month period, including demographics, diagnosis, management and timeliness of response to referrals. The data were retrospectively analysed and compared against international standards. A total of 172 referrals were received in the six months. Commonest referral reasons included assessments regarding depressive disorders (23.8 per cent), delirium/other cognitive disorders (19.2 per cent), alcohol-related disorders (18.6 per cent), anxiety disorders (14.5 per cent), and risk management (12.2 per cent). Evidence-based practices were not utilised effectively for a number of different types of presentations. A total of 40.1 per cent of referrals were seen on the same day, 75.4 per cent by the end of the next day, and 93.4 per cent by the end of the following day. Use of a hospital protocol for management of delirium may improve outcomes for these patients. Evidence-based techniques, such as brief intervention therapies, may be beneficial for referrals involving alcohol dependence. Referrals were seen reasonably quickly, but there is room for improvement when compared with published standards. This paper provides valuable information for those involved in management of liaison psychiatry consultation services, providing ideas for development and implementation of evidence based practices.

[Experience of liaison psychiatry in Morocco: transversal study over 24 months].

Science.gov (United States)

Barrimi, M; Elghazouani, F; Aarab, C; Tliji, A; Rharrabti, S; Lahlou, F; Rammouz, I; Aalouane, R

2014-10-01

Liaison psychiatry is a discipline caring for psychiatric disorders in patients of general hospitals. It involves clinical, educational, and research aspects. The liaison psychiatry supports patients hospitalized for full-time in medical and surgical departments, patients admitted in day-hospital and patients treated in the emergency department. In this transversal study, we assessed the liaison psychiatry impact that is still in development stage in Morocco. This study lasted 24 months, and was conducted at the University Hospital in Fez, Morocco. The goal of this work was to evaluate the prevalence of psychiatric disorders managed by liaison psychiatry, identify those requiring medical and surgical departments of such psychiatric support, and classify the motivations involved in their needs. This transversal study was initiated in January 2010 and has lasted 24 months. The study recruited 180 patients requiring psychiatric consultation from different medical and surgical departments at the University Hospital in Fes, Morocco. The psychiatric assessment was based on a psychiatric interview using the MINI. The data were collected by a certified psychiatrist using a questionnaire containing 24 items. After initial psychiatric assessment, the follow-up was proposed to the patient in the psychiatric department. During this study, 22 medical and surgical departments of our University Hospital had requested a psychiatric assessment for their patients. Most demands were respectively emitted by the Department of Dermatology (16%) and Nephrology (11%). The most common motivations for psychiatric consultations were respectively psychomotor agitation (17%) and an evaluation of suicide attempts (17%). Depressive and psychotic disorders were the most diagnosed disorders with 47% and 11% respectively. The psychiatric support was based on pharmacological treatment in 60% of cases. Finally, the outcome was favourable in 80% of followed cases. Hospitalized patients in different

9 CFR 124.10 - APHIS liaison with PTO.

Science.gov (United States)

2010-01-01

... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false APHIS liaison with PTO. 124.10 Section 124.10 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF... period was the first permitted commercial marketing or use of the product under the provision of law...

Library School Curricula in the US Should Address Liaison Responsibilities for Students Interested in Academic Librarianship, A Review of: Attebury, R. I., & Finnell, J. (2009. What do LIS students in the United States know about liaison duties? New Library World, 110(7, 325‐340.

Directory of Open Access Journals (Sweden)

Nazi Torabi

2010-06-01

Full Text Available Objectives – The two main objectives of this study were to determine the level of prevalence of liaison work in academic library job advertisements and to investigate whether the current library & information science (LIS students are aware of liaison duties.Design – The mixed methods used in this study are job postings analysis and online survey.Setting – The research settings were the following:(1Online academic job advertisements published between November 15, 2007 and January 15, 2008 and collected from Chronicle of Higher Education’s Web site and lisjobs.com;(2Fifty‐three electronic mail lists of ALA‐accredited library schools in the US.Subjects – The subjects of the study were 313 online academic job advertisements and 516 LIS students.Methods – The sample size and methodology for the first part of this study were based on four previously published studies. Duplicated job postings were removed and the remaining were organized into 15 categories of access/public services, reference, instruction, bibliographer/subject specialist, combination (instruction and reference, archives/special collections, special libraries, director/dean, department head or coordinator, interlibrary loan (ILL, systems/web development, cataloguing, outreach, and acquisitions/collection‐development. Only those job ads containing the term “liaison” were included in the analysis.For the second part of the study, the authors conducted an online survey. They attempted to investigate the knowledge of LIS students on liaison librarianship, to measure the level of exposure to liaison responsibilities in their course work, and to gauge the confidence of the individual in their ability to become successful liaison librarians. The survey was distributed among 53 LIS school electronic mail lists, resulting in 516 respondents.Main Results – The job ad analysis revealed that 29% of job postings were directly related to liaison duties. The liaison component

The Pivotal Position of 'Liaison People': Facilitating a Research Utilisation Intervention in Policy Agencies

Science.gov (United States)

Haynes, Abby; Butow, Phyllis; Brennan, Sue; Williamson, Anna; Redman, Sally; Carter, Stacy; Gallego, Gisselle; Rudge, Sian

2018-01-01

This paper explores the enormous variation in views, championing behaviours and impacts of liaison people: staff nominated to facilitate, tailor and promote SPIRIT (a research utilisation intervention trial in six Australian health policy agencies). Liaison people made cost/benefit analyses: they weighed the value of participation against its…

[Consultation/liaison addiction medicine: Tools and specificities].

Science.gov (United States)

Poloméni, P; Cleirec, G; Icard, C; Ramos, A; Rolland, B

2018-03-23

Since the 1970s, the concept of "consultation/liaison (CL) psychiatry" has pertained to specialized mobile teams which meet inpatients hospitalized in non-psychiatric settings to offer them on-the-spot psychiatric assessment, treatment, and, if needed, adequate referral. Since the birth of CL psychiatry, a long set of theoretical books and articles has aimed at integrating CL psychiatry into the wider scope of psychosomatic medicine. In the year 2000, a circular issued by the Health Ministry defined the organization of "CL addiction services" in France. Official CL addiction teams are named "Équipes de Liaison et de Soins en Addictologie" (ELSAs) which are separated from CL psychiatry units. Though this separation can be questioned, it actually emphasizes that the work provided by CL addiction teams has some very specific features. The daily practice of ELSAs somewhat differs from that of psychiatric CL teams. Addictive behaviors often result from progressive substance misuse. In this respect, the ELSAs' practice frequently involves screening, brief intervention, and referral to treatment (SBIRT) interventions, which are rather specific of addiction medicine and consist more of prevention interventions than actual addiction treatment. Moreover, for patients with characterized substance use disorders substantial skills in motivational interviewing are required in ELSA consultations. Though motivational interviewing is not specific to addiction medicine, its regular use is uncommon for other liaison teams in France. Furthermore, substance misuse can induce many types of acute or delayed substance-specific medical consequences. These consequences are often poorly known and thus poorly explored by physicians of other specialties. ELSAs have therefore the role of advising their colleagues for a personalized somatic screening among patients with substance misuse. In this respect, the service undertaken by ELSAs is not only based on relational skills but also comprises a

Audit of an inpatient liaison psychiatry consultation service.

LENUS (Irish Health Repository)

Lyne, John

2012-02-01

PURPOSE: The purpose of this paper is to examine an audit that was performed of all patients referred to a liaison psychiatry inpatient consultation service which sought to establish a baseline for demographics, type of referral, and management of referrals, with a view to introducing improved evidence-based treatments. It also aims to examine timeliness of response to referrals benchmarked against published standards. DESIGN\\/METHODOLOGY\\/APPROACH: All inpatient referrals to a liaison psychiatry service were recorded over a six-month period, including demographics, diagnosis, management and timeliness of response to referrals. The data were retrospectively analysed and compared against international standards. FINDINGS: A total of 172 referrals were received in the six months. Commonest referral reasons included assessments regarding depressive disorders (23.8 per cent), delirium\\/other cognitive disorders (19.2 per cent), alcohol-related disorders (18.6 per cent), anxiety disorders (14.5 per cent), and risk management (12.2 per cent). Evidence-based practices were not utilised effectively for a number of different types of presentations. A total of 40.1 per cent of referrals were seen on the same day, 75.4 per cent by the end of the next day, and 93.4 per cent by the end of the following day. PRACTICAL IMPLICATIONS: Use of a hospital protocol for management of delirium may improve outcomes for these patients. Evidence-based techniques, such as brief intervention therapies, may be beneficial for referrals involving alcohol dependence. Referrals were seen reasonably quickly, but there is room for improvement when compared with published standards. ORIGINALITY\\/VALUE: This paper provides valuable information for those involved in management of liaison psychiatry consultation services, providing ideas for development and implementation of evidence based practices.

Liaison activities with the Institute of Physical Chemistry, Russian Academy of Sciences: FY 1997

International Nuclear Information System (INIS)

Delegard, C.H.; Elovich, R.J.

1997-09-01

The Institute of Physical Chemistry of the Russian Academy of Sciences is conducting a program of fundamental and applied research into the chemistry of the actinides and technetium in alkaline media such as are present in the Hanford Site underground waste storage tanks. This work is being coordinated and the results disseminated through a technical liaison maintained at the Pacific Northwest National Laboratory. The technical liaison is performing laboratory studies on plutonium chemistry in alkaline media. The activities at the Institute of Physical Chemistry and through the liaison are pursued to improve understanding of the chemical behavior of key long-lived radioactive elements under current operating and proposed tank waste processing conditions. Both activities are supported by the Efficient Separations and Processing Crosscutting Program under the Office of Science and Technology of the U.S. Department of Energy

43 CFR 19.4 - Liaison with other governmental agencies and submission of views by interested persons.

Science.gov (United States)

2010-10-01

... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Liaison with other governmental agencies and submission of views by interested persons. 19.4 Section 19.4 Public Lands: Interior Office of the Secretary of the Interior WILDERNESS PRESERVATION National Wilderness Preservation System § 19.4 Liaison with other governmental agencies and...

Future of energy managers groups

Energy Technology Data Exchange (ETDEWEB)

Henshaw, T.

1979-07-01

The objectives of the Energy Managers Groups, formed to provide a regular opportunity for industry and commerce to exchange views and experiences on energy conservation matters are discussed. Group procedure, liaison and cooperation, government support, and options for the future are discussed. (MCW)

Transfers to psychiatry through the consultation-liaison psychiatry service: 11 years of experience

Directory of Open Access Journals (Sweden)

Michopoulos Ioannis

2008-08-01

Full Text Available Abstract Background There are only a few reports on issues related to patient transfer from medical and surgical departments to the psychiatric ward by the consultation-liaison psychiatry service, although it is a common practice. Here, we present a study assessing the factors that influence such transfers. Method We examined the demographic and clinical backgrounds of a group of patients transferred from internal medicine and surgery to the psychiatric ward over an 11-year period. A comparison was made of this data with data obtained from a group of non-transferred patients, also seen by the same consultation-liaison psychiatry service. Results According to our findings, the typical transferred patient, either female or male, is single, divorced or widowed, lives alone, belongs to a lower socioeconomic class, presents initially with (on the whole a disturbed and disruptive behaviour, has had a recent suicide attempt with persistent suicidal ideas, suffers from a mood disorder (mainly depressive and dysthymic disorders, has a prior psychiatric history as well as a prior psychiatric inpatient treatment, and a positive diagnosis on axis II of the five axis system used for mental health diagnosis. Conclusion The transfer of a patient to the psychiatric ward is a decision depending on multiple factors. Medical diagnoses do not seem to play a major role in the transfer to the psychiatric ward. From the psychiatric diagnosis, depressive and dysthymic disorders are the most common in the transferred population, whilst the transfer is influenced by social factors regarding the patient, the patient's behaviour, the conditions in the ward she/he is treated in and any recent occurrence(s that increase the anxiety of the staff.

Third ITER International Industry Liaison Meeting

International Nuclear Information System (INIS)

Dautovich, D.

2000-01-01

Following previous meetings held in 1996 in San Diego and in 1997 in Tokyo, the Third ITER International Industry Liaison Meeting (IILM) meeting was held under the European Chairmanship in Toronto, Canada, November 7-9, 2000. The intention of such meetings is to provide a forum for industrialists of the ITER EDA parties and other interested countries to develop common understandings on important issues of the timing and nature of Industry involvement in the ITER project. This article describes the main views from Industry on the preconstruction and construction phases and the cost and benefit schemes, while summarizing the progress made by the ITER project since the Tokyo meeting

Identifying harmful drinking using a single screening question in a psychiatric consultation-liaison population.

Science.gov (United States)

Massey, Suena H; Norris, Lorenzo; Lausin, Melissa; Nwaneri, Chinyere; Lieberman, Daniel Z

2011-01-01

Harmful drinking is common in medical inpatients, yet commonly missed due in part to time pressures. A screening question about past year heavy drinking recommended by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) has been validated in primary care and emergency room settings. We tested the psychometric properties of a modified single screening question (SSQ) in hospitalized patients referred to a consultation-liaison service. A psychiatry attending (n = 40), a psychiatry resident (n = 30) and a medical student (n = 30) administered the SSQ, followed by a self-report 10-item Alcohol Use Disorders Identification Test (AUDIT) to a sample of 100 consultation-liaison patients who were able to give informed consent for participation. Using the AUDIT as a reference, the sensitivity and specificity of the SSQ to detect harmful drinking in this sample were .96 and .82, respectively. Gender differences in specificity were not found. The single question also had a strong correlation with dependence (r(b) = .457, p past year heavy drinking can rapidly identify harmful drinking in alert nonpsychotic consultation-liaison patients. Copyright © 2011 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

Expansion of the consultation-liaison psychiatry paradigm at a university medical center: integration of diversified clinical and funding models.

Science.gov (United States)

Bourgeois, James A; Hilty, Donald M; Klein, Sally C; Koike, Alan K; Servis, Mark E; Hales, Robert E

2003-01-01

The perspective of the contemporary Consultation-Liason Service (CLS) psychiatrist is increasingly one of consultant to medical and surgical colleagues in models other than inpatient medical and surgical units. Simultaneously, the need for a clinically and educationally robust inpatient CLS persists despite funding pressures. The University of California, Davis Medical Center Department of Psychiatry has made use of creative organizational and financial models to accomplish the inpatient CLS clinical and educational missions in a fiscally responsible manner. In addition, the department has in recent years expanded the delivery of psychiatry consultation-liaison clinical and educational services to other models of care delivery, broadening the role and influence of the CLS. Several of the initiatives described in this paper parallel an overall evolution of the practice of consultation-liaison psychiatry in response to managed care influences and other systems pressures. This consultation-liaison paradigm expansion with diversified sources of funding support facilitates the development of consultation-liaison psychiatry along additional clinical, administrative, research, and educational dimensions. Other university medical centers may consider adaptation of some of the initiatives described here to their institutions.

Development of a system for transferring images via a network: supporting a regional liaison.

Science.gov (United States)

Mihara, Naoki; Manabe, Shiro; Takeda, Toshihiro; Shinichirou, Kitamura; Junichi, Murakami; Kouji, Kiso; Matsumura, Yasushi

2013-01-01

We developed a system that transfers images via network and started using them in our hospital's PACS (Picture Archiving and Communication Systems) in 2006. We are pleased to report that the system has been re-developed and has been running so that there will be a regional liaison in the future. It has become possible to automatically transfer images simply by selecting the destination hospital that is registered in advance at the relay server. The gateway of this system can send images to a multi-center, relay management server, which receives the images and resends them. This system has the potential to be useful for image exchange, and to serve as a regional medical liaison.

Audit on the Quality of Handovers of a Psychiatric Liaison Team in the UK: a Short Report.

Science.gov (United States)

Koli, Trupti; Filippidou, Maria

2017-09-01

The importance of handovers has been recognised and proven in clinical practice. In liaison psychiatry, this is particularly important due to the high turnover of patients seen, the shift work pattern and the number of member staff engaging in this process. An Audit on the Quality of Handovers was carried out within a Psychiatric Liaison team of a General hospital in UK with an intention to review and improve this. Handovers were evaluated against the gold standard of the SBAR tool (Situation/Background/Assessment/Recommendations) over a period of 4 weeks. Handovers were assessed by 2 members of staff (a Consultant & a Specialty doctor). Data was analysed using Microsoft Excel. Results showed that the team's handover practice is mostly "Good" but there was also an amount of "Poor" under "Situation & Background", mostly presented by mid-grade doctors & trainees. Nurses scored higher than medics on overall rating, nearly 50%.This could be attributed to the fact that handovers form an essential & integral part of Nurse's training & culture. Also mid-grade (staff grade) doctors have had a significant amount of "excellent" scoring that other groups didn't have, mostly on the Assessment & Recommendations domains, which can be attributed to the fact that importance is stressed more on the assessment & treatment module by the doctors. The multi-disciplinary composition of the liaison psychiatry team has a positive impact on the patient care. This audit has revealed overall good communication amongst the members of the team, nevertheless one that needs some improvement, particularly amongst the doctors. Doctors tend to focus on the remedial (assessment & treatment) module rather than the holistic approach. SBAR remains an effective & handy tool to improve the handover quality. A re-audit will be carried out in 6 months time to assess the improvements observed following the implementation of this new tool.

The Refugee Health Nurse Liaison: a nurse led initiative to improve healthcare for asylum seekers and refugees.

Science.gov (United States)

McBride, Jacquie; Russo, Alana; Block, Andrew

2016-12-01

Asylum seekers and refugees experience a range of barriers to health service access and competent use. The Refugee Health Nurse Liaison initiative was piloted at a hospital in a high-settlement region of Victoria, Australia. This initiative aimed to build capacity within the health sector to more effectively respond to the needs of asylum seekers and refugees. A mixed-methods evaluation was undertaken to: describe issues encountered by asylum seekers and refugees within the hospital setting; capture the nature of the Refugee Health Nurse Liaison position; and document key outputs. Throughout the pilot period, 946 patients were referred to the role, of which 99% received an assessment of physical, mental, and social health. Refugee Health Nurse Liaisons effectively provided clinical support, advocacy, education, referrals, and both formal and informal capacity building. Learnings from this model are transferable to services in high-settlement regions, and could have application in improving patient care more broadly.

Criteria of the effectiveness of a liaison center for the machine building industry

International Nuclear Information System (INIS)

Hofer, P.; Wolff, H.; Franzen, D.

1977-06-01

The study aimed at working out a catalogue of criteria for the effective work of a liaison center for the machine building industry within the planned system of information and documentation of the German Government. By selecting this objective, the investigation methodically demanded a continuous change between theoretical analysis (study of literature, analytical deduction of the framework for a user-oriented information system) and empirical observation of information behaviour in the machine building industry (personal interviews with enterprises and important information sources for the machine building industries). An information system keyed to the information needs of the machine building industry must cover three main phases: Collection and documentation of information, selecting and procuring the needed information as well as encouraging and consulting the clients on the use of information. These different tasks complement one another, they correspond to different functions within enterprises: management, staff, and information function. Central point of a liaison center must be the task of selecting the required information (making information available, selling good information, analysing the information needs of clients), completed by fields of activity in documenting information (specifically for the machine building industry) and consulting clients on the use of information (agency for contacts, drawing the clients' attention to the complexity of machine building problems). A concrete catalogue of criteria for an effective conception of a liaison center for the machine building industry has been worked out. (orig.) [de

Criteria of the effectiveness of a liaison center for the machine building industry

International Nuclear Information System (INIS)

Hofer, P.; Wolff, H.; Franzen, D.; Schlichting, J.; Weidig, I.

1978-04-01

The study aimed at working out a catalogue of criteria for the effective work of a liaison center for the machine building industry within the planned system of information and documentation of the German Government. By selecting this objective, the investigation methodically demanded a continuous change between theoretical analysis (study of literature, analytical deduction of the framework for a user-oriented information system) and empirical observation of information behaviour in the machine building industry (personal interviews with enterprises and important information sources for the machine building industries). An information system keyed to the information needs of the machine building industry must cover three main phases: Collection and documentation of information, selecting and procuring the needed information as well as encouraging and consulting the clients on the use of information. These different tasks complement one another, they correspond to different functions within enterprises: management, staff, and information function. Central point of a liaison center must be the task of selecting the required information (making information available, selling good information, analysing the information needs of clients), completed by fields of activity in documenting information (specifically for the machine building industry) and consulting clients on the use of information (agency for contacts, drawing the client's attention to the complexity of machine building problems). A concrete catalogue of criteria for an effective conception of a liaison center for the machine building industry has been worked out. (orig.) [de

Liaison Acquisition, Word Segmentation and Construction in French: A Usage-Based Account

Science.gov (United States)

Chevrot, Jean-Pierre; Dugua, Celine; Fayol, Michel

2009-01-01

In the linguistics field, liaison in French is interpreted as an indicator of interactions between the various levels of language organization. The current study examines the same issue while adopting a developmental perspective. Five experiments involving children aged two to six years provide evidence for a developmental scenario which…

ETUDE DE L' ARRACHEMENT DES FIBRES METALLIQUES ET CARACTERISATION DE LA LIAISON FIBRE MATRICE

Directory of Open Access Journals (Sweden)

F Z MIMOUNE

2002-12-01

Full Text Available Cette étude compare trois modes de caractérisation mécanique des propriétés de la liaison fibre matrice dans un composite d’argile ciment fibre d’acier. Des essais ont été effectués avec différents diamètres de fibres afin de mesurer une contrainte d’adhérence. Les différents résultats montrent la nature complexe de la liaison avec chacune des trois méthodes. Une explication du mécanisme et de la divergence des résultats est proposée, qui conduit à préférer l’un des trois tests vis-à-vis de son utilisation pour prévoir les qualités du composite.

75 FR 61763 - Submission for OMB Review; Comment Request; NCCAM Office of Communications and Public Liaison...

Science.gov (United States)

2010-10-06

... valid OMB control number. Proposed Collection: Title: NCCAM Office of Communications and Public Liaison...; members of the public; health care professionals; organizational representatives. The annual reporting...

75 FR 69086 - Submission for OMB review; comment request; NCCAM Office of Communications and Public Liaison...

Science.gov (United States)

2010-11-10

... valid OMB control number. Proposed Collection: Title: NCCAM Office of Communications and Public Liaison...; members of the public; health care professionals; organizational representatives. The annual reporting...

Fracture liaison services for osteoporosis in the Asia-Pacific region: current unmet needs and systematic literature review.

Science.gov (United States)

Chang, Y -F; Huang, C -F; Hwang, J -S; Kuo, J -F; Lin, K -M; Huang, H -C; Bagga, S; Kumar, A; Chen, F -P; Wu, C -H

2018-04-01

The analysis aimed to identify the treatment gaps in current fracture liaison services (FLS) and to provide recommendations for best practice establishment of future FLS across the Asia-Pacific region. The findings emphasize the unmet need for the implementation of new programs and provide recommendations for the refinement of existing ones. The study's objectives were to evaluate fracture liaison service (FLS) programs in the Asia-Pacific region and provide recommendations for establishment of future FLS programs. A systematic literature review (SLR) of Medline, PubMed, EMBASE, and Cochrane Library (2000-2017 inclusive) was performed using the following keywords: osteoporosis, fractures, liaison, and service. Inclusion criteria included the following: patients ≥ 50 years with osteoporosis-related fractures; randomized controlled trials or observational studies with control groups (prospective or retrospective), pre-post, cross-sectional and economic evaluation studies. Success of direct or indirect interventions was assessed based on patients' understanding of risk, bone mineral density assessment, calcium intake, osteoporosis treatment, re-fracture rates, adherence, and mortality, in addition to cost-effectiveness. Overall, 5663 unique citations were identified and the SLR identified 159 publications, reporting 37 studies in Asia-Pacific. These studies revealed the unmet need for public health education, adequate funding, and staff resourcing, along with greater cooperation between departments and physicians. These actions can help to overcome therapeutic inertia with sufficient follow-up to ensure adherence to recommendations and compliance with treatment. The findings also emphasize the importance of primary care physicians continuing to prescribe treatment and ensure service remains convenient. These findings highlight the limited evidence supporting FLS across the Asia-Pacific region, emphasizing the unmet need for new programs and/or refinement of

Factors associated with non-reimbursable activity on an inpatient pediatric consultation-liaison service.

Science.gov (United States)

Bierenbaum, Melanie L; Katsikas, Steven; Furr, Allen; Carter, Bryan D

2013-12-01

The aim of this study was to identify factors contributing to clinician time spent in non-reimbursable activity on an inpatient pediatric consultation-liaison (C-L) service. A retrospective study was conducted using inpatient C-L service data on 1,246 consecutive referrals. For this patient population, the strongest predictor of level of non-reimbursable clinical activity was illness chronicity and the number of contacts with C-L service clinicians during their hospital stay. Patients with acute life-threatening illnesses required the highest mean amount of non-reimbursable service activity. On average, 28 % of total clinician time in completing a hospital consultation was spent in non-reimbursable activity. Effective C-L services require a proportion of time spent in non-reimbursable clinical activity, such as liaison and coordinating care with other providers. Identifying referral and systemic factors contributing to non-reimbursable activity can provide insight into budgeting/negotiating for institutional support for essential clinical and non-clinical functions in providing competent quality patient care.

Fracture liaison service in a non-regional orthopaedic clinic--a cost-effective service.

LENUS (Irish Health Repository)

Ahmed, M

2012-01-01

Fracture liaison services (FLS) aim to provide cost-effective targeting of secondary fracture prevention. It is proposed that a dedicated FLS be available in any hospital to which a patient presents with a fracture. An existing orthopaedic clinic nurse was retrained to deliver a FLS. Proformas were used so that different nurses could assume the fracture liaison nurse (FLN) role, as required. Screening consisted of fracture risk estimation, phlebotomy and DXA scanning. 124 (11%) of all patients attending the orthopaedic fracture clinic were reviewed in the FLS. Upper limb fractures accounted for the majority of fragility fractures screened n=69 (55.6%). Two-thirds of patients (n=69) had reduced bone mineral density (BMD). An evidence based approach to both non-pharmacological and pharmacotherapy was used and most patients (76.6%) receiving pharmacotherapy received an oral bisphosphonate (n=46). The FLS has proven to be an effective way of delivering secondary prevention for osteoporotic fracture in a non-regional fracture clinic, without increasing staff costs.

Misidentification of mental health symptoms in presence of organic diseases and delirium during psychiatric liaison consulting.

Science.gov (United States)

Otani, Victor Henrique Oyamada; Otani, Thaís Zélia Dos Santos; Freirias, Andrea; Calfat, Elie Leal de Barros; Aoki, Patricia Satiko; Cordeiro, Quirino; Kanaan, Richard A A; Cross, Sean; Liersch-Sumskis, Susan; Uchida, Ricardo Riyoiti

2017-09-01

To identify predictors of misidentification of organic mental disorders and delirium in patients undergoing psychiatric liaison consultation. Data were collected at Santa Casa de São Paulo between July of 2009 and March of 2013. We included in our analysis all inpatients for whom the requesting service judged that a psychiatric consultation was required for a possible mental health condition. Outcomes of interest were the instances of misidentification where a condition was initially deemed to be of a psychiatric nature, whereas the final diagnosis by the liaison psychiatric team was of an organic disease or delirium. Our predictors were the clinical specialty of the requesting service, requester and patient characteristics. A series of generalised linear models were used to evaluate misidentification risks. A total of 947 subjects met our inclusion criteria, 14.6% having a final liaison diagnosis of organic mental disorder and 8.1% of delirium. Older patients were significantly associated with increased risk of misidentification for both organic conditions (OR 3.01 - 95% CI 2.01, 4.5) and delirium (OR 3.92 - 2.4, 6.39). Educational interventions in general hospitals focused on preventing psychiatric misdiagnosis should target in-hospital services where patients tend to be older.

75 FR 52349 - Proposed Collection; Comment Request; NCCAM Office of Communications and Public Liaison...

Science.gov (United States)

2010-08-25

... will also include pilot testing of recently developed messages and communication products. The data... Research SUMMARY: In compliance with the requirement of Section 3506(c)(2)(A) of the Paperwork Reduction... Public Liaison Communications Program Planning and Evaluation Research. Type of Information Collection...

Audit of the Forensic Psychiatry Liaison Service to Glasgow Sheriff Court 1994 to 1998.

Science.gov (United States)

White, T; Ramsay, L; Morrison, R

2002-01-01

This study seeks to describe the demographic, offence, and diagnostic details of subjects referred by the Procurator Fiscal at Glasgow Sheriff Court to the Forensic Psychiatry Liaison between 1994 and 1997. The initial outcome of the assessment and an assessment of medical time involved is presented. This study is a retrospective review of audit forms completed between 1993 and 1994 and once more in 1997. The referral criteria, age structure and offence pattern was broadly similar to that reported in court diversion schemes in England. A primary diagnosis of alcohol and/or drug dependence was seen in one third of referrals during both years of the audit. A marked increase (250%) in referrals between 1994 and 1997 resulted in a marked reduction of those admitted to hospital, and an increase in the percentage who had 'no psychiatric diagnosis'. The need for ongoing liaison between the Procurators Fiscal and the Forensic Psychiatrists involved would appear important in modifying referral criteria.

Collaboration during IEP and IFSP Meetings in a Refugee Resettlement Community: Lessons from Cultural Liaisons

Science.gov (United States)

Hurley, Jennifer J.; Clark, David W.; Fonseca-Foster, Katherine A.; Pyne, Sabina K.; Warren, Rachel A.

2017-01-01

Teachers working with refugee families who are culturally and linguistically diverse (CLD) and receiving special education services often rely on cultural liaisons to provide interpreter and translator services during Individualized Educational Program (IEP) and Individualized Family Service Plan (IFSP) meetings. The purpose of this qualitative…

Technical liaison with the Institute of Physical Chemistry (Russian Academy of Sciences)

International Nuclear Information System (INIS)

Delegard, C.H.

1997-01-01

DOE has engaged the IPC/RAS to study the fundamental and applied chemistry of the transuranium actinide elements (primarily neptunium, plutonium, and americium) and technetium in alkaline media. This work is supported by DOE because the alkaline radioactive wastes stored in underground tanks at DOE sites (Hanford, Savannah River, and Oak Ridge) contain TRUs and technetium, and these radioelements must be partitioned to the HLW fraction in planned waste processing operations. The chemistries of the TRUs and technetium are not well developed in this system. Previous studies at the IPC/RAS centered on the fundamental chemistry of the TRUs and technetium in alkaline media, and on their coprecipitation reactions. During FY 1996, further studies of fundamental and candidate process chemistries were pursued with continuing effort on coprecipitation. The technical liaison was established at Westinghouse Hanford Company to provide information to the IPC/RAS on the Hanford Site waste system, define and refine the work scope, publish IPC/RAS reports in open literature documents and presentations, provide essential materials and equipment to the IPC/RAS, compare IPC/RAS results with results from other sources, and test chemical reactions or processes proposed by the IPC/RAS with actual Hanford Site tank waste. The liaison task was transferred to the Pacific Northwest Laboratory (PNNL) in October 1996

Technical liaison with the Institute of Physical Chemistry (Russian Academy of Sciences)

Energy Technology Data Exchange (ETDEWEB)

Delegard, C.H. [Pacific Northwest National Lab., Richland, WA (United States)

1997-10-01

DOE has engaged the IPC/RAS to study the fundamental and applied chemistry of the transuranium actinide elements (primarily neptunium, plutonium, and americium) and technetium in alkaline media. This work is supported by DOE because the alkaline radioactive wastes stored in underground tanks at DOE sites (Hanford, Savannah River, and Oak Ridge) contain TRUs and technetium, and these radioelements must be partitioned to the HLW fraction in planned waste processing operations. The chemistries of the TRUs and technetium are not well developed in this system. Previous studies at the IPC/RAS centered on the fundamental chemistry of the TRUs and technetium in alkaline media, and on their coprecipitation reactions. During FY 1996, further studies of fundamental and candidate process chemistries were pursued with continuing effort on coprecipitation. The technical liaison was established at Westinghouse Hanford Company to provide information to the IPC/RAS on the Hanford Site waste system, define and refine the work scope, publish IPC/RAS reports in open literature documents and presentations, provide essential materials and equipment to the IPC/RAS, compare IPC/RAS results with results from other sources, and test chemical reactions or processes proposed by the IPC/RAS with actual Hanford Site tank waste. The liaison task was transferred to the Pacific Northwest Laboratory (PNNL) in October 1996.

[The liaison psychiatry approach of the psychiatric crisis, urgencies and emergencies].

Science.gov (United States)

Tenconi, Juan Cristóbal

2003-01-01

The purpose of this paper is to differentiate crisis, emergencies and urgencies within the frame of Liaison psychiatry. It begins with the definition of each one of the terms, later the emphasis is put in the clinical characteristics of each one of these situations. These characteristics are determined by the patient and the therapeutic team. At last therapeutic guidelines are stated, which allow more precision in the intervention, in function of the direct involvement of these situations in the development and evolution of the patients.

76 FR 8370 - National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the NTP Board...

Science.gov (United States)

2011-02-14

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison... such as toxicology, pharmacology, pathology, biochemistry, epidemiology, risk assessment, carcinogenesis, mutagenesis, molecular biology, behavioral toxicology, neurotoxicology, immunotoxicology...

Bio-Optical sensors on Argo Floats. Reports of the international ocean-colour coordinating group

CSIR Research Space (South Africa)

Bernard, S

2011-01-01

Full Text Available The International Ocean-Colour Coordinating Group (IOCCG) is an international group of experts in the field of satellite ocean colour, acting as a liaison and communication channel between users, managers and agencies in the ocean-colour arena...

76 FR 8741 - National Toxicology Program (NTP): Office of Liaison, Policy, and Review; Availability of Draft...

Science.gov (United States)

2011-02-15

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP): Office of Liaison... Materials The agenda topic is the peer review of the findings and conclusions of draft NTP TRs of toxicology... advisory committees. Dated: February 3, 2011. John R. Bucher, Associate Director, National Toxicology...

Delivering a quality-assured fracture liaison service in a UK teaching hospital-is it achievable?

Science.gov (United States)

Shipman, K E; Stammers, J; Doyle, A; Gittoes, N

2016-10-01

To determine whether new national guidance on the specifications of a fracture liaison service are realistically deliverable, 1 year of data on the performance of such a service were audited. Audit targets were mostly met. This audit demonstrates that these standards are deliverable in a real world setting. UK service specifications for a fracture liaison service (FLS) have been produced (National Osteoporosis Society, NOS) to promote effective commissioning and delivery of the highest quality care to patients with fragility fractures. How deliverable these standards are has not as yet been methodically reported. Our FLS was modelled on the ten NOS standards; performance was audited after 1 year to determine whether these standards could be delivered and to describe the lessons learnt. Performance was audited against the NOS FLS Service Standards, with management based on the Fracture Risk Assessment Tool (FRAX®), the four-item Falls Risk Assessment Tool (FRAT), National Institute for Health and Care Excellence (NICE) and the National Osteoporosis Guideline Groups (NOGG) guidance. Data were recorded prospectively on a database. The FLS commenced in May 2014, was fully operational in August 2014 and data were captured from 1 September 2014 to 1 September 2015. The FLS detected 1773 patients and standards were largely achieved. Most, 94 %, patients were seen within 6 weeks, 533 DXA requests were generated, 804 outpatient FRAT assessments were recorded (134 required falls intervention) and 773 patients had bone treatments started. On follow-up at 3 months, between 78-79 % were still taking medication. Preliminary evaluation of a FLS implemented according to UK NOS standards demonstrates that the model is practical to apply to a large teaching hospital population. Collection and review of outcome and cost effectiveness data is required to determine the performance of this model in comparison with existing models.

Improving Osteoporosis Management in Primary Care: An Audit of the Impact of a Community Based Fracture Liaison Nurse.

Science.gov (United States)

Chan, Tom; de Lusignan, Simon; Cooper, Alun; Elliott, Mary

2015-01-01

Osteoporosis and associated fragility fractures are a major health problem; they are more common in women over 50 years old. Fracture liaison nurses have been widely used in secondary care to promote the recognition of fragility fractures and to promote the use of bone-sparing medication to reduce the risk of recurrent facture. Audit the impact of a primary care based fracture liaison nurse on the detection of fragility fractures in people with osteoporosis and their treatment with a bone-sparing medication. This audit took place in 12 GP practices using 'before and after' cross-sectional extractions of anonymised routine data. We report, for females 50-74 years and ≥ 75 years old, socio-economic deprivation index, the prevalence of osteoporosis, recording of fragility fractures, dual-energy X-ray absorptiometry (DXA), smoking, and body-mass index (BMI) and use of appropriate bone-sparing medication. We used Altman's test of independent proportions to compare before and after data. Recording of the diagnosis of osteoporosis increased from 1.5% to 1.7% (p = 0.059); the rate of DXA scans fell (1.8% to 1.4%; p = 0.002); recording of fractures and fragility fractures more than doubled (0.8% to 2.0%; p<0.001 and 0.5% to 1.5%; p<0.001, respectively) with approximate doubling of the recording of smoking, and BMI (p<0.001 level). Fragility fracture recording rose from 8.8% to 15% in females aged 50 to 74, and from 0.8% to 2.3% in people aged ≥ 75 years old (p<0.001). There appeared to be inequity in the service, people who were least deprived were more likely to receive DXA scans and the more deprived to be prescribed bone sparing agents. A fracture liaison nurse in primary care has been associated with a period of improved management. Liaison nurses based in different parts of the health system should be tested in a prospective trial.

Improving Osteoporosis Management in Primary Care: An Audit of the Impact of a Community Based Fracture Liaison Nurse.

Directory of Open Access Journals (Sweden)

Tom Chan

Full Text Available Osteoporosis and associated fragility fractures are a major health problem; they are more common in women over 50 years old. Fracture liaison nurses have been widely used in secondary care to promote the recognition of fragility fractures and to promote the use of bone-sparing medication to reduce the risk of recurrent facture.Audit the impact of a primary care based fracture liaison nurse on the detection of fragility fractures in people with osteoporosis and their treatment with a bone-sparing medication.This audit took place in 12 GP practices using 'before and after' cross-sectional extractions of anonymised routine data. We report, for females 50-74 years and ≥ 75 years old, socio-economic deprivation index, the prevalence of osteoporosis, recording of fragility fractures, dual-energy X-ray absorptiometry (DXA, smoking, and body-mass index (BMI and use of appropriate bone-sparing medication. We used Altman's test of independent proportions to compare before and after data.Recording of the diagnosis of osteoporosis increased from 1.5% to 1.7% (p = 0.059; the rate of DXA scans fell (1.8% to 1.4%; p = 0.002; recording of fractures and fragility fractures more than doubled (0.8% to 2.0%; p<0.001 and 0.5% to 1.5%; p<0.001, respectively with approximate doubling of the recording of smoking, and BMI (p<0.001 level. Fragility fracture recording rose from 8.8% to 15% in females aged 50 to 74, and from 0.8% to 2.3% in people aged ≥ 75 years old (p<0.001. There appeared to be inequity in the service, people who were least deprived were more likely to receive DXA scans and the more deprived to be prescribed bone sparing agents.A fracture liaison nurse in primary care has been associated with a period of improved management. Liaison nurses based in different parts of the health system should be tested in a prospective trial.

Secondary traumatic stress and secondary posttraumatic growth in a sample of Dutch police family liaison officers

NARCIS (Netherlands)

Kunst, Maarten; Saan, M.C.; Bollen, Lidewij; Kuijpers, Karlijn

2017-01-01

This study investigated secondary traumatic stress (STS) and secondary posttraumatic growth (SPG) in a sample of Dutch police family liaison officers (N = 224). Our study had two aims: (a) to identify potential risk and protective factors for STS and (b) to investigate the association between STS

75 FR 26757 - National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the...

Science.gov (United States)

2010-05-12

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the Scientific Advisory Committee on Alternative Toxicological Methods... Director, National Toxicology Program. [FR Doc. 2010-11318 Filed 5-11-10; 8:45 am] BILLING CODE 4140-01-P ...

Infra-red spectra of systems containing hydrogen-bonds; Spectres dans l'infrarouge de corps a liaison hydrogene

Energy Technology Data Exchange (ETDEWEB)

Marechal, Y [Commissariat a l' Energie Atomique, Grenoble (France). Centre d' Etudes Nucleaires

1969-07-01

A new theory of the infrared spectra of H-bonded systems is presented, which analyses the different stretching motions in an X-H...Y bond, and studies the validity of their separation. We attribute the structure in the spectra of H-bond stretching motions to the anharmonic coupling of the modes X-H...Y with the modes X-H...H. Starting with the hypothesis that the X-H...Y motion is harmonic, but depends parametrically upon the X...Y distance, and taking into account the interaction between different H-bonds, we have been able to simulate quantitatively (intensity and position) the I.R. spectra of species such as imidazole and acetic acid dimers, which are the experimentally best resolved spectra. The isotope effect (substitution of H by D) is explained quite naturally, and the experimental spectrum of deuterated species is simulated quantitatively, without introducing any other hypothesis; this fact gives us a positive test for the validity of our theory. We have extended those previous considerations to the case of H-bonded crystals, in view of a future reconstitution of their I.R. spectra. The physical meaning of our theory is quite different to most of the previously proposed theories, which have not been confirmed quantitatively, to the best of our knowledge. Those theories did not take into account the interactions between different H-bonds. Thus our quantitative simulation of complex spectra of imidazole and acetic acid, together with the correct prediction of the isotope effect, help us thinking that the proposed mechanism is responsible for the different stretching motions in H-bonded systems. (author) [French] Nous exposons une nouvelle theorie des spectres infra-rouge de la liaison hydrogene, basee sur l'analyse des mouvements d'elongation des atomes d'une liaison X-H...Y, et nous recherchons les conditions de la separabilite de ces differents mouvements. L'origine de la structure des spectres d'elongation de l'hydrogene est attribuee au couplage des modes

Liaison activities with the Institute of Physcial Chemistry of the Russian Academy of Sciences: Midyear report

International Nuclear Information System (INIS)

Delegard, C.H.

1996-01-01

The task 'IPC/RAS Liaison and Tank Waste Testing' is a program being conducted in fiscal year (FY) 1996 with the support of the U.S. Department of Energy (DOE) Office of Science and Technology, EM-53 Efficient Separations and Processing (ESP) Crosscutting Program, under the technical task plan (TTP) RLA6C342. The principal investigator is Cal Delegard of the Westinghouse Hanford Company. The task involves a technical liaison with the Institute of Physical Chemistry of the Russian Academy of Sciences (IPC/RAS) and their DOE-supported investigations into the fundamental and applied chemistry of the transuranium elements (primarily neptunium, plutonium, and americium) and technetium in at sign ine media. The task has three purposes: 1. Providing technical information and technical direction to the IPC/RAS. 2. Disseminating IPC/RAS data and information to the DOE technical community. 3. Verifying IPC/RAS results through laboratory testing and comparison with published data

Field Validation of the Host Country National Liaison Role

DEFF Research Database (Denmark)

van Bakel, Marian; Andersen, Torben; Vance, Charles

resource for guiding the selection, training, and management of HCNL performance to ultimately benefit the local subsidiary. However, although the development of this local HCNL role model was based both on theoretical constructs and the authors’ international experience, it remains to be validated......Recent conceptual work by Vance et al. (2014) has explored various aspects of the important liaison role of HCN managers and other HCN support staff between the assigned expatriate and local employees as well as the surrounding host country work environment. They identified five different...... components for this important HCNL role, including cultural interpreter, communication manager, information resource broker, talent manager, and internal change agent. They further identified specific behavioral functions for each role component. This behavior-based model provides a potentially valuable...

75 FR 73085 - National Toxicology Program (NTP): Office of Liaison, Policy, and Review; Availability of Draft...

Science.gov (United States)

2010-11-29

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP): Office of Liaison... Materials The agenda topic is the peer review of the findings and conclusions of draft NTP TRs of toxicology.... Bucher, Associate Director, National Toxicology Program. [FR Doc. 2010-29945 Filed 11-26-10; 8:45 am...

Aciclovir-induced acute kidney injury in patients with 'suspected viral encephalitis' encountered on a liaison neurology service.

Science.gov (United States)

Bogdanova-Mihaylova, Petya; Burke, David; O'Dwyer, John P; Bradley, David; Williams, Jennifer A; Cronin, Simon J; Smyth, Shane; Murphy, Raymond P; Murphy, Sinead M; Wall, Catherine; McCabe, Dominick J H

2018-01-06

Patients with 'suspected viral encephalitis' are frequently empirically treated with intravenous aciclovir. Increasing urea and creatinine are 'common', but rapidly progressive renal failure is reported to be 'very rare'. To describe the clinical course and outcome of cases of aciclovir-induced acute kidney injury (AKI) encountered by the Liaison Neurology Service at AMNCH and to highlight the importance of surveillance and urgent treatment of this iatrogenic complication. Retrospectively and prospectively collected data from the Liaison Neurology Service at AMNCH on patients who received IV aciclovir for suspected viral encephalitis and developed AKI were analysed. Aciclovir-induced AKI was defined by a consultant nephrologist in all cases as a rise in serum creatinine of > 26 μmol/L in 48 h or by ≥ 1.5 times the baseline value. Renal function, haematocrit, and fluid balance were monitored following AKI onset. Data from 10 patients were analysed. Median time to AKI onset was 3.5 days (range: 1-6 days). Aciclovir was stopped or the dose adjusted. All patients recovered with IV normal saline, aiming for a urine output > 100-150 ml/h. The interval between first rise in creatinine and return to normal levels varied between 5 and 19 days. Liaison neurologists and general physicians need to be aware that aciclovir may cause AKI attributed to distal intra-tubular crystal nephropathy. Daily fluid balance and renal function monitoring are essential because AKI may arise even with intensive pre-hydration. Prognosis is good if identified early and actively treated.

[Psychiatry and psychology integrated in somatics is a profit for the clinic. Consultation liaison psychiatry important for the future of healthcare].

Science.gov (United States)

Wahlström, Lars; Blomdahl-Wetterholm, Margareta

2015-10-06

The mental health needs of patients receiving physical health care often remain undiagnosed and untreated, resulting in significant costs to the health care system. However, some countries have recently seen fast progress with the development of consultation liaison psychiatry. In Sweden, this service has developed quite slowly, but a breakthrough may be imminent. There is evidence that providing better support for co-morbid health problems may improve the psychological quality of care and reduce physical health care costs in acute hospitals. Consultation liaison psychiatry fits well with the current trends of value-based health care, personalized care, and an emphasis on networking in care.

Using a partnership between academic faculty and a physical therapist liaison to develop a framework for an evidence-based journal club: a discussion.

Science.gov (United States)

Austin, Tricia M; Richter, Randy R; Frese, Tracy

2009-12-01

Evidence-based practice (EBP) in rehabilitation is increasingly recognized as important. Despite the importance of EBP, physical therapists' knowledge of EBP varies. Journal clubs have been used to educate clinicians about EBP. This discussion paper describes the partnership between academic faculty members and a physical therapist at a community hospital, and the process used to develop a framework to implement an evidence-based journal club. The partnership blended the expertise of academic faculty members and a physical therapist with knowledge of EBP who served as the liaison between members of the partnership team and the clinicians at the community hospital. The three-step framework developed enabled the clinicians to learn about critical appraisal, participate in guided practice of critical appraisal with the liaison, and lead critical appraisal of a paper with the assistance of the liaison as needed. This process could be easily replicated by other partnerships between academic faculty members and clinicians. Developing partnerships like the one described enables academicians to provide service to the profession, may enhance physical therapists' knowledge of the principles of EBP and may encourage EBP.

75 FR 64311 - National Toxicology Program (NTP); Office of Liaison, Policy and Review Meeting of the NTP Board...

Science.gov (United States)

2010-10-19

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison... preliminary study recommendations (see ``Request for Comments'' below). The NTP welcomes toxicology study... in toxicology that could be appropriately addressed through studies on the nominated substance(s...

Liaison psychiatry professionals' views of general hospital care for patients with mental illness: The care of patients with mental illness in the general hospital setting.

Science.gov (United States)

Noblett, J; Caffrey, A; Deb, T; Khan, A; Lagunes-Cordoba, E; Gale-Grant, O; Henderson, C

2017-04-01

Explore the experiences of liaison psychiatry professionals, to gain a greater understanding of the quality of care patients with mental illness receive in the general hospital setting; the factors that affect the quality of care; and their insights on interventions that could improve care. A survey questionnaire and qualitative in depth interviews were used to collect data. Data collection took place at the Royal College of Psychiatrists Faculty of Liaison Psychiatry Annual conference. Qualitative analysis was done using thematic analysis. Areas of concern in the quality of care of patients with co-morbid mental illness included 'diagnostic overshadowing', 'poor communication with patient', 'patient dignity not respected' and 'delay in investigation or treatment'. Eleven contributing factors were identified, the two most frequently mentioned were 'stigmatising attitudes of staff towards patients with co-morbid mental illness' and 'complex diagnosis'. The general overview of care was positive with areas for improvement highlighted. Interventions suggested included 'formal education' and 'changing the liaison psychiatry team'. The cases discussed highlighted several areas where the quality of care received by patients with co-morbid mental illness is lacking, the consequences of which could be contributing to physical health disparities. It was acknowledged that it is the dual responsibility of both the general hospital staff and liaison staff in improving care. Copyright © 2017 Elsevier Inc. All rights reserved.

75 FR 66766 - National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the NTP Board...

Science.gov (United States)

2010-10-29

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison, Policy and Review; Meeting of the NTP Board of Scientific Counselors: Amended Notice AGENCY: National....gov ). Dated: October 21, 2010. John R. Bucher, Associate Director, National Toxicology Program. [FR...

75 FR 21003 - National Toxicology Program (NTP); Office of Liaison, Policy and Review Meeting of the NTP Board...

Science.gov (United States)

2010-04-22

... DEPARTMENT OF HEALTH AND HUMAN SERVICES National Toxicology Program (NTP); Office of Liaison... toxicology study information from completed, ongoing, or anticipated studies, as well as information on... issues or topics in toxicology that could be appropriately addressed through studies on the nominated...

EDRP public local inquiry, UKAEA/BNFL precognition on: Aspects of Dounreay safety and local liaison relevant to EDRP

International Nuclear Information System (INIS)

Blumfield, C.W.

1986-01-01

Aspects of safety at Dounreay Nuclear Establishment, including legislation, design safety, industrial safety and radiation monitoring procedures, are discussed. The arrangements for action in an emergency are outlined. Liaison between DNE and the local community, formal and informal, is summarised. (U.K.)

Liaison neurologists facilitate accurate neurological diagnosis and management, resulting in substantial savings in the cost of inpatient care.

LENUS (Irish Health Repository)

Costelloe, L

2012-02-01

BACKGROUND: Despite understaffing of neurology services in Ireland, the demand for liaison neurologist input into the care of hospital inpatients is increasing. This aspect of the workload of the neurologist is often under recognised. AIMS\\/METHODS: We prospectively recorded data on referral and service delivery patterns to a liaison neurology service, the neurological conditions encountered, and the impact of neurology input on patient care. RESULTS: Over a 13-month period, 669 consults were audited. Of these, 79% of patients were seen within 48 h and 86% of patients were assessed by a consultant neurologist before discharge. Management was changed in 69% cases, and discharge from hospital expedited in 50%. If adequate resources for neurological assessment had been available, 28% could have been seen as outpatients, with projected savings of 857 bed days. CONCLUSIONS: Investment in neurology services would facilitate early accurate diagnosis, efficient patient and bed management, with substantial savings.

Agreement between physicians' and nurses' clinical decisions for the management of the fracture liaison service (4iFLS): the Lucky Bone™ program.

Science.gov (United States)

Senay, A; Delisle, J; Raynauld, J P; Morin, S N; Fernandes, J C

2016-04-01

We determined if nurses can manage osteoporotic fractures in a fracture liaison service by asking a rheumatologist and an internist to assess their clinical decisions. Experts agreed on more than 94 % of all nurses' actions for 525 fragility fracture patients, showing that their management is efficient and safe. A major care gap exists in the investigation of bone fragility and initiation of treatment for individuals who have sustained a fragility fracture. The implementation of a fracture liaison service (FLS) managed by nurses could be the key in resolving this problem. The aim of this project was to obtain agreement between physicians' and nurses' clinical decisions and evaluate if the algorithm of care is efficient and reliable for the management of a FLS. Clinical decisions of nurses for 525 subjects in a fracture liaison service between 2010 and 2013 were assessed by two independent physicians with expertise in osteoporosis treatment. Nurses succeeded in identifying all patients at risk and needed to refer 27 % of patients to an MD. Thereby, they managed autonomously 73 % of fragility fracture patients. No needless referrals were made according to assessing physicians. Agreement between each evaluator and nurses was of >97 %. Physicians' decisions were the same in >96 %, and Gwet AC11 coefficient was of >0.960 (almost perfect level of agreement). All major comorbidities were adequately managed. High agreement between nurses' and physicians' clinical decisions indicate that the independent management by nurses of a fracture liaison service is safe and should strongly be recommended in the care of patients with a fragility fracture. This kind of intervention could help resolve the existing care gap in bone fragility care as well as the societal economic burden associated with prevention and treatment of fragility fractures.

Creation of a mobile intervention group; Creation d'un groupe mobile d'intervention

Energy Technology Data Exchange (ETDEWEB)

Cerre, P.; Mestre, E.

1961-11-30

This document presents the different missions and equipment of the Mobile Intervention Group which is supposed to intervene on a site of accident involving radioactive products. The authors indicate the various missions inside and outside a nuclear centre, the vehicles (with a laboratory, a decontamination set, an intervention vehicle for four persons, a liaison vehicle), the intervention equipment, the control and sampling equipment (samplers, counters), the analysis equipment, and the personnel (engineer, chemist, electronics technician, drivers, decontamination agents, sampling agents). They describe the alert procedure and the successive operations.

A Year of Fractures: a snapshot analysis of the logistics, problems and outcomes of a hospital-based fracture liaison service.

Science.gov (United States)

Vaile, J H; Sullivan, L; Connor, D; Bleasel, J F

2013-10-01

Our fracture liaison service identifies patients with low trauma fractures, determines the need for osteoporosis therapy and instigates therapy if necessary. We describe the tracking and outcome of 768 patients attending our emergency department over 1 year and discuss the problems we encountered and potential solutions. Osteoporotic fractures result in substantial morbidity, mortality and economic cost, and patients sustaining a first fracture are known to be at higher risk of sustaining future fracture. Treatment of at-risk patients has been shown to assist in prevention of future fracture including hip fracture. We established a "First Fracture Project" to identify and treat these patients in 2003. We assessed "A Year of Fractures": the logistics, outcome and problems in tracking patients presenting to our emergency department with a low trauma fracture by our fracture liaison service, over 1 year from July 2008 to June 2009. Patients were tracked by our osteoporosis nurse and offered assessment, and treatment where necessary. In 1 year, 768 patients aged 50 or over were identified from emergency department records as attending with a low trauma fracture. About 84 % of patients eventually received assessment. Of the162 patients progressing through the entire process, 74 % had osteoporosis treatment planned and/or commenced. Our fracture liaison service was effective at identifying most low trauma fracture patients at risk of further fracture and providing access to osteoporosis assessment. There were many difficulties: we outline logistic and practical issues in delivering our service and suggest potential improvements.

77 FR 57639 - Privacy Act; System of Records: Records of the Office of White House Liaison, State-34

Science.gov (United States)

2012-09-18

..., background and security clearance information received from Executive Offices and Bureau of Human Resources... the provisions of the Privacy Act of 1974, as amended (5 U.S.C.552a) and Office of Management and... Liaison Office for the consideration, review, clearance and appointment of an individual to a non-career...

Study of bond-energy variations in molecular systems under irradiation; Etude de la variation de l'energie de liaison dans les systemes moleculaires irradies

Energy Technology Data Exchange (ETDEWEB)

Naudet, G; Passe, S [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1968-07-01

On the basis of experimental results selected from publications, the evolution of the bond energy of a molecular system under irradiation - leading to a more or less bound state - is studied. This variation of bond energy is then compared to the total bond energy of the initial system and to the energy absorbed in the system during the irradiation. This is done as a function of the nature of molecular system and the radiation spectrum and intensity. Our working method will first be explained, and the results obtained will then be given. (authors) [French] A l'aide de resultats experimentaux, selectionnes dans les publications, nous etudions l'evolution de l'energie de liaison d'un systeme moleculaire sous irradiation (evolution vers un etat plus ou moins lie), et nous comparons cette variation d'energie de liaison a l'energie totale de liaison du systeme initial et a l'energie absorbee dans le systeme au cours de l'irradiation. Ceci est fait en fonction de la nature du systeme moleculaire ainsi que du spectre et de l'intensite du rayonnement. Nous exposons d'abord notre methode de travail, puis les resultats obtenus. (auteurs)

Usage-Based Account of the Acquisition of Liaison: Evidence from Sensitivity to the Singular/Plural Orientation of Nouns

Science.gov (United States)

Dugua, Celine; Spinelli, Elsa; Chevrot, Jean-Pierre; Fayol, Michel

2009-01-01

This study investigates whether children's production and recognition of obligatory liaison sequences in French depend on the singular/plural orientation of nouns. Certain nouns occur more frequently in the plural (e.g., "arbre" "tree"), whereas others are found more often in the singular (e.g., "arc-en-ciel" "rainbow"). In the input, children…

Hidden Costs in Paediatric Psychiatry Consultation Liaison Services

LENUS (Irish Health Repository)

Kehoe, C

2018-03-01

It is recognised that children attending paediatric services have an increased rate of mental health (MH) problems1. Hospital based Mental Health services, interchangeably termed Psychiatric Consultation Liaison Services (PCLS), or Psychological Medicine, exist in the large hospitals, and collaborate with their paediatric colleagues, offering assessment and intervention as required. However, PCLS may also have a role in providing Emergency MH assessments for young people presenting to the Emergency Department (ED), a role independent of their paediatric colleagues. In some cases, these children will need to be admitted to an acute paediatric bed for the management of their mental health illness or psychological distress, awaiting transfer to a child psychiatry specialised bed, or discharge to community services. The profile and costs of these cases are inadequately captured by both HSE CAMHS Annual Reporting System3,4 and the Healthcare Pricing Office (HIPE)2 as they often inadequately record MH referrals. This study explores the costs associated with a cohort of patients presenting to a large paediatric hospital ED, and managed by PCLS, in a one-year period.

Leading Change in the System of Scholarly Communication: A Case Study of Engaging Liaison Librarians for Outreach to Faculty

Science.gov (United States)

Malenfant, Kara J.

2010-01-01

This narrative, single-case study examines how liaison librarians at the University of Minnesota (UMN) came to include advocating for reform of the scholarly communication system among their core responsibilities. While other libraries may hire a coordinator or rely on a committee to undertake outreach programs, UMN has defined baseline expertise…

Liaison amid problem behavior and traumatic dental injury among children aged 12-15 years in Bhopal

OpenAIRE

Naveen S Yadav; Vrinda Saxena; Manish Jain; Kapil Paiwal

2015-01-01

Introduction: Liaison amid problem behavior and traumatic dental injury among children aged 13-15 years are consequential due to multifactorial dental, orofacial skeletal, psycosocial behavior pattern. The probable etiology is been equated overjet; inadequate lip coverage is the major etiological factors accountable for traumatic dental injuries. Aims: The aim was to assess the relationship of problem behavior, type of lip coverage, and the size of overjet with the traumatic dental injury amo...

Comparison of Abbott Architect®, Siemens Immulite®, and Diasorin Liaison® for determination of Epstein-Barr virus serological diagnosis.

Science.gov (United States)

François, Catherine; Segard, Christine; Bouvier, Maryline; Stefanski, Martine; Pannier, Christine; Zawadzki, Patricia; Roussel, Catherine; Hecquet, Denise; Duverlie, Gilles; Brochot, Etienne; Castelain, Sandrine

2018-02-01

This study compared the performance of 3 automated immunoassays, Architect ® (Abbott), Immulite ® (Siemens) and Liaison ® (Diasorin), for Epstein-Barr virus (EBV) serology. Ninety-one serum samples collected in Amiens University Hospital were analyzed for the presence of Viral Capsid Antigen (VCA) IgG and IgM and Epstein-Barr Nuclear Antigen (EBNA) IgG. The agreement between the 3 assays was calculated for each marker individually and for determination of the EBV profile, based on interpretation of the combination of these 3 EBV markers. Although similar results were obtained with Architect ® and Liaison ® , several discordant results were observed with Immulite ® , particularly for EBNA IgG. A large number of EBNA IgG-positive results were observed, which interfered with interpretation of the EBV profile. In contrast, Immulite ® performed similarly to the 2 other assays for detection of VCA IgM. Copyright © 2017 Elsevier Inc. All rights reserved.

Therapeutic abortion: the psychiatric nurse as therapist, liaison, and consultant.

Science.gov (United States)

Zahourek, R; Tower, M

1971-01-01

It is noted that as abortion becomes an accepted medical practice, more nurses will be involved in the treatment and counseling of the therapeutic abortion patient. The authors, psychiatric nurses in a Colorado comprehensive urban mental health center, became involved in the treatment of the therapeutic abortion patient with the passing of the State's liberalized 1967 abortion law. As they became involved with all aspects of therapeutic abortion patients' care, they identified 3 specific roles for the psychiatric nurse: 1) providing direct They treatment, 2) providing liaison service and promoting continuity of care for the patient, and 3) providing consultation service to the staff involved with the patient. As the psychiatric nurses shared their own mixed feelings about abortion with the obstetrical staff, the staff began to feel less guilty and less alone with their feelings. The became more involved with the patients and benefited them more.

Tackling the global mental health challenge: a psychosomatic medicine/consultation-liaison psychiatry perspective.

Science.gov (United States)

Bauer, Amy M; Fielke, Ken; Brayley, John; Araya, Mesfin; Alem, Atalay; Frankel, Bernard L; Fricchione, Gregory L

2010-01-01

Consultation-liaison (C-L) psychiatry, informed by principles of psychosomatic medicine, is well-positioned to address the global impact of mental disorders through primary care C-L models. The authors review the international burden of mental disorders, highlighting medical comorbidity, undertreatment, and the rationale for enhancing primary-care management. C-L psychiatry fosters the skills required for global mental health work. The authors describe successful C-L models developed in a low-income country (Ethiopia) and an under-resourced region of a high-income country (Australia). C-L psychiatrists have the potential to marshal their unique skill-set to reduce the global burden of mental disorders.

State of Consultation-Liaison Psychiatry in India: Current status and vision for future

Science.gov (United States)

Grover, Sandeep

2011-01-01

Over the years Consultation-Liaison (C-L) psychiatry has contributed significantly to the growth of the psychiatry and has brought psychiatry very close to the advances in the medicine. It has also led to changes in the medical education and in the providing comprehensive management to the physically ill. In India, although the General Hospital Psychiatric units were established in 1930s, C-L Psychiatry has never been the main focus of training and research. Hence there is an urgent need to improve C-L Psychiatry services and training to provide best and optimal care to the patients and provide best education to the trainees. PMID:22135437

Adding A Dietician to the Liaison-Team after Discharge of Geriatric Patients at Nutritional Risk May Save Health Care Costs

DEFF Research Database (Denmark)

Pohju, Anne; Belqaid, Kerstin; Brandt, Christopher

2016-01-01

with (intervention group, IG) or without a dietitian (control group, CG). The IG received three home visits by the dietitian during a 12-week period. Data included in the economic analysis was time spent by the dietitian, use of oral nutritional supplements (ONS) and number of hospitalization days. Results......: Of the 71 included patients, 34 were in the IG, 30 patients received all three dietitian visits. Cumulated number of hospitalization days was 172 in the IG and 415 in the CG. Use of ONS was 48 % in the IG and 17% in the CG (P=0.001). Estimated cost for the dietitian and ONS combined in the IG was €9......,416 compared to €1,150 (ONS only) in the CG. For hospitalizations, estimated cost was €92,020 in the IG and €220,025 in the CG. Cost savings added up to €3,048 per patient in the IG. Conclusion: Adding a dietitian to a Danish geriatric discharge Liaison-Team decreased health care costs...

Developing effective educational approaches for Liaison Old Age Psychiatry teams: a literature review of the learning needs of hospital staff in relation to managing the confused older patient.

Science.gov (United States)

Teodorczuk, Andrew; Welfare, Mark; Corbett, Sally; Mukaetova-Ladinska, Elizabeta

2010-09-01

Deficiencies in the knowledge, skills and attitudes of all healthcare professionals working within the general hospital contribute towards the suboptimal care of older hospitalized patients with confusion. In the U.K., policy dictates that Liaison Old Age Psychiatry teams deliver effective education to general hospital clinical staff. The purpose of this paper is to review the literature concerning the learning needs of healthcare professionals in relation to managing confusion in the older patient in order to inform effective educational approaches for Liaison Old Age Psychiatry teams. A broad range of medical and educational databases were searched. Identified English language studies were selected for further analysis if they had a specific educational focus in the hospital setting and then further subdivided into intervention and naturalistic studies. The impact of intervention studies was evaluated by Kirkpatrick's system. Learning needs, as determined from the naturalistic studies, were mapped to identify themes. 13 intervention studies were identified. Despite a high level of effectiveness for educational interventions, it was unclear what the active components were. A further 23 naturalistic studies were identified; their findings focused on knowledge gaps, diagnostic behaviors and experiences, attitudes and training issues. Few studies specifically researched learning needs or the educational role of liaison teams. Conspicuous by its absence was reference to relevant educational theories. The findings of this review can be incorporated in the planning of local curricula by Liaison Teams in order to design educational strategies. There is a need for further research, especially studies exploring the learning needs of all healthcare professionals.

Creation of a mobile intervention group

International Nuclear Information System (INIS)

Cerre, P.; Mestre, E.

1961-01-01

This document presents the different missions and equipment of the Mobile Intervention Group which is supposed to intervene on a site of accident involving radioactive products. The authors indicate the various missions inside and outside a nuclear centre, the vehicles (with a laboratory, a decontamination set, an intervention vehicle for four persons, a liaison vehicle), the intervention equipment, the control and sampling equipment (samplers, counters), the analysis equipment, and the personnel (engineer, chemist, electronics technician, drivers, decontamination agents, sampling agents). They describe the alert procedure and the successive operations

Lysosomal and Mitochondrial Liaisons in Niemann-Pick Disease

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Sandra Torres

2017-11-01

Full Text Available Lysosomal storage disorders (LSD are characterized by the accumulation of diverse lipid species in lysosomes. Niemann-Pick type A/B (NPA/B and type C diseases Niemann-Pick type C (NPC are progressive LSD caused by loss of function of distinct lysosomal-residing proteins, acid sphingomyelinase and NPC1, respectively. While the primary cause of these diseases differs, both share common biochemical features, including the accumulation of sphingolipids and cholesterol, predominantly in endolysosomes. Besides these alterations in lysosomal homeostasis and function due to accumulation of specific lipid species, the lysosomal functional defects can have far-reaching consequences, disrupting intracellular trafficking of sterols, lipids and calcium through membrane contact sites (MCS of apposed compartments. Although MCS between endoplasmic reticulum and mitochondria have been well studied and characterized in different contexts, emerging evidence indicates that lysosomes also exhibit close proximity with mitochondria, which translates in their mutual functional regulation. Indeed, as best illustrated in NPC disease, alterations in the lysosomal-mitochondrial liaisons underlie the secondary accumulation of specific lipids, such as cholesterol in mitochondria, resulting in mitochondrial dysfunction and defective antioxidant defense, which contribute to disease progression. Thus, a better understanding of the lysosomal and mitochondrial interactions and trafficking may identify novel targets for the treatment of Niemann-Pick disease.

Towards more effective academic liaison between academics, students and practitioners in the field of public administration and management in the North West Province

Directory of Open Access Journals (Sweden)

E. Nealer

2007-07-01

Full Text Available In the light of the changing tertiary education arena in South Africa, the Department of Public Management and Governance in the School for Social and Government Studies of the Arts Faculty, North-West University (NWU had to revisit its policy on macro organisational aspects. Issues such as more effective communication mediums, the merging and alignment of the University’s three campuses, the nature of the ever-increasing competition in the tertiary residential and distance teaching environment, the range, variety and quality of its products and the facilitation and rendering of an improved tertiary teaching service were identified. In this article the typical nature of the intra, inter and extra academic liaison regarding the Department at NWU are highlighted and some recommendations on more effective communication and work procedures as a result of academic liaison are presented. Examples being that academics and practitioners need to meet more frequently, upgrade effective communication media among them and undertake joint research in a more cooperative manner.

Liaison activities with the Institute of Physical Chemistry/Russian Academy of Science Fiscal Year 1995

International Nuclear Information System (INIS)

Delegard, C.H.

1995-09-01

Investigations into the chemistry of alkaline Hanford Site tank waste (TTP RL4-3-20-04) were conducted in Fiscal Year 1995 at Westinghouse Hanford Company under the support of the Efficient Separations and Processing Crosscutting Program (EM-53). The investigation had two main subtasks: liaison with the Institute of Physical Chemistry of the Russian Academy of Science and further laboratory testing of the chemistry of thermal reconstitution of Hanford Site tank waste. Progress, which was achieved in the liaison subtask during Fiscal Year 1995, is summarized as follows: (1) A technical dialogue has been established with Institute scientists. (2) Editing was done on a technical literature review on the chemistry of transuranic elements and technetium in alkaline media written by researchers at the Institute. The report was issued in May 1995 as a Westinghouse Hanford Company document. (3) Four tasks from the Institute were selected for support by the U.S. Department of Energy. Work on three tasks commenced on 1 March 1995; the fourth task commenced on 1 April 1995. (4) Technical information describing the composition of Hanford Site tank waste was supplied to the Institute. (5) A program review of the four tasks was conducted at the Institute during a visit 25 August to 1 September, 1995. A lecture on the origin, composition, and proposed treatment of Hanford Site tank wastes was presented during this visit. Eight additional tasks were proposed by Institute scientists for support in Fiscal Year 1996. (6) A paper was presented at the Fifth International Conference on Radioactive Waste Management and Environmental Remediation (ICEM'95) in Berlin, Germany on 3 to 9 September, 1995 on the solubility of actinides in alkaline media

Health Canada Warning on Citalopram and Escitalopram--Its Effects on Prescribing in Consultation-Liaison Psychiatry.

Science.gov (United States)

Do, André; Noohi, Saeid; Elie, Dominique; Mahdanian, Artin A; Yu, Ching; Segal, Marilyn; Looper, Karl J; Rej, Soham

2016-01-01

Reports have suggested that citalopram and escitalopram may prolong the QTc interval, leading Health Canada to issue a warning to limit their dosages in 2012. Little is known about the effects of this warning and similar ones (e.g., by the Food and Drug Administration) on antidepressant prescribing in inpatients with acute medical illness, who are theoretically at high risk of QTc prolongation. The main objective of our study is to examine the effect of the Health Canada warning on citalopram/escitalopram prescribing patterns in the consultation-liaison (C-L) psychiatry setting. We performed a retrospective cohort study including 275 randomly selected inpatients with medical illness assessed by the psychiatric C-L team of a large Canadian academic hospital between 2008 and 2014. We grouped patients based on whether they were assessed by the C-L team before or after the citalopram Health Canada warning. Our primary outcome was change in citalopram/escitalopram prescribing patterns. We found that of patients seen before the Health Canada warning, a significantly higher number were prescribed citalopram/escitalopram (44.1% vs. 22.3%, χ(2) = 14.835, p Canada warning was similar in both groups (8.9% vs. 12.1%, χ(2) = 0.233, p = 0.63). Overall, C-L psychiatrists were less likely to prescribe citalopram/escitalopram following the Health Canada warning, which did not translate into safer dosing. Clinicians should not avoid prescribing citalopram/escitalopram appropriately in medically vulnerable inpatients when benefits outweigh disadvantages. Copyright © 2016 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

[Consultation liaison during the peripartum: Network care between liaison and mobile unit].

Science.gov (United States)

Garez, V; Devouche, E; Bobin-Bègue, A; Alecian, M; Minjollet, P; Vallerent, A; Poget, M; Oguibenine, H; Héroux, C; Medjkane, F; Apter, G

2017-04-26

The pregnancy periods of peripartum and immediate postpartum represent moments of opportunity to access care. Both prevention and therapeutic management can be offered with a better chance of success during these periods. Our specific Consultation Liaison (CL) team PPUMMA was created in order to respond to the need for early detection of psychopathology and rapid implementation of therapeutic management and preventive measure for mother and child. The importance of urgently intervening "on site" seemed a necessity since duration of hospitalization in maternity wards is very short. Women might not know or understand their symptoms or be ready to ask for a referral for themselves but could be ready to respond positively to a team approach where the psychiatrist is part of the Ob-Gyn department. Working with an interdisciplinary approach tends to lower stress linked to the psychiatric side of the consultation and stigma related to psychological or psychiatric issues; therefore, PPUMMA intervenes within 48 to 72hours of birth. It deals with assessment and diagnosis during the peripartum period and orientation and referral for both mother and infant when necessary after birth. The Perinatal Psychiatry emergency mobile unit PPUMMA was created in order to address these issues. From 2008 to 2015, 1907 patients were assessed but data were missing for 90 patients. We therefore analyzed 1817 patient files looking at age, diagnosis origin of referral, time of referral (pre or postpartum) and delay from referral to assessment. Most patients were between 20 and 40 (81.5 %). One hundred and eighteen patients were under 20 years of age, of whom 64 were minors (3.5 %), and 218 were 40 or more (12 %). These two groups were over-represented close to threefold when comparing with national birth data records. A psychologist had first seen three out of four women. Midwives and Ob-Gyn referred 9 % and 8 % of patients while Social workers sent in 4 %. Two thirds of the

NIH MedlinePlus Advisory Group

Science.gov (United States)

... Stephanie Dailey Senior Public Affairs Specialist Office of Communications and Public Liaison National Institute on Aging Meredith Daly Senior Media Relations Officer Eunice Kennedy Shriver National Institute of Child ...

A Randomized Controlled Trial of a Specialist Liaison Worker Model for Young People with Intellectual Disabilities with Challenging Behaviour and Mental Health Needs

Science.gov (United States)

Raghavan, R.; Newell, R.; Waseem, F.; Small, N.

2009-01-01

Background: Twenty-six young people with intellectual disabilities and mental health needs from Pakistani and Bangladeshi communities were recruited as part of a bigger study to examine the effectiveness of a liaison worker in helping young people and their families access appropriate intellectual disabilities and mental health services. Method:…

Sociodemographic profile, clinical factors, and mode of attempt in suicide attempters in consultation liaison psychiatry in a tertiary care center

Directory of Open Access Journals (Sweden)

Santosh Ramdurg

2011-01-01

Full Text Available Background: The objective was to study the sociodemographic data, psychiatric disorder, precipitating events, and mode of attempt in suicide attempted patients referred to consultation liaison psychiatric services. Settings and Design: A prospective study of 6-month duration was done in a tertiary care center in India. Materials and Methods: During the 6-month period all referrals were screened for the presence of suicide attempters in consultation liaison services. Those who fulfilled the criteria for suicide attempters were evaluated by using semistructured pro forma containing sociodemographic data, precipitating events, mode of attempt, and psychiatric diagnosis by using ICD-10. Results: The male-to-female ratio was similar. Adult age, urban background, employed, matriculation educated were more represented in this study. More than 80% of all attempters had psychiatric disorder. Majority had a precipitating event prior to suicide attempt. The most common method of attempt was by use of corrosive. Conclusions: Majority of suicide attempter patients had mental illness. Early identification and treatment of these disorders would have prevented morbidity and mortality associated with this. There is a need of proper education of relatives about keeping corrosive and other poisonous material away from patients as it was being commonest mode of attempt.

Activity-based funding: implications for mental health services and consultation-liaison psychiatry.

Science.gov (United States)

Wand, Anne

2014-06-01

The aim of this paper is to inform mental health professionals about Activity-based funding (ABF) and the implications for data collection and clinical practice, in particular for consultation-liaison (CL) psychiatry. Activity-based funding may provide an opportunity for mental health services to be more equitably resourced, but much needs to be done to demonstrate that the funding model works in mental health. It is important to ensure that data collected is meaningful and accurate and reflects the diverse roles of mental health clinicians, including in CL. Inpatient and community services should be integrated in the model, as well as safeguards against potential abuse. Clinicians, in partnership with initiatives such as the Australian Mental Health Outcomes and Classification Network, are best placed to guide the development of an ABF system for mental health which appropriately recognises the complexity and variability between patients in different settings. © The Royal Australian and New Zealand College of Psychiatrists 2014.

The Theory and Practice of Consultation-Liaison (CL Psychiatry in Trinidad and Tobago with Reference to Suicidal Behavior

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Hari D. Maharajh

2008-01-01

Full Text Available Consultation-Liaison Psychiatry (CL Psychiatry is not a well-established discipline in developing countries. It is a multifaceted area that incorporates clinical, teaching, and research activities both within the hospital and extramurally in community health services. Our purpose was first to define the role of CL Psychiatry, to review essential steps in the process, and to advise on how to set up services. Second, a 1-year retrospective analysis was conducted on all patients referred. A total of 708 persons were referred for psychiatric consultation, of which 41% (291 were referred because of suicidal behavior. Sixty-six percent were female and there was an over-representation of Indo-Trinidadians (67%. Twenty-six percent of all cases of suicidal behavior were diagnosed with clinical depression, 3% were suffering from a psychotic illness (schizophrenia, and 8% (24/291 were under the influence of alcohol. The most vulnerable group was the 25- to 35-year-old age group, accounting for 27% (78/291 of attempters, with the largest number of female attempters. The 36- to 55-year-old males were most likely to attempt suicide (35/99. Ingestion of a toxic substance was the most popular method among all races, genders, and age groups. Of all referrals, 95% originated from medical wards. The most common reason cited for attempts was depressed mood, secondary to a domestic dispute with a family member or significant other. Among Caribbean countries, Trinidad and Tobago has high rates of suicide and suicidal behavior, depression, and alcoholism. CL psychiatrists have a major role to play in the delivery of services to these groups, facilitating the transition of care from admission in the emergency room to discharge and follow-up in the community.

The effectiveness of consultation-liaison psychiatry in the general hospital setting: a systematic review.

Science.gov (United States)

Wood, Rebecca; Wand, Anne P F

2014-03-01

The aim of this study was to review how the effectiveness of consultation liaison psychiatry (CLP) services has been measured and to evaluate the strength of the evidence for effectiveness. Systematic review of medical databases using broad search terms as well as expert opinion was sought. The literature search was restricted to studies of general, whole-of-hospital inpatient CLP services. Forty articles were found and grouped into five measurements of effectiveness: cost effectiveness including length of stay, concordance, staff and patient feedback, and follow-up outcome studies. All measurements contributed to the evaluation of CLP services, but no one measure in isolation could adequately cover the multifaceted roles of CLP. Concordance was the only measurement with an established, consistent approach for evaluation. Cost effectiveness and follow-up outcome studies were the only measures with levels of evidence above four, however the three follow-up outcome studies reported conflicting results. Subjective evidence derived from patient and staff feedback is important but presently lacking due to methodological problems. The effectiveness of CLP services was demonstrated by cost-effectiveness, earlier referrals to CLP predicting shorter length of stay, and concordance with some management recommendations. There is evidence that some CLP services are cost-effective and reduce length of stay when involved early and that referrers follow certain recommendations. However, many studies had disparate results and were methodologically flawed. Future research should focus on standardising patient and staff feedback, and short-term patient outcomes. Crown Copyright © 2014. Published by Elsevier Inc. All rights reserved.

Development of an operational manual for a consultation-liaison psychiatry service.

Science.gov (United States)

Wand, Anne Pf; Sharma, Swapnil; Carpenter, Lindsay J; Gatsi, Mike

2018-02-01

Consultation-liaison psychiatry (CLP) services sit between mental health and the general hospital, and risk being poorly understood by both systems. The aim of this study was to develop an operational manual for a CLP service, which defined functions and governance. The CLP literature was reviewed with a focus on descriptions of CLP roles, organisational processes, quality measures and service development. The CLP team held service planning meetings and met with members of the mental health and hospital executives. Site visits and collaboration with other CLP services occurred in defining the roles of the CLP service and organisational governance. A CLP operational document was developed, including a description of the service, its functions, staff roles and governance. Procedural information such as the CLP timetable, referral process, triage and assessment, documentation, activity recording, quality assurance and relevant policies were outlined. The development of a dedicated operational manual for CLP clarified the roles, functions and governance of CLP within the general hospital and mental health systems. The development process facilitated the engagement of key clinicians and administrators of these systems, the determination of quality improvement targets and greater transparency and accountability.

US NRC/LLL liaison with the Federal Republic of Germany for the GKSS-PSS steam condensation tests. Progress report No. 1

International Nuclear Information System (INIS)

McCauley, E.W.

1979-01-01

This progress report for the USNRC/LLL Liaison program with the Federal Republic of Germany regarding boiling water reactor containment multivent steam condensation tests being conducted by GKSS (Gesellschaft fuer Kernenergieverwertung in Schiffbau und Schiffahrt) address program activity during the period of May-June 1979. During this period the program scope was defined, initial contacts between LLL and GKSS were established, and the first trip by an LLL representative to the GKSS test facility was taken

Design and Formative Evaluation of the Policy Liaison Initiative: A Long-Term Knowledge Translation Strategy to Encourage and Support the Use of Cochrane Systematic Reviews for Informing

Science.gov (United States)

Brennan, Sue E.; Cumpston, Miranda; Misso, Marie L.; McDonald, Steve; Murphy, Matthew J.; Green, Sally E.

2016-01-01

The Policy Liaison Initiative (PLI) is a long-term knowledge translation initiative designed to support the use of Cochrane systematic reviews in health policy. A joint initiative between the Australasian Cochrane Centre and Australian Government Department of Health and Ageing, the PLI includes: 1) a community of practice for evidence-informed…

Extending the liaison psychiatry service in a large hospital in the UK: a before and after evaluation of the economic impact and patient care following ED attendances for self-harm

NARCIS (Netherlands)

Opmeer, Brent C.; Hollingworth, William; Marques, Elsa M. R.; Margelyte, Ruta; Gunnell, David

2017-01-01

Objectives To evaluate the impact of an expansion of liaison psychiatry services (LPS) on patient management, outcomes and treatment costs for emergency department (ED) attendances for self-harm. Design Retrospective before and after cohort study using routinely collected Self-Harm Surveillance

Academic medicine change management: the power of the liaison committee on medical education accreditation process.

Science.gov (United States)

Chandran, Latha; Fleit, Howard B; Shroyer, A Laurie

2013-09-01

Stony Brook University School of Medicine (SBU SOM) used a Liaison Committee on Medical Education (LCME) site visit to design a change management approach that engaged students, revitalized faculty, and enabled significant, positive institutional transformation while flexibly responding to concurrent leadership transitions. This "from-the-trenches" description of novel LCME site-visit-related processes may provide an educational program quality improvement template for other U.S. medical schools. The SBU SOM site visit processes were proactively organized within five phases: (1) planning (4 months), (2) data gathering (12 months), (3) documentation (6 months), (4) visit readiness (2 months), and (5) visit follow-up (16 months). The authors explain the key activities associated with each phase.The SBU SOM internal leadership team designed new LCME-driven educational performance reports to identify challenging aspects of the educational program (e.g., timeliness of grades submitted, midcourse feedback completeness, clerkship grading variability across affiliate sites, learning environment or student mistreatment incidents). This LCME process increased institutional awareness, identified the school's LCME vulnerabilities, organized corrective actions, engaged key stakeholders in communication, ensured leadership buy-in, and monitored successes. The authors' strategies for success included establishing a strong internal LCME leadership team, proactively setting deadlines for all phases of the LCME process, assessing and communicating vulnerabilities and action plans, building multidisciplinary working groups, leveraging information technology, educating key stakeholders through meetings, retreats, and consultants, and conducting a mock site visit. The urgency associated with an impending high-stakes LCME site visit can facilitate positive, local, educational program quality improvement.

Aufbau eines "Fracture-Liaison"-Dienstes (FLD in der Steiermark: Erste Erfahrungen

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Sampl E

2011-01-01

Full Text Available Die Osteoporose und die damit assoziierten Frakturen stellen ein globales Gesundheitsproblem dar. Trotz zahlreicher präventiver Möglichkeiten, die uns heute zur Verfügung stehen, sind weiterhin große Defizite in der Diagnostik und Therapie der Osteoporose vorhanden. Die meisten Patienten werden nach einer Fragilitätsfraktur nicht weiter osteologisch abgeklärt. Im Oktober 2009 begann in der Steiermark die Implementierung des „Fracture-Liaison“- Dienstes (FLD an 4 unfallchirurgischen Abteilungen. Ziel dieses Projekts ist es, möglichst alle Patienten ab dem 50. Lebensjahr, welche aufgrund einer „Low-trauma“-Fraktur stationär behandelt werden, zu erfassen, weitere diagnostische und therapeutische Schritte einzuleiten und somit auch das Risiko für Folgefrakturen zu reduzieren. In den ersten 6 Monaten wurden 404 Patienten erfasst. Nur 15 % hatten zum Zeitpunkt der Fraktur eine osteoprotektive Therapie, obwohl 52 % bereits zumindest eine prävalente osteoporotische Fraktur aufwiesen. Lediglich 59 Patienten (15 % hatten einen normalen 25- Hydroxyvitamin-D-Serumspiegel von 30 ng/mL, wobei 37 Patienten (62 % davon vorsubstituiert waren. Diese ersten Auswertungen zeigen die eklatante Unterversorgung in diesem Patientenkollektiv, welche in Kombination mit der pandemisch vorliegenden Vitamin-D-Defizienz die hohe Dringlichkeit eines interdisziplinären Managements über die chirurgische Versorgung hinaus unterstreicht.

Interconsulta psiquiátrica: fatores de encaminhamento para a terapia ocupacional em saúde mental / Consultation-liaison psychiatry: factors referral from occupational therapy in mental health

Directory of Open Access Journals (Sweden)

Solange Aparecida Tedesco

2018-01-01

�Abstract Background: Interventions in occupational therapy in combination with consultation-liaison psychiatry services are uncommon, although they contribute to patient’s reduction of stress, and facilitate the continuity of care. Objective: To identify the demographic, clinical and psychiatric profile of patients seen by a consultation-liaison psychiatrist and referred to a mental health occupational therapist and the reasons for referral. Methods: This is a cross-sectional study which compared 139 patients under evaluation in a consultation-liaison psychiatry service and who were referral to a mental health occupational therapy attendance with 561 patients also under consultation-liaison psychiatry but not referred to occupational therapy. It was developed a logistic regression analysis in which the dependent variable was the referral to occupational therapy and the sociodemographic, clinical, psychiatric and occupational variables were predictors (backward methods. Results: Patients retired on disability, with a high number of consultations before referral, hospitalized in dialysis, hematology, gynecology and plastic surgery units, and those whose attending staff received guidance intervention were more likely to be referred to occupational therapy. Reduced likelihood for referral was associated with with higher age and presence of symptoms of psychosis/confusion or aggression. Conclusion: Patients referred by consultation-liaison psychiatrists to a mental health occupational therapy comprised a subgroup with characteristics that contribute to the prediction of referral decisions. These patients showed difficulties in dealing with the disease, personal vulnerability, and a series of behaviors and attitudes regarding their disease that may lead to rupture episodes.Keywords: General hospital; Mental health; Occupational therapy; Referral and consultation.

Implementing a working together model for Aboriginal patients with acute coronary syndrome: an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse working together to improve hospital care.

Science.gov (United States)

Daws, Karen; Punch, Amanda; Winters, Michelle; Posenelli, Sonia; Willis, John; MacIsaac, Andrew; Rahman, Muhammad Aziz; Worrall-Carter, Linda

2014-11-01

Acute coronary syndrome (ACS) contributes to the disparity in life expectancy between Aboriginal and non-Aboriginal Australians. Improving hospital care for Aboriginal patients has been identified as a means of addressing this disparity. This project developed and implemented a working together model of care, comprising an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse, providing care coordination specifically directed at improving attendance at cardiac rehabilitation services for Aboriginal Australians in a large metropolitan hospital in Melbourne. A quality improvement framework using a retrospective case notes audit evaluated Aboriginal patients' admissions to hospital and identified low attendance rates at cardiac rehabilitation services. A working together model of care coordination by an Aboriginal Hospital Liaison Officer and a specialist cardiac nurse was implemented to improve cardiac rehabilitation attendance in Aboriginal patients admitted with ACS to the cardiac wards of the hospital. A retrospective medical records audit showed that there were 68 Aboriginal patients admitted to the cardiac wards with ACS from 1 July 2008 to 30 June 2011. A referral to cardiac rehabilitation was recorded for 42% of these. During the implementation of the model of care, 13 of 15 patients (86%) received a referral to cardiac rehabilitation and eight of the 13 (62%) attended. Implementation of the working together model demonstrated improved referral to and attendance at cardiac rehabilitation services, thereby, has potential to prevent complications and mortality. WHAT IS KNOWN ABOUT THE TOPIC?: Aboriginal Australians experience disparities in access to recommended care for acute coronary syndrome. This may contribute to the life expectancy gap between Aboriginal and non-Aboriginal Australians. WHAT DOES THIS PAPER ADD?: This paper describes a model of care involving an Aboriginal Hospital Liaisons Officer and a specialist cardiac nurse working

Mid-year report: IPC liaison and chemistry of thermal reconstitution

International Nuclear Information System (INIS)

Delegard, C.H.

1995-05-01

A program of investigation into the chemistry of alkaline Hanford Site tank waste is being conducted. The investigations have two main subtasks: liaison with the Institute of Physical Chemistry of the Russian Academy of Sciences and further laboratory testing of the chemistry of thermal reconstitution of Hanford Site tank waste. Progress to date includes: (1) a technical dialogue has been established with the Institute scientists; (2) editing of a technical literature review on the chemistry of the transuranic elements and technetium in alkaline media written by researchers at the Institute is complete; (3) four tasks from the Institute have been selected for support by the US Department of Energy; (4) technical information has been supplied to the Institute describing the composition of Hanford Site tank waste; (5) tests, using genuine waste from tank 104-S (a REDOX Process sludge), comparing the performance of thermal reconstitution with enhanced sludge washing show markedly improved dissolution of aluminum achieved by the thermal treatment; (6) a reduction/coprecipitation method was tested and shown to remove plutonium, solubilized by thermal treatment, rapidly and efficiently from solution; (7) technical chemistry support was provided to calciner kinetics tests at the University of Idaho; (8) tests to determine the speciation of plutonium and neptunium solubilized by thermal treatment show dissolved Pu(V) and Np(V) hydroxide complexes are produced, a Np(V) peroxide complex also was identified; (9) recently published data on Pu(IV) carbonate complexation in moderately alkaline (pH 12 to 13) solution led to reexamination of previous investigations of plutonium complexation in highly alkaline (3 to 5 molar NaOH) solutions

Medical Science Liaisons in Real-World Evidence Studies: Experience of AstraZeneca Russia.

Science.gov (United States)

Suvorov, Nikolay; Karaseva, Vera; Stukalina, Ekaterina; Sanay, Elkhan; Petrakovskaya, Vera; Bulatov, Vladimir

2018-01-01

There is no doubt that real-world evidence studies have the potential to improve and accelerate the development and delivery of safe and cost-effective innovative medicines to patients as well as influence the way we approach health and health care. Real-world evidence studies are a great challenge in terms of development and conduct, so there should be a good collaboration between the study team and clinical sites at all times, resulting eventually in timely and efficient enrollment. Engaging the sites and key external experts as early as possible during feasibility and routine visits, as well as highlighting the science rationale behind AstraZeneca's portfolio at investigator meetings and during medical science liaison (MSL) interactions, can create a positive impact on physician perception of a particular study and prioritization of patient recruitment in such studies. Therefore, we would like to underline the important role of MSLs in the risk-based monitoring setting of real-world evidence studies, with special attention to the studies with complicated patient profiles, tough timelines, and/or seasonal factors. This approach will be used further for other real world evidence projects of AstraZeneca Russia MC to ensure timelines and budget deliverables are met for the generation of high-quality evidence and eventually better health care for all of us.

A Guide to Interagency Support for DoD: Military Force Deployment, Civilian Noncombatant Repatriation, and Military Patient Regulation

Science.gov (United States)

1986-10-01

organizations for facility support of bulk petrole - um products if necessary. Military construction of petroleum storage terminals is a joint responsibili...and MSC in arranging for domestic transport of petrole - um products. These two TOAs have specific responsibilities, depending on the type of vehicle...Military Liaison Office, Kuwait U.S. Liaison Office, Tunisia U.S. Mutual Defense Assistance Office U.S. Military Group U.S. Military Liaison Office U.S

[Other Possible Clinical Applications of Drugs with 5HT2A effect in Liaison Psychiatry: Cases Report].

Science.gov (United States)

Corredor, Catalina Ayala; Castillo, Carolina Solís

2012-03-01

In liaison psychiatry it is possible to get an integral view of patient's treatment and needs, paying special attention to pharmacological interactions and contraindications. Some particular cases motivated the description, report and review about other possible applications of 5HT2A and 5HT3 antagonist, particularly Mirtazapine and Olanzapine, in hyperalgesia syndrome, tinnitus and Progressive Multifocal Leukoencephalopathy by JC virus. Cases report. We describe 3 cases of patients in which Mirtazapine and Olanzapine were necessary not only to control psychiatric symptoms (affective / behavioral symptoms and insomnia) but to act as adjuvant therapy in axis III diseases. The use of any drug in psychiatry must take in to account the context of the patient, the presence of comorbidity, contraindications and pharmacological interactions so as to grant a positive outcome also promoting the multidisciplinary work between specialists. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

Tinnitus and psychiatric comorbidities in liaison psychiatry analysis of three years in an audiophonology centre.

Science.gov (United States)

Jacques, Denis; Nozeret, Yves; Zdanowicz, Nicolas; Reynaert, Christine; Garin, Pierre; Gilain, Chantal

2013-09-01

Patients who are suffering from tinnitus are rarely directly referred to an audiophonology centre. Often, they have tried several medications and met with several doctors. Sometimes, they are also referred too quickly to a psychiatrist without a complete ENT assessment. Nevertheless, they frequently develop psychiatric comorbidities in regard to the tinnitus. On the basis of structured interviews with the "Mini International Neuropsychiatric Interview" and on a review of records, we assessed the associated psychiatric diagnoses in patients who consulted for tinnitus as their main complaint at the audiophonology centre from the University Hospital Centre of Mont-Godinne-Dinant between 2009 and 2012. Of the 80 patients who consulted for tinnitus, 28% suffered from a major depressive disorder, 27.5% from a somatoform disorder, 23.7% from sleep disorder, 22.5% from an anxiety disorder and 16% from alcoholic dependence. On the basis of these results, we developed clinical considerations concerning the treatment approach and options for patients suffering from tinnitus with psychiatric comorbidities. The interdisciplinary approach (ENT and liaison psychiatry) in an audiophonology centre seems to be a factor for better treatment adherence for patients with severe and chronic tinnitus.

Clinico-psycho-social profile of patients brought under consultation-liaison psychiatry care in a large tertiary care referral hospital

Directory of Open Access Journals (Sweden)

P Patra

2017-01-01

Full Text Available Objective: The aim of this study was to access the clinico-psycho-social profile of patients brought under consultation-liaison (CL psychiatry care in a large tertiary care referral hospital. Materials and Methods: This study included all patients who were referred for CL psychiatry from among the inpatients in the hospital and the emergency department (during off working hours of the hospital over a period of 1 year. Data were obtained and analyzed in terms of where was the referral placed, by whom, the reason for placing the referral, the primary medical/surgical diagnosis of the patient, the presenting complaints, any past psychiatric history, the psychiatric diagnosis (as per the International Classification of Diseases, Tenth Edition, the investigations advised and their reports, the treatment advised (psychotherapeutic and psychopharmacological, the sociodemographic profile of the patients, and the follow-up details. Results: A total of 157 patients were referred to the CL unit over the study period. Out of these, 125 patients were referred among the inpatients and 32 from the emergency department of the hospital. Majority of the patients were in the age group of 25–50 years and were male. The majority of the referrals were made by general physician; most of the referrals were placed from emergency department. The most common reason for referral was for altered sensorium and behavioral abnormalities. The most common diagnosis was delirium followed by depressive episode and alcohol dependence syndrome. Conclusion: There was higher representation of delirium and alcohol-related cases in our study compared to older studies.

Speed control with torque ripple reduction of switched reluctance motor by Hybrid Many Optimizing Liaison Gravitational Search technique

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Nutan Saha

2017-06-01

Full Text Available This paper presents a control scheme for simultaneous control of the speed of Switched Reluctance Motor (SRM and minimizing the torque ripple employing Hybrid Many Optimizing Liaison Gravitational Search Algorithm (Hybrid MOLGSA technique. The control mechanism includes two controlling loops, the outer loop is governed for speed control and a current controller for the inner loop, intelligent selection of turn on and turn off angle for a 60 KW, 3-phase 6/8 SRM. It is noticed that the torque ripple coefficient, ISE of speed & current are reduced by 12.81%, 38.60%, 16.74% respectively by Hybrid MOLGSA algorithm compared to Gravitational Search Algorithm (GSA algorithm. It is also observed that the settling times for the controller using the parameter values for obtaining best values of torque ripple, Integral square error of speed and current are reduced by 51.25%, 58.04% and 59.375% by proposed Hybrid MOLGSA algorithm compared to the GSA algorithm.

Performance of the Epstein-Barr Virus and Herpes Simplex Virus Immunoglobulin M Assays on the Liaison Platform with Sera from Patients Displaying Acute Parvovirus B19 Infection▿

Science.gov (United States)

Costa, Elisa; Tormo, Nuria; Clari, María Ángeles; Bravo, Dayana; Muñoz-Cobo, Beatriz; Navarro, David

2009-01-01

Acute parvovirus B19 infection has been reported to cause false-positive results frequently in the Epstein-Barr (EBV) and herpes simplex virus (HSV) immunoglobulin M (IgM) assays from DiaSorin performed on the Liaison platform. We tested 65 sera from patients with a presumptive or conclusive diagnosis of acute parvovirus B19 infection in both assays and obtained no false-positive results in the EBV IgM test and 10.4% nonspecific reactivities in the HSV IgM assay. Our data support the specificity of both assays in this clinical setting. PMID:19571110

Medical Student Experiences on Consultation-Liaison Psychiatry Rotations: A Nationwide Survey.

Science.gov (United States)

Meyer, Fremonta; Abbasi, Omair; Kasick, David; Lee, Kewchang; Pelic, Christine; Zinser, Jennifer; Harris, Thomas; Funk, Margo

Consultation-liaison (C-L) psychiatry clerkship rotations may improve medical students' understanding of psychiatric principles relevant to the settings in which they will ultimately practice. This study aimed to characterize students' experiences on C-L rotations. This cross-sectional survey study, sponsored by the Academy of Psychosomatic Medicine Subcommittee on Medical Student Education, was conducted at 5 US medical schools between 2012 and 2016. After the C-L rotation, students completed a voluntary 17-item survey. A total of 235 surveys were collected (mean response rate = 92%). The most frequently endorsed benefit of C-L was learning to manage psychiatric disorders in the context of medical illness (89%). The most frequently endorsed drawback was inconsistent/excessively variable workload (40%). Overall, 82% of respondents recommended C-L to other students; 80% reported that the ideal clerkship would include exposure to both C-L and inpatient psychiatry. Overall, 38% reported that their C-L experience increased their interest in psychiatry as a career. Effect of C-L on interest in psychiatry did not differ by study site, age, sex, clerkship length, or time spent on C-L. Respondents who noted more positive role-modeling on C-L compared to other clerkship rotations were more likely to report increased interest in a psychiatry career (odds ratio = 2.70). Most medical students perceive C-L rotations favorably. Positive role modeling may increase their consideration of psychiatry specialization. The findings that C-L rotation length did not correlate with attitudes and that most students preferred exposure to both inpatient and C-L psychiatry suggest that C-L exposure can beneficially be integrated into core clerkships containing other elements. Copyright © 2018 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.

Effectiveness of Resident Physicians as Triage Liaison Providers in an Academic Emergency Department.

Science.gov (United States)

Weston, Victoria; Jain, Sushil K; Gottlieb, Michael; Aldeen, Amer; Gravenor, Stephanie; Schmidt, Michael J; Malik, Sanjeev

2017-06-01

Emergency department (ED) crowding is associated with detrimental effects on ED quality of care. Triage liaison providers (TLP) have been used to mitigate the effects of crowding. Prior studies have evaluated attending physicians and advanced practice providers as TLPs, with limited data evaluating resident physicians as TLPs. This study compares operational performance outcomes between resident and attending physicians as TLPs. This retrospective cohort study compared aggregate operational performance at an urban, academic ED during pre- and post-TLP periods. The primary outcome was defined as cost-effectiveness based upon return on investment (ROI). Secondary outcomes were defined as differences in median ED length of stay (LOS), median door-to-provider (DTP) time, proportion of left without being seen (LWBS), and proportion of "very good" overall patient satisfaction scores. Annual profit generated for physician-based collections through LWBS capture (after deducting respective salary costs) equated to a gain (ROI: 54%) for resident TLPs and a loss (ROI: -31%) for attending TLPs. Accounting for hospital-based collections made both profitable, with gains for resident TLPs (ROI: 317%) and for attending TLPs (ROI: 86%). Median DTP time for resident TLPs was significantly lower (phistorical control. Proportion of "very good" patient satisfaction scores and LWBS was improved for both resident and attending TLPs over historical control. Overall median LOS was not significantly different. Resident and attending TLPs improved DTP time, patient satisfaction, and LWBS rates. Both resident and attending TLPs are cost effective, with residents having a more favorable financial profile.

Intervention group as a resource of Occupational Therapy: an experience with menopausal women

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Soraya Diniz Rosa

2013-08-01

Full Text Available Intervention group as a resource of Occupational Therapy is the main theme of this study. Herein we present an experience carried out in two universities in the areas of occupational therapy, pharmacy and medicine, more specifically in the field of gynecology regarding the care of climacteric woman. The first intervention occurred in 2004 with trainees of the occupational therapy course and medical school residents. However, the study was restarted in 2010 with expansion to the human resources and knowledge areas. The methodology was based on the transcripts of the remarks made after each group meeting, which was coordinated by the Occupational Therapy. Results showed that the intervention group process has helped participants in the understanding of this stage of life and has interfered in the changing of habits and attitudes, with great improvement in daily life organization. We concluded that the use of intervention group as a resource of Occupational Therapy and the liaison with other areas are of great importance because they enable the construction of a unique treatment plan for the group, given the contribution from each clinical area.

Assay-specific decision limits for two new automated parathyroid hormone and 25-hydroxyvitamin D assays.

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Souberbielle, Jean-Claude; Fayol, Véronique; Sault, Corinne; Lawson-Body, Ethel; Kahan, André; Cormier, Catherine

2005-02-01

The recent development of nonradioactive automated assays for serum parathyroid hormone (PTH) and 25-hydroxyvitamin D (25OHD) has made measurement of these two hormones possible in many laboratories. In this study, we compared two new assays for PTH and 25OHD adapted on an automated analyzer, the LIAISON, with two manual immunoassays used worldwide. We studied 228 osteoporotic patients, 927 healthy individuals, 38 patients with primary hyperparathyroidism, and 167 hemodialyzed patients. Serum PTH was measured with the Allegro and the LIAISON assays, and 25OHD was measured with DiaSorin RIA and the LIAISON assay. Regression analysis was used to calculate decision thresholds for the LIAISON assays that were equivalent to those of the Allegro PTH and DiaSorin 25OHD assays. The 25OHD concentrations obtained with the LIAISON assay and the RIA in osteoporotic patients were well correlated (r = 0.83; P 50 nmol/L as eligible for the reference population for the LIAISON PTH assay. In this group, the 3rd-97th percentile interval for LIAISON PTH was 3-51 ng/L. Considering upper reference limits of 46 and 51 ng/L for the Allegro and LIAISON assays, respectively, the frequency of above-normal PTH concentrations in patients with primary hyperparathyroidism was similar in both assays. Regression analysis between serum PTH measured by the Allegro and LIAISON assays in 167 hemodialyzed patients and the corresponding Bland-Altman analysis of these data suggest that the LIAISON PTH assay tends to read higher than the Allegro assay at low concentrations but lower at high concentrations (>300 ng/L). Because clinical decision limits for both PTH and 25OHD should be assay specific, we propose equivalences between these assays and two manual assays used worldwide. These assay-specific decision limits should help potential users of the LIAISON PTH and 25OHD assays.

Effectiveness of Resident Physicians as Triage Liaison Providers in an Academic Emergency Department

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Victoria Weston

2017-04-01

Full Text Available Introduction: Emergency department (ED crowding is associated with detrimental effects on ED quality of care. Triage liaison providers (TLP have been used to mitigate the effects of crowding. Prior studies have evaluated attending physicians and advanced practice providers as TLPs, with limited data evaluating resident physicians as TLPs. This study compares operational performance outcomes between resident and attending physicians as TLPs. Methods: This retrospective cohort study compared aggregate operational performance at an urban, academic ED during pre- and post-TLP periods. The primary outcome was defined as cost-effectiveness based upon return on investment (ROI. Secondary outcomes were defined as differences in median ED length of stay (LOS, median door-to-provider (DTP time, proportion of left without being seen (LWBS, and proportion of “very good” overall patient satisfaction scores. Results: Annual profit generated for physician-based collections through LWBS capture (after deducting respective salary costs equated to a gain (ROI: 54% for resident TLPs and a loss (ROI: −31% for attending TLPs. Accounting for hospital-based collections made both profitable, with gains for resident TLPs (ROI: 317% and for attending TLPs (ROI: 86%. Median DTP time for resident TLPs was significantly lower (p<0.0001 than attending or historical control. Proportion of “very good” patient satisfaction scores and LWBS was improved for both resident and attending TLPs over historical control. Overall median LOS was not significantly different. Conclusion: Resident and attending TLPs improved DTP time, patient satisfaction, and LWBS rates. Both resident and attending TLPs are cost effective, with residents having a more favorable financial profile.

Cardiovascular Risk Factor Analysis in Patients with a Recent Clinical Fracture at the Fracture Liaison Service

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Caroline E. Wyers

2014-01-01

Full Text Available Patients with a low bone mineral density have an increased risk of cardiovascular diseases (CVD and venous thromboembolic events (VTE. The aim of our retrospective chart review was to investigate the prevalence of CVD, VTE, hypertension (HT, and diabetes mellitus type 2 (DM2 in patients with a recent clinical fracture visiting the Fracture Liaison Service (FLS. Out of 3057 patients aged 50–90 years, 1359 consecutive patients, who agreed and were able to visit the FLS for fracture risk evaluation, were included (71.7% women; mean age 65.2 yrs. Based on medical history, 29.9% had a history of CVD (13.7%, VTE (1.7%, HT (14.9%, and DM2 (7.1% or a combination. Their prevalence increased with age (21% in patients aged 50–59 years to 48% in patients aged >80 years and was higher in men than in women (36% versus 27%, but independent of bone mineral density and fracture type. Careful evaluation of medical history with respect to these risk factors should be performed in patients with a recent clinical fracture before starting treatment with medications that increase the risk of VTE or cardiovascular events, such as raloxifene, strontium ranelate, or NSAIDs.

Evaluation of the first fracture liaison service in the Greek healthcare setting.

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Makras, Polyzois; Panagoulia, Maria; Mari, Andriana; Rizou, Stavroula; Lyritis, George P

2017-12-01

We evaluated the first implementation of FLS in the Greek healthcare setting, at the 251 Hellenic Air Force and VA General Hospital of Athens. Participation rate was moderate (54.5%) and needs improvement; osteoporosis medication was either suggested or reviewed in 74 out of the 116 patients recruited. The purpose of this study was to evaluate the first implementation of a fracture liaison service (FLS) in Greece, at the 251 Hellenic Air Force and VA General Hospital, Athens. Single-center, prospective study from May 1, 2013 to April 30, 2015 (first year-second year follow-up) was conducted. Patients of both genders aged 40-90 years old, with a history of a low trauma fracture and willing to participate, were included after identification by an FLS nurse. Following recruitment, osteoporosis risk factors were assessed, FRAX score was calculated for treatment-naïve patients, bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry (DXA), and osteoporosis treatment was suggested where applicable. The rate of participation, the indication of osteoporosis treatment, and the difficulties met were evaluated. Of the eligible 213 patients, 97 (45.5%) were reluctant to participate for personal reasons. From the 116 initially recruited patients (mean age 74.8 ± 12 years), 77 (66.4%) discontinued their participation at some point for various reasons and 39 patients concluded the study. All 116 patients were assessed for osteoporosis risk factors and given a tailor-made exercise and education program, while FRAX score was assessed in all treatment-naïve patients (74 patients, 63.8%). Osteoporosis medication was suggested or reviewed in 74 patients; however, an adherence rate of 100% is only available for the 24 who concluded the study. We report the first implementation of FLS in the Greek healthcare setting. The participation rate is moderate and definitely needs improvement.

Interconsulta psicológica: demanda e assistência em hospital geral Interconsulta psicológica: demanda y asistencia en hospital general Consultation-liaison psychology: demand and assistance in general hospital

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Nátali Castro Antunes Santos

2011-06-01

adaptación del paciente a la hospitalización (41%. El modelo adoptado referencia psicológica era apropiado en el contexto estudiado, con la participación del equipo multidisciplinario en la efectividad de la práctica.The consultation-liaison psychology in general hospitals represents a modality of clinical and a methodological tool used by psychologists in inpatient care, upon the request of other health professionals. The study aimed to characterize the psychological demands of the liaison in a general hospital, from the analysis of attendance records request. One hundred and seven patients were treated between January and June 2010, in which 53% of the participants were male and 57% of adults over 45 years. Most requests were performed by physicians (44% and nurses (38%, formally (59%, and previous contact between interconsultor and the applicant (85%. The main reasons given for the request liaison were: psychological symptoms related to illness (43% and identification of impairment in the patient's adaptation to hospitalization (41%. The psychological liaison model adopted was appropriate to the studied context, with engagement of the multidisciplinary team in the effectiveness of practice.

Contribution to the study of the dependence in the limit between various statistics of a sample; Contribution a l'etude des liaisons limites entre differentes statistiques d'un echantillon

Energy Technology Data Exchange (ETDEWEB)

Rosengard, A [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1966-02-01

With a view to the investigation of the dependence in the limit between some statistics, we give general definitions of the independence in the limit and some of their properties are investigated. We then give some necessary and sufficient conditions for the independence in the limit between sample mean and orders statistics, in particular quantities and extreme values. For example, we show that, for bounded variance laws, the sample mean and orders statistics, in particular quantities and extreme values. For example, we show that, for bounded variance laws, the sample mean tends to become independent of the extreme values, whereas it is asymptotically dependent on the quantities, with a positive correlation coefficient for which an expression is given. We investigate also the case in which variance is unbounded. (author) [French] Afin d'etudier la liaison limite entre certaines statistiques d'un echantillon, on est amene a donner des definitions generales de l'independance limite, et a en etudier quelques proprietes. On donne ensuite les conditions necessaires et suffisantes pour l'independance limite des statistiques d'ordre, et on etudie la liaison limite entre la moyenne et les statistiques d'ordre, en particulier quantites et valeurs extremes. On montre par exemple, que pour des lois dont la variance est finie, la moyenne tend a devenir independante des valeurs extremes, alors qu'elle est asymptotiquement liee aux quantites, avec un coefficient de correlation positif, dont on donne l'expression. On etudie egalement le cas ou la variance est infinie. (auteur)

Liaison amid problem behavior and traumatic dental injury among children aged 12-15 years in Bhopal

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Naveen S Yadav

2015-01-01

Full Text Available Introduction: Liaison amid problem behavior and traumatic dental injury among children aged 13-15 years are consequential due to multifactorial dental, orofacial skeletal, psycosocial behavior pattern. The probable etiology is been equated overjet; inadequate lip coverage is the major etiological factors accountable for traumatic dental injuries. Aims: The aim was to assess the relationship of problem behavior, type of lip coverage, and the size of overjet with the traumatic dental injury among children aged 12-15 years. Materials and Methods: A cross-sectional study was conducted among 200 children aged 12-15 years in Bhopal, India. Data were collected through clinical examinations in children and interviews with parents. Traumatic injuries were recorded according to Garcia-Goday′s classification. The informant - rated version of the strengths and difficulties questionnaire was used to identify problems behavior. Results: About 16.4% subjects had more than 5 mm overjet, and 20.4% subjects had inadequate lip coverage. The largest number of injuries were presented by 15-year-old children (43.90% followed by 14 and 13 years old children. The traumatic dental injury showed 6.8% association with problem behavior, age, sex, type of lip coverage, and the size of overjet. Conclusion: Problem behavior along with the type of lip coverage and the size of overjet plays a role in the occurrence of traumatic dental injury.

Friendship networks and trajectories of adolescent tobacco use.

Science.gov (United States)

Pollard, Michael S; Tucker, Joan S; Green, Harold D; Kennedy, David; Go, Myong-Hyun

2010-07-01

This article examines how friendship networks in adolescence are linked to tobacco use trajectories through a combination of analytic techniques that traditionally are located in separate literatures: social network analysis and developmental trajectory analysis. Using six years of longitudinal data from the National Longitudinal Study of Adolescent Health, we identify a set of six unique developmental trajectories of smoking (never smokers, steady lows, delayed increasers, early increasers, decreasers, and steady highs). Individuals' locations in their friendship networks were then linked to their trajectory group membership. Adolescents with a greater number of smoking friends were more likely to belong to the higher use trajectories. Beyond this exposure to smoking peers, individuals who at baseline were either members of a smoking group or liaisons to a smoking group were more likely than members of a nonsmoking group to belong to the higher use trajectories. Liaisons to a smoking group were particularly likely to belong to the delayed increaser trajectory group. Trajectory group membership for adolescents who belonged to a nonsmoking group did not significantly differ from those who were isolates or liaisons to a nonsmoking group. The study suggests features of an individual's social network have long-lasting associations with smoking behaviors. 2010 Elsevier Ltd. All rights reserved.

Sociodemographic profile and psychiatric diagnosis of patients referred to consultation-liaison psychiatric services of general hospital psychiatric unit at a Tertiary Care Center

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Shri Gopal Goyal

2017-01-01

Full Text Available Context: Previous studies have reported high psychiatric comorbidity with physical illness. However, referral rate to consultation-liaison (C-L psychiatry from other departments is very low. There is a paucity of literature from India in this subspecialty of psychiatry. Aims: This study was conducted to assess the sociodemographic profile and psychiatric diagnosis of patients referred to C-L psychiatric services at a tertiary care center. Settings and Design: This was a descriptive cross-sectional study conducted in a tertiary care multispecialty teaching institution. Patients and Methods: The study population comprised all the patients who were referred for psychiatric consultation from other departments to C-L services of psychiatry department for 2 months. Information was collected using semi-structured pro forma, and diagnosis was made based on the International Classification of Diseases-10 criteria. Results: A total of 160 patients were referred for C-L psychiatric services. Majority of the patients were in the age group of 31–45 years, married, educated matriculation or beyond, belonged to Hindu religion, nuclear family, and residing in urban area. The maximum referrals were from internal medicine department (17.5 followed by nephrology (15.0% and neurology (10.6%. The most common psychiatric diagnosis was depression (12% followed by delirium (8%. The most common reason for seeking psychiatric consultation was psychiatric clearance of prospective kidney donor and bone marrow transplant/stem cell transplant recipient. Conclusions: Psychiatric comorbidity may present with chronic physical illness. The C-L psychiatry would play a major role in the management of psychiatric comorbidity.

Resonating group method as applied to the spectroscopy of α-transfer reactions

Science.gov (United States)

Subbotin, V. B.; Semjonov, V. M.; Gridnev, K. A.; Hefter, E. F.

1983-10-01

In the conventional approach to α-transfer reactions the finite- and/or zero-range distorted-wave Born approximation is used in liaison with a macroscopic description of the captured α particle in the residual nucleus. Here the specific example of 16O(6Li,d)20Ne reactions at different projectile energies is taken to present a microscopic resonating group method analysis of the α particle in the final nucleus (for the reaction part the simple zero-range distorted-wave Born approximation is employed). In the discussion of suitable nucleon-nucleon interactions, force number one of the effective interactions presented by Volkov is shown to be most appropriate for the system considered. Application of the continuous analog of Newton's method to the evaluation of the resonating group method equations yields an increased accuracy with respect to traditional methods. The resonating group method description induces only minor changes in the structures of the angular distributions, but it does serve its purpose in yielding reliable and consistent spectroscopic information. NUCLEAR STRUCTURE 16O(6Li,d)20Ne; E=20 to 32 MeV; calculated B(E2); reduced widths, dσdΩ extracted α-spectroscopic factors. ZRDWBA with microscope RGM description of residual α particle in 20Ne; application of continuous analog of Newton's method; tested and applied Volkov force No. 1; direct mechanism.

Liaison, élision et enchaînement : le rôle de la phonologie et du lexique chez les enfants au début de l’école primaire

OpenAIRE

Ruvoletto Samantha

2014-01-01

Dans l'acquisition du français, l’enfant reçoit comme input une langue orale où les frontières entre les mots sont masquées par des phénomènes consonantiques comme la liaison (les [le] + ours [uʁs] => [le.zuʁs]), l’élision (le [lə] + ours [uʁs] => [luʁs]) et l’enchaînement (la [la] + petite [pə.tit] + orange [] => [la-pe.ti.t). Cet effet de masquage donne lieu à des erreurs de mauvaises segmentations à partir de l'âge de 2 ans (p.ex. de(s)[n]éléphants [de.ne.le.fɑ̃] po...

Implementation of a 4-Year Point-of-Care Ultrasound Curriculum in a Liaison Committee on Medical Education-Accredited US Medical School.

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Wilson, Sean P; Mefford, Jason M; Lahham, Shadi; Lotfipour, Shahram; Subeh, Mohammad; Maldonado, Gracie; Spann, Sophie; Fox, John C

2017-02-01

The established benefits of point-of-care ultrasound have given rise to multiple new and innovative curriculums to incorporate ultrasound teaching into medical education. This study sought to measure the educational success of a comprehensive and integrated 4-year point-of-care ultrasound curriculum. We integrated a curriculum consisting of traditional didactics combined with asynchronous learning modules and hands-on practice on live models with skilled sonographers into all 4 years of education at a Liaison Committee on Medical Education-accredited US Medical School. Each graduating student was administered an exit examination with 48 questions that corresponded to ultrasound milestones. Ninety-five percent (n = 84) of fourth-year medical students completed the exit examination. The mean score was 79.5% (SD, 10.2%), with mean scores on the ultrasound physics and anatomy subsections being 77.1% (SD, 11.0%) and 85.9% (SD, 21.0%), respectively. A comprehensive 4-year point-of-care ultrasound curriculum integrated into medical school may successfully equip graduating medical students with a fundamental understanding of ultrasound physics, anatomy, and disease recognition. © 2016 by the American Institute of Ultrasound in Medicine.

Evaluation of the safety research programme 1985-1989 by the Nordic Liaison Committee for Atomic Energy

International Nuclear Information System (INIS)

Marcus, F.

1990-01-01

Joint Nordic research programmes in nuclear safety have been conducted since 1977 under the direction of the Nordic Liaison Committee for Atomic Energy. Each of these four-year programmes is evaluated according to a procedure established by the Nordic Committee for Safety Research, NKS. The latest programme covered the period 1985-89 and included items that are of interest to countries that have nuclear power plants (Finland and Sweden) as well as to countries without (Denmark, Iceland and Norway). This last programme has been evaluated in 1990. The first area (AKT) deals with phenomena that might occur within the reactor containment during accidents. It also deals with potential pathways of radioactive material that could be released, as well as effects in the environment and possible counter-measures. The second area (KAV) investigates several topics related to waste management, such as waste arising in Scandinavia from power plant operation and decommissioning, and related transportation needs. It also deals with the methods used for modelling possible leaks from waste repositories and the uncertainty related to such calculations. The third area (RAS) deals with risk management - how decisions on safety issues are made, and what is the relative risk of nuclear activities. It also deals with methods for safety calculations that are based on a probabilistic approach. In the fourth area (MAT), the tendency of materials to develop cracks under tough external conditions is examined together with corrosion issues relevant to nuclear plants. Finally, the fifth area (INF) deals with the possibility of using modern information technology to support communication and decision making during emergency situations at compelx industrial plants. (author)

Evaluation of strategies designed to enhance student engagement and success of indigenous midwifery students in an Away-From-Base Bachelor of Midwifery Program in Australia: A qualitative research study.

Science.gov (United States)

Schulz, Paula M; Dunne, Carmel L; Burdett-Jones, Denise; Gamble, Natalie S; Kosiak, Machellee M; Neal, Joclyn M; Baker, Gail E

2018-04-01

A strategy to close the gap in relation to Indigenous health is the employment of more Indigenous health professionals. However, despite government reviews, research studies and educational initiatives, Indigenous students' retention and completion rates of tertiary education remains below those of non-Indigenous Australians. To evaluate two enhancements to an Away-from-Base Bachelor of Midwifery program for Indigenous students, namely the appointment of an Indigenous Academic Liaison Midwife to provide academic and cultural support and an additional clinical placement in a high-volume tertiary hospital. In this qualitative study, 10 Indigenous students enrolled in the Away-from-Base Bachelor of Midwifery program participated in one of two focus groups. Focus group transcriptions were subjected to a manual thematic analysis, and key themes were identified and explored. The role of the Indigenous Academic Liaison Midwife was highly valued as students had access to a resource who provided cultural and academic support, and who encouraged and advocated for them. Regular contact with the Indigenous Academic Liaison Midwife enabled students to stay connected with and focussed on their study. Students were overwhelmingly positive about the opportunity to undertake the additional clinical placement, as it exposed them to complex clinical cases they may not have seen in their home communities. The introduction of an Indigenous Academic Liaison Midwife and an additional clinical placement in a high-volume tertiary hospital were perceived as valuable additions to the range of support mechanisms already in place for Indigenous Away-from-Base Bachelor of Midwifery students. These interventions have had a direct impact on retention, course progression and completion rates for Indigenous students. Students expressed enhanced clinical learning and knowledge retention as a result of the additional clinical placement, and the Indigenous Academic Liaison Midwife provided culturally

The effects of work-related values on communication between R and D groups, part 1. Ph.D. Thesis

Science.gov (United States)

Douds, C. F.

1970-01-01

The research concerned with the liaison, interface, coupling, and technology transfer processes that occur in research and development is reported. Overviews of the functions of communication and coupling in the R and D processes, and the theoretical considerations of coupling, communication, and values are presented along with descriptions of the field research program and the instrumentation.

The role of the donor liaison officer at PlusLife (Perth Bone and Tissue Bank Inc.), Western Australia.

Science.gov (United States)

Smythe, Claire; White, Nicola; Winter, Joyleen; Cowie, Anne

2015-06-01

Femoral head donation at the time of hip replacement surgery provides a much needed resource of bone allograft to orthopaedic surgeons. Prior to 2005, potential femoral head donors were identified and consented in the hospital setting on the day of surgery. This resulted in over 40 % of donations failing post operatively suggesting that more effort could be given to pre-operative screening resulting in substantial savings in the cost associated with collection and testing of donors who were subsequently failed. The Donor Liaison role was implemented in 2005 to coordinate a Femoral Head Donation program maximising the number of successful donations through pre-operative screening. This study reviews the effectiveness of pre-operative screening of potential femoral head donors at PlusLife from 2002-2012. A retrospective audit of the database was undertaken 2002-2012 and medical/social reasons for pre-operative and postoperative failures were collated into 4 main categories to enable comparison: malignancy, autoimmune conditions, variant Creutzfeldt Jakob disease risk and general medical/social reasons. The number of femoral heads failed post operatively has decreased significantly from 26 % in 2003 to 6 % in 2012. A cost of $121,000 was expended on femoral heads failed post operatively in 2004, as compared to $20,350 in 2012. Donors excluded due to the 4 main categories (medical/social history) were identified pre-operatively in over 80 % of all cases. Preoperative screening of femoral head donors through a coordinated Femoral Head Donation Program is a safe and cost effective method.

Strategic information for hospital service planning: a linked data study to inform an urban Aboriginal Health Liaison Officer program in Western Australia.

Science.gov (United States)

Katzenellenbogen, Judith M; Miller, Laura J; Somerford, Peter; McEvoy, Suzanne; Bessarab, Dawn

2015-09-01

The aim of the present study was to provide descriptive planning data for a hospital-based Aboriginal Health Liaison Officer (AHLO) program, specifically quantifying episodes of care and outcomes within 28 days after discharge. A follow-up study of Aboriginal in-patient hospital episodes was undertaken using person-based linked administrative data from four South Metropolitan hospitals in Perth, Western Australia (2006-11). Outcomes included 28-day deaths, emergency department (ED) presentations and in-patient re-admissions. There were 8041 eligible index admissions among 5113 individuals, with episode volumes increasing by 31% over the study period. Among patients 25 years and older, the highest ranking comorbidities included injury (47%), drug and alcohol disorders (41%), heart disease (40%), infection (40%), mental illness (31%) and diabetes (31%). Most events (96%) ended in a regular discharge. Within 28 days, 24% of events resulted in ED presentations and 20% resulted in hospital readmissions. Emergency readmissions (13%) were twice as likely as booked re-admissions (7%). Stratified analyses showed poorer outcomes for older people, and for emergency and tertiary hospital admissions. Future planning must address the greater service volumes anticipated. The high prevalence of comorbidities requires intensive case management to address case complexity. These data will inform the refinement of the AHLO program to improve in-patient experiences and outcomes.

An audit of a specialist old age psychiatry liaison service to a medium and a high secure forensic psychiatry unit.

Science.gov (United States)

Shah, Ajit

2006-04-01

The elderly prison population is increasing and there is a significant amount of unidentified psychiatric morbidity among elderly prisoners. A sizeable number of elderly subjects are referred to regional forensic units. These units are able to provide advice but are reluctant to admit frail, physically ill and vulnerable elderly into their unit because the ward environment is considered inappropriate for them. A sizeable number of inpatients in medium and high secure units are elderly. This paper is an exploratory audit of referrals from a medium and high secure forensic psychiatry unit to a specialist consultation-only liaison old age psychiatry service, which was specifically developed to service the forensic unit. The demographic and clinical characteristics of the patients seen by this specialist service were similar to elderly inpatients in medium and high secure units. All referrals were judged to be appropriate and new management advice was provided in all cases. Main reasons for referral included diagnostic advice, placement advice and treatment advice. Establishing a diagnosis of dementia was considered important because Alzheimer's disease and Lewy body dementia can be treated with cholinesterase inhibitors. Placement advice was the most difficult to provide because of paucity of residential and nursing homes able and willing to accept patients with a forensic history. There is a need for a comprehensive model of specialist forensic old age psychiatry service at a regional or supraregional level. A consensus needs to be reached on the exact configuration of such a service.

Comparison of an enhanced versus a written feedback model on the management of Medicare inpatients with venous thrombosis.

Science.gov (United States)

Hayes, R; Bratzler, D; Armour, B; Moore, L; Murray, C; Stevens, B R; Radford, M; Fitzgerald, D; Elward, K; Ballard, D J

2001-03-01

A multistate randomized study conducted under the Health Care Financing Administration's (HCFA's) Health Care Quality Improvement Program (HCQIP) offered the opportunity to compare the effect of a written feedback intervention (WFI) with that of an enhanced feedback intervention (EFI) on improving the anticoagulant management of Medicare beneficiaries who present to the hospital with venous thromboembolic disease. Twenty-nine hospitals in five states were randomly assigned to receive written hospital-specific feedback (WFI) of feedback enhanced by the participation of a trained physician, quality improvement tools, and an Anticoagulant Management of Venous Thrombosis (AMVT) project liaison (EFI). Differences in the performance of five quality indicators between baseline and remeasurement were assessed. Quality managers were interviewed to determine perceptions of project implementation. No significant differences in the change from baseline to remeasurement were found between the two intervention groups. Significant improvement in one indicator and significant decline in two indicators were found for one or both groups. Yet 59% of all quality managers perceived the AMVT project as being successful to very successful, and more EFI quality managers perceived success than did WFI managers (71% versus 40%). In the majority of EFI hospitals, physician liaisons played an important role in project implementation. Study results indicated that the addition of a physician liaison, quality improvement tools, and a project liaison did not provide incremental value to hospital-specific feedback for improving quality of care. Future studies with larger sample sizes, lengthier follow-up periods, and interventions that include more of the elements shown to affect practice behavior change are needed to identify an optimal feedback model for use by external quality management organizations.

Coordinence en catalyse hétèrogène appliquée Coordination in Applied Heterogeneous Catalysis

OpenAIRE

Montarnal R.; Martino G.

2006-01-01

L'exposé concerne l'activation des paraffines et des oléfines en présence d'hydrogène sur les métaux du groupe VIII. L'activation des paraffines fait intervenir les voies d'hydrogénolyse, d'isomérisation et de cyclisation. La profondeur d'hydrogénolyse permet de proposer un classement des métaux selon l'ordre croissant de la force de la liaison, paraffine chimisorbée-métal Pd-Pt-Ir-Rh-Ru-Os-Ni-Co-Fe L'activité spécifique d'hydrogénolyse, portée alors en fonction de la force de cette liaison, ...

75 FR 67411 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing and...

Science.gov (United States)

2010-11-02

....13A, Simple Auction Liaison (SAL), 6.14, Hybrid Agency Liaison (HAL), 6.14A, Hybrid Agency Liaison 2... provides for certain price check parameters for HAL and HAL2 classes under which the Hybrid System will not...

Evaluation and treatment of acute psychosis in children with Systemic Lupus Erythematosus (SLE): consultation-liaison service experiences at a tertiary-care pediatric institution.

Science.gov (United States)

Muscal, Eyal; Nadeem, Tania; Li, Xiofan; Mian, Ayesha; Harris, Toi Blakley

2010-01-01

Neurological and psychiatric manifestations of systemic lupus erythematosus (SLE) are prevalent in children with SLE. There are few data on the evaluation and management of psychotic features in children with this systemic autoimmune disorder. The authors describe contemporary Child and Adolescent Psychiatry Consultation and Liaison service management of acute psychosis in children with lupus. The authors reviewed the records (2003-2008) of all pediatric SLE inpatients who were administered a traditional or atypical antipsychotic agent. They describe clinical features, initial and discharge mental status examinations, and inpatient psychotropic medication usage. Ten pediatric SLE patients (age 10-19 years) required psychiatric management for psychosis during the review period. Paranoid delusions (70%), visual hallucinations (60%), and auditory hallucinations (60%) were the most common psychotic symptoms documented. All children were initially treated with an antipsychotic medication. Seven children were maintained on an atypical antipsychotic during their hospitalization. Two children had extrapyramidal signs, but no other adverse events were documented. All children were improved at discharge, and 40% had complete resolution of psychosis; 8 of the 10 patients were discharged on a psychotropic medication. Psychotic manifestations associated with severe disease presentations were successfully treated by child psychiatrists. Atypical antipsychotics were well-tolerated and used as an adjunct to immunosuppressive regimens in these patients. Prospective studies are necessary to improve the care of children and adolescents with SLE and severe psychiatric manifestations.

Making the case for a fracture liaison service: a qualitative study of the experiences of clinicians and service managers.

Science.gov (United States)

Drew, Sarah; Gooberman-Hill, Rachael; Farmer, Andrew; Graham, Laura; Javaid, M Kassim; Cooper, Cyrus; Judge, Andrew

2015-10-01

To develop services, healthcare professionals must make business cases to managerial bodies within Hospital Trusts and if approved, to commissioning bodies. Patients with hip fracture are at high risk of subsequent fracture. To prevent this, guidance recommends structuring fracture prevention services around coordinator based models. These are known as Fracture Liaison Services (FLS). 33 semi-structured qualitative interviews were conducted with healthcare professionals with experience of making business cases for FLS. Data was analysed thematically. Challenges in the development of business cases included collecting all the relevant data and negotiating compartmentalised budgets that impeded service development. Participants described communication and cooperation between providers and commissioners as variable. They felt financial considerations were the most important factor in funding decisions, while improved quality of care was less influential. Other factors included national guidelines and political priorities. The personalities of clinicians championing services, and the clinical interests of commissioners were seen to influence the decision-making process, suggesting that participants felt that decisions were not always made on the basis of evidence-based care. Effective strategies included ways of providing support, demonstrating potential cost effectiveness and improved quality of care. Using a range of sources including audit data collected on the successful Glasgow FLS, and improving cooperation between stakeholders was advocated. Participants felt that the work of commissioners and providers should be better integrated and suggested strategies for doing this. This study provides information to healthcare professionals about how best to develop business cases for FLS. We conclude with recommendations on how to develop effective cases. These include using guidance such as toolkits, aligning the aims of FLS with national priorities and benchmarking

National Nanotechnology Initiative Strategic Plan

Science.gov (United States)

2011-02-01

Manufactured Nanomaterials, supported by NIST staff in important leadership roles and coordinated with other agencies through the Global Issues in...groups are Global Issues in Nanotechnology (GIN); Nanotechnology Environmental and Health Implications (NEHI); Nanomanufacturing, Industry Liaison...existing or new working groups in terms of focus, intended participation, and scope, as reflected in the groups’ charters. Global Issues in Nanotechnology

Dangerous Liaisons?

Directory of Open Access Journals (Sweden)

Norman L Jones

2000-01-01

Full Text Available I sometimes feel that I am so dominated by circumstances and coincidences that I have little free choice, for example, when approaching an editorial. A case in point was a few days last month during which I attended a well-sponsored meeting of the Ontario Lung Association, reviewed a couple of papers reporting drug trials, read of the threats of litigation made by pharmaceutical companies to two Ontario researchers, heard of a public apology made by the New England Journal of Medicine regarding reviewers' conflicts of interest and received a critical letter from Dr Rob McFadden, an associate editor of the Canadian Respiratory Journal, about a sponsored publication that accompanied the last issue of 1999. All this I suppose reflects our rather ambivalent relationship with the pharmaceutical industry that supports many professional and academic programs but clearly expects some returns in addition to corporate tax benefits. We are now dependent on the industry's financial backing for academic and professional meetings that have become so large that they require large and expensive venues. But then the industry has the right to expect some return on its "investment" in such meetings.

Beneficial liaisons

International Nuclear Information System (INIS)

Coleman, C.N.

1993-01-01

The scientific knowledge that is emerging in all fields of medicine is rapidly changing our understanding of the concepts in radiation oncology. In this review, some of the classic radiation biology theories and models are examined and newer 'models' are illustrated. The ability of radiation oncologists to remain current with the newer scientific findings is essential to the development of improved therapeutic strategies and, importantly, to the proper balance between investment in technology and biology. (author). 69 refs., 4 tabs., 13 figs

Dangerous liaisons

DEFF Research Database (Denmark)

Ekdahl, Kristina N; Teramura, Yuji; Hamad, Osama A

2016-01-01

to the adverse effects observed in many diseases and therapies involving biomaterials and therapeutic cells/organs. The intravascular innate immune system consists of the cascade systems of the blood (the complement, contact, coagulation, and fibrinolytic systems), the blood cells (polymorphonuclear cells......, monocytes, platelets), and the endothelial cell lining of the vessels. Activation of the intravascular innate immune system in vivo leads to thromboinflammation that can be activated by several of the system's pathways and that initiates repair after tissue damage and leads to adverse reactions in several...

77 FR 46096 - Centers for Disease Control and Prevention

Science.gov (United States)

2012-08-02

...), concerning strategies and goals for the programs and research within OPHPR, monitoring the overall strategic... Board Strategic National Stockpile ad hoc working group; CDC's response to laboratory biosafety issues... Learning Centers; update on CDC's biosurveillance and situational awareness activities; (2) BSC liaison...

Enfermeira de ligação: uma estratégia de integração em rede Enfermera de comunicación: una estrategia de integración en red Liaison nurse: a strategy of network integration

Directory of Open Access Journals (Sweden)

Elizabeth Bernardino

2010-06-01

Full Text Available Este artigo objetiva identificar a demanda e as possibilidades de atuação da enfermeira de ligação no Hospital de Clínicas da Universidade Federal do Paraná. É uma pesquisa descritiva na modalidade estudo de caso, desenvolvida de agosto de 2007 a maio de 2008 e realizada em duas etapas distintas. Primeiramente se realizou uma monitorização das altas hospitalares por meio de formulários, e em seguida, após a seleção de uma unidade de internação em que houve a atuação do papel de enfermeira de ligação junto aos usuários com alta hospitalar, foram entrevistados 10 destes, com a utilização de um roteiro semi-estruturado. Por último, foi realizada a categorização das entrevistas e submissão dos dados à análise temática. Os resultados apontam que a implantação da função enfermeira de ligação é um passo para viabilizar a integração do HC/UFPR à rede e colaborar para a integralidade da atenção.Este artículo tiene como objetivo identificar la demanda y posibilidades de acción de la enfermera de comunicación en el Hospital de Clínicas de la Universidad Federal de Paraná. Es un trabajo descriptivo en la modalidad estudio de caso, desarrollado entre agosto de 2007 y mayo de 2008, y realizado en dos etapas. Primero, se realizó un seguimiento de altas hospitalarias por medio de formularios; posteriormente fue seleccionada una unidad de internación en que hubo la acción de la Enfermera de Comunicación junto a los pacientes de alta hospitalaria y fueron realizadas entrevistas semi-estructuradas con 10 destos. Finalmente, fue realizada la categorización y envío de datos para análisis temática. Los resultados demostraron que la implantación de la función Enfermera de Comunicación es un paso para viabilizar la integración del HC/UFPR a la red y colaborar para la integralidad de la atención.This paper aims to identify the demand and potential activities of the Liaison Nurse position in the Hospital de Cl

32 CFR 705.2 - Chief of Information and the Office of Information (CHINFO).

Science.gov (United States)

2010-07-01

... providing direct liaison with local and regional mass communications media. (1) The function of the NAVINFOs..., film, publishing, and other mass-media organizations including minority-group-oriented media. (ii) Seek ways through these media to inform the public about naval personnel and activities. (iii) Provide...

Evaluation of two automated chemiluminescence immunoassays, the LIAISON Treponema Screen and the ARCHITECT Syphilis TP, and the Treponema pallidum particle agglutination test for laboratory diagnosis of syphilis.

Science.gov (United States)

Wellinghausen, Nele; Dietenberger, Hanna

2011-08-01

Automated Treponema pallidum-specific chemi-luminescence immunoassays (CLIA) run on random-access analyzers allow for rapid diagnosis of syphilis infection. We evaluated the LIAISON Treponema Screen (LIA) and the ARCHITECT Syphilis TP (ARCH) in comparison to the Treponema pallidum particle agglutination (TPPA) test, as a screening test for syphilis. We performed a prospective study using 577 sera submitted for diagnosis of syphilis, including 318 samples from pregnant women. In addition, 42 stored sera from 32 patients with clinically and serologically characterized syphilis infection were investigated. In the prospective study, the sensitivity and specificity of LIA, ARCH, and TPPA were 100% (18/18), 100% (17/17), and 100% (18/18), and 100% (558/558), 99.8% (552/553), and 99.6% (556/558), respectively. In pregnant women, the specificity of LIA and ARCH was 100% (317/317) and of TPPA 99.7% (316/317). One sample from a child with assumed exposure to maternal antitreponemal antibodies was omitted from analysis. LIA, ARCH, and TPPA were also positive in all investigated sera from patients with known syphilis. Both automated CLIA demonstrated excellent diagnostic sensitivity and specificity when evaluated as a screening test for syphilis under routine conditions of a diagnostic laboratory. Thus, these may be used independently as an alternative to the manual TPPA screen.

76 FR 7869 - National Cancer Institute; Notice of Meeting

Science.gov (United States)

2011-02-11

... Project, Case Studies of Alternative Models to Consent for Research. Place: Hyatt Regency Bethesda, One... Liaison Group. The meeting will be open to the public, with attendance limited to space available... Carollo, MPA, Advocacy Relations Manager, Office Of Advocacy Relations, Building 31, Room 10A30, 31 Center...

Psychiatric Assessment and Follow-up of Young People after ...

African Journals Online (AJOL)

hanumantp

to talk about their psychological distress. ... impact of this group of young people who presented to Kings ... and social assessment of young people following a serious physical assault as ... pediatric liaison Child and Adolescent Mental Health Service (CAMHS). ... highlights various factors that may be at work leading to the.

Diagnostic accuracy and comparison of two assays for Borrelia-specific IgG and IgM antibodies

DEFF Research Database (Denmark)

Dessau, Ram

2013-01-01

characteristic (ROC) curves to optimize and standardize test interpretation, it was shown that testing with both IDEIA IgG and IgM was comparable to testing with Liaison IgG alone by comparing the area under the curve of the diagnostically relevant 25 % partial ROC curve (P = 0.1). When using the Liaison Osp......M combined) were 85 and 95 % and for the Liaison (VlsE IgG) method were 67 and 96 %, respectively. Methods for test evaluation, test interpretation and statistical testing are presented and discussed. In conclusion, Liaison VlsE IgG alone and IDEIA IgG/IgM combined showed a high and comparable discriminatory...

Prevalence of psychiatric co-morbidity among patients attending dental OPD and the role of consultation-liaison psychiatry in dental practice in a tertiary care general hospital.

Science.gov (United States)

Ray, Pradip K; Ray Bhattacharya, Sampa; Makhal, Manabendra; Majumder, Uttam; De, Shantanu; Ghosh, Subhankar

2015-01-01

Psychiatric co-morbidities are frequent among patients attending dental OPD, some of which go unrecognized and hence untreated. The present study has been carried out to detect the psychiatric co-morbidities among dental patients and determine the scope of consultation-liaison (C-L) psychiatry in a rural teaching hospital regarding comprehensive management of the patients. This cross-sectional, descriptive type study was conducted in a multi-speciality tertiary care teaching hospital in the northern part of West Bengal, India. One hundred patients attending the dental OPD were randomly included in the study and every patient was consecutively referred to psychiatry department for assessment, during the period from 1(st) November 2013 to 30(th) April 2014. All referred patients were clinically examined and psychiatric co-morbidity was assessed by the help of General Health Questionnaire (GHQ)-28 and Mental Status Examination. The data were subjected to statistical package for social sciences (SPSS), version 16, and statistically analyzed using Cross tab and Chi test. P psychiatric co-morbidity according to GHQ-28 total score. Sixty-eight patients were diagnosed to have mental disorder on mental status examination. Somatoform disorder (25%) was the commonest type of mental disorder, followed by mixed anxiety and depression (14%). This study has pointed the need for psychological examination of patients visiting dental specialty with unexplained physical symptoms. Such patients can be identified and treated, provided a psychiatric consultation service exists.

Graphics Standards in the Computer-aided Acquisition and Logistic Support (CALS) Program, Fiscal Year 1989. Volume 1. Test Requirements Document and Extended CGM (CGEM)

Science.gov (United States)

1990-07-01

at the firet meng in Munich, it was foyud isthere exis•s some avedap between the stated goals of• • DG Standards and t•e CGt e SG con ded t in cumin ... stressing importance of liaison and harmonization with closely related groups; Japan - making suggestions that the NWI and Requirements Document be improved

Liaison Officer Toolkit

Science.gov (United States)

2010-01-01

forensic data • Possess the appropriate language and cultural expertise Recommended Training for LNOs At a minimum, LNOs should complete the following...of Disease and Non-Battle Injury (DNBI) prevention, field sanitation, entomology , sanitary engineering, occupational and environmental health...supported force • Provides limited entomological control of disease vectors and reservoirs in assigned areas • Conducts epidemiological

Press Liaison Committees

African Journals Online (AJOL)

19 Jun 1971 ... Soos duidelik blyk uit advertensies vir ambulansposte is dit beslis nie op die oomblik die geval nie. Een munisipaliteit verlang 'n standerd 7-sertifikaat en bied dan slegs. R1 860 aan as aanvangsalaris indien die kandidaat tussen 20 en 24 jaar oud is. Daar sal seker diegene wees wat aansoek doen en wat ...

The Fall of the General Staff Model: Towards a Third Generation U.S. Army Staff Theory

Science.gov (United States)

2013-05-23

Officer AVN : Aviation M&M: Movement and Manuever CBRN: Chemical, Biological, Radiological, Nuclear MP: Military Police 128Department of the Army...Missile Defense KM: Knowledge Management AVN : Aviation CMD GRP: Command Group M&M: Movement And Maneuver CA: Civil Affairs NETOPS: Network...ADA: Air Defense Artillery LNO: Liaison Officer AVN : Aviation M&M: Movement and Manuever CBRN: Chemical, Biological

Anatomy of a Cancer Treatment Scam

Medline Plus

Full Text Available ... of FTC Rules and Guides Statutes Consumer Sentinel Network Members Reports Newsletters Data Contributors Criminal Liaison Unit ... Merger Review Anticompetitive Practices Rules Statutes Consumer Sentinel Network Criminal Liaison Unit Policy Advocacy Advisory Opinions Cooperation ...

75 FR 2114 - Privacy Act of 1974; Systems of Records

Science.gov (United States)

2010-01-14

... address written inquiries to the Defense Finance and Accounting Service, Corporate Communications and... inquiries to the Defense Finance and Accounting Service, Corporate Communications and Legislative Liaison... ``Defense Finance and Accounting Service, Corporate Communications and Legislative Liaison, Freedom of...

77 FR 24230 - Excepted Service

Science.gov (United States)

2012-04-23

... Congressional and Relations Officer. Legislative Affairs. Office of Communications PM120009 12/21/2011 Communications and Specialist. Public Liaison. Securities and Exchange Division of Confidential SE120001 12/21.../2011 Development. Congressional and and Public Intergovernmental Engagement Liaison. Relations...

76 FR 21411 - Excepted Service

Science.gov (United States)

2011-04-15

.... Office of the Chief White House Liaison. DM110075 2/11/2011 of Staff. DEPARTMENT OF HOUSING AND URBAN Office of Senior Counsel...... DU110016 2/18/2011 DEVELOPMENT. Sustainable Housing and Communities... Secretary and White House Liaison. Deputy. [[Page 21413

75 FR 72791 - Mid-Atlantic Fishery Management Council; Public Meetings

Science.gov (United States)

2010-11-26

... regular Business Session, receive Organizational Reports, Council Liaison Reports, the Executive Director... Amendment 14 FMAT (Fishery Management Action Team) input on management integration issues and discuss the... Organizational Reports, Liaison Reports, the Executive Director's Report, an update on the status of the Council...

An emergency department intervention to protect an overlooked group of children at risk of significant harm.

LENUS (Irish Health Repository)

Kaye, P

2012-02-01

BACKGROUND: Parental psychiatric disorder, especially depression, personality disorder and deliberate self-harm, is known to put children at greater risk of mental illness, neglect or physical, emotional and sexual abuse. Without a reliable procedure to identify children of parents presenting with these mental health problems, children at high risk of significant harm can be easily overlooked. Although deliberate self-harm constitutes a significant proportion of emergency presentations, there are no guidelines which address the emergency physician\\'s role in identifying and assessing risk to children of these patients. METHODS: A robust system was jointly developed with the local social services child protection team to identify and risk-stratify children of parents with mental illness. This allows us to intervene when we identify children at immediate risk of harm and to ensure that social services are aware of potential risk to all children in this group. The referral process was audited repeatedly to refine the agreed protocol. RESULTS: The proportion of patients asked by the emergency department personnel about dependent children increased and the quality of information received by the social services child protection team improved. CONCLUSIONS: All emergency departments should acknowledge the inadequacy of information available to them regarding patients\\' children and consider a policy of referral to social services for all children of parents with mental health presentations. This process can only be developed through close liaison within the multidisciplinary child protection team.

Organizing for Customer and Competitor Orientation

DEFF Research Database (Denmark)

Sørensen, Hans Eibe; Slater, Stanley F.

2007-01-01

The purpose of this study is to investigate the role of structural liaison devices, specialization, the presence of a marketing function, and competitive intensity as antecedents to firms' customer and competitor orientation. Results based on a sample of 99 medium-sized (50-250 employees......) manufacturing firms indicate, that while specialization and liaison devices facilitate customer orientation only liaison devices facilitate competitor orientation. Competitive intensity has no effects on customer orientation but influence competitor orientation. The results also indicate that the presence...... of a marketing function has no influence on the level of firms' customer and competitor orientation....

ITER EDA newsletter. V. 9, no. 11

International Nuclear Information System (INIS)

2000-11-01

This issue of the ITER EDA Newsletter contains discussions of three meetings, i.e., (1) the Third ITER International Industry Liaison Meeting held in Toronto, Canada (November 7-9, 2000), (2) an informal meeting on ITER developments held in Sorrento, Italy (October 9, 2000), and (3) the Thirteenth Meeting of the ITER Physics Expert Group on Diagnostics held in Naka, Japan (September 21-22, 2000)

'Between a rock and a hard place': applied anthropology and AIDS research on a commercial farm in Zambia.

Science.gov (United States)

Bond, V

1997-01-01

Fieldwork on a commercial farm in southern Zambia, which was aimed at designing an HIV prevention program for farm workers, gradually exposed the nature of sexual liaisons between young girls, coming to work on the farm from the surrounding villages, and older migrant men workers. Before completing fieldwork, the anthropologist voiced her concern about the implications of these liaisons for the spread of STDs and HIV with the local rural community, farm management and farm workers. The immediate outcome of her intercessions was the decision by management to sack under-age workers. Although some members of the local community, including local research assistants, and some managers and workers welcomed this decision, others were angered by it. Caught between interest groups and conflicting guidelines, the anthropologist, it is argued, was in a no-win situation, 'between a rock and a hard place'. The paper proposes that the application of anthropological ethics in AIDS research needs some re-evaluation.

NOAA Freedom of Information Act (FOIA) Corporate Services, Staff and Line

Science.gov (United States)

Financial Officer (CFO) 301-444-2132 Jerry McNamara FOIA Liaison Office of the Chief Information Officer Office of the Chief Administrative Officer (OCAO) 301-713-0850 x195 Sharon Daniels FOIA Liaison Chief ; tITLE Line/Staff Office Phone Number Wendy Schumacher FOIA and Privacy Act Officer NOAA Corporate

Data Management Support for Faculty Facing New Funding Mandates: The Case of The U. S. Department of Agriculture's National Institute of Food and Agriculture

Science.gov (United States)

Exner, Nina

2018-01-01

Data management is a way for liaison librarians to support faculty research. American liaison librarians face new demands in data management due to expanding public access guidelines. This article gives advice for librarians new to data management, with the specific case of agriculture. For librarians supporting agriculture, the United States…

European Science Notes. Volume 40, Number 10.

Science.gov (United States)

1986-10-01

point was the absence of any problem due to my own monolingualism : accented English was certainly the international language of science. One of the best...letter it reads, ’Liaison Scientist.’ We looked up ’liaison’ in our Slovak-English dictionary .... dictionary , and the word means ’an illicit

Developing post-disaster physical rehabilitation: role of the World Health Organization Liaison Sub-Committee on Rehabilitation Disaster Relief of the International Society of Physical and Rehabilitation Medicine.

Science.gov (United States)

Gosney, James; Reinhardt, Jan Dietrich; Haig, Andrew J; Li, Jianan

2011-11-01

This special report presents the role of the World Health Organization (WHO) Liaison Sub-Committee on Rehabilitation Disaster Relief (CRDR) of the International Society of Physical and Rehabilitation Medicine (ISPRM) in developing an enhanced physical rehabilitation relief response to large-scale natural disasters. The CRDR has stated that disaster rehabilitation is an emerging subspecialty within physical and rehabilitation medicine (PRM). In reviewing the existing literature it was found that large natural disasters result in many survivors with disabling impairments, that these survivors may have better clinical outcomes when they are treated by PRM physicians and teams of rehabilitation professionals, that the delivery of these rehabilitation services to disaster sites is complicated, and that their absence can result in significant negative consequences for individuals, communities and society. To advance its agenda, the CRDR sponsored an inaugural Symposium on Rehabilitation Disaster Relief as a concurrent scientific session at the 2011 ISPRM 6th World Congress in San Juan, Puerto Rico. The symposium included oral and poster presentations on a range of relevant topics and concluded with an international non-governmental organization panel discussion that addressed the critical question "How can rehabilitation actors coordinate better in disaster?" Building upon the symposium, the CRDR is developing a disaster rehabilitation evidence-base, which will inform and educate the global professional rehabilitation community about needs and best practices in disaster rehabilitation. The Journal of Rehabilitation Medicine (JRM) has commissioned this special report to announce a series of papers on disaster rehabilitation from the symposium's scientific programme. Authors are invited to submit papers on the topic for inclusion in this special series. JRM also encourages expert commentary in the form of Letters to the Editor.

Russia-Scandinavia: dangerous liaisons?

International Nuclear Information System (INIS)

Godzimirski, Jakub M.

2011-01-01

After a description of the geopolitical and strategic background of the relationships between Russia and Scandinavian countries (Denmark, Norway, Sweden, Finland, Iceland) as some of these Scandinavian countries belong either to the EU or to NATO, the author more particularly addresses the energetic dimension of this geopolitical relationship. He discusses the level of energy dependence of the different Scandinavian countries, their energy consumptions regarding the different energy types, their imports and exports from and to Russia, and the historical dimension of relationships with Russia as well as their present technological exchanges in the field of energy infrastructures (mainly oil and gas pipelines, but also in the field of renewable energies). In conclusion, the author outlines the Nordic dimension of the Russian Grand Energy Strategy

The CORMAN project

DEFF Research Database (Denmark)

Bregnballe, Thomas

2013-01-01

The CORMAN project (‘Sustainable Management of Cormorant Populations’) is now in its final year. The main goals have been (1) to collaborate with the CRG in order to assess the number and distribution of Cormorants in Europe during breeding and wintertime, and (2) to create the EU Cormorant...... Platform in order to disseminate information. The project has also engaged with key European stakeholder groups and formed a Stakeholders Liaison Group to support information exchange and discuss relevant issues. The project is carried out on behalf of DG Environment under the European Commission....

A Subject Librarian's Guide to Collaborating on E-Science Projects

Science.gov (United States)

Garritano, Jeremy R.; Carlson, Jake R.

2009-01-01

For liaison or subject librarians, entering into the emerging area of providing researchers with data services or partnering with them on cyberinfrastructure projects can be a daunting task. This article will provide some advice as to what to expect and how providing data services can be folded into other liaison duties. New skills for librarians…

Spectacular improvement in vitamin D status in elderly osteoporotic women: 8-year analysis of an osteoporotic population treated in a dedicated fracture liaison service.

Science.gov (United States)

Amouzougan, A; Deygat, A; Trombert, B; Constant, E; Denarié, D; Marotte, H; Thomas, T

2015-12-01

In a population of postmenopausal women with a fragility fracture, we found a drastic reduction in the proportion of women with severe (D, especially from 2009 onwards. These results show that supplementation has been very widely integrated into current practice. Vitamin D (25(OH)D) is essential for bone health. In institutionalised osteoporotic women, it reduces the risk of fragility fractures. Numerous articles suggesting the possibility of extraosseous effects have generated a growing number of publications and recommendations on more widespread administration, to limit the risks of moderate or severe hypovitaminosis D. We assessed the impact on clinical practice of these recommendations concerning 25(OH)D supplementation in elderly at-risk populations. A total of 1486 postmenopausal osteoporotic women were seen in the context of a fracture liaison service (i.e. a rheumatology consultation following a peripheral fragility fracture), between May 2005 and December 2012. Of these, 1107 had a 25(OH)D assay (femur, n = 520; humerus, n = 207; wrist, n = 380). The average age of the total population was 76.7 ± 9.9 years, while for women with an available 25(OH)D assay, the average age was 75.1 ± 11.8 years. The average 25(OH)D (nmol/L) level was similar for the three fracture sites: femur, 30 ± 36.2; humerus, 27.5 ± 24; and wrist, 31 ± 26. A drastic reduction in the proportion of women with severe (D was observed, especially from 2009 onwards, with a mean prevalence of 69 and 30 % respectively before that year and 35 and 52 % thereafter. Conversely, the proportion of women with 25(OH)D at the threshold value of 75 nmol/L increased from 1.2 to 24 %. Overall, mean serum 25(OH)D levels were significantly higher when comparing the two periods 2005-2008 and 2009-1012 (17.6 ± 14.6 and 48.4 ± 39.2 nmol/L, respectively; p elderly.

Implementing a court diversion and liaison scheme in a remand prison by systematic screening of new receptions: a 6 year participatory action research study of 20,084 consecutive male remands

Science.gov (United States)

2013-01-01

Background A mental health needs assessment in the Irish prison population confirmed findings from other jurisdictions showing high prevalence of severe mental illness, including psychosis amongst those newly committed. We implemented a participatory action research approach in order to provide an integrated mental health prison in-reach and court liaison service for this population. Results Following extensive consultation, a two stage screening process was developed which was supplemented by an inter-agency referral management system. During the six years 2006–2011, all 20,084 new remands to the main remand prison serving 58% of the national population were screened. Following the first stage screen, 3,195 received a comprehensive psychiatric assessment. Of these 561 (2.8%) had symptoms of psychosis – corresponding to the prior research finding – and 572 were diverted from the criminal justice system to mental health services (89 to a secure forensic hospital, 164 to community mental health hospitals and 319 to other community mental health services). Conclusions We have shown that it is possible to match research findings in clinical practice by systematic screening, to sustain this over a long period and to achieve consistent levels of diversion from the criminal justice system to appropriate mental health services. The sustained and consistent performance of the model used is likely to reflect the use of participatory action research both to find the most effective model and to achieve wide ownership and cooperation with the model of care. PMID:23800103

77 FR 37724 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing of...

Science.gov (United States)

2012-06-22

... the Hybrid Agency Liaison system (``HAL''); (iii) to amend Rule 6.14A relating to the Hybrid Agency Liaison 2 system (``HAL2'') and rename HAL2 as HAL; and (iv) to amend Rule 6.53C relating to Complex... will be allowed to respond to auction messages. HAL Rule 6.14 governs the operation of HAL, a feature...

Agency practice and future policy in decay storage of radioactive wastes

International Nuclear Information System (INIS)

Mitchell, N.G.

2002-01-01

The Environment Agency issues authorisations under the Radioactive Substances Act 1993 for the accumulation of radioactive waste at non-nuclear sites prior to disposal. Radioactive decay during the accumulation period reduces the radioactive content of waste packages and provides a waste management option that has become known as decay-in-storage or decay storage. The project brief excluded nuclear licensed sites. A database of information in authorisations and application forms has been constructed. This information has been used alongside a literature review, international contacts, input from the Small Users Liaison Group and a dose assessment to look at the practice of decay storage. The basic principles behind decay storage are presented with specific sections on general safety, waste characterisation and segregation, storage containers, waste stores, and waste treatment and conditioning. The regulatory approach in seven other countries is described. The information collected from Agency public registers is summarised with particular attention given to storage periods of greater than 60 days and the corresponding information available from application forms. Operational experiences are presented. IAEA recommendations are compared with current practice based on the conditions found in authorisations, on the information from application forms and details provided by the Small Users Liaison Group

Development of Culturally Appropriate Support Strategies to Increase Uptake of Nicotine Replacement Therapy Among Russian- and Chinese-Speaking Smokers in New York City.

Science.gov (United States)

Quinn, Erin C; Sacks, Rachel; Farley, Shannon M; Thihalolipavan, Sayone

2017-06-01

Approximately 80,000 New York City smokers are Chinese or Russian speakers. To increase utilization of smoking cessation services among these populations, the Department of Health and Mental Hygiene developed linguistically and culturally tailored outreach strategies to promote and enhance its annual Nicotine Patch and Gum Program. In 2010, online web applications in Chinese and Russian were introduced. In 2011, input was sought from the community to develop Russian-language radio and newspaper ads, and a Russian-speaking liaison provided phone-assisted online enrollment support. In 2012, Chinese newspaper ads were introduced, and a Cantonese- and Mandarin-speaking liaison was hired to provide enrollment support. In 2010, 51 Russian speakers and 40 Chinese speakers enrolled in the program via web application. In 2011, 510 Russian speakers applied via the web application, with 463 assisted by the Russian-speaking liaison; forty-four Chinese speakers applied online. In 2012, 394 Russian speakers applied via the web application; 363 were assisted by the Russian-speaking liaison. Eighty-five Chinese smokers applied online via the web application; seventy were assisted by the Chinese-speaking liaison. Following the implementation of culturally tailored cessation support interventions, ethnic Russian smokers' uptake of cessation support increased tenfold, while Chinese smokers' uptake doubled. Although linguistically appropriate resources are an essential foundation for reaching immigrant communities with high smoking rates, devising culturally tailored strategies to increase quit rates is critical to programmatic success.

[Psyche and soma: what can the consultation-liaison psychiatrist contribute?].

Science.gov (United States)

Diefenbacher, Albert

2015-01-01

In German speaking countries, during the last decades, we can see a growing, though albeit small, integration of psychiatry and psychosomatics into (somatic) medicine. This article outlines the importance of the growing number of elderly patients in medical care as a vantage point for c-l-psychiatrists to play a pro-active role in implementing adequate structures and processes for diagnostics and treatment of this patient group. It is argued that delirium (in dementia) can and should be regarded as a paradigm for a biopsychosocial disorder sui generis. In addition, aspects of the cl-psychiatrists role at two important interfaces of somatic and psychological medicine, i.e. primary care and emergency rooms, are highlighted. Finally, some information about the development of the professionalization of cl-psychiatry in Europe is given.

Implications for reconstruction of the relationship between nuclear industry and siting areas in Japan. Lessons learnt from the cases of Site Stakeholder Groups in United Kingdom

International Nuclear Information System (INIS)

Sugawara, Shin-etsu

2014-01-01

After the Fukushima nuclear accident, the Japanese nuclear community began to recognize the need for establishing local stakeholder meetings in nuclear siting areas for information sharing and communication in reference to the experiences in European countries. This report shows the patterns of institutional design and the management style of stakeholder meetings in UK based on the interview survey, including SSGs (Site Stakeholder Groups) around the NDA (Nuclear Decommissioning Authority) sites and LCLCs (Local Community Liaison Councils) around the nuclear power stations in operation. SSGs have developed a local-oriented management style under the leadership of independent chairs elected from local stakeholders, in contrast to LCLCs where the operator of nuclear energy facilities has the initiative of management. SSGs play critical roles in improving quality of decision-making and enhancing its legitimacy through providing forums for local stakeholder engagement in the process of NDA's consultations and BPEO (Best Practicable Environmental Option) implementation. Based on these insights from UK's cases, the author suggests the following remedies for the relationship between the nuclear industry and siting areas in Japan: (1) introducing evaluation systems of stakeholder engagement linked to the insurance rates of nuclear energy liability, and (2) modifying the nuclear safety agreements into risk management principles. (author)

Liaison, élision et enchaînement : le rôle de la phonologie et du lexique chez les enfants au début de l’école primaire

Directory of Open Access Journals (Sweden)

Ruvoletto Samantha

2014-07-01

Dans cette étude nous cherchons d'évaluer de manière détaillée l’importance relative de la phonologie et des connaissances lexicales de 43 enfants français à l’entrée du CP et d'analyser les problématiques causées par les phénomènes consonantiques de liaison, d’élision et d’enchaînement dans cette phase d'acquisition. Les résultats d'une tâche de dénomination guidée montrent que les enfants de 6 ans et demi ont encore des problèmes avec le calcul des frontières des mots en français au début de l'école primaire. De plus dans nos données, la fréquence lexicale des mots tests ne résulte pas corrélée au nombre d'erreurs. Les fautes résiduelles dans la tâche sont donc consécutives à un problème phonologique et pas exclusivement lexical. Le rôle prioritaire de la phonologie à l'entrée de l'école primaire est en accord avec les conclusions de Sprenger-Charolles (1994 qui proposent que la première phase d’apprentissage de la lecture et de l'écriture repose essentiellement sur une analyse phonologique indépendante de la fréquence lexicale.

Psychiatric aspects of acute withdrawal from gamma-hydroxybutyrate (GHB) and its analogue gamma-butyrolactone (GBL): implications for psychiatry services in the general hospital.

Science.gov (United States)

Choudhuri, Debajeet; Cross, Sean; Dargan, Paul I; Wood, David M; Ranjith, Gopinath

2013-06-01

The objective of this study was to describe the psychiatric symptoms, management and outcomes in a consecutive series of patients being managed medically for symptoms of withdrawal from gamma-hydroxybutyrate (GHB) and its analogue gamma-butyrolactone (GBL) in a general hospital setting. A toxicology database was used to identify patients presenting with a history suggestive of withdrawal from GHB and analogues. Electronic and paper medical records were searched for demographic features, neuropsychiatric symptoms, psychiatric management while in hospital and overall outcome. There were 31 presentations with withdrawal from the drugs involving 20 patients. Of these 17 (54%) were referred to and seen by the liaison psychiatry team. Anxiety (61.3%) and agitation (48.4%) were the most common symptoms. Of the 17 cases seen by the liaison psychiatry team, 52.9% required close constant observation by a mental health nurse and 29.4% required to be detained in hospital under mental health legislation. The significant proportion of patients presenting with neuropsychiatric symptoms and requiring intensive input from the liaison psychiatry team during withdrawal from GHB and its analogues points to the importance of close liaison between medical and psychiatric teams in managing these patients in the general hospital.

Role and Successes of Trilateral Liaison Frameworks (IAEA-SSACs/RSACs- Nuclear Fuel Cycle Facility Operators) in Monitoring the Quality of the Operator's Measurement and Accounting Systems

International Nuclear Information System (INIS)

Norman, C.; Zhao, K.; Christophe, P.; Binner, R.; Iso, S.

2015-01-01

Two of the three generic objectives of safeguards under a comprehensive safeguards agreement (CSA) are to detect any undeclared production or processing of nuclear material in declared facilities and locations outside facilities (LOFs) and to detect any diversion of declared nuclear material at facilities and LOFs. The effectiveness and efficiency of the IAEA in reaching these objectives strongly relies on the quality of the State or regional system of accounting for and control of nuclear material (SSAC/RSAC) which in turn depends on the nuclear fuel cycle facility operators' capabilities to establish accurate and precise estimates of the inventories and flow of nuclear material. To monitor the performance of the State's nuclear fuel cycle facilities' accounting and measurement systems in a collaborative way, the IAEA initiated yearly trilateral liaison meetings with relevant State or regional authorities and bulk handling facilities' operators to review material balance evaluation results for the elapsed material balance period and their trends over the facility lifetime. During these meetings, trends of concern are examined and the IAEA proposes remedial actions, drawing on its expertise and experience of observations in similar facilities. Pilot trilateral meetings held in Japan over the past years demonstrate the benefits of this collaborative framework. Biases in material balance variables are identified, their causes determined and a set of recommendations is drawn to implement remedial actions before they become a safeguards concern. In the margins of these meetings, workshops are also organised to foster exchanges in the fields of measurement and analytical methods as well as statistical methodologies used to determine their uncertainties and assess the sensitivity of material balances to these uncertainties. In the context of its strategy to enhance cooperation with States, reinforce mutual trust and pursue further efficiencies though

Efficacy of brief interdisciplinary psychotherapeutic intervention for motor conversion disorder and nonepileptic attacks.

Science.gov (United States)

Hubschmid, M; Aybek, S; Maccaferri, G E; Chocron, O; Gholamrezaee, M M; Rossetti, A O; Vingerhoets, F; Berney, A

2015-01-01

The objective was to compare a brief interdisciplinary psychotherapeutic intervention to standard care as treatments for patients recently diagnosed with severe motor conversion disorder or nonepileptic attacks. This randomized controlled trial of 23 consecutive patients compared (a) an interdisciplinary psychotherapeutic intervention group receiving four to six sessions by a consultation liaison psychiatrist, the first and last sessions adding a neurological consultation and a joint psychiatric and neurological consultation, and (b) a standard care group. After intervention, patients were assessed at 2, 6 and 12 months with the Somatoform Dissociation Questionnaire (SDQ-20), Clinical Global Impression scale, Rankin scale, use of medical care, global mental health [Montgomery and Asberg Depression Rating Scale, Beck Depression Inventory, mental health component of Short Form (SF)-36] and quality of life (SF-36). We calculated linear mixed models. Our intervention brought a statistically significant improvement of physical symptoms [as measured by the SDQ-20 (P<.02) and the Clinical Global Impression scale (P=.02)] and psychological symptoms [better scores on the mental health component of the SF-36 (P<.05) and on the Beck Depression Inventory (P<.05)] and a reduction in new hospital stays after intervention (P<.05). A brief psychotherapeutic intervention taking advantage of a close collaboration with neurology consultants in the setting of consultation liaison psychiatry appears effective. Copyright © 2015 Elsevier Inc. All rights reserved.

会诊-联络精神医学在综合性医院中的作用地位与展望%The effect,status and prospect of consultation-liaison psychological medicine in the compositive hospital

Institute of Scientific and Technical Information of China (English)

王焕林

2004-01-01

@@ 20世纪80年代后,传统的精神病学受到了严重的挑战.精神病学(psychiatry)则逐渐由内涵和外延更广泛、内容更为丰富的精神医学(psychological medicine)所替代[1].精神医学的主要内容有两个方面:一是研究精神疾病和精神障碍的发生、发展、诊断、治疗和预防;二是研究心理、社会因素对人体健康和疾病的作用及影响.前者主要是传统精神病学范畴的扩大,后者则属于精神卫生(mental health)[2].鉴于医学模式的改变,精神医学概念的更新,会诊-联络精神医学(consultation-liaison psychological medicine,CLP)作为临床精神医学的一个分支在综合性医院中的作用及地位也日益凸现出来,本文就CLP的相关内容及其发展作一概述.

Chocolate and medicine: dangerous liaisons?

Science.gov (United States)

Lippi, Donatella

2009-01-01

According to ancient Mayan texts, cocoa is of divine origin and is considered a gift from the gods. In the Classic period of Mayan civilization (250-900 a.d.), ground cocoa seeds were mixed with seasonings to make a bitter, spicy drink that was believed to be a health-promoting elixir. The Aztecs believed that cocoa pods symbolized life and fertility, and that eating the fruit of the cocoa tree allowed them to acquire wisdom and power. Cocoa was said to have nourishing, fortifying, and aphrodisiac qualities. Pre-Columbian societies were known to use chocolate as medicine, too. The appreciation and popularity of chocolate fluctuated over the centuries since its introduction to Europe from the New World. Now, recent evidence has begun to erase the poor reputation that chocolate had acquired in the past few decades and is restoring its former status. Chocolate is no longer deemed a guilty pleasure, and it may have positive health benefits when eaten in moderation as part of a balanced diet.

Lessons learned from accident simulation exercises and their implications for operation of the IPSN Centre Technique de Crise

International Nuclear Information System (INIS)

Manesse, D.; Ney, J.; Crabol, B.; Ginot, P.

1990-01-01

The Centre Technique de Crise (CTC) of the Institut de Protection et de Surete Nucleaire (IPSN) has an important role to play in the event of an accident at a nuclear installation of Electricite de France (EdF) concerning diagnosis of the situation and forecasting its evolution. For this purpose the CTS is organized into various groups; only that responsible for the evaluation of the radiological consequences is considered in the present paper. Since the beginning of the eighties numerous simulations of nuclear accidents have been organized both by the public authorities and by the nuclear operators. These exercises, of growing complexity, are distinguished according to the type of installation concerned, the scenario (with and without a simulator), the equipment involved, the participants (local and national officials), the accident phase used (at the time of the accident or post-accident), the use of actual or pre-determined meteorological conditions etc.. Different combinations are imposed as a function of the specific aims of each exercise. Numerous lessons have been drawn progressively from these very varied exercises for the operation of the CTC and, in particular, of the Radiological Consequences Group. The principal Lessons concern: development of calculation and mapping tools, specific liaison with the national meteorological services, modification of the centre's facilities, composition of the team and definition of the role of each of its members, improved liaison with the Site Evaluation Group and the provision of appropriate documentation. The need for continuous training of duty teams in the form of presentations and exercises has also been confirmed

Overview of ICRP Committee 4: application of the Commission's recommendations.

Science.gov (United States)

Cool, D A

2016-06-01

Committee 4 develops principles and recommendations on radiological protection of people in all exposure situations. The committee meeting in 2014 was hosted by GE Healthcare in Arlington Heights, IL, USA on 27 July-1 August 2014. The programme of work of Committee 4 encompasses several broad areas, including a series of reports covering various aspects of existing exposure situations, leading the efforts of the International Commission on Radiological Protection (ICRP) to update and elaborate recommendations in light of the accident at Fukushima Daiichi nuclear power plant for emergencies and living in contaminated areas, elaborating the underpinnings of the system of radiological protection, and developing focussed reports on specific topic areas in consultation with ICRP's special liaison organisations. Committee 4 has six active Task Groups working on naturally occurring radioactive material; cosmic radiation in aviation; updates of ICRP Publications 109 and 111; ethics of radiological protection; surface and near-surface disposal of solid radioactive waste; and exposures resulting from contaminated sites from past industrial, military, and nuclear activities. In addition, there is a Working Party on tolerability of risk, and ongoing work with the various special liaison organisations of ICRP. © The International Society for Prosthetics and Orthotics.

Comparison of the Vidas System and Two Recent Fully Automated Assays for Diagnosis and Follow-Up of Toxoplasmosis in Pregnant Women and Newborns

Science.gov (United States)

Dard, Céline; Fricker Hidalgo, Hélène; Dardé, Marie-Laure; Brenier-Pinchart, Marie-Pierre; Pelloux, Hervé

2013-01-01

Serological testing to detect toxoplasmosis is of major importance to avoid the possible effects of the disease in newborns. This study assessed anti-Toxoplasma IgG and IgM with the Vidas (bioMérieux), Architect (Abbott), and Liaison (DiaSorin) systems in 631 sera from pregnant women and newborns as well as anti-Toxoplasma IgG avidity with these three systems on 54 sera from pregnant women with positive IgG and IgM. The IgG and IgM results were in agreement in, respectively, 95.2% and 98.3% (Vidas versus Architect) and 96.9% and 95.3% (Vidas versus Liaison) of the samples. Specificities were excellent for all the assays, while Vidas sensitivities ranged (depending on the classification of gray zone results) from 93.8 to 98.4% for IgG (Architect, 84.4 to 93.8%; Liaison, 93.8%) and from 81.8 to 90.9% for IgM (Architect, 63.6%; Liaison, 81.8 to 90.9%). In seroconversion sequences, IgMs were generally detected simultaneously by the three assays, while Architect was the earliest assay to detect IgG. In noninfected children, maternally transmitted IgGs were detected for a longer time with Architect than with the other systems. IgMs were positive in only one infected child with the Vidas and Liaison systems. Significantly more sera were classified in the high-avidity category with Vidas than with Architect. This evaluation shows similar performances for Vidas and more recent systems. The Vidas system adequately detects toxoplasmosis in pregnant women and newborns. This system fits the needs of laboratories working on small routine series for first-line testing as well as expert laboratories, due to a high specificity and a powerful avidity test. PMID:23740928

Baseline Knowledge of Islam and Muslims: A Study of Australian Government Crisis Communication Officials

Directory of Open Access Journals (Sweden)

Kate O'Donnell

2017-05-01

Full Text Available This study examined the level of knowledge Australian crisis communications officials had about Islam and Muslims. It did so at a time when the Commonwealth Government has warned in the current national security environment that a terrorist attack could be experienced at any time, and where the most serious threat emanated from those holding what the government described as a “deviant” view of Islam. The study identified that Media Liaison Officers (n=72 have low levels of knowledge about this religious faith, and that they were aware of their lack of understanding. These findings raise policy concerns about the extent to which Media Liaison Officers can differentiate between Islam and deviant interpretations of the faith. With the pivotal role that Media Liaison Officers play in crisis communication—including briefing and educating journalists when a terrorist event occurs—these findings present crisis managers with several challenges; including recruitment, training, and ongoing professional development.

Group Flow and Group Genius

Science.gov (United States)

Sawyer, Keith

2015-01-01

Keith Sawyer views the spontaneous collaboration of group creativity and improvisation actions as "group flow," which organizations can use to function at optimum levels. Sawyer establishes ideal conditions for group flow: group goals, close listening, complete concentration, being in control, blending egos, equal participation, knowing…

Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in South-Eastern Nigeria: a controlled study.

Science.gov (United States)

Iteke, Obiora; Bakare, Muideen O; Agomoh, Ahamefule O; Uwakwe, Richard; Onwukwe, Jojo U

2011-06-22

Psychiatric liaison services are rare in trauma units of various hospitals in Nigeria and other sub-Saharan African countries. The occurrence of road traffic accidents (RTAs) resulting from low standard of road construction and inadequate maintenance have been on the increase in Nigeria. While the physical consequences of such RTAs are obvious, the psychological consequences are often not apparent. This study assessed the prevalence of posttraumatic stress disorder (PTSD) among victims of RTAs and compared same with controls drawn from a population who have not experienced RTAs. It also assessed the associated socio-demographic variables. Study population consisted of one hundred and fifty RTA victims and two different control groups drawn from the population consisting of staffs of Federal Neuropsychiatric Hospital, Enugu, Nigeria and that of National Orthopedic Hospital, Enugu, Nigeria, 150 people in each control group were matched for age and sex with the RTA victims and they were interviewed with PTSD module of Mini International Neuropsychiatric Interview (MINI) and their socio-demographic variables obtained with socio-demographic questionnaire. The prevalence of PTSD among RTA victims and the two control groups were 26.7%, 8.0% and 8.7% respectively. The difference in prevalence was statistically significant with RTA victims more likely to experience PTSD compared to the two control groups (X² = 27.23, df = 2, p = 0.001). Gender influenced the prevalence of PTSD among victims of RTAs and the controls, with females more likely to experience PTSD when compared to the males. Among victims of RTAs, being gainfully employed prior to the accidents increased the likelihood of developing PTSD and this was statistically significant (X² = 20.09, df = 1, p = 0.000). There is urgent need to pay more attention to developing consultation-liaison psychiatry services in trauma units of Nigerian hospitals, including orthopedic hospitals located in different geographical

A comprehensive fracture prevention strategy in older adults

DEFF Research Database (Denmark)

Blain, H.; Masud, T.; Dargent-Molina, P.

2016-01-01

Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest group on falls and fracture prevention of the European union geriatric medicine society (EUGMS...... of osteoporosis and osteoarthritis (ECCEO), outlines its views on the main points in the current debate in relation to the primary and secondary prevention of falls, the diagnosis and treatment of bone fragility, and the place of combined falls and fracture liaison services for fracture prevention in older people....

RTG resource book for western states and provinces: Final proceedings

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-12-31

The Western Interstate Energy Board held a workshop and liaison activities among western states, provinces, and utilities on the formation of Regional Transmission Groups (RTGs). Purpose of the activities was to examine the policy implications for western states and provinces in the formation of RTGs in the West, the implications for western ratepayers and utilities of the RTG formation and potential impacts of RTGs on the western electricity system. The workshop contributed to fulfilling the transmission access and competition objectives of Title VII of the Energy Policy Act of 1992.

The radiological situation at the atolls of Mururoa and Fangataufa. Technical report. V. 3. Inventory of radionuclides underground at the atolls

International Nuclear Information System (INIS)

1998-08-01

The objective of Working Group 3 was to independently estimate the underground inventories of radionuclides, at the French nuclear test site on the atolls of Mururoa and Fangataufa, and to estimate the distribution of radionuclides between four major components - lava, rubble, gas and water - that determines the mobility of radionuclides in the geosphere. The group also provided a summary of the critical damage dimensions, such as the cavity radius, fissure zone radius and the height of the chimney. As a lot of dimensional data were provided by the French Liaison Office the focus of this report has been to compare these data with experience gained from other test sites in the world

Follow-up of pregnant women exposed to chicken pox: an audit of relationship between level of antibody and development of chicken pox.

Science.gov (United States)

Boxall, E H; Maple, P A C; Rathod, P; Smit, E

2011-10-01

The purpose of this study was to validate through natural exposure a cut-off level of varicella zoster IgG as protective against infection with varicella zoster virus (VZV). Laboratory testing to determine VZV immune status of pregnant women exposed to varicella is recommended. Quantitative assays are now available which are sensitive and specific. More than 200 consecutive requests for screening in pregnant patients with recent varicella contacts were followed-up by questionnaire. DiaSorin LIAISON and VZV time resolved fluorescence immuno assay (VZV TRFIA) were used to measure VZV antibody level. One hundred fifty out of 209 (72%) questionnaires were returned; 14 patients developed varicella, 129 did not and seven were not known. Patients who had been given VZIG and developed varicella on follow-up had a mean antibody level before VZIG of 28 mIU/ml and 62 mIU/ml, by LIAISON and TRFIA, respectively. The mean IgG level of those that did not develop varicella was 885 and 866 mIU/ml by LIAISON and TRFIA, respectively. Those with levels pox than those with levels >100 mIU/ml (relative risk of 10.4 for LIAISON and 8.8 for TRFIA). On the basis of the relatively small numbers in this study, quantitative assays, using a 100mIU/ml cut-off, can differentiate between those who are susceptible and those who are protected against exposure, however follow-up studies should include sampling for VZV DNA and IgM.

Ligações perigosas: indústria farmacêutica, associações de pacientes e as batalhas judiciais por acesso a medicamentos Dangerous liaisons: the pharmaceutical industry, patients associations and the legal battles for access to medicines

Directory of Open Access Journals (Sweden)

Jussara Calmon Reis de Souza Soares

2012-01-01

Full Text Available O presente trabalho busca trazer novos elementos para o debate sobre a judicialização da saúde e sobre o acesso a medicamentos. Parte-se de um breve panorama do setor farmacêutico, seguido de um levantamento bibliográfico sobre demandas judiciais por medicamentos no Brasil, para fundamentar uma reflexão sobre as ligações entre a indústria farmacêutica e as associações de pacientes, que podem estar interferindo no processo. Tais ligações resultam das novas estratégias de expansão do mercado pelo setor farmacêutico, e podem agravar o panorama da saúde brasileira em relação ao uso crítico e responsável dos medicamentos. A necessidade de desmercantilização da saúde é incluída nesse debate.The main objective of this paper is to contribute to the debate on the legal claims for pharmaceutical drugs in Brazil, as part of the struggle for access to these products. A brief discussion about the pharma industry is made, followed by the state-of-the-art of the so-called process of "health judicialization". These are the basis for the reflections on the relationships between the corporations and patients' associations, which are part of the strategies used by the pharma industry in order to expand the market. These liaisons may be influencing the augmentation of court requests, thus damaging the responsible drug use. The role of commodification of healthcare is discussed.

Status Report of INIS Operations April 1996 - April 1997

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-07-01

The total number of records announced in Atomindex volume 27 (1996) was 80,516. A total of 77 Members sent input for volume 27 (1996) (78 for volume 26 (1995)). The INIS Secretariat carried out a comprehensive effort in 1996 to encourage Liaison Officers to participate more actively in INIS. Liaison Officers of 17 countries were contacted in July to remind them that they did not send any input since the beginning of 1996. As a result of this activity 10 countries sent input for the first time in 1996.

Status Report of INIS Operations April 1996 - April 1997

International Nuclear Information System (INIS)

1997-01-01

The total number of records announced in Atomindex volume 27 (1996) was 80,516. A total of 77 Members sent input for volume 27 (1996) (78 for volume 26 (1995)). The INIS Secretariat carried out a comprehensive effort in 1996 to encourage Liaison Officers to participate more actively in INIS. Liaison Officers of 17 countries were contacted in July to remind them that they did not send any input since the beginning of 1996. As a result of this activity 10 countries sent input for the first time in 1996

Group devaluation and group identification

NARCIS (Netherlands)

Leach, C.W.; Rodriguez Mosquera, P.M.; Vliek, M.L.W.; Hirt, E.

2010-01-01

In three studies, we showed that increased in-group identification after (perceived or actual) group devaluation is an assertion of a (preexisting) positive social identity that counters the negative social identity implied in societal devaluation. Two studies with real-world groups used order

Lie groups and algebraic groups

Indian Academy of Sciences (India)

We give an exposition of certain topics in Lie groups and algebraic groups. This is not a complete ... of a polynomial equation is equivalent to the solva- bility of the equation ..... to a subgroup of the group of roots of unity in k (in particular, it is a ...

NORSOK within the offshore operation and maintenance sector; NORSOK innen offshore drift og vedlikeholdssektoren

Energy Technology Data Exchange (ETDEWEB)

Gram, Torleif

1998-07-01

The NORSOK initiative was taken in 1993 to improve the competitive position of the Norwegian Shelf. To mobilize as much engagement and support as possible for this work, top leaders from the oil companies, the industry and various authorities were gathered to form a development and operation forum for the petroleum sector that recommended the proposals made by the working groups. These leaders were supposed to provide for implementation in their own organizations. The NORSOK work is being continued jointly by OLF (Oljeindustriens Landsforening) and TBL (Teknologibedriftenes Landsforening). A liaison committee was appointed and it decided that the experience from NORSOK so far should be examined, with an emphasis on working processes between the oil companies and the industry. The committee decided to give preference to development rather than operation (Capex before Opex). The entire NORSOK has been very focused on Capex and the large cost overruns. The operation environment has been put into the shade. A sub committee under the liaison committee has been established that will rectify the situation. An important issue to be addressed by the sub committee will be the transfer of experience from the operation phase to the new projects. The composition and mandate of the subcommittee are described in detail.

Geophysics in the public eye

Science.gov (United States)

The 1988 AGU Fall Meeting was attended by a record number of reporters from all types of media (see inset). Five news releases mailed before the meeting and seven scheduled news conferences drew reporters to the meeting, held December 5-9 in San Francisco. About 25 public information offices and individual scientists contributed 45 news releases for distribution at the meeting.Media liaisons were appointed by AGU section presidents to act as contacts between scientists and journalists. The liaisons assisted with news conferences, arranged interviews, and directed reporters to interesting papers. The section liaisons were Union, Christopher Harrison (Rosenstiel School of Marine & Atmospheric Science, Miami, Fla.); Atmospheric Sciences, William H. Beasley (National Science Foundation, Washington, D.C.); Geodesy, Randolph Ware (University of Colorado, Boulder); Geomagnetism and Paleomagnetism, Kenneth Verosub (University of Calfornia, Davis); Hydrology, George Leavesley (U.S. Geological Survey, Lakewood, Colo.); Planetology, Torrence Johnson (Jet Propulsion Lab, Pasadena, Calif.); Seismology, Jan Garmany (University of Texas, Austin); Solar- Planetary Relationships, Vincent Wickwar (Utah State University, Logan); and Tectonophysics, Paul Segall (U.S. Geological Survey, Menlo Park, Calif.).

Group Cohesion in Experiential Growth Groups

Science.gov (United States)

Steen, Sam; Vasserman-Stokes, Elaina; Vannatta, Rachel

2014-01-01

This article explores the effect of web-based journaling on changes in group cohesion within experiential growth groups. Master's students were divided into 2 groups. Both used a web-based platform to journal after each session; however, only 1 of the groups was able to read each other's journals. Quantitative data collected before and…

Dangerous Liaisons: Substance Abuse and Sex.

Science.gov (United States)

Columbia Univ., New York, NY. National Center on Addiction and Substance Abuse.

This report takes a comprehensive look at the connections between alcohol, drug use, and sex. Two national data sets on more than 34,000 teenagers and two sets on arrested and incarcerated sex offenders were analyzed. A review of the literature, interviews with experts, and an examination of programs aimed at prevention of abuse were included in…

Chaperone-client complexes: A dynamic liaison

Science.gov (United States)

Hiller, Sebastian; Burmann, Björn M.

2018-04-01

Living cells contain molecular chaperones that are organized in intricate networks to surveil protein homeostasis by avoiding polypeptide misfolding, aggregation, and the generation of toxic species. In addition, cellular chaperones also fulfill a multitude of alternative functionalities: transport of clients towards a target location, help them fold, unfold misfolded species, resolve aggregates, or deliver clients towards proteolysis machineries. Until recently, the only available source of atomic resolution information for virtually all chaperones were crystal structures of their client-free, apo-forms. These structures were unable to explain details of the functional mechanisms underlying chaperone-client interactions. The difficulties to crystallize chaperones in complexes with clients arise from their highly dynamic nature, making solution NMR spectroscopy the method of choice for their study. With the advent of advanced solution NMR techniques, in the past few years a substantial number of structural and functional studies on chaperone-client complexes have been resolved, allowing unique insight into the chaperone-client interaction. This review summarizes the recent insights provided by advanced high-resolution NMR-spectroscopy to understand chaperone-client interaction mechanisms at the atomic scale.

State transportation liaison funded positions study

Science.gov (United States)

2009-10-01

The Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (SAFETEA-LU), which was signed into law in August 2005, contained several provisions focused on streamlining the environmental review process. One of these provi...

Energy and markets: a dangerous liaison

International Nuclear Information System (INIS)

Pauron, M.

2008-01-01

At the occasion of a colloquium organised by the Paris-Dauphine university, several economists have discussed the possible impacts that the world financial crisis would have on the energy. The energy crisis and the financial crisis are distinct crises with strong interactions, like the rise of the oil barrel price which follows the dollar drop, but no simple answer can be drawn since no consensus exists on the ins and outs of the crisis

K-Ras and mitochondria: Dangerous liaisons

Czech Academy of Sciences Publication Activity Database

Neužil, Jiří; Rohlena, Jakub; Dong, L. F.

2012-01-01

Roč. 22, č. 2 (2012), s. 285-287 ISSN 1001-0602 Institutional research plan: CEZ:AV0Z50520701 Keywords : Cancer * generation * oncogene Subject RIV: EA - Cell Biology Impact factor: 10.526, year: 2012

Which finite simple groups are unit groups?

DEFF Research Database (Denmark)

Davis, Christopher James; Occhipinti, Tommy

2014-01-01

We prove that if G is a finite simple group which is the unit group of a ring, then G is isomorphic to either (a) a cyclic group of order 2; (b) a cyclic group of prime order 2^k −1 for some k; or (c) a projective special linear group PSLn(F2) for some n ≥ 3. Moreover, these groups do all occur a...

Biogas quality-control visit on after-sales service

Energy Technology Data Exchange (ETDEWEB)

Prasad Devkota, G.; Ratna Bajracharya, P.; Maskey, P. [Nepal Biogas Promotion Group Minbhawan, Kathmandu (Nepal)

1998-12-31

The dissemination organisation SNV/BSP has concluded contracts governing after sales with construction companies and craftsmen. The Nepal Biogas Promotion Group (NBPG) has carried out its own inspections of 257 biogas plants to see if these contracts were adhered to. As was expected, the liaison reports showed a brighter picture of reality than actually exists. However, most of the biogas plants were in a satisfactory condition. The weaknesses were mainly in the flexible rubber gas line, the condensed-water tanks and insufficient covering of the plants with soil. In general, too little substrate was put in. (orig.)

Introduction to computers: Reference guide

Energy Technology Data Exchange (ETDEWEB)

Ligon, F.V.

1995-04-01

The ``Introduction to Computers`` program establishes formal partnerships with local school districts and community-based organizations, introduces computer literacy to precollege students and their parents, and encourages students to pursue Scientific, Mathematical, Engineering, and Technical careers (SET). Hands-on assignments are given in each class, reinforcing the lesson taught. In addition, the program is designed to broaden the knowledge base of teachers in scientific/technical concepts, and Brookhaven National Laboratory continues to act as a liaison, offering educational outreach to diverse community organizations and groups. This manual contains the teacher`s lesson plans and the student documentation to this introduction to computer course.

Blood donation and institutional trust: risk, policy rhetoric, and the men who have sex with men lifetime deferral policy in Canada.

Science.gov (United States)

Smith, André; Fiddler, Jay; Walby, Kevin; Hier, Sean

2011-11-01

This article examines the process of rebuilding institutional trust in the Canadian blood system in the aftermath of the tainted blood scandal. Our focus is the policy of lifetime deferral from donating blood for men who have sex with men. Drawing on findings from interviews with representatives of Health Canada's Expert Advisory Committee on Blood Regulation, the National Liaison Committee, Canadian Blood Services, and blood consumer groups, we demonstrate how claims making about rights, discrimination, science, and risk contribute to policy continuity. We also examine the link between policy continuity and the management of reputational risk.

Zakharia Katia et Cheiban Ali (dir., Savoirs et Pouvoirs : genèse des traditions, traditions réinventées, coordonnée par, Maisonneuve et Larose, Maison de l’Orient et de la Méditerranée, 2008, 275 p.

Directory of Open Access Journals (Sweden)

Thomas Brisson

2009-05-01

Full Text Available Issues d’un séminaire organisé au GREMMO (Groupe de recherches et d’études sur la Méditerranée et le Moyen-Orient, les onze contributions rassemblées par K. Zahharia et A. Cheiban font dialoguer des chercheurs issus de disciplines différentes (historiens, sociologues, politologues, anthropologues, etc. autour d’un thème aussi riche que complexe : celui de la liaison entre savoirs et pouvoirs. L’intérêt de cette étude, ce qui en constitue parfois aussi les limites, tient en grande partie dan...

Providing Health Sciences Services in a Joint-Use Distributed Learning Library System: An Organizational Case Study.

Science.gov (United States)

Enslow, Electra; Fricke, Suzanne; Vela, Kathryn

2017-01-01

The purpose of this organizational case study is to describe the complexities librarians face when serving a multi-campus institution that supports both a joint-use library and expanding health sciences academic partnerships. In a system without a centralized health science library administration, liaison librarians are identifying dispersed programs and user groups and collaborating to define their unique service and outreach needs within a larger land-grant university. Using a team-based approach, health sciences librarians are communicating to integrate research and teaching support, systems differences across dispersed campuses, and future needs of a new community-based medical program.

Cyclic Soft Groups and Their Applications on Groups

Directory of Open Access Journals (Sweden)

Hacı Aktaş

2014-01-01

Full Text Available In crisp environment the notions of order of group and cyclic group are well known due to many applications. In this paper, we introduce order of the soft groups, power of the soft sets, power of the soft groups, and cyclic soft group on a group. We also investigate the relationship between cyclic soft groups and classical groups.

Group typicality, group loyalty and cognitive development.

Science.gov (United States)

Patterson, Meagan M

2014-09-01

Over the course of childhood, children's thinking about social groups changes in a variety of ways. Developmental Subjective Group Dynamics (DSGD) theory emphasizes children's understanding of the importance of conforming to group norms. Abrams et al.'s study, which uses DSGD theory as a framework, demonstrates the social cognitive skills underlying young elementary school children's thinking about group norms. Future research on children's thinking about groups and group norms should explore additional elements of this topic, including aspects of typicality beyond loyalty. © 2014 The British Psychological Society.

Ordered groups and infinite permutation groups

CERN Document Server

1996-01-01

The subjects of ordered groups and of infinite permutation groups have long en­ joyed a symbiotic relationship. Although the two subjects come from very different sources, they have in certain ways come together, and each has derived considerable benefit from the other. My own personal contact with this interaction began in 1961. I had done Ph. D. work on sequence convergence in totally ordered groups under the direction of Paul Conrad. In the process, I had encountered "pseudo-convergent" sequences in an ordered group G, which are like Cauchy sequences, except that the differences be­ tween terms of large index approach not 0 but a convex subgroup G of G. If G is normal, then such sequences are conveniently described as Cauchy sequences in the quotient ordered group GIG. If G is not normal, of course GIG has no group structure, though it is still a totally ordered set. The best that can be said is that the elements of G permute GIG in an order-preserving fashion. In independent investigations around that t...

CORRELATION BETWEEN GROUP LOCAL DENSITY AND GROUP LUMINOSITY

Energy Technology Data Exchange (ETDEWEB)

Deng Xinfa [School of Science, Nanchang University, Jiangxi 330031 (China); Yu Guisheng [Department of Natural Science, Nanchang Teachers College, Jiangxi 330103 (China)

2012-11-10

In this study, we investigate the correlation between group local number density and total luminosity of groups. In four volume-limited group catalogs, we can conclude that groups with high luminosity exist preferentially in high-density regions, while groups with low luminosity are located preferentially in low-density regions, and that in a volume-limited group sample with absolute magnitude limit M{sub r} = -18, the correlation between group local number density and total luminosity of groups is the weakest. These results basically are consistent with the environmental dependence of galaxy luminosity.

What Is a Group? Young Children's Perceptions of Different Types of Groups and Group Entitativity.

Directory of Open Access Journals (Sweden)

Maria Plötner

Full Text Available To date, developmental research on groups has focused mainly on in-group biases and intergroup relations. However, little is known about children's general understanding of social groups and their perceptions of different forms of group. In this study, 5- to 6-year-old children were asked to evaluate prototypes of four key types of groups: an intimacy group (friends, a task group (people who are collaborating, a social category (people who look alike, and a loose association (people who coincidently meet at a tram stop. In line with previous work with adults, the vast majority of children perceived the intimacy group, task group, and social category, but not the loose association, to possess entitativity, that is, to be a 'real group.' In addition, children evaluated group member properties, social relations, and social obligations differently in each type of group, demonstrating that young children are able to distinguish between different types of in-group relations. The origins of the general group typology used by adults thus appear early in development. These findings contribute to our knowledge about children's intuitive understanding of groups and group members' behavior.

Between-group competition elicits within-group cooperation in children

Science.gov (United States)

Majolo, Bonaventura; Maréchal, Laëtitia

2017-02-01

Aggressive interactions between groups are frequent in human societies and can bear significant fitness costs and benefits (e.g. death or access to resources). During between-group competitive interactions, more cohesive groups (i.e. groups formed by individuals who cooperate in group defence) should out-perform less cohesive groups, other factors being equal (e.g. group size). The cost/benefit of between-group competition are thought to have driven correlated evolution of traits that favour between-group aggression and within-group cooperation (e.g. parochial altruism). Our aim was to analyse whether the proximate relationship between between-group competition and within-group cooperation is found in 3-10 years old children and the developmental trajectory of such a relationship. We used a large cohort of children (n = 120) and tested whether simulated between-group competition increased within-group cooperation (i.e. how much of a resource children were giving to their group companions) in two experiments. We found greater within-group cooperation when groups of four children were competing with other groups then in the control condition (no between-group competition). Within-group cooperation increased with age. Our study suggests that parochial altruism and in-group/out-group biases emerge early during the course of human development.

Isotope effects in mass-spectrometry; Les effets isotopiques en spectrometrie de masse

Energy Technology Data Exchange (ETDEWEB)

Leicknam, J P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires. Departement de physico-chimie, service des isotopes stables, section de spectrometrie de masse

1967-05-01

In the first part, a review is made of the work concerning the influence of isotopic substitution on the stabilities of ionised molecules and the bond-breaking probabilities; metastable transitions are also affected by this substitution. A model based on the Franck-Condon principle accounts for the experimentally observed isotopic effects for diatomic molecules; to a certain extent it is possible to generalise the calculation for the case of isotopic molecules of carbon dioxide gas. For deuterated polyatomic molecules there exist a {pi} effect making it possible to compare the relative stabilities of the X-H and X-D bonds, and a {gamma} effect which characterizes the different behaviours of the X-H bond in a normal molecule and in its partially deuterated homologue. Usually there is a very marked {pi} effect (e.g. the C-D bonds are more difficult to break than the homologous C-H bonds) and a {gamma} effect, the partial deuteration of a molecule leading in general to an increase in the probability of breakage of a given bond. An interpretation of {pi} and {gamma} effects based on Rosenstock near-equilibrium theory accounts for the observed phenomena, qualitatively at least, in the case of propane and acetylene. In the second part are gathered together results concerning isotopic effects produced during the formation of rearranged ions. The existence of cyclic transition ions has made it possible for Mc Lafferty to explain the existence of these ions in the mass spectrum; isotopic substitution leads to a modification of the rearrangement mechanism, the bonding forces being no longer the same. (author) [French] Dans une premiere partie, on rassemble les travaux concernant l'influence de la substitution isotopique sur les stabilites des molecules ionisees et les probabilites de rupture des liaisons; les transitions metastables sont egalement modifiees par cette substitution. Un modele base sur le principe de Franck-Condon rend compte des effets isotopiques

A Methodology to Measure the Cost of a Single Outpatient Visit in the Family Practice Clinic

Science.gov (United States)

1986-07-01

17,598 EDEA Other Base Support 116 " i 25,480 453 EDCA Maint Real Prop 116 Is 25,480 4,652 EDDA Minor Const 116 " H 25,480 460 EDFA Leases/Rentals 116...Engineer Liaison 116 22,319 177 EDBA Utilities 116 " " 22,319 15,414 EDEA Other Base Support 116 " " 22,319 398 EDCA Maint Real Prop 116 22,319 4,075 EDDA ...Liaison 116 4,301 34 EDBA Utilities 116 " " 4,301 2,970 EDEA Other Base Support 116 " " 4,301 76 EDCA Maint Real Prop 116 " " 4,301 785 EDDA Minor Const 116

INIS Status Report 1999

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-07-01

The total number of records announced in the INIS Database volume 30 (1999) was 61,233. A total of 94 Members sent input for volume 30 (1999) and 82 for volume 29 (1998). The INIS Secretariat carried out a comprehensive effort to encourage Liaison Officers to participate more actively in database creation. INIS Liaison Officers of 29 countries were contacted in July 1999 to remind them that they did not send any records since the beginning of 1999. As a result of this activity, as well as the 'First Regional Training Workshop on the Upgrading of Information Unit Staff (ARCAL XLII, 2-12 November 1999, Paraguay), 19 countries have sent input.

Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in south-eastern Nigeria: a controlled study

Science.gov (United States)

2011-01-01

Background Psychiatric liaison services are rare in trauma units of various hospitals in Nigeria and other sub-Saharan African countries. The occurrence of road traffic accidents (RTAs) resulting from low standard of road construction and inadequate maintenance have been on the increase in Nigeria. While the physical consequences of such RTAs are obvious, the psychological consequences are often not apparent. This study assessed the prevalence of posttraumatic stress disorder (PTSD) among victims of RTAs and compared same with controls drawn from a population who have not experienced RTAs. It also assessed the associated socio-demographic variables. Method Study population consisted of one hundred and fifty RTA victims and two different control groups drawn from the population consisting of staffs of Federal Neuropsychiatric Hospital, Enugu, Nigeria and that of National Orthopedic Hospital, Enugu, Nigeria, 150 people in each control group were matched for age and sex with the RTA victims and they were interviewed with PTSD module of Mini International Neuropsychiatric Interview (MINI) and their socio-demographic variables obtained with socio-demographic questionnaire. Results The prevalence of PTSD among RTA victims and the two control groups were 26.7%, 8.0% and 8.7% respectively. The difference in prevalence was statistically significant with RTA victims more likely to experience PTSD compared to the two control groups (X2 = 27.23, df = 2, p = 0.001). Gender influenced the prevalence of PTSD among victims of RTAs and the controls, with females more likely to experience PTSD when compared to the males. Among victims of RTAs, being gainfully employed prior to the accidents increased the likelihood of developing PTSD and this was statistically significant (X2 = 20.09, df = 1, p = 0.000). Conclusions There is urgent need to pay more attention to developing consultation-liaison psychiatry services in trauma units of Nigerian hospitals, including orthopedic hospitals

Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in south-eastern Nigeria: a controlled study

Directory of Open Access Journals (Sweden)

Uwakwe Richard

2011-06-01

Full Text Available Abstract Background Psychiatric liaison services are rare in trauma units of various hospitals in Nigeria and other sub-Saharan African countries. The occurrence of road traffic accidents (RTAs resulting from low standard of road construction and inadequate maintenance have been on the increase in Nigeria. While the physical consequences of such RTAs are obvious, the psychological consequences are often not apparent. This study assessed the prevalence of posttraumatic stress disorder (PTSD among victims of RTAs and compared same with controls drawn from a population who have not experienced RTAs. It also assessed the associated socio-demographic variables. Method Study population consisted of one hundred and fifty RTA victims and two different control groups drawn from the population consisting of staffs of Federal Neuropsychiatric Hospital, Enugu, Nigeria and that of National Orthopedic Hospital, Enugu, Nigeria, 150 people in each control group were matched for age and sex with the RTA victims and they were interviewed with PTSD module of Mini International Neuropsychiatric Interview (MINI and their socio-demographic variables obtained with socio-demographic questionnaire. Results The prevalence of PTSD among RTA victims and the two control groups were 26.7%, 8.0% and 8.7% respectively. The difference in prevalence was statistically significant with RTA victims more likely to experience PTSD compared to the two control groups (X2 = 27.23, df = 2, p = 0.001. Gender influenced the prevalence of PTSD among victims of RTAs and the controls, with females more likely to experience PTSD when compared to the males. Among victims of RTAs, being gainfully employed prior to the accidents increased the likelihood of developing PTSD and this was statistically significant (X2 = 20.09, df = 1, p = 0.000. Conclusions There is urgent need to pay more attention to developing consultation-liaison psychiatry services in trauma units of Nigerian hospitals

Anatomy of a Cancer Treatment Scam

Medline Plus

Full Text Available ... Review Anticompetitive Practices Rules Statutes Consumer Sentinel Network Criminal Liaison Unit Policy Advocacy Advisory Opinions Cooperation Agreements Federal Register Notices ...

What Is a Group? Young Children’s Perceptions of Different Types of Groups and Group Entitativity

Science.gov (United States)

Plötner, Maria; Over, Harriet; Carpenter, Malinda; Tomasello, Michael

2016-01-01

To date, developmental research on groups has focused mainly on in-group biases and intergroup relations. However, little is known about children’s general understanding of social groups and their perceptions of different forms of group. In this study, 5- to 6-year-old children were asked to evaluate prototypes of four key types of groups: an intimacy group (friends), a task group (people who are collaborating), a social category (people who look alike), and a loose association (people who coincidently meet at a tram stop). In line with previous work with adults, the vast majority of children perceived the intimacy group, task group, and social category, but not the loose association, to possess entitativity, that is, to be a ‘real group.’ In addition, children evaluated group member properties, social relations, and social obligations differently in each type of group, demonstrating that young children are able to distinguish between different types of in-group relations. The origins of the general group typology used by adults thus appear early in development. These findings contribute to our knowledge about children's intuitive understanding of groups and group members' behavior. PMID:27010484

Group X

Energy Technology Data Exchange (ETDEWEB)

Fields, Susannah

2007-08-16

This project is currently under contract for research through the Department of Homeland Security until 2011. The group I was responsible for studying has to remain confidential so as not to affect the current project. All dates, reference links and authors, and other distinguishing characteristics of the original group have been removed from this report. All references to the name of this group or the individual splinter groups has been changed to 'Group X'. I have been collecting texts from a variety of sources intended for the use of recruiting and radicalizing members for Group X splinter groups for the purpose of researching the motivation and intent of leaders of those groups and their influence over the likelihood of group radicalization. This work included visiting many Group X websites to find information on splinter group leaders and finding their statements to new and old members. This proved difficult because the splinter groups of Group X are united in beliefs, but differ in public opinion. They are eager to tear each other down, prove their superiority, and yet remain anonymous. After a few weeks of intense searching, a list of eight recruiting texts and eight radicalizing texts from a variety of Group X leaders were compiled.

AREVA group overview; Presentation du groupe AREVA

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-02-08

This document presents the Group Areva, a world nuclear industry leader, from a financial holding company to an industrial group, operating in two businesses: the nuclear energy and the components. The structure and the market of the group are discussed, as the financial assets. (A.L.B.)

Interagency mechanical operations group numerical systems group

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-09-01

This report consists of the minutes of the May 20-21, 1971 meeting of the Interagency Mechanical Operations Group (IMOG) Numerical Systems Group. This group looks at issues related to numerical control in the machining industry. Items discussed related to the use of CAD and CAM, EIA standards, data links, and numerical control.

Overgroups of root groups in classical groups

CERN Document Server

Aschbacher, Michael

2016-01-01

The author extends results of McLaughlin and Kantor on overgroups of long root subgroups and long root elements in finite classical groups. In particular he determines the maximal subgroups of this form. He also determines the maximal overgroups of short root subgroups in finite classical groups and the maximal overgroups in finite orthogonal groups of c-root subgroups.

Group Milieu in systemic and psychodynamic group therapy

DEFF Research Database (Denmark)

Lau, Marianne Engelbrecht; Kristensen, Ellids

Objectives: A recent meta-analysis also concluded that psychotherapeutic approaches are beneficial for adult with a history of CSA and maintained for at least six months follow-up. The results suggest that different characteristics of therapy moderate the therapeutic outcome. We found in a random......Objectives: A recent meta-analysis also concluded that psychotherapeutic approaches are beneficial for adult with a history of CSA and maintained for at least six months follow-up. The results suggest that different characteristics of therapy moderate the therapeutic outcome. We found...... in a randomized study of systemic versus psychodynamic group therapy, that the short-term outcome for patients who received systemic group psychotherapy was significantly better than the outcome for patients who received psychodynamic group psychotherapy. The current study assessed the group milieu in both groups....... Methods: This randomized prospective study included 106 women: 52 assigned to psychodynamic group psychotherapy and 54 assigned to systemic group psychotherapy. The Group Environment Scale (GES) was filled in the mid phase of therapy and analysed in three dimensions and 10 subscales. Results: The systemic...

76 FR 2929 - Excepted Service

Science.gov (United States)

2011-01-18

...: Roland Edwards, Senior Executive Resource Services, Employee Services, 202-606-2246. SUPPLEMENTARY.... Effective November 18, 2010. DUGS00032 Intergovernmental and Public Engagement Liaison for Intergovernmental...

Group decision-making: Factors that affect group effectiveness

Directory of Open Access Journals (Sweden)

Juliana Osmani

2016-03-01

Full Text Available Organizations are operating in a dynamic and turbulent environment. In these conditions, they have to make decisions for new problems or situations. Most of decisions are therefore non-programmed and unstructured, accompanied by risk and uncertainty. Moreover, the problems and situations are complex. All organizations are oriented towards group decisionmaking processes, as useful tools to cope with uncertainty and complexity. Apart from the necessity, companies are turning towards participatory processes also to benefit from the important advantages that these processes offer. Organizations have realized the importance of group decision-making processes to contribute to the creation of sustainable competitive advantages. Main objective of this paper is to show that group decision-making processes do not offer guarantee for good decisions, because the effectiveness of group is affected by many factors. So, the first thing done in this paper is discussing about the benefits and limitations that accompany the use of groups with decision-making purpose. Afterwards, we stop on the different factors that influence the group’s ability to make good decisions. The aim is to emphasize that regardless of the many advantages of groups, some factors as group size, type of communication within the group, leadership style, the norms, the differentiation of roles and statuses, cohesion and compliance degree should be the main elements to keep into consideration because they affect the effectiveness of group. In this regard, is discussed how such factors influence the quality of decision and then we try to draw some conclusions that can improve and make better and easier group decision-making processes.

How Can the United States Army Improve Human Intelligence in Peace Operations?

National Research Council Canada - National Science Library

Wright, David

2003-01-01

.... These secondary collectors, such as the Military Police, Psychological Operations, Civil Affairs and Line Units conduct liaison with international and local police forces, host-government official...

78 FR 48138 - Proposed Information Collection; Comment Request; Report of Requests for Restrictive Trade...

Science.gov (United States)

2013-08-07

..., 2013. ADDRESSES: Direct all written comments to Jennifer Jessup, Departmental Paperwork Clearance... Hall, BIS ICB Liaison, (202) 482-4895, Lawrence[email protected] . SUPPLEMENTARY INFORMATION: I...

Secure Group Communications for Large Dynamic Multicast Group

Institute of Scientific and Technical Information of China (English)

Liu Jing; Zhou Mingtian

2003-01-01

As the major problem in multicast security, the group key management has been the focus of research But few results are satisfactory. In this paper, the problems of group key management and access control for large dynamic multicast group have been researched and a solution based on SubGroup Secure Controllers (SGSCs) is presented, which solves many problems in IOLUS system and WGL scheme.

INIS Status Report 1999

International Nuclear Information System (INIS)

2000-01-01

The total number of records announced in the INIS Database volume 30 (1999) was 61,233. A total of 94 Members sent input for volume 30 (1999) and 82 for volume 29 (1998). The INIS Secretariat carried out a comprehensive effort to encourage Liaison Officers to participate more actively in database creation. INIS Liaison Officers of 29 countries were contacted in July 1999 to remind them that they did not send any records since the beginning of 1999. As a result of this activity, as well as the ‘First Regional Training Workshop on the Upgrading of Information Unit Staff (ARCAL XLII, 2-12 November 1999, Paraguay), 19 countries have sent input

Assessment of Group Preferences and Group Uncertainty for Decision Making

Science.gov (United States)

1976-06-01

the individ- uals. decision making , group judgments should be preferred to individual judgments if obtaining group judgments costs more. -26- -YI IV... decision making group . IV. A. 3. Aggregation using conjugate distribution. Arvther procedure for combining indivi(jai probability judgments into a group...statisticized group group decision making group judgment subjective probability Delphi method expected utility nominal group 20. ABSTRACT (Continue on

Group heterogeneity increases the risks of large group size: a longitudinal study of productivity in research groups.

Science.gov (United States)

Cummings, Jonathon N; Kiesler, Sara; Bosagh Zadeh, Reza; Balakrishnan, Aruna D

2013-06-01

Heterogeneous groups are valuable, but differences among members can weaken group identification. Weak group identification may be especially problematic in larger groups, which, in contrast with smaller groups, require more attention to motivating members and coordinating their tasks. We hypothesized that as groups increase in size, productivity would decrease with greater heterogeneity. We studied the longitudinal productivity of 549 research groups varying in disciplinary heterogeneity, institutional heterogeneity, and size. We examined their publication and citation productivity before their projects started and 5 to 9 years later. Larger groups were more productive than smaller groups, but their marginal productivity declined as their heterogeneity increased, either because their members belonged to more disciplines or to more institutions. These results provide evidence that group heterogeneity moderates the effects of group size, and they suggest that desirable diversity in groups may be better leveraged in smaller, more cohesive units.

Representation Theory of Algebraic Groups and Quantum Groups

CERN Document Server

Gyoja, A; Shinoda, K-I; Shoji, T; Tanisaki, Toshiyuki

2010-01-01

Invited articles by top notch expertsFocus is on topics in representation theory of algebraic groups and quantum groupsOf interest to graduate students and researchers in representation theory, group theory, algebraic geometry, quantum theory and math physics

Talking to Your Doctor

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Full Text Available ... NIH » NIH Office of the Director » Office of Communications & Public Liaison » Clear Communication Clear Communication Clear Communication Health Literacy Clear & Simple ...

78 FR 56859 - Proposed Information Collection; Comment Request; Triangular Transactions Covered by a U.S...

Science.gov (United States)

2013-09-16

... 15, 2013. ADDRESSES: Direct all written comments to Jennifer Jessup, Departmental Paperwork Clearance... Hall, BIS ICB Liaison, (202) 482-4895, Lawrence[email protected] . SUPPLEMENTARY INFORMATION: I...

Sex Differences in Language Across Early Childhood: Family Socioeconomic Status does not Impact Boys and Girls Equally.

Science.gov (United States)

Barbu, Stéphanie; Nardy, Aurélie; Chevrot, Jean-Pierre; Guellaï, Bahia; Glas, Ludivine; Juhel, Jacques; Lemasson, Alban

2015-01-01

Child sex and family socioeconomic status (SES) have been repeatedly identified as a source of inter-individual variation in language development; yet their interactions have rarely been explored. While sex differences are the focus of a renewed interest concerning emerging language skills, data remain scarce and are not consistent across preschool years. The questions of whether family SES impacts boys and girls equally, as well as of the consistency of these differences throughout early childhood, remain open. We evaluated consistency of sex differences across SES and age by focusing on how children (N = 262), from 2;6 to 6;4 years old, from two contrasting social backgrounds, acquire a frequent phonological alternation in French - the liaison. By using a picture naming task eliciting the production of obligatory liaisons, we found evidence of sex differences over the preschool years in low-SES children, but not between high-SES boys and girls whose performances were very similar. Low-SES boys' performances were the poorest whereas low-SES girls' performances were intermediate, that is, lower than those of high-SES children of both sexes but higher than those of low-SES boys. Although all children's mastery of obligatory liaisons progressed with age, our findings showed a significant impeding effect of low-SES, especially for boys.

Calcination/dissolution chemistry development Fiscal year 1995

International Nuclear Information System (INIS)

Delegard, C.H.

1995-09-01

The task open-quotes IPC Liaison and Chemistry of Thermal Reconstitutionclose quotes is a $300,000 program that was conducted in Fiscal Year (FY) 1995 with U.S. Department of Energy (DOE) Office of Research and Development (EM-53) Efficient Separations and Processing Crosscutting Program supported under technical task plan (TTP) RL4-3-20-04. The principal investigator was Cal Delegard of the Westinghouse Hanford Company (WHC). The task encompassed the following two subtasks related to the chemistry of alkaline Hanford Site tank waste: (1) Technical Liaison with the Institute of Physical Chemistry of the Russian Academy of Science (IPC/RAS) and its research into the chemistry of transuranic elements (TRU) and technetium (Tc) in alkaline media. (2) Laboratory investigation of the chemistry of calcination/dissolution (C/D) (or thermal reconstitution) as an alternative to the present reference Hanford Site tank waste pretreatment flowsheet, Enhanced Sludge Washing (ESW). This report fulfills the milestone for the C/D subtask to open-quotes Provide End-of-Year Report on C/D Laboratory Test Resultsclose quotes due 30 September 1995. A companion report, fulfilling the milestone to provide an end-of-year report on the IPC/RAS liaison, also has been prepared

Linear deformations of discrete groups and constructions of multivalued groups

International Nuclear Information System (INIS)

Yagodovskii, Petr V

2000-01-01

We construct deformations of discrete multivalued groups described as special deformations of their group algebras in the class of finite-dimensional associative algebras. We show that the deformations of ordinary groups producing multivalued groups are defined by cocycles with coefficients in the group algebra of the original group and obtain classification theorems on these deformations. We indicate a connection between the linear deformations of discrete groups introduced in this paper and the well-known constructions of multivalued groups. We describe the manifold of three-dimensional associative commutative algebras with identity element, fixed basis, and a constant number of values. The group algebras of n-valued groups of order three (three-dimensional n-group algebras) form a discrete set in this manifold

Re-Examining Group Development in Adventure Therapy Groups.

Science.gov (United States)

DeGraaf, Don; Ashby, Jeff

1998-01-01

Small-group development is an important aspect of adventure therapy. Supplementing knowledge of sequential stages of group development with knowledge concerning within-stage nonsequential development yields a richer understanding of groups. Integrating elements of the individual counseling relationship (working alliance, transference, and real…

Dangerous Liaisons? Governments, companies and Internet governance

Directory of Open Access Journals (Sweden)

Francesca Musiani

2013-02-01

Full Text Available Private actors in the information technology sector are currently playing an increasingly important role in content mediation, as well as in regulation of online forms of expression, with implications for both internet rights and economic freedom. The “privatisation of internet governance” (DeNardis, 2010, is not a new dynamic; however, in a scenario in which users are taking advantage of increasingly sophisticated technology, the centralisation and concentration characterising today’s most widespread internet services are contributing to the accentuation of this tendency. The 'inherently political' qualities of search engine algorithm development, video content removals, blocking of domain names – actions that originate and rest with the private sector’s handling of the internet’s infrastructure – should not be neglected in our assessment of the field of internet governance today.

[Sociolinguistics and liaison psychiatry: a particular aspect].

Science.gov (United States)

Singy, P; Bourquin, C; Sulstarova, B; Weber, O

2010-02-17

Verbal language is a major tool of medical communication. However, its use can be problematic, namely because the speakers of a given language do not necessarily agree on the meaning of the words they exchange. This phenomenon is usually called linguistic variability. Based on a famous political and legal case and medical examples, we will show how variability is a critical source of misunderstandings and other communicational breakdowns. In addition, we will suggest some strategies which are likely to limit the impact of variability on clinician/patient interaction.

Liaison between micro-organisms and oral cancer

Science.gov (United States)

Srinivasprasad, Vijayan; Dineshshankar, Janardhanam; Sathiyajeeva, J.; Karthikeyan, M.; Sunitha, J.; Ragunathan, Ramachandran

2015-01-01

Oral cancer which is a subtype of head and neck, cancer is any neoplastic tissue growth in the oral cavity. It comprises an abnormal mass of cells that foists genetic mutation and impedes the normal cell cycle, resulting in its unrestrained growth. Various studies on the plausible link between oral microbial flora and cancer notwithstanding, our understanding of their link remains obscure and inadequate. The multitude of mechanisms by which the microflora initiate or spur Carcinogenesis are still under study and scrutiny. As is widely known, the oral cavity is an abode to a wide assortment of microbes, each present in contrasting amounts. It is observed that increased growth of the microflora is concomitant with known clinical risk factors for oral cancer. Manifold bacterial species have been found to interfere directly with eukaryotic cellular signaling, adopting a style typical of tumor promoters. Bacteria are also known to impede apoptosis thereby potentially promoting carcinogenesis. The viral role in carcinogenesis (by annulling of p53 tumor suppressor gene and other cellular proteins with subsequent alteration in host genome function) is well documented. Furthermore, the changes occurring in the commensal microflora in accompaniment with cancer development could possibly be used as a diagnostic indicator for early cancer detection. The intention of this review is to obtain a better understanding of the “role” that micro-organisms play in oral cancer etiology. PMID:26538877

[Dangerous liaisons--physicians and pharmaceutical sales representatives].

Science.gov (United States)

Granja, Mónica

2005-01-01

Interactions between physicians and detailers (even when legitimate ones) raise scientific and ethical questions. In Portugal little thinking and discussion has been done on the subject and the blames for bribery have monopolized the media. This work intended to review what has been said in medical literature about these interactions. How do physicians see themselves when interacting with pharmaceutical companies and their representatives? Do these companies in fact change their prescriptive behaviour, and, if so, how do they change it? How can physicians interact with detailers and still keep their best practice? A Medline research, from 1966 till 2002, was performed using the key-words as follows. A database similar to Medline but concerning medical journals published in Portugal, Index das Revistas Médicas Portuguesas, was also researched from 1992 to 2002. Pharmaceutical companies are profit bound and they allot promoting activities, and detailing in particular, huge amounts of money. Most physicians hold firmly to the belief that they are able to resist and not be influenced by drug companies promotion activities. Nevertheless, all previous works on literature tell us the opposite. Market research also indicates that detailers effectively promote drug sales. Various works also suggest that the information detailers provide to physicians may be largely incorrect, even comparing it to the written information provided by the pharmaceutical companies they work for. The frequency at which portuguese physicians (especially family physicians) contact with pharmaceutical sales representatives is higher than the frequency reported in countries where the available studies come from (namely, Canada and the United States of America). This may put portuguese physicians at a higher risk, making it imperative that work and wide debate are initiated among the class.

Linking self and group: cognitive routes to self-group overlap as driving forces of group phenomena

NARCIS (Netherlands)

van Veelen, Ruth; Otten, Sabine

2014-01-01

Group affiliation implies that there is overlap in the mental representations of seld and group. Combining research on social cognition and group processes, this symposium brings together various perspectives on self-group overlap and its consequences for intra- and intergroup phenomena.

Anatomy of a Cancer Treatment Scam

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Full Text Available ... Enforcement Cases and Proceedings Premerger Notification Program Merger Review Anticompetitive Practices Rules Statutes Consumer Sentinel Network Criminal Liaison Unit Policy Advocacy Advisory Opinions Cooperation Agreements ...

78 FR 11156 - South Atlantic Fishery Management Council; Public Meeting

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2013-02-15

...'s use of Facebook. Review and discuss the recommendations of the Information & Education (I&E) AP... and liaison reports, and discuss other business, including upcoming meetings. Documents regarding...

Post-Disaster Social Justice Group Work and Group Supervision

Science.gov (United States)

Bemak, Fred; Chung, Rita Chi-Ying

2011-01-01

This article discusses post-disaster group counseling and group supervision using a social justice orientation for working with post-disaster survivors from underserved populations. The Disaster Cross-Cultural Counseling model is a culturally responsive group counseling model that infuses social justice into post-disaster group counseling and…

Feminist Principles in Survivor's Groups: Out-of-Group Contact.

Science.gov (United States)

Rittenhouse, JoAn

1997-01-01

Illustrates the value of theoretical concepts from Feminist Therapy in the group treatment of women survivors. Theoretical underpinnings are supported using data taken from clinical experience and by examining group themes and out-of-group contact developed from the case sample. Principles regarding feminist groups are proposed. (RJM)

Group as social microcosm: Within-group interpersonal style is congruent with outside group relational tendencies.

Science.gov (United States)

Goldberg, Simon B; Hoyt, William T

2015-06-01

The notion that individuals' interpersonal behaviors in the context of therapy reflects their interpersonal behaviors outside of therapy is a fundamental hypothesis underlying numerous systems of psychotherapy. The social microcosm hypothesis, in particular, claims the interpersonal therapy group becomes a reflection of group members' general tendencies, and can thus be used as information about members' interpersonal functioning as well as an opportunity for learning and behavior change. The current study tested this hypothesis using data drawn from 207 individuals participating in 22 interpersonal process groups. Ratings were made on 2 key interpersonal domains (Dominance and Affiliation) at baseline and at Weeks 2, 5, and 8 of the group. Two-level multilevel models (with participants nested within groups) were used to account for the hierarchical structure, and the social relations model (SRM; Kenny, 1994) was used to estimate peer ratings (target effects in SRM) unconfounded with rater bias. Participants showed consensus at all time points during the interpersonal process groups on one another's levels of dominance and affiliation. In addition, self- and peer ratings were stable across time and correlated with one another. Importantly, self-ratings made prior to group significantly predicted ratings (self- and peer) made within the group, with effect sizes within the medium range. Taken together, these results provide robust support for the social microcosm hypothesis and the conjecture that interpersonal style within-group therapy is reflective of broader interpersonal tendencies. (c) 2015 APA, all rights reserved).

Permutation groups

CERN Document Server

Passman, Donald S

2012-01-01

This volume by a prominent authority on permutation groups consists of lecture notes that provide a self-contained account of distinct classification theorems. A ready source of frequently quoted but usually inaccessible theorems, it is ideally suited for professional group theorists as well as students with a solid background in modern algebra.The three-part treatment begins with an introductory chapter and advances to an economical development of the tools of basic group theory, including group extensions, transfer theorems, and group representations and characters. The final chapter feature

Group identity and positive deviance in work groups.

Science.gov (United States)

Kim, Moon Joung; Choi, Jin Nam

2017-12-05

This study examines why and how identity cognitions, including group identification and individual differentiation, influence the positive deviance of employees. We identify the risk-taking intention of employees as a critical psychological mechanism to overcome stigma-induced identity threat of positive deviance. The analysis of data collected from 293 members comprising 66 work teams reveals that the relationship between individual differentiation and positive deviance is partially mediated by risk-taking intention. The indirect effect of group identification on positive deviance through risk-taking intention is also significant and positive in groups with low conformity pressure, whereas the same indirect effect is neutralized in groups with high conformity pressure. The current analysis offers new insights into the way the group context and the identity cognition of members explain the development of positive deviance and workplace creativity.

When are emotions related to group-based appraisals? A comparison between group-based emotions and general group emotions.

Science.gov (United States)

Kuppens, Toon; Yzerbyt, Vincent Y

2014-12-01

In the literature on emotions in intergroup relations, it is not always clear how exactly emotions are group-related. Here, we distinguish between emotions that involve appraisals of immediate group concerns (i.e., group-based emotions) and emotions that do not. Recently, general group emotions, measured by asking people how they feel "as a group member" but without specifying an object for these emotions, have been conceptualized as reflecting appraisals of group concerns. In contrast, we propose that general group emotions are best seen as emotions about belonging to a group. In two studies, general group emotions were closely related to emotions that are explicitly measured as belonging emotions. Two further studies showed that general group emotions were not related to appraisals of immediate group concerns, whereas group-based emotions were. We argue for more specificity regarding the group-level aspects of emotion that are tapped by emotion measures. © 2014 by the Society for Personality and Social Psychology, Inc.

75 FR 16078 - Census Scientific Advisory Committee

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2010-03-31

.... ADDRESSES: The meeting will be held at Hilton Crystal City Hotel, 2399 Jefferson Davis Highway, Arlington, Virginia 22202. FOR FURTHER INFORMATION CONTACT: Jeri Green, Committee Liaison Officer, Department of...

78 FR 66681 - Census Advisory Committees

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2013-11-06

...;and investigations, committee meetings, agency decisions and rulings, #0;delegations of authority... interpretation or other auxiliary aids should be directed to the Committee Liaison Officer as soon as possible...

Anatomy of a Cancer Treatment Scam

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Full Text Available ... Sentinel Network Criminal Liaison Unit Policy Advocacy Advisory Opinions Cooperation Agreements Federal Register Notices Reports Studies Testimony Public Comments Policy Statements International Hearings on Competition & Consumer ...

Emotional collectives: How groups shape emotions and emotions shape groups.

Science.gov (United States)

van Kleef, Gerben A; Fischer, Agneta H

2016-01-01

Group settings are epicentres of emotional activity. Yet, the role of emotions in groups is poorly understood. How do group-level phenomena shape group members' emotional experience and expression? How are emotional expressions recognised, interpreted and shared in group settings? And how do such expressions influence the emotions, cognitions and behaviours of fellow group members and outside observers? To answer these and other questions, we draw on relevant theoretical perspectives (e.g., intergroup emotions theory, social appraisal theory and emotions as social information theory) and recent empirical findings regarding the role of emotions in groups. We organise our review according to two overarching themes: how groups shape emotions and how emotions shape groups. We show how novel empirical approaches break important new ground in uncovering the role of emotions in groups. Research on emotional collectives is thriving and constitutes a key to understanding the social nature of emotions.

Automorphism group of nonabelian groups of order p{sup 3}

Energy Technology Data Exchange (ETDEWEB)

Sarmin, Nor Haniza [Department of Mathematical Sciences, Faculty of Science, Universiti Teknologi Malaysia, 81310 UTM Johor Bahru (Malaysia); Barakat, Yasamin [Department of Mathematical Sciences, Faculty of Science, Universiti Teknologi Malaysia, 81310 UTM Johor Bahru, Malaysia and Islamic Azad University-Ahvaz Branch, Ahvaz (Iran, Islamic Republic of)

2014-06-19

Let G be a nonabelian group of order p{sup 3}, where p is a prime number. Then G is a two generated group that its commutator, centre and Frattini subgroup coincide and are of order p. Hence, the quotient group of G over its centre and also Frattini quotient group of G, both are of order p{sup 2}. However, the first mentioned quotient is isomorphic to the inner group of G, which is a normal subgroup of automorphism group of G. Whereas, Frattini quotient group of G is an abelian elementary group that can be considered as a vector space of dimension two over Z{sub p}, the field of integers modulo p. In this paper, we consider to apply these properties of G to characterize the automorphism group of G.

Group performance and group learning at dynamic system control tasks

International Nuclear Information System (INIS)

Drewes, Sylvana

2013-01-01

Proper management of dynamic systems (e.g. cooling systems of nuclear power plants or production and warehousing) is important to ensure public safety and economic success. So far, research has provided broad evidence for systematic shortcomings in individuals' control performance of dynamic systems. This research aims to investigate whether groups manifest synergy (Larson, 2010) and outperform individuals and if so, what processes lead to these performance advantages. In three experiments - including simulations of a nuclear power plant and a business setting - I compare the control performance of three-person-groups to the average individual performance and to nominal groups (N = 105 groups per experiment). The nominal group condition captures the statistical advantage of aggregated group judgements not due to social interaction. First, results show a superior performance of groups compared to individuals. Second, a meta-analysis across all three experiments shows interaction-based process gains in dynamic control tasks: Interacting groups outperform the average individual performance as well as the nominal group performance. Third, group interaction leads to stable individual improvements of group members that exceed practice effects. In sum, these results provide the first unequivocal evidence for interaction-based performance gains of groups in dynamic control tasks and imply that employers should rely on groups to provide opportunities for individual learning and to foster dynamic system control at its best.

How to conduct focus groups: researching group priorities through discussion.

Science.gov (United States)

1992-01-01

Focus groups serve to uncover priorities and beliefs of a target group, but health project designers do not always take the time to seek this information beforehand. Focus groups also allow various local subgroups to communicate their concerns before the project starts. Focus groups can also breed ideas and dialogue that individual interviews cannot and they provide baseline information so managers can determine if attitudes or priorities have resulted from the project. Diverse people have different beliefs, e.g., women who have young children view oral rehydration therapy differently from women with no children. Project designers can use these basic differences to arrive at some conclusions about general attitudes. Focus group facilitators should have a discussion outline to help keep the group on the topic of concern. They should limit sessions to 60-90 minutes. Each focus groups should include 8-10 people. It is important to have members of various community subgroups in each group. Yet group designers should be careful not to include within the same group, those who may intimidate other people in the group, e.g., in situations where farmers depend on middlemen, farmers may not be open if middlemen are also in the focus group. Facilitators should launch each session with an attempt to encourage the members to be open and to feel comfortable. For example, in Malawi, a facilitator leads her focus group discussions with songs. Stories are another icebreaker. It is important that all focus groups centering around a certain project discuss the same topics. Facilitators need to stress to the group that all discussions are to be kept confidential. The designers should also carefully word the questions so that facilitators will not impart their bias. Facilitators should not direct the group to certain conclusions, but instead keep the discussions focused.

Structural features and electronic properties of group-III-, group-IV-, and group-V-doped Si nanocrystallites

International Nuclear Information System (INIS)

Ramos, L E; Degoli, Elena; Cantele, G; Ossicini, Stefano; Ninno, D; Furthmueller, J; Bechstedt, F

2007-01-01

We investigate the incorporation of group-III (B and Al), group-IV (C and Ge), and group-V (N and P) impurities in Si nanocrystallites. The structural features and electronic properties of doped Si nanocrystallites, which are faceted or spherical-like, are studied by means of an ab initio pseudopotential method including spin polarization. Jahn-Teller distortions occur in the neighborhood of the impurity sites and the bond lengths show a dependence on size and shape of the nanocrystallites. We find that the acceptor (group-III) and donor (group-V) levels become deep as the nanocrystallites become small. The energy difference between the spin-up and spin-down levels of group-III and group-V impurities decreases as the size of the Si nanocrystallite increases and tends to the value calculated for Si bulk. Doping with carbon introduces an impurity-related level in the energy gap of the Si nanocrystallites

Cost-Effective Reciprocating Engine Emissions Control and Monitoring for E&P Field and Gathering Engines

Energy Technology Data Exchange (ETDEWEB)

Kirby S. Chapman; Sarah R. Nuss-Warren

2007-02-01

The objective of this project is to identify, develop, test, and commercialize emissions control and monitoring technologies that can be implemented by exploration and production (E&P) operators to significantly lower the cost of environmental compliance and expedite project permitting. The project team takes considerable advantage of the emissions control research and development efforts and practices that have been underway in the gas pipeline industry for the last 12 years. These efforts and practices are expected to closely interface with the E&P industry to develop cost-effective options that apply to widely-used field and gathering engines, and which can be readily commercialized. The project is separated into two phases. Phase 1 work establishes an E&P industry liaison group, develops a frequency distribution of installed E&P field engines, and identifies and assesses commercially available and emerging engine emissions control and monitoring technologies. Current and expected E&P engine emissions and monitoring requirements are reviewed, and priority technologies are identified for further development. The identified promising technologies are tested on a laboratory engine to confirm their generic viability. In addition, a full-scale field test of prototype emissions controls will be conducted on at least ten representative field engine models with challenging emissions profiles. Emissions monitoring systems that are integrated with existing controls packages will be developed. Technology transfer/commercialization is expected to be implemented through compressor fleet leasing operators, engine component suppliers, the industry liaison group, and the Petroleum Technology Transfer Council. This topical report discusses work completed during Phase 1 of the project Cost Effective Reciprocating Engine Emissions Control and Monitoring for E&P Field and Gathering Engines. In this report information, data, and results are compiled and summarized from quarterly

LYMAN : a new window on the universe

International Nuclear Information System (INIS)

Dopita, M.A.; Tuohy, I.R.; Mathewson, D.S.; Hunstead, R.W.; Waterworth, M.D.

1988-01-01

This document is the final Phase A Science Report of the Australian LYMAN Science Working Group, and describes in detail the scientific objectives, technical feasibility, and engineering implementation of the LYMAN mission as developed in the Australian studies. LYMAN represents the next generation, high-orbit, UV space observatory, and is designed to operate over the wavelength range λ 100 - 1900 Angstrom. The prime spectral range is λ 900 - 1250 Angstrom, which will be covered at a resolution of λ/Δ λ = 30000, and the sensitivity of the instrumentation will be orders of magnitude better than previous missions. In this region we find the Lyman series of molecular and atomic hydrogen, as well as a whole host of atomic and ionic lines of great diagnostic power. LYMAN will be able to accomplish uniquely valuable astrophysics as a result, and will be applied to the study of all types of astronomical targets in the fields of cosmology, galactic research, the interstellar medium, stars in all stages of their evolution, and to particular solar system objects. The LYMAN Mission was the subject of a $1M study contract awarded by the Australian Space Office, a section of DITAC, to Auspace Pty. Ltd. The Phase A study was conduced in parallel with the ESA Phase A Study, and with a strong scientific and technical liaison between the two groups. LYMAN is now likely to be launched as a joint ESA/NASA project, but the future Australian role in the mission, as determined by current policy, would be minimal. Australia would therefore be effectively locked out of the very exciting front-line science described in this document, and the valuable university - industry liaison that has been developed over the last eight years will be lost

78 FR 41032 - Proposed Information Collection; Comment Request; Foreign Availability Procedures

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2013-07-09

... comments to Jennifer Jessup, Departmental Paperwork Clearance Officer, Department of Commerce, Room 6616... instrument and instructions should be directed to Larry Hall, BIS ICB Liaison, (202) 482-4895, Lawrence.Hall...

Geometric group theory

CERN Document Server

Druţu, Cornelia

2018-01-01

The key idea in geometric group theory is to study infinite groups by endowing them with a metric and treating them as geometric spaces. This applies to many groups naturally appearing in topology, geometry, and algebra, such as fundamental groups of manifolds, groups of matrices with integer coefficients, etc. The primary focus of this book is to cover the foundations of geometric group theory, including coarse topology, ultralimits and asymptotic cones, hyperbolic groups, isoperimetric inequalities, growth of groups, amenability, Kazhdan's Property (T) and the Haagerup property, as well as their characterizations in terms of group actions on median spaces and spaces with walls. The book contains proofs of several fundamental results of geometric group theory, such as Gromov's theorem on groups of polynomial growth, Tits's alternative, Stallings's theorem on ends of groups, Dunwoody's accessibility theorem, the Mostow Rigidity Theorem, and quasiisometric rigidity theorems of Tukia and Schwartz. This is the f...

False-negative type-specific glycoprotein G antibody responses in STI clinic patients with recurrent HSV-1 or HSV-2 DNA positive genital herpes, The Netherlands.

Science.gov (United States)

van Rooijen, Martijn S; Roest, Wim; Hansen, Gino; Kwa, David; de Vries, Henry J C

2016-06-01

Herpes simplex virus (HSV) type-discriminating antibody tests (glycoprotein G (gG) directed) are used to identify naïve persons and differentiate acute infections from recurrences. We studied test characteristics of three commercially available antibody tests in patients with recurrent (established by viral PCR tests) herpes simplex virus type 1 (HSV-1) or herpes simplex virus type 2 (HSV-2) genital herpes episodes. Serum samples (at minimum 3 months after t=0) were examined for the presence of gG-1-specific or gG-2-specific antibodies using the HerpeSelect 1 and 2 Immunoblot IgG, the HerpeSelect 1 and 2 enzyme linked immunoassays IgG and the LIAISON HSV-1 and HSV-2 IgG indirect chemiluminescence immunoassays. The immunoblot was HSV-1 positive in 70.6% (95% CI 44.0% to 89.7%), the LIAISON in 88.2% (95% CI 63.5% to 98.5%) and the ELISA in 82.4% (95% CI 56.6% to 96.2%) of the 17 patients with a recurrent HSV-1 episode. From 33 patients with a recurrent HSV-2 episode, the immunoblot was HSV-2 positive in 84.8% (95% CI 68.1% to 94.9%), the LIAISON in 69.7% (95% CI 51.3% to 84.4%) and the ELISA in 84.8% (95% CI 68.1% to 94.9%). Among 15/17 (88.2%; 95% CI 63.5% to 98.5%) patients with HSV-1 and 30/33 (90.1%; 95% CI 75.7% to 98.1%) patients with HSV-2, HSV-1 or HSV-2 antibodies, respectively, were detected in at least one of the three antibody tests. Commercial type-specific gG HSV-1 or HSV-2 antibody assays were false negative in 12-30% of patients with recurrent HSV-1 or HSV-2 DNA positive genital lesions. The clinical and epidemiological use of type-specific HSV serology can be hampered by false-negative results, especially if based on a single test. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

ALIGNMENTS OF GROUP GALAXIES WITH NEIGHBORING GROUPS

International Nuclear Information System (INIS)

Wang Yougang; Chen Xuelei; Park, Changbom; Yang Xiaohu; Choi, Yun-Young

2009-01-01

Using a sample of galaxy groups found in the Sloan Digital Sky Survey Data Release 4, we measure the following four types of alignment signals: (1) the alignment between the distributions of the satellites of each group relative to the direction of the nearest neighbor group (NNG); (2) the alignment between the major axis direction of the central galaxy of the host group (HG) and the direction of the NNG; (3) the alignment between the major axes of the central galaxies of the HG and the NNG; and (4) the alignment between the major axes of the satellites of the HG and the direction of the NNG. We find strong signal of alignment between the satellite distribution and the orientation of central galaxy relative to the direction of the NNG, even when the NNG is located beyond 3r vir of the host group. The major axis of the central galaxy of the HG is aligned with the direction of the NNG. The alignment signals are more prominent for groups that are more massive and with early-type central galaxies. We also find that there is a preference for the two major axes of the central galaxies of the HG and NNG to be parallel for the system with both early central galaxies, however, not for the systems with both late-type central galaxies. For the orientation of satellite galaxies, we do not find any significant alignment signals relative to the direction of the NNG. From these four types of alignment measurements, we conclude that the large-scale environment traced by the nearby group affects primarily the shape of the host dark matter halo, and hence also affects the distribution of satellite galaxies and the orientation of central galaxies. In addition, the NNG directly affects the distribution of the satellite galaxies by inducing asymmetric alignment signals, and the NNG at very small separation may also contribute a second-order impact on the orientation of the central galaxy in the HG.

24 CFR 982.612 - Group home: State approval of group home.

Science.gov (United States)

2010-04-01

... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Group home: State approval of group... Types Group Home § 982.612 Group home: State approval of group home. A group home must be licensed..., Retardation, or Social Services) as a group home for elderly persons or persons with disabilities. ...

Abelian groups

CERN Document Server

Fuchs, László

2015-01-01

Written by one of the subject’s foremost experts, this book focuses on the central developments and modern methods of the advanced theory of abelian groups, while remaining accessible, as an introduction and reference, to the non-specialist. It provides a coherent source for results scattered throughout the research literature with lots of new proofs. The presentation highlights major trends that have radically changed the modern character of the subject, in particular, the use of homological methods in the structure theory of various classes of abelian groups, and the use of advanced set-theoretical methods in the study of undecidability problems. The treatment of the latter trend includes Shelah’s seminal work on the undecidability in ZFC of Whitehead’s Problem; while the treatment of the former trend includes an extensive (but non-exhaustive) study of p-groups, torsion-free groups, mixed groups, and important classes of groups arising from ring theory. To prepare the reader to tackle these topics, th...

78 FR 69550 - Privacy Act; Implementation

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2013-11-20

... and open manner without fear of retribution or harassment in order to facilitate a just, thorough, and... retribution or harassment. Dated: November 12, 2013. Aaron Siegel, Alternate OSD Federal Register Liaison...

Journal of Agricultural Extension Vol.17 (2) December, 2013 ISSN ...

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National Agricultural Extension Research Liaison Services (NAERGLS), ... agricultural extension, the organization is meant to serve the extension, ... farm families ratio, extension agents (EAs) training, and the likely causes of the problem.

78 FR 41032 - Proposed Information Collection; Comment Request; Special Comprehensive License

Science.gov (United States)

2013-07-09

... to Jennifer Jessup, Departmental Paperwork Clearance Officer, Department of Commerce, Room 6616, 14th... instrument and instructions should be directed to Larry Hall, BIS ICB Liaison, (202) 482-4895, Lawrence.Hall...

22 CFR 66.5 - Availability of NED records.

Science.gov (United States)

2010-04-01

... General Counsel and Congressional Liaison at the following address: Freedom of Information/Privacy Acts.... (4) Advance payments—NED shall not require payment for fees before work has commenced or continued on...

CERN Neutrinos search for sunshine in Italy!

CERN Document Server

Wednesday, 18th June 2008. The CNGS (CERN Neutrinos to Gran Sasso) beam has re-started, shooting muon neutrinos towards Italy. The neutrino beam should run this year until mid November.The aim of CNGS is to understand the oscillation of neutrinos, for example their transformation from muon into tau neutrinos over long distances.Edda Gschwendtner, the liaison physicist of the CNGS beam, describes the progress of the project, “We did a lot of modifications this year to CNGS, which was a huge amount of work, with many groups and services involved. In parallel the OPERA detector in Italy made an enormous progress in completing their detector and we are looking forward to seeing tau neutrinos soon.”

28 June 2017 - Italian Agnelli Foundation Vice Chairman, and Fiat Chrysler Automobiles Chairman, J. Elkann signing the guest book with CERN Director-General F. Gianotti

CERN Multimedia

Bennett, Sophia Elizabeth

2017-01-01

from left to right in 53__MA27642: Scuola di Alta Formazione al Management Project manager R. Movva; Agnelli Foundation Director A. Gavosto; Agnelli Foundation Head of Innovation A. Griva; Scuola di Alta Formazione al Management Director S. Pettochi; Agnelli Foundation Vice Chairman, and Fiat Chrysler Automobiles Chairman J. Elkann; CERN Director-General F. Gianotti; Director for International Relations C. Warakaulle; Management Liaison for the Italian Republic, Engineering Department Head R. Losito; Knowledge Transfer Group Leader G. Anelli. Signature of the Framework agreement between the Scuola di Alta Formazione al Management, represented by Director S. Petocchi and CERN, represented by Director-General F. Gianotti, witnessed by Agnelli Foundation Vice Chairman J. Elkann.

A European network for nuclear medicine and radiotherapy. EMIR

International Nuclear Information System (INIS)

Jehenson, P.; Lartigau, E.; Guidez, J.

2003-01-01

Nuclear medicine and radiotherapy make a vital contribution to the diagnosis and treatment of major disease. This role is likely to expand with new developments including availability of new medical isotopes. A European network (EMIR) was initiated in 2001 by the Joint Research Centre (JRC) of the European Commission, to identify and solve difficulties that constrain nuclear medicine and radiotherapy development in Europe and facilitate closer interdisciplinary collaboration. Participating organisations include the main European associations of medical radiation specialists, radiopharmaceutical/radioisotope producers, nuclear research reactor institutions, research organizations and the JRC. The steering committee established task groups focusing on eight key areas for development. Liaison with non-European organizations will be encouraged. (author)

Study of sulfur and vanadium in heavy petroleum products

Energy Technology Data Exchange (ETDEWEB)

Novelli, J.M.

1982-10-01

Sulfur compounds in heavy oil fractions (>450/sup 0/C) are studied in the first part of this work. After chemical oxidation by metachloroperbenzoic acid to obtain sulfones, sulfur compounds are analyzed by infrared spectroscopy for their qualitative and quantitative repartition. The method can be applied for the study of sulfur containing molecules before and after structural modifications of petroleum fractions by any chemical refining processes. In a second part vanadium is characterized in asphalt by physicochemical and chemical methods. 80% of the vanadium in a Boscan asphalt is under the form of porphyrins. Different associations are evidenced in petroleum fractions and metalloporphyrins, but the liaison between the vanadyl group and heterocondensate from asphalts is the more frequent.

Clifford algebras, spinors, spin groups and covering groups

International Nuclear Information System (INIS)

Magneville, C.; Pansart, J.P.

1991-03-01

The Dirac equation uses matrices named Υ matrices which are representations of general algebraic structures associated with a metric space. These algebras are the Clifford algebras. In the first past, these algebras are studied. Then the notion of spinor is developed. It is shown that Majorana and Weyl spinors only exist for some particular metric space. In the second part, Clifford and spinor groups are studied. They may be interpreted as the extension of the notion of orthogonal group for Clifford algebras and their spaces for representation. The rotation of a spinor is computed. In the last part, the connexion between the spinor groups and the Universal Covering Groups is presented [fr

INIS Progress and Activity Report 2012

International Nuclear Information System (INIS)

2013-01-01

Highlights: The International Nuclear Information System (INIS) was established in 1969 by the International Atomic Energy Agency (IAEA) in collaboration with interested Member States and international organizations. The main objective of INIS is to provide access to information on scientific literature on the peaceful uses of nuclear energy published worldwide. INIS operates under special membership arrangements that set specific duties and privileges. Currently 128 Member States and 24 international organizations are members of INIS. In early 2012, Mr Yukiya Amano, the Director General of IAEA, approved the overall restructuring of the Department of Nuclear Energy (NE). This included the creation of the Nuclear Information Section (NIS) and the establishment of a separate Nuclear Knowledge Management Section. The newly created Nuclear Information Section consists of: • INIS Unit • IAEA Library Unit • Systems Development and Support Group; The restructuring and creation of NIS provides an opportunity to further enhance existing information products and services, and introduce new ones geared towards achieving higher organizational efficiency and effectiveness. The Content Management Group, Database Production and Imaging Group, and Capacity Building and Liaison Group were combined to create one single monolithic INIS Unit. The restructuring and creation of NIS provides an opportunity to further enhance existing information products and services, and introduce new ones geared towards achieving higher organizational efficiency and effectiveness. The Content Management Group, Database Production and Imaging Group, and Capacity Building and Liaison Group were combined to create one single monolithic INIS Unit. The 36th Consultative Meeting of the INIS Liaison Officers (ILOM), held in Vienna from 4-5 October, 2012, was attended by representatives from 47 Member States and 5 international organizations. The meeting reviewed INIS activities since the 35th ILOM

INIS Progress and Activity Report 2012

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-07-01

Highlights: The International Nuclear Information System (INIS) was established in 1969 by the International Atomic Energy Agency (IAEA) in collaboration with interested Member States and international organizations. The main objective of INIS is to provide access to information on scientific literature on the peaceful uses of nuclear energy published worldwide. INIS operates under special membership arrangements that set specific duties and privileges. Currently 128 Member States and 24 international organizations are members of INIS. In early 2012, Mr Yukiya Amano, the Director General of IAEA, approved the overall restructuring of the Department of Nuclear Energy (NE). This included the creation of the Nuclear Information Section (NIS) and the establishment of a separate Nuclear Knowledge Management Section. The newly created Nuclear Information Section consists of: Bullet INIS Unit Bullet IAEA Library Unit Bullet Systems Development and Support Group; The restructuring and creation of NIS provides an opportunity to further enhance existing information products and services, and introduce new ones geared towards achieving higher organizational efficiency and effectiveness. The Content Management Group, Database Production and Imaging Group, and Capacity Building and Liaison Group were combined to create one single monolithic INIS Unit. The restructuring and creation of NIS provides an opportunity to further enhance existing information products and services, and introduce new ones geared towards achieving higher organizational efficiency and effectiveness. The Content Management Group, Database Production and Imaging Group, and Capacity Building and Liaison Group were combined to create one single monolithic INIS Unit. The 36th Consultative Meeting of the INIS Liaison Officers (ILOM), held in Vienna from 4-5 October, 2012, was attended by representatives from 47 Member States and 5 international organizations. The meeting reviewed INIS activities since the 35th

Quantum isometry groups

Indian Academy of Sciences (India)

Jyotishman Bhowmick

2015-11-07

Nov 7, 2015 ... Classical. Quantum. Background. Compact Hausdorff space. Unital C∗ algebra. Gelfand-Naimark. Compact Group. Compact Quantum Group. Woronowicz. Group Action. Coaction. Woronowicz. Riemannian manifold. Spectral triple. Connes. Isometry group. Quantum Isometry Group. To be discussed.

Perceptual grouping and attention: not all groupings are equal.

Science.gov (United States)

Kimchi, Ruth; Razpurker-Apfeld, Irene

2004-08-01

We examined grouping under inattention using Driver, Davis, Russell, Turatto, & Freeman's (2001) method. On each trial, two successive displays were briefly presented, each comprising a central target square surrounded by elements. The task was to judge whether the two targets were the same or different. The organization of the background elements stayed the same or changed, independently of the targets. In different conditions, background elements grouped into columns/rows by color similarity, a shape (a triangle/arrow, a square/cross, or a vertical/horizontal line) by color similarity, and a shape with no other elements in the background. We measured the influence of the background on the target same-different judgments. The results imply that background elements grouped into columns/rows by color similarity and into a shape when no segregation from other elements was involved and the shape was relatively "good." In contrast, no background grouping was observed when resolving figure-ground relations for segregated units was required, as in grouping into a shape by color similarity. These results suggest that grouping is a multiplicity of processes that vary in their attentional demands. Regardless of attentional demands, the products of grouping are not available to awareness without attention.

Group Work: How to Use Groups Effectively

Science.gov (United States)

Burke, Alison

2011-01-01

Many students cringe and groan when told that they will need to work in a group. However, group work has been found to be good for students and good for teachers. Employers want college graduates to have developed teamwork skills. Additionally, students who participate in collaborative learning get better grades, are more satisfied with their…

Working with Group-Tasks and Group Cohesiveness

Science.gov (United States)

Anwar, Khoirul

2016-01-01

This study aimed at exploring the connection between the use of group task and group cohesiveness. This study is very important because the nature of the learner's success is largely determined by the values of cooperation, interaction, and understanding of the learning objectives together. Subjects of this study are 28 students on the course…

Temperature Management After Cardiac Arrest: An Advisory Statement by the Advanced Life Support Task Force of the International Liaison Committee on Resuscitation and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.

Science.gov (United States)

Donnino, Michael W; Andersen, Lars W; Berg, Katherine M; Reynolds, Joshua C; Nolan, Jerry P; Morley, Peter T; Lang, Eddy; Cocchi, Michael N; Xanthos, Theodoros; Callaway, Clifton W; Soar, Jasmeet

2016-01-01

For more than a decade, mild induced hypothermia (32 °C-34 °C) has been standard of care for patients remaining comatose after resuscitation from out-of-hospital cardiac arrest with an initial shockable rhythm, and this has been extrapolated to survivors of cardiac arrest with initially nonshockable rhythms and to patients with in-hospital cardiac arrest. Two randomized trials published in 2002 reported a survival and neurological benefit with mild induced hypothermia. One recent randomized trial reported similar outcomes in patients treated with targeted temperature management at either 33 °C or 36 °C. In response to these new data, the International Liaison Committee on Resuscitation Advanced Life Support Task Force performed a systematic review to evaluate 3 key questions: (1) Should mild induced hypothermia (or some form of targeted temperature management) be used in comatose post-cardiac arrest patients? (2) If used, what is the ideal timing of the intervention? (3) If used, what is the ideal duration of the intervention? The task force used Grading of Recommendations Assessment, Development and Evaluation methodology to assess and summarize the evidence and to provide a consensus on science statement and treatment recommendations. The task force recommends targeted temperature management for adults with out-of-hospital cardiac arrest with an initial shockable rhythm at a constant temperature between 32 °C and 36 °C for at least 24 hours. Similar suggestions are made for out-of-hospital cardiac arrest with a nonshockable rhythm and in-hospital cardiac arrest. The task force recommends against prehospital cooling with rapid infusion of large volumes of cold intravenous fluid. Additional and specific recommendations are provided in the document. Copyright © 2015. Published by Elsevier Ireland Ltd.

Group Insight Versus Group Desensitization in Treating Speech Anxiety

Science.gov (United States)

Meichenbaum, Donald H.; And Others

1971-01-01

Results of this study indicated that the insight group was as effective as the desensitization group in significantly reducing speech anxiety over control group levels as assessed by behavioral, cognitive, and self-report measures given immediately after posttreatment and later at a three-month follow-up. (Author)

32 CFR 270.7 - Verification of eligibility.

Science.gov (United States)

2010-07-01

...) Maintain a liaison with on-site personnel at the National Archives Center, College Park, Maryland, to organize and translate finance records for review. (3) Upon receipt of each Application for Compensation of...

78 FR 47018 - Excepted Service

Science.gov (United States)

2013-08-02

... DH130091 6/13/2013 Secretary. Liaison for Political Personnel, Boards and Commissions. Department of... Secretary. Department of Justice Civil Division.... Counsel and Chief DJ120073 6/1/2013 of Staff. Criminal...

77 FR 2270 - Proposed Information Collection; Comment Request; Firearms Convention

Science.gov (United States)

2012-01-17

... Jennifer Jessup, Departmental Paperwork Clearance Officer, Department of Commerce, Room 6616, 14th and... and instructions should be directed to Larry Hall, BIS ICB Liaison, (202) 482-4895, Lawrence[email protected

Small Group Research

Science.gov (United States)

McGrath, Joseph E.

1978-01-01

Summarizes research on small group processes by giving a comprehensive account of the types of variables primarily studied in the laboratory. These include group structure, group composition, group size, and group relations. Considers effects of power, leadership, conformity to social norms, and role relationships. (Author/AV)

Diagnostic overshadowing and other challenges involved in the diagnostic process of patients with mental illness who present in emergency departments with physical symptoms--a qualitative study.

Science.gov (United States)

Shefer, Guy; Henderson, Claire; Howard, Louise M; Murray, Joanna; Thornicroft, Graham

2014-01-01

We conducted a qualitative study in the Emergency Departments (EDs) of four hospitals in order to investigate the perceived scope and causes of 'diagnostic overshadowing'--the misattribution of physical symptoms to mental illness--and other challenges involved in the diagnostic process of people with mental illness who present in EDs with physical symptoms. Eighteen doctors and twenty-one nurses working in EDs and psychiatric liaisons teams in four general hospitals in the UK were interviewed. Interviewees were asked about cases in which mental illness interfered with diagnosis of physical problems and about other aspects of the diagnostic process. Interviews were transcribed and analysed thematically. Interviewees reported various scenarios in which mental illness or factors related to it led to misdiagnosis or delayed treatment with various degrees of seriousness. Direct factors which may lead to misattribution in this regard are complex presentations or aspects related to poor communication or challenging behaviour of the patient. Background factors are the crowded nature of the ED environment, time pressures and targets and stigmatising attitudes held by a minority of staff. The existence of psychiatric liaison team covering the ED twenty-four hours a day, seven days a week, can help reduce the risk of misdiagnosis of people with mental illness who present with physical symptoms. However, procedures used by emergency and psychiatric liaison staff require fuller operationalization to reduce disagreement over where responsibilities lie.

Sex differences in language across early childhood: Family socioeconomic status does not impact boys and girls equally

Directory of Open Access Journals (Sweden)

Stéphanie eBarbu

2015-12-01

Full Text Available Child sex and family socioeconomic status (SES have been repeatedly identified as a source of inter-individual variation in language development; yet their interactions have rarely been explored. While sex differences are the focus of a renewed interest concerning emerging language skills, data remain scarce and are not consistent across preschool years. The questions of whether family SES impacts boys and girls equally, as well as of the consistency of these differences throughout early childhood, remain open. We evaluated consistency of sex differences across SES and age by focusing on how children (N = 262, from 2;6 to 6;4 years old, from two contrasting social backgrounds, acquire a frequent phonological alternation in French – the liaison. By using a picture naming task eliciting the production of obligatory liaisons, we found evidence of sex differences over the preschool years in low-SES children, but not between high-SES boys and girls whose performances were very similar. Low-SES boys’ performances were the poorest whereas low-SES girls’ performances were intermediate, that is, lower than those of high-SES children of both sexes but higher than those of low-SES boys. Although all children’s mastery of obligatory liaisons progressed with age, our findings showed a significant impeding effect of low-SES, especially for boys.

Group Leader Development: Effects of Personal Growth and Psychoeducational Groups

Science.gov (United States)

Ohrt, Jonathan H.; Robinson, E. H., III; Hagedorn, W. Bryce

2013-01-01

The purpose of this quasi-experimental study was to compare the effects of personal growth groups and psychoeducational groups on counselor education students' (n = 74) empathy and group leader self-efficacy. Additionally, we compared the degree to which participants in each group valued: (a) cohesion, (b) catharsis, and (c) insight. There were no…

Group-analytic training groups for psychology students: A qualitative study

DEFF Research Database (Denmark)

Nathan, Vibeke Torpe; Poulsen, Stig

2004-01-01

This article presents results from an interview study of psychology students' experiences from group-analytic groups conducted at the University of Copenhagen. The primary foci are the significance of differences in themotivation participants'  personal aims of individual participantsfor particip......This article presents results from an interview study of psychology students' experiences from group-analytic groups conducted at the University of Copenhagen. The primary foci are the significance of differences in themotivation participants'  personal aims of individual participantsfor...... participation in the group, the impact of the composition of participants on the group process, and the professional learning through the group experience. In general the interviews show a marked satisfaction with the group participation. In particular, learning about the importance of group boundaries...

Die waarde en uitdagings van diensleer vir tolkopleiding: die ...

African Journals Online (AJOL)

The quest for effective communication in society and the language realities of the public arena, ... liaison interpreters in the healthcare setting (see Levin 2005; Schlemmer ...... EN NEDERLANDS • DEPARTMENT OF AFRIKAANS AND DUTCH.

Independent Quality Control Review of EPA OIG Operations

Science.gov (United States)

The review considers selected audit work performed by EPA OIG, Office of Audit, Congressional and Public Liaison, Mission Systems, and Program Evaluation, during the period for 1 October 2006 through 30 September 2007 .

75 FR 43494 - Privacy Act of 1974; System of Records

Science.gov (United States)

2010-07-26

... Register Liaison Officer, Department of Defense. GNSA 01 System name: NSA/CSS Access, Authority and Release... records are covered by GNSA 11, NSA/CSS Key Accountability Records, GNSA 10, NSA/CSS Personnel Security...

Framing effects in group investment decision making: role of group polarization.

Science.gov (United States)

Cheng, Pi-Yueh; Chiou, Wen-Bin

2008-02-01

Prospect theory proposes that framing effects result in a preference for risk-averse choices in gain situations and risk-seeking choices in loss situations. However, in group polarization situations, groups show a pronounced tendency to shift toward more extreme positions than those they initially held. Whether framing effects in group decision making are more prominent as a result of the group-polarization effect was examined. Purposive sampling of 120 college students (57 men, 63 women; M age = 20.1 yr., SD = 0.9) allowed assessment of relative preference between cautious and risky choices in individual and group decisions. Findings indicated that both group polarization and framing effects occur in investment decisions. More importantly, group decisions in a gain situation appear to be more cautious, i.e., risk averse, than individual decisions, whereas group decisions in the loss situation appear to be more risky than individual decisions. Thus, group decision making may expand framing effects when it comes to investment choices through group polarization.

When are emotions related to group-based appraisals? : A comparison between group-based emotions and general group emotions

NARCIS (Netherlands)

Kuppens, Toon; Yzerbyt, Vincent Y.

2014-01-01

In the literature on emotions in intergroup relations, it is not always clear how exactly emotions are group-related. Here, we distinguish between emotions that involve appraisals of immediate group concerns (i.e., group-based emotions) and emotions that do not. Recently, general group emotions,

Cooperation during cultural group formation promotes trust towards members of out-groups.

Science.gov (United States)

Pan, Xiaofei Sophia; Houser, Daniel

2013-07-07

People often cooperate with members of their own group, and discriminate against members of other groups. Previous research establishes that cultural groups can form endogenously, and that these groups demonstrate in-group favouritism. Given the presence of cultural groups, the previous literature argues that cultural evolution selects for groups that exhibit parochial altruism. The source of initial variation in these traits, however, remains uninformed. We show here that a group's economic production environment may substantially influence parochial tendencies, with groups formed around more cooperative production (CP) displaying less parochialism than groups formed around more independent production (IP) processes. Participants randomized into CP and IP production tasks formed cultural groups, and subsequently played hidden-action trust games with in-group and out-group trustees. We found CP to be associated with significantly greater sharing and exchanging behaviours than IP. In trust games, significant parochial altruism (in-group favouritism combined with out-group discrimination) was displayed by members of IP groups. By contrast, members of CP groups did not engage in either in-group favouritism or out-group discrimination. Further, we found the absence of out-group discrimination in CP to persist even following 'betrayal'. Finally, belief data suggest that members of CP are not more intrinsically generous than IP members, but rather more likely to believe that out-group trustees will positively reciprocate. Our results have important implications for anyone interested in building cooperative teams, and shed new light on connections between culture and cooperation.

The Effects of Music and Group Stage on Group Leader and Member Behavior in Psychoeducational Groups for Children of Divorce

Science.gov (United States)

Cercone, Kristin; DeLucia-Waack, Janice

2012-01-01

This study examined the effects of music and group stage on group process and group leader and member behavior within 8-week psychoeducational groups for children of divorce. Audiotapes of group sessions were rated using the Interactional Process Analysis and the Group Sessions Ratings Scale. Both treatment groups were very similar in terms of…

Minding Your Metabolism: Can You Avoid Middle-Age Spread?

Science.gov (United States)

... and break down foods differently. You also lose lean muscle. Unless you exercise more and adjust your ... 2 Diabetes: Steps Toward a Healthier Life NIH Office of Communications and Public Liaison Building 31, Room ...

Process Coordination and Policy Officer | IDRC - International ...

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

Such liaison aims to ensure that the operational aspects and requirements are taken into account. ... Business Process Coordination and Change Management ... Liaises with the Resources Planning and Development Officer of the Office of ...

E-groups training

CERN Multimedia

HR Department

2012-01-01

There will be an e-groups training course on 16 March 2012 which will cover the main e-groups functionalities i.e.: creating and managing e-groups, difference between static and dynamic e-groups, configuring posting restrictions and archives, examples of where e-groups can be used in daily work. Even if you have already worked with e-groups, this may be a good opportunity to learn about the best practices and security related recommendations when using e-groups. You can find more details as well as enrolment form for the training (it’s free) here. The number of places is limited, so enrolling early is recommended.   Technical Training Tel. 72844

Definable Group Extensions and o-Minimal Group Cohomology via Spectral Sequences

OpenAIRE

BARRIGA, ELIANA

2013-01-01

We provide the theoretical foundation for the Lyndon-Hochschild-Serre spectral sequence as a tool to study the group cohomology and with this the group extensions in the category of definable groups. We also present various results on definable modules and actions, definable extensions and group cohomology of definable groups. These have applications to the study of non-definably compact groups definable in o-minimal theories (see [1]). Se presenta el fundamento teórico para las sucesiones...

Breaking the Mould: How Re-examining the Allocation Formula Led to the Creation of a Dynamic Role for the University's Librarians

Directory of Open Access Journals (Sweden)

Terrence Paris

2007-09-01

Full Text Available A modestly conceived proposal to change a long established allocation formula rapidly evolved into a new model of library service. The new model created five discipline fund groups: Humanities, Social Sciences, Sciences, Educational Studies and Business Studies and the assignment of liaison tasks to the five professional librarians and the archivist. The goal of creating a fairer allocation was superseded by more substantive goals intended to: loosen the ties of collections funding to 24 departments by funding groups of cognate disciplines and unique programs of interdisciplinary instruction and research; involve all librarians in the task of collection analysis and development; and redefine librarian positions to promote their contribution as full partners with classroom faculty in solving problems and improving research and teaching. Along with improved collections, the ultimate goal was a full integration of the librarians’ professional expertise with the University's newly drafted strategic plan.

Breaking the Mould: How Re-examining the Allocation Formula Led to the Creation of a Dynamic Role for the University's Librarians

Directory of Open Access Journals (Sweden)

Terrence Paris

2007-12-01

Full Text Available A modestly conceived proposal to change a long established allocation formula rapidly evolved into a new model of library service. The new model created five discipline funds groups: Humanities, Social Sciences, Sciences, Educational Studies and Business Studies and the assignment of liaison tasks to the five professional librarians and the archivist. The goal of creating a fairer allocation was superseded by more substantive goals intended to: loosen the ties of collections funding to 24 departments by funding groups of cognate disciplines and unique programs of interdisciplinary instruction and research; involve all librarians in the task of collection analysis and development; redefine librarian positions to promote their contribution as full partners with classroom faculty in solving problems and improving research and teaching. Along with improved collections, the ultimate goal is a full integration of the librarians’ professional expertise with the University's newly drafted strategic plan.

Clinical neuro-oncology formal education opportunities for medical students in the United States and Canada.

Science.gov (United States)

Dixit, Karan S; Nicholas, Martin Kelly; Lukas, Rimas V

2014-12-01

To develop an understanding of the availability of the formal clinical neuro-oncology educational opportunities for medical students. The curriculum websites of all medical schools accredited by the Liaison Committee on Medical Education were reviewed for the presence of clinical neuro-oncology electives as well as other relevant data. Ten (6.8%) of medical schools accredited by the Liaison Committee on Medical Education offer formal neuro-oncology electives. Half are clustered in the Midwest. Forty percent are at institutions with neuro-oncology fellowships. All are at institutions with neurosurgery and neurology residency programs. Formal clinical neuro-oncology elective opportunities for medical students in the United States and Canada are limited. Additional such opportunities may be of value in the education of medical students. Copyright © 2014 Elsevier Inc. All rights reserved.

South African Propaganda Agencies and the Battle for Public ...

African Journals Online (AJOL)

flmonama

Scholarly literature on South Africa's role and experience during the Second World .... In November 1939, the DOD appointed a chief press liaison officer, Captain .... Government Printer was accountable for financial expenditures.94 Within the ...

Weighing in on Dietary Fats

Science.gov (United States)

... to simply reduce your portion sizes. “Choose more lean meats, like poultry without the skin. Eat more ... and Use the Nutrition Facts Label (FDA) NIH Office of Communications and Public Liaison Building 31, Room ...

Process Coordination & Policy Officer | IDRC - International ...

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

Such liaison aims to ensure that the operational aspects and requirements are taken into account. ... Business Process Coordination and Change Management ... plan and coordinating the update of the Division's work plan by all managers; ...

Trajectory grouping structure

Directory of Open Access Journals (Sweden)

Maike Buchin

2015-03-01

Full Text Available The collective motion of a set of moving entities like people, birds, or other animals, is characterized by groups arising, merging, splitting, and ending. Given the trajectories of these entities, we define and model a structure that captures all of such changes using the Reeb graph, a concept from topology. The trajectory grouping structure has three natural parameters that allow more global views of the data in group size, group duration, and entity inter-distance. We prove complexity bounds on the maximum number of maximal groups that can be present, and give algorithms to compute the grouping structure efficiently. We also study how the trajectory grouping structure can be made robust, that is, how brief interruptions of groups can be disregarded in the global structure, adding a notion of persistence to the structure. Furthermore, we showcase the results of experiments using data generated by the NetLogo flocking model and from the Starkey project. The Starkey data describe the movement of elk, deer, and cattle. Although there is no ground truth for the grouping structure in this data, the experiments show that the trajectory grouping structure is plausible and has the desired effects when changing the essential parameters. Our research provides the first complete study of trajectory group evolvement, including combinatorial,algorithmic, and experimental results.

Inter-group and intra-group assertiveness: adolescents' social skills following cultural transition.

Science.gov (United States)

Korem, Anat; Horenczyk, Gabriel; Tatar, Moshe

2012-08-01

The goals of this study were to examine intra-group and inter-group assertiveness among adolescents, and to compare these two domains of assertiveness between cultural groups in Israel. Measures of intra-group and inter-group assertiveness were developed, and questionnaires were administrated to 441 immigrants from the Former Soviet Union (FSU), 242 immigrants from Ethiopia and 333 non-immigrants. Compared to non-immigrants, FSU and Ethiopian immigrants' inter-group assertiveness was lower. Girls reported higher levels of inter-group assertiveness than boys. Each of the immigrant groups rates itself as equally assertive as the non-immigrant group and more assertive than the other immigrant group. Also, a difference between inter-group and intra-group assertiveness was found among the FSU immigrants. It is argued that adolescents' assertiveness following cultural transition is associated with socio-cultural context, and the implications of this conclusion are discussed. Copyright © 2011 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

Effectiveness of Group Supervision versus Combined Group and Individual Supervision.

Science.gov (United States)

Ray, Dee; Altekruse, Michael

2000-01-01

Investigates the effectiveness of different types of supervision (large group, small group, combined group, individual supervision) with counseling students (N=64). Analyses revealed that all supervision formats resulted in similar progress in counselor effectiveness and counselor development. Participants voiced a preference for individual…

The group-as-a-whole-object relations model of group psychotherapy.

Science.gov (United States)

Rosen, D; Stukenberg, K W; Saeks, S

2001-01-01

The authors review the theoretical basis of group psychotherapy performed at The Menninger Clinic and demonstrate how the theory has been put into practice on two different types of inpatient units. The fundamental elements of the theory and practice used can be traced to object relations theory as originally proposed by Melanie Klein. Her work with individuals was directly applied to working with groups by Ezriel and Bion, who focused on interpreting group tension. More modern approaches have reintegrated working with individual concerns while also attending to the group-as-a-whole. Historically, these principles have been applied to long-term group treatment. The authors apply the concepts from the group-as-a-whole literature to short- and medium-length inpatient groups with open membership. They offer clinical examples of the application of these principles in short-term inpatient settings in groups with open membership.

Group lending and the role of the group leader

OpenAIRE

Eijkel, van, R.; Hermes, N.; Lensink, B.W.

2011-01-01

This paper investigates strategic monitoring behavior within group lending. We show that monitoring efforts of group members differ in equilibrium due to the asymmetry between members in terms of future profits. In particular, we show that the entrepreneur with the highest future profits also puts in the highest monitoring effort. Moreover, monitoring efforts differ between group members due to free-riding: one member reduces her level of monitoring if the other increases her monitoring effor...

Citizens' action group

International Nuclear Information System (INIS)

Andritzky, W.

1978-01-01

For the first empirical study of citizens' action groups 331 such groups were consulted. Important information was collected on the following aspects of these groups: their self-image, areas and forms of activities, objectives and their extent, how long the group has existed, successes and failures and their forms of organisation. (orig.) [de

Facilitating Group Decision-Making: Facilitator's Subjective Theories on Group Coordination

Directory of Open Access Journals (Sweden)

Michaela Kolbe

2008-10-01

Full Text Available A key feature of group facilitation is motivating and coordinating people to perform their joint work. This paper focuses on group coordination which is a prerequisite to group effectiveness, especially in complex tasks. Decision-making in groups is a complex task that consequently needs to be coordinated by explicit rather than implicit coordination mechanisms. Based on the embedded definition that explicit coordination does not just happen but is purposely executed by individuals, we argue that individual coordination intentions and mechanisms should be taken into account. Thus far, the subjective perspective of coordination has been neglected in coordination theory, which is understandable given the difficulties in defining and measuring subjective aspects of group facilitation. We therefore conducted focused interviews with eight experts who either worked as senior managers or as experienced group facilitators and analysed their approaches to group coordination using methods of content analysis. Results show that these experts possess sophisticated mental representations of their coordination behaviour. These subjective coordination theories can be organised in terms of coordination schemes in which coordination-releasing situations are facilitated by special coordination mechanisms that, in turn, lead to the perception of specific consequences. We discuss the importance of these subjective coordination theories for effectively facilitating group decision-making and minimising process losses. URN: urn:nbn:de:0114-fqs0901287

What an Indian Proverb Can Teach Us About Communication

Science.gov (United States)

Cancer Research in the Media: International Workshop for Scientific Journalism (CRiM), held last month in India - a partnership of the NCI Office of Communications and Public Liaison (OCPL) and NCI Center for Global Health (CGH).

Clinical Trials in Vision Research

Science.gov (United States)

... e.g., surgery) delivery systems (e.g., telemedicine, face-to-face interviews) ways to change health-related behavior (e. ... is maintained by the NEI Office of Science Communications, Public Liaison, and Education. Technical questions about this ...

32 CFR Appendix A to Part 513 - References

Science.gov (United States)

2010-07-01

... regulation. AR 1-9 White House Liaison, Communications, and Inspections. AR 11-2 Internal Control Systems. AR..., Organization, and Training. AR 210-24 Credit Unions. AR 210-60 Control and Prevention of Abuse of Check Cashing...

Any of them will do: In-group identification, out-group entitativity, and gang membership as predictors of group-based retribution.

Science.gov (United States)

Vasquez, Eduardo A; Wenborne, Lisa; Peers, Madeline; Alleyne, Emma; Ellis, Kirsty

2015-05-01

In non-gang populations, the degree of identification with an in-group and perceptions of out-group entitativity, the perception of an out-group as bonded or unified, are important contributors to group-based aggression or vicarious retribution. The link between these factors and group-based aggression, however, has not been examined in the context of street gangs. The current study assessed the relationship among in-group identification, perceptions of out-group entitativity, and the willingness to retaliate against members of rival groups who did not themselves attack the in-group among juvenile gang and non-gang members in London. Our results showed the predicted membership (gang/non-gang) × in-group identification × entitativity interaction. Decomposition of the three-way interaction by membership revealed a significant identification × entitativity interaction for gang, but not for non-gang members. More specifically, gang members who identify more strongly with their gang and perceived a rival group as high on entitativity were more willing to retaliate against any of them. In addition, entitativity was a significant predictor of group-based aggression after controlling for gender, in-group identification, and gang membership. Our results are consistent with socio-psychological theories of group-based aggression and support the proposal that such theories are applicable for understanding gang-related violence. Aggr. Behav. 41:242-252, 2015. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

Introduction to Sporadic Groups

Directory of Open Access Journals (Sweden)

Luis J. Boya

2011-01-01

Full Text Available This is an introduction to finite simple groups, in particular sporadic groups, intended for physicists. After a short review of group theory, we enumerate the 1+1+16=18 families of finite simple groups, as an introduction to the sporadic groups. These are described next, in three levels of increasing complexity, plus the six isolated ''pariah'' groups. The (old five Mathieu groups make up the first, smallest order level. The seven groups related to the Leech lattice, including the three Conway groups, constitute the second level. The third and highest level contains the Monster group M, plus seven other related groups. Next a brief mention is made of the remaining six pariah groups, thus completing the 5+7+8+6=26 sporadic groups. The review ends up with a brief discussion of a few of physical applications of finite groups in physics, including a couple of recent examples which use sporadic groups.

Group learning

DEFF Research Database (Denmark)

Pimentel, Ricardo; Noguira, Eloy Eros da Silva; Elkjær, Bente

The article presents a study that aims at the apprehension of the group learning in a top management team composed by teachers in a Brazilian Waldorf school whose management is collective. After deciding to extend the school, they had problems recruiting teachers who were already trained based...... on the Steiner´s ideas, which created practical problems for conducting management activities. The research seeks to understand how that group of teachers collectively manage the school, facing the lack of resources, a significant heterogeneity in the relationships, and the conflicts and contradictions......, and they are interrelated to the group learning as the construction, maintenance and reconstruction of the intelligibility of practices. From this perspective, it can be said that learning is a practice and not an exceptional phenomenon. Building, maintaining and rebuilding the intelligibility is the group learning...

Is self-esteem predictor of in-group bias and out-group discrimination?

OpenAIRE

Jelić, Margareta

2009-01-01

Previous research has found that, in cases of intergroup conflict, people are likely to evaluate their groups more positively than the groups they do not belong to, but are also more ready to derogate the out-group. Two important factors need to be taken into consideration to explain these processes: self-esteem and group status. We explored the role of personal and social self-esteem in predicting in-group bias and out-group discrimination on two conflicted ethnic groups living in Vukovar. C...

[Social crisis, spontaneous groups and group order].

Science.gov (United States)

Edelman, Lucila; Kordon, Diana

2002-12-01

Argentina has gone through very difficult times during the last years and, in particularly, new kinds of social practices have emerged in order to cope with the crisis. This situation demands and urges a new type of reflection upon the double role of groups, as tools to transform reality and as a way to elaborate those processes regarding subjectivity. In this paper we analyse some topics regarding the groupal field (considering spontaneous groups as well as groupal devices that allow to elaborate the crisis). We consider social bond to be the condition of possibility for the existence of the psyche and of time continuity, and that it also makes possible personal and social elaboration of trauma, crisis and social catastrophe. We develop some aspects of an specific device (the reflection group), which we have already depicted in another moment, showing it's usefulness to cope with social crisis and to promote the subjective elaboration of crisis.

Reflection groups

International Nuclear Information System (INIS)

Eggermont, G.

2006-01-01

In 2005, PISA organised proactive meetings of reflection groups on involvement in decision making, expert culture and ethical aspects of radiation protection.All reflection group meetings address particular targeted audiences while the output publication in book form is put forward

Anatomy of a Cancer Treatment Scam

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Genetic Underpinnings of Alopecia Areata

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Anatomy of a Cancer Treatment Scam

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Anatomy of a Cancer Treatment Scam

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Anatomy of a Cancer Treatment Scam

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About the Eye

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The Visual System

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Ask a Scientist: What is Color Blindness?

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Anatomy of a Cancer Treatment Scam

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About the Eye

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Anatomy of a Cancer Treatment Scam

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Me against we: in-group transgression, collective shame, and in-group-directed hostility.

Science.gov (United States)

Piff, Paul K; Martinez, Andres G; Keltner, Dacher

2012-01-01

People can experience great distress when a group to which they belong (in-group) is perceived to have committed an immoral act. We hypothesised that people would direct hostility toward a transgressing in-group whose actions threaten their self-image and evoke collective shame. Consistent with this theorising, three studies found that reminders of in-group transgression provoked several expressions of in-group-directed hostility, including in-group-directed hostile emotion (Studies 1 and 2), in-group-directed derogation (Study 2), and in-group-directed punishment (Study 3). Across studies, collective shame-but not the related group-based emotion collective guilt-mediated the relationship between in-group transgression and in-group-directed hostility. Implications for group-based emotion, social identity, and group behaviour are discussed.

Modelisation et simulation d'une liaison HVDC de type VSC-MMC

Science.gov (United States)

Saad, Hani Aziz

Converter [Siemens] - [Alstom]) or CTL (Cascaded Two Level topology [ABB]) has allowed to overcome existing limitations. This topology consists of several sub-modules connected in series. Each sub-module contains two IGBTs with antiparallel diodes and a capacitor that act as energy storage. The control of these IGBTs allows connecting and disconnecting the capacitor on the network. The grouping of several sub-modules in series forms an arm. From the AC side, each phase consists of two arms. Reactors are included in series with each arm in order to limit the fault current. The large number of IGBTs in MMCs creates complicated computation problems in electromagnetic transient type (EMT-type) simulation tools. Detailed MMC models include the representation of thousands of IGBT (Insulated Gate Bipolar Transistor) switches and must use small numerical integration time steps to accurately represent fast and multiple simultaneous switching events. This becomes particularly more complex for performing real-time simulations. The computational burden introduced by such models highlights the need to develop more efficient models. A current trend is based on simplified models capable of delivering sufficient accuracy for EMT-type simulations, however the validity range of such models must be carefully evaluated. The first objective of this thesis is to model HVDC-MMC transmission systems in EMT-type programs for off-line and real-time simulations. To fulfill this objective, different modelling approaches are presented, then the control system used for HVDC-MMC links is developed and finally the implementations of MMC models using both CPU (Central Processing Unit) and FPGA (Field-Programmable Gate Array) technologies for real-time simulations, are presented. The contributions are useful for researchers and engineers using transient simulation tools for modelling and analysis of power systems including HVDC-MMC. The HVDC links currently planned or constructed in France, are embedded in

On some homological functors of a Bieberbach group with symmetric point group

Science.gov (United States)

Ting, Tan Yee; Idrus, Nor'ashiqin Mohd; Masri, Rohaidah; Ladi, Nor Fadzilah Abdul

2017-05-01

Bieberbach groups with symmetric point group are polycyclic. The properties of the groups can be explored by computing their homological functors. In this paper, some homological functors of a Bieberbach group with symmetric point group, such as the Schur multiplier and the G-trivial subgroup of the nonabelian tensor square, are generalized up to finite dimension and are represented in the form of direct product of cyclic groups.

Group purchasing: an overview.

Science.gov (United States)

Wetrich, J G

1987-07-01

The various types and operational methods of purchasing groups are described, and evaluation of groups is discussed. Since group purchasing is increasing in popularity as a method of controlling drug costs, community and hospital pharmacy managers may need to evaluate various groups to determine the appropriateness of their services. Groups are categorized as independent, system based, or alliance or association based. Instead of "purchasing," some groups develop contracts for hospitals, which then purchase directly from the vendor. Aside from this basic difference between groups that purchase and groups that contract, comparisons among groups are difficult because of the wide variation in sizes and services. Competition developing from diversification among groups has led to "super groups," formed from local and regional groups. In evaluating groups, advantages and disadvantages germane to accomplishing the member's objectives must be considered. To ensure a group's success, members must be committed and support the group's philosophies; hospital pharmacists must help to establish a strong formulary system. To select vendors, groups should develop formal qualification and selection criteria and should not base a decision solely on price. The method of solicitation (bidding or negotiating), as well as the role of the prime vendor, should be studied. Legal implications of group purchasing, especially in the areas of administrative fees and drug diversion, must also be considered. The most advantageous group for each organization will include members with common missions and will be able to implement strategies for future success.

Perceived legitimacy follows in-group interests: Evidence from intermediate-status groups.

Science.gov (United States)

Caricati, Luca; Sollami, Alfonso

2017-03-01

In two experiments, the effect of (in)stability of status differences on the perception of perspective legitimacy and in-group threat among intermediate-status group members (i.e., nurses students or nurses) was analysed. Both studies indicated that in downwardly unstable condition, legitimacy was lower and in-group threat was higher than in stable condition. In upwardly unstable condition, perceived legitimacy was higher and in-group threat was lower than in stable condition. The indirect effects of (in)stability via in-group threat on perceived legitimacy were significant. © 2016 The British Psychological Society.

Group Play Therapy with Sexually Abused Preschool Children: Group Behaviors and Interventions

Science.gov (United States)

Jones, Karyn Dayle

2002-01-01

Group play therapy is a common treatment modality for children who have been sexually abused. Sexually abused preschoolers exhibit different group play therapy behaviors than do nonabused children. Group workers need to be aware of these differences and know the appropriate group interventions. This article describes group play therapy with…

Consultation liaison psychiatry at Kenyatta National Hospital, Nairobi

African Journals Online (AJOL)

The main diagnoses among the latter in order of frequency were alcohol related psychiatric disorders, acute and transient psychoses, depressive disorders, dissociative and conversion disorders and dementia. Conclusion: In view of the high load of acute and transient psychotic states, as well as substance related disorders ...

Community-researcher liaisons: the Pathways to Resilience Project ...

African Journals Online (AJOL)

The Pathways to Resilience Project is an ongoing, community-based participatory research (CBPR) project. Its express focus is the exploration of how at-risk youths use formal services and/or informal, naturally occurring resources to beat the odds that have been stacked against them, with the intent of partnering with ...

Hamline/3M Project: Liaison for Curricular Change

Science.gov (United States)

Rundquist, Andy

2002-03-01

This project was designed to catalyze curricular changes to better prepare students for the workplace. Industrial managers provided a list of 16 characteristics valued in the workplace: most were NOT related to science course content. The project formed 5 teams each including 3M professionals and students. Each team developed curricular changes in one of the 16 areas. Team goals were to improve skills in communication, data analysis, business/economics, team problem solving, and culture competency. Curricular changes realized include communication skill activities embodied in science courses and faculty communication teaching skill seminars, self learning tools in data analysis, statistics and model building, a new course developed with assistance from 3M personnel focussing on topics directly related to technological industries, high performance team problem solving training/coaching for faculty and workshops for students and faculty relative to importance of cultural competencies in the workplace, and a new course focusing on culture, team problem solving and conflict resolution in the technical workplace. Process for developing and content of curricular changes will be reported.

Beneficial liaisons: radiobiology meets cellular and molecular biology

International Nuclear Information System (INIS)

Stevenson, Mary Ann; Coleman, C. Norman

1995-01-01

Purpose: The purpose of this course is to familiarize radiation oncologists with the concepts and terminology and molecular and cellular biology that are especially relevant to radiation oncology. The ability of radiation oncologists to remain current with the new discoveries of modern biology is essential to the development of improved therapeutic strategies and, importantly, to the proper balance between investment in technology and biology. Objective: This year, this Refresher Course is part of a three-part ''series'' including Drs. Martin Brown and Amato Giaccia. The objective is to provide continuing education for the academic and practicing radiation oncologist, physicist and biologist in the modern biologic concepts of cancer and its treatment. An effort will be made to relate these general concepts to the clinic by providing a broad view as to potential new biological treatments which might enhance the efficacy of radiation therapy. The specific focus of this Course will vary from year to year. Some of the classic radiation biology models which form the basis of clinical practice and laboratory research will be examined and 'newer' models will be presented which take into account the emerging knowledge of cellular and molecular biology. A few techniques in molecular and cellular biology will be described to the extent necessary to understand their basic concepts and their applicability. Aspects of radiation biology which will be covered include cell cycle, radiation-induced changes in the cellular phenotype, and considerations of the effect of the tumor microenvironment. It is not the expectation that the attendees will become experts in the particular subjects presented. Rather, it is the intent to increase their curiosity as to the new knowledge that is emerging and to demonstrate that these seemingly complicated areas can be understood and appreciated with a modicum of the effort

Environment, Health and Safety (EH&S): Division Liaisons

Science.gov (United States)

. Israel Tadesse Chemical Sciences x4043 Cell: 610-0856 Maram Kassis Electronic waste (E-waste) pickup or Source Representative 2231, 2014 Scott E. Taylor Chemical Safety Subcommittee Chairperson 4103 Hendrik Representative 7457 Stephen M. Franaszek Genomics Representative 925-296-5807 Vera Potapenko Marcia Ocon Leimer

Liaison and Logistics Work with Industrial Advisory Boards

Science.gov (United States)

Michel, Kathryn K.

2014-01-01

One model for successful university research centers is based upon close collaboration with other organizations, including large and small companies as well as federal and state agencies. Collaborations of this nature often involve an Institutional Advisory Board (IAB), which can have significant responsibility for management and financial…

STAT3 Activities and Energy Metabolism: Dangerous Liaisons

Energy Technology Data Exchange (ETDEWEB)

Camporeale, Annalisa, E-mail: annalisa.camporeale@unito.it [Molecular Biotechnology Center and Department of Molecular Biotechnology and Life Sciences, University of Turin, Via Nizza 52, Turin 10126 (Italy); Demaria, Marco [Buck Institute for Research on Aging, 8001 Redwood Blvd, Novato, CA 94945 (United States); Monteleone, Emanuele [Molecular Biotechnology Center and Department of Molecular Biotechnology and Life Sciences, University of Turin, Via Nizza 52, Turin 10126 (Italy); Giorgi, Carlotta [Department of Experimental and Diagnostic Medicine, Section of General Pathology, Laboratory for Technologies of Advances Therapies (LTTA), University of Ferrara, Via Fossato di Mortara 70, Ferrara 44121 (Italy); Wieckowski, Mariusz R. [Nencki Institute of Experimental Biology, Department of Biochemistry, Pasteur Str. 3, Warsaw 02-093 (Poland); Pinton, Paolo [Department of Experimental and Diagnostic Medicine, Section of General Pathology, Laboratory for Technologies of Advances Therapies (LTTA), University of Ferrara, Via Fossato di Mortara 70, Ferrara 44121 (Italy); Poli, Valeria, E-mail: annalisa.camporeale@unito.it [Molecular Biotechnology Center and Department of Molecular Biotechnology and Life Sciences, University of Turin, Via Nizza 52, Turin 10126 (Italy)

2014-07-31

STAT3 mediates cytokine and growth factor receptor signalling, becoming transcriptionally active upon tyrosine 705 phosphorylation (Y-P). Constitutively Y-P STAT3 is observed in many tumors that become addicted to its activity, and STAT3 transcriptional activation is required for tumor transformation downstream of several oncogenes. We have recently demonstrated that constitutively active STAT3 drives a metabolic switch towards aerobic glycolysis through the transcriptional induction of Hif-1α and the down-regulation of mitochondrial activity, in both MEF cells expressing constitutively active STAT3 (Stat3{sup C/C}) and STAT3-addicted tumor cells. This novel metabolic function is likely involved in mediating pre-oncogenic features in the primary Stat3{sup C/C} MEFs such as resistance to apoptosis and senescence and rapid proliferation. Moreover, it strongly contributes to the ability of primary Stat3{sup C/C} MEFs to undergo malignant transformation upon spontaneous immortalization, a feature that may explain the well known causative link between STAT3 constitutive activity and tumor transformation under chronic inflammatory conditions. Taken together with the recently uncovered role of STAT3 in regulating energy metabolism from within the mitochondrion when phosphorylated on Ser 727, these data place STAT3 at the center of a hub regulating energy metabolism under different conditions, in most cases promoting cell survival, proliferation and malignant transformation even though with distinct mechanisms.

Dangerous Liaisons: Deviant Endothelium NOTCHes toward Tumor Metastasis.

Science.gov (United States)

Guo, Peipei; Rafii, Shahin

2017-03-13

In this issue of Cancer Cell, Wieland et al. uncover a feedback loop in which tumor cells, by augmenting Notch signaling, provoke a senescent and pro-inflammatory state in endothelial cells, promoting neutrophil infiltration, tumor cell adhesion, and metastasis. Interfering with this Notch-dependent crosstalk may be a therapeutic approach to block metastasis. Copyright © 2017 Elsevier Inc. All rights reserved.

STAT3 Activities and Energy Metabolism: Dangerous Liaisons

International Nuclear Information System (INIS)

Camporeale, Annalisa; Demaria, Marco; Monteleone, Emanuele; Giorgi, Carlotta; Wieckowski, Mariusz R.; Pinton, Paolo; Poli, Valeria

2014-01-01

STAT3 mediates cytokine and growth factor receptor signalling, becoming transcriptionally active upon tyrosine 705 phosphorylation (Y-P). Constitutively Y-P STAT3 is observed in many tumors that become addicted to its activity, and STAT3 transcriptional activation is required for tumor transformation downstream of several oncogenes. We have recently demonstrated that constitutively active STAT3 drives a metabolic switch towards aerobic glycolysis through the transcriptional induction of Hif-1α and the down-regulation of mitochondrial activity, in both MEF cells expressing constitutively active STAT3 (Stat3 C/C ) and STAT3-addicted tumor cells. This novel metabolic function is likely involved in mediating pre-oncogenic features in the primary Stat3 C/C MEFs such as resistance to apoptosis and senescence and rapid proliferation. Moreover, it strongly contributes to the ability of primary Stat3 C/C MEFs to undergo malignant transformation upon spontaneous immortalization, a feature that may explain the well known causative link between STAT3 constitutive activity and tumor transformation under chronic inflammatory conditions. Taken together with the recently uncovered role of STAT3 in regulating energy metabolism from within the mitochondrion when phosphorylated on Ser 727, these data place STAT3 at the center of a hub regulating energy metabolism under different conditions, in most cases promoting cell survival, proliferation and malignant transformation even though with distinct mechanisms

Energy Innovation. IVO Group`s Research and Development Report

Energy Technology Data Exchange (ETDEWEB)

Salminen, P.; Laiho, Y.; Kaikkonen, H.; Leisio, C.; Hinkkanen, S. [eds.

1996-11-01

This annual booklet of the IVO Group`s research and development activities presents a number of articles, written by experts from IVO. The products described are examples of the environmentally-oriented selection made available by the IVO Group. In fact, the entire energy technology developed in Finland is environmentally oriented, if seen from the international perspective. The new business potential of environmental technology is great, and it is believed that in the year 2000, exportation of Finnish know-how in the field of energy-saving and efficiency will exceed the value of out energy imports

Energy Innovation. IVO group`s research and development report

Energy Technology Data Exchange (ETDEWEB)

Salminen, P.; Laiho, Y.; Kaikkonen, H.; Leisio, C.; Hinkkanen, S.; Fletcher, R. [eds.

1997-11-01

This annual booklet of the IVO Group`s research and development activities presents a number of articles, written by experts from IVO. The products described are examples of the environmentally-oriented selection made available by the IVO Group. In fact, the entire energy technology developed in Finland is environmentally oriented, if seen from the international perspective. The new business potential of environmental technology is great, and it is believed that in the year 2000, exportation of Finnish know-how in the field of energy-saving and efficiency will exceed the value of out energy imports

Group dynamics.

Science.gov (United States)

Scandiffio, A L

1990-12-01

Group dynamics play a significant role within any organization, culture, or unit. The important thing to remember with any of these structures is that they are made up of people--people with different ideas, motivations, background, and sometimes different agendas. Most groups, formal or informal, look for a leader in an effort to maintain cohesiveness of the unit. At times, that cultural bond must be developed; once developed, it must be nurtured. There are also times that one of the group no longer finds the culture comfortable and begins to act out behaviorally. It is these times that become trying for the leader as she or he attempts to remain objective when that which was once in the building phase of group cohesiveness starts to fall apart. At all times, the manager must continue to view the employee creating the disturbance as an integral part of the group. It is at this time that it is beneficial to perceive the employee exhibiting problem behaviors as a special employee, as one who needs the benefit of your experience and skills, as one who is still part of the group. It is also during this time that the manager should focus upon her or his own views in the area of power, communication, and the corporate culture of the unit that one has established before attempting to understand another's point of view. Once we understand our own motivation and accept ourselves, it is then that we may move on to offer assistance to another. Once we understand our insecurities recognizing staff dysfunction as a symptom of system dysfunction will not be so threatening to the concept of the manager that we perceive ourselves to be. It takes a secure person to admit that she or he favors staff before deciding to do something to change things. The important thing to know is that it can be done. The favored staff can find a new way of relating to others, the special employee can find new modes of behavior (and even find self-esteem in the process), the group can find new ways

Inter-Group and Intra-Group Assertiveness: Adolescents' Social Skills Following Cultural Transition

Science.gov (United States)

Korem, Anat; Horenczyk, Gabriel; Tatar, Moshe

2012-01-01

The goals of this study were to examine intra-group and inter-group assertiveness among adolescents, and to compare these two domains of assertiveness between cultural groups in Israel. Measures of intra-group and inter-group assertiveness were developed, and questionnaires were administrated to 441 immigrants from the Former Soviet Union (FSU),…

Diffusion welding; Soudage par diffusion

Energy Technology Data Exchange (ETDEWEB)

Daniault, J; Gillet, R [Commissariat a l' Energie Atomique, Grenoble (France). Centre d' Etudes Nucleaires

1969-07-01

After a brief recall of the principle, and of the advantages of the method, we give some examples of metallic bonding in a first part where we describe preliminary trials: Ta-Mo, Zr-Zr, Zr-Nb, Nb-stainless steel, Mo-stainless steel, aluminium-aluminium (A5-A5). The second part of the note is devoted to trials on construction elements: on tubular elements for bonding between Mo or Nb on one hand, and stainless steel on the other hand (We indicate in what conditions the bonding are tight and what are their mechanical strength and their resistance to thermic cycles). We indicate, in this chapter, a method to obtain radiation windows in Be welded on an element made of stainless steel. (authors) [French] pres un bref rappel du principe, et des avantages de la methode, on donne quelques exemples de liaisons metalliques dans une premiere partie qui traite d'essais preliminaires: Ta - Mo, Zr - Zr, Zr - Nb, Nb - acier inoxydable, molybdene - acier inoxydable, aluminium - aluminium (A5-A5). La deuxieme partie de la note est consacree a des essais sur elements de construction: sur des elements tabulaires, pour des liaisons entre molybdene ou niobium d'une part, et acier inoxydable d'autre part. On indique dans quelles conditions les liaisons sont etanches et quelles sont leurs resistances mecaniques et aux chocs thermiques. On indique, dans ce meme chapitre, une methode pour l'obtention de fenetres en beryllium soudees sur un support en acier inoxydable. (auteurs)

Psychodynamics in medically ill patients.

Science.gov (United States)

Nash, Sara Siris; Kent, Laura K; Muskin, Philip R

2009-01-01

This article explores the role of psychodynamics as it applies to the understanding and treatment of medically ill patients in the consultation-liaison psychiatry setting. It provides historical background that spans the eras from Antiquity (Hippocrates and Galen) to nineteenth-century studies of hysteria (Charcot, Janet, and Freud) and into the twentieth century (Flanders Dunbar, Alexander, Engle, and the DSM). The article then discusses the effects of personality on medical illness, treatment, and patients' ability to cope by reviewing the works of Bibring, Kahana, and others. The important contribution of attachment theory is reviewed as it pertains the patient-physician relationship and the health behavior of physically ill patients. A discussion of conversion disorder is offered as an example of psychodynamics in action. This article highlights the important impact of countertransference, especially in terms of how it relates to patients who are extremely difficult and "hateful," and explores the dynamics surrounding the topic of physician-assisted suicide, as it pertains to the understanding of a patient's request to die. Some attention is also given to the challenges surrounding the unique experience of residents learning how to treat medically ill patients on the consultation-liaison service. Ultimately, this article concludes that the use and understanding of psychodynamics and psychodynamic theory allows consultation-liaison psychiatrists the opportunity to interpret the life narratives of medically ill patients in a meaningful way that contributes importantly to treatment.

Sensitization to group direction in the postgraduate training on Group-Analysis

Directory of Open Access Journals (Sweden)

Simone Bruschetta

2014-09-01

Full Text Available The psychodynamic training group here introduced is a part of the General Training on Group Analysis of the Centre of Palermo of COIRAG Postgraduate School on Analytic Psychotherapy. The training project’s aim, built for the class of the third year, develops a sensitization device which provide a unique set of aquarium. The aim of that methodological artifice is not to engage students on specific group management techniques, but to allow the whole class group to bring into play the complexity of relations, of which is necessary to have awareness in order to lead a group within an institutional context: The main clinical referents that we chose to monitor in this experience are the relationship between conductors and participants and the relationship between group, task and setting. The brief description of this methodology is also including the reporting of two "cases" treated in the course of training. Keywords: Group leadership, Founding dimension, Cultural themes 

Post-operative rounds by anaesthesiologists after hip fracture surgery

DEFF Research Database (Denmark)

Foss, N B; Christensen, D S; Krasheninnikoff, M

2006-01-01

Efforts to optimize the peri-operative care of hip fracture patients through multidisciplinary intervention have focused on orthopaedic-geriatric liaisons, which have not resulted in significant outcome changes. The early phase of rehabilitation could potentially be optimized through...

75 FR 60437 - Privacy Act of 1974; System of Records

Science.gov (United States)

2010-09-30

... Federal Register Liaison Officer, Department of Defense. F065 AF FMP B System name: Customer Relationship... purpose of the Customer Relationship Management system is to support Air Force members and their... facility behind a firewall. In [[Page 60438

Details

Indian Academy of Sciences (India)

teju

2018-05-04

May 4, 2018 ... ... selected candidate is required to work with Accounts Officer and assist in ... in website of Public Financial Management System etc., and carry out .... Duties also include coordination and liaison with Chief Editors and other ...

76 FR 24862 - Meeting of a Federal Advisory Committee

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2011-05-03

... minutes. 9:15 a.m. Defense Acquisition Workforce Talent Management Initiative. 10:45 a.m. Army Senior... Liaison Officer, Department of Defense. [FR Doc. 2011-10679 Filed 5-2-11; 8:45 am] BILLING CODE 5001-06-P ...

36 CFR 1234.34 - When may NARA conduct an inspection of a records storage facility?

Science.gov (United States)

2010-07-01

... feasibility of locating daycare in outside locations Required. Security Planning Intelligence Sharing... Intelligence Sharing Establish Law Enforcement Agency/Security Liaisons Intelligence sharing between law... Needs To capitalize on efficiencies and economies, agencies with like security requirements should be...

When the Stakes Turn Toxic: Learn about Problem Gambling

Science.gov (United States)

... New York State Psychiatric Institute. “There is no stereotype. The main predictor of outcome is really motivation.” ... t stop. Links Compulsive Gambling NIH Office of Communications and Public Liaison Building 31, Room 5B52 Bethesda, ...

78 FR 15369 - Board of Scientific Counselors, Office of Public Health Preparedness and Response (BSC, OPHPR)

Science.gov (United States)

2013-03-11

... strategies and goals for the programs and research within OPHPR, monitoring the overall strategic direction...; improving critical information sharing across CDC; biosecurity risk evaluation software; measuring operational readiness; (2) BSC liaison representative updates to the Board highlighting organizational...

78 FR 68832 - National Advisory Committee on Institutional Quality and Integrity (NACIQI)

Science.gov (United States)

2013-11-15

... Advisory Committee Act (FACA) and Section 114(d)(1)(B) of the Higher Education Act (HEA) of 1965, as...:30 p.m. at the Liaison Capitol Hill Hotel, 415 New Jersey Ave. NW., Washington, DC 20001. FOR FURTHER...

Researcher Story: Stuttering

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GPHS-RTGs in support of the Cassini mission. Semi-annual technical report, 29 March 1993--26 September 1993

Energy Technology Data Exchange (ETDEWEB)

1993-10-24

The following tasks were reported on: Spacecraft integration and liaison, engineering support, safety, qualified unicouple fabrication, ETG fabrication/assembly/test, ground support equipment, RTG shipping and launch support, designs/reviews/mission applications, project management/quality assurance/contract changes.

Researcher Story: Stuttering

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78 FR 57221 - Citizens Coinage Advisory Committee Meeting

Science.gov (United States)

2013-09-17

... members of the public may attend the meeting at the United States Mint; 801 9th Street NW.; Washington, DC... CONTACT: William Norton, United States Mint Liaison to the CCAC; 801 9th Street NW.; Washington, DC 20220...

Multicultural group work

DEFF Research Database (Denmark)

Hansen, Annette Skovsted

2014-01-01

Motivation for the activity I use this strategy for forming groups to ensure diverse/multicultural groups that combine a variety of different strengths and resources based on student's academic, disciplinary, linguistic, national, personal and work backgrounds.......Motivation for the activity I use this strategy for forming groups to ensure diverse/multicultural groups that combine a variety of different strengths and resources based on student's academic, disciplinary, linguistic, national, personal and work backgrounds....

Profinite graphs and groups

CERN Document Server

Ribes, Luis

2017-01-01

This book offers a detailed introduction to graph theoretic methods in profinite groups and applications to abstract groups. It is the first to provide a comprehensive treatment of the subject. The author begins by carefully developing relevant notions in topology, profinite groups and homology, including free products of profinite groups, cohomological methods in profinite groups, and fixed points of automorphisms of free pro-p groups. The final part of the book is dedicated to applications of the profinite theory to abstract groups, with sections on finitely generated subgroups of free groups, separability conditions in free and amalgamated products, and algorithms in free groups and finite monoids. Profinite Graphs and Groups will appeal to students and researchers interested in profinite groups, geometric group theory, graphs and connections with the theory of formal languages. A complete reference on the subject, the book includes historical and bibliographical notes as well as a discussion of open quest...

Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.

Science.gov (United States)

Perkins, Gavin D; Jacobs, Ian G; Nadkarni, Vinay M; Berg, Robert A; Bhanji, Farhan; Biarent, Dominique; Bossaert, Leo L; Brett, Stephen J; Chamberlain, Douglas; de Caen, Allan R; Deakin, Charles D; Finn, Judith C; Gräsner, Jan-Thorsten; Hazinski, Mary Fran; Iwami, Taku; Koster, Rudolph W; Lim, Swee Han; Ma, Matthew Huei-Ming; McNally, Bryan F; Morley, Peter T; Morrison, Laurie J; Monsieurs, Koenraad G; Montgomery, William; Nichol, Graham; Okada, Kazuo; Ong, Marcus Eng Hock; Travers, Andrew H; Nolan, Jerry P

2015-11-01

Utstein-style guidelines contribute to improved public health internationally by providing a structured framework with which to compare emergency medical services systems. Advances in resuscitation science, new insights into important predictors of outcome from out-of-hospital cardiac arrest, and lessons learned from methodological research prompted this review and update of the 2004 Utstein guidelines. Representatives of the International Liaison Committee on Resuscitation developed an updated Utstein reporting framework iteratively by meeting face to face, by teleconference, and by Web survey during 2012 through 2014. Herein are recommendations for reporting out-of-hospital cardiac arrest. Data elements were grouped by system factors, dispatch/recognition, patient variables, resuscitation/postresuscitation processes, and outcomes. Elements were classified as core or supplemental using a modified Delphi process primarily based on respondents' assessment of the evidence-based importance of capturing those elements, tempered by the challenges to collect them. New or modified elements reflected consensus on the need to account for emergency medical services system factors, increasing availability of automated external defibrillators, data collection processes, epidemiology trends, increasing use of dispatcher-assisted cardiopulmonary resuscitation, emerging field treatments, postresuscitation care, prognostication tools, and trends in organ recovery. A standard reporting template is recommended to promote standardized reporting. This template facilitates reporting of the bystander-witnessed, shockable rhythm as a measure of emergency medical services system efficacy and all emergency medical services system-treated arrests as a measure of system effectiveness. Several additional important subgroups are identified that enable an estimate of the specific contribution of rhythm and bystander actions that are key determinants of outcome. Copyright © 2014 European

Group Work

Science.gov (United States)

Wilson, Kristy J.; Brickman, Peggy; Brame, Cynthia J.

2018-01-01

Science, technology, engineering, and mathematics faculty are increasingly incorporating both formal and informal group work in their courses. Implementing group work can be improved by an understanding of the extensive body of educational research studies on this topic. This essay describes an online, evidence-based teaching guide published by…

75 FR 47631 - Swets Information Services, Operations Department, Information Technology Group, Marketing Group...

Science.gov (United States)

2010-08-06

... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-73,668] Swets Information Services, Operations Department, Information Technology Group, Marketing Group, Finance Group, Runnemede..., Information Technology (IT) Group, Marketing Group and the Finance Group into one entity instead of...

Group Work Publication-1991.

Science.gov (United States)

Zimpfer, David G.

1992-01-01

Lists 21 new publications in group work, of which 9 are reviewed. Those discussed include publications on group counseling and psychotherapy, structured groups, support groups, psychodrama, and social group work. (Author/NB)

Effects of Group Size on Students Mathematics Achievement in Small Group Settings

Science.gov (United States)

Enu, Justice; Danso, Paul Amoah; Awortwe, Peter K.

2015-01-01

An ideal group size is hard to obtain in small group settings; hence there are groups with more members than others. The purpose of the study was to find out whether group size has any effects on students' mathematics achievement in small group settings. Two third year classes of the 2011/2012 academic year were selected from two schools in the…

Group lending and the role of the group leader

NARCIS (Netherlands)

Eijkel, van R.; Hermes, N.; Lensink, B.W.

2011-01-01

This paper investigates strategic monitoring behavior within group lending. We show that monitoring efforts of group members differ in equilibrium due to the asymmetry between members in terms of future profits. In particular, we show that the entrepreneur with the highest future profits also puts

Group lending and the role of the group leader

NARCIS (Netherlands)

van Eijkel, R.; Hermes, C.L.M.; Lensink, B.W.

This paper investigates strategic monitoring behavior within group lending. We show that monitoring efforts of group members differ in equilibrium due to the asymmetry between members in terms of future profits. In particular, we show that the entrepreneur with the highest future profits also puts

GroupFinder

DEFF Research Database (Denmark)

Bøgh, Kenneth Sejdenfaden; Skovsgaard, Anders; Jensen, Christian S.

2013-01-01

. Such groups are relevant to users who wish to conveniently explore several options before making a decision such as to purchase a specific product. Specifically, we demonstrate a practical proposal for finding top-k PoI groups in response to a query. We show how problem parameter settings can be mapped...

Stick with your group: young children's attitudes about group loyalty.

Science.gov (United States)

Misch, Antonia; Over, Harriet; Carpenter, Malinda

2014-10-01

For adults, loyalty to the group is highly valued, yet little is known about how children evaluate loyalty. We investigated children's attitudes about loyalty in a third-party context. In the first experiment, 4- and 5-year-olds watched a video of two groups competing. Two members of the losing group then spoke. The disloyal individual said she wanted to win and therefore would join the other group. The loyal individual said she also wanted to win but would stay with her group. Children were then asked five forced-choice questions about these two individuals' niceness, trustworthiness, morality, and deservingness of a reward. The 5-year-olds preferred the loyal person across all questions; results for the 4-year-olds were considerably weaker but in the same direction. The second experiment investigated the direction of the effect in 5-year-olds. In this experiment, children answered questions about either a loyal individual, a disloyal individual, or a neutral individual. Children rated both the loyal and neutral individuals more positively than the disloyal individual across a number of measures. Thus, whereas disloyal behavior is evaluated unfavorably by children, loyal behavior is the expected norm. These results suggest that, at least from 5 years of age, children understand that belonging to a group entails certain commitments. This marks an important step in their own ability to negotiate belonging and become trustworthy and reliable members of their social groups. Copyright © 2014 Elsevier Inc. All rights reserved.

Complex quantum groups

International Nuclear Information System (INIS)

Drabant, B.; Schlieker, M.

1993-01-01

The complex quantum groups are constructed. They are q-deformations of the real Lie groups which are obtained as the complex groups corresponding to the Lie algebras of type A n-1 , B n , C n . Following the ideas of Faddeev, Reshetikhin and Takhtajan Hopf algebras of regular functionals U R for these complexified quantum groups are constructed. One has thus in particular found a construction scheme for the q-Lorentz algebra to be identified as U(sl q (2,C). (orig.)

Researcher Story: Stuttering

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Knowledge transfer from public research organisations

NARCIS (Netherlands)

Arnold, Erik; Knee, Paula; Brown, Neil; Javorka, Zsuzsa; Giarracca, Flora; Sidiqui, Sabeen

2012-01-01

This study describes knowledge transfer from European universities and institutes to industry, focusing on the role of the Industrial Liaison / Technology / Knowledge Transfer Office function. It explores practices in European institutions and compares these with international ones, especially from

Increases in Problem Drinking

Science.gov (United States)

... AUD based on the new guidelines. They conducted face-to-face interviews with over 36,000 U.S. adults. They ... Institute on Drug Abuse (NIDA). NIH Office of Communications and Public Liaison Building 31, Room 5B52 Bethesda, ...

Browse Title Index

African Journals Online (AJOL)

... la fatigue et du vieillissement hygrothermique en eau douce sur un composite ... l'homme et son environnement dans on contexte de développement durable ? ... Vol 23 (2011), L'homme et la biodiversité marine : les liaisons dangereuses ...

Meet EPA Scientist Marie O'Shea, Ph.D.

Science.gov (United States)

EPA Scientist Dr. Marie O'Shea is Region 2's Liaison to the Agency's Office of Research and Development (ORD). Marie has a background in research on urban watershed management, focused on characterizing and controlling nutrients in stormwater runoff.

About the Eye

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NEI You Tube Videos: Amblyopia

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Glaucoma

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Ask a Scientist: What is Color Blindness?

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The Visual System

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Ask a Scientist: What is Color Blindness?

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About the Eye

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NEI You Tube Videos: Amblyopia

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Glaucoma

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The Visual System

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Civil Division - Alaska Department of Law

Science.gov (United States)

Attorney General Opinions Executive Branch Ethics Criminal Justice Alaska Medicaid Fraud Control Anchorage department and other agencies on the management, retention, communication, and disclosure of information matters. In addition, the legislative liaison coordinates responses to media requests. Natural Resources

76 FR 62083 - Statement of Organization, Functions, and Delegations of Authority

Science.gov (United States)

2011-10-06

... for the Institute's communications, public affairs, media relations, and public liaison activities... strategic plan and budget; Leads the management, communications, legislation, strategic planning, science policy and ethics activities for the Institute; and Provides leadership for developing and revising the...

12 CFR 550.60 - What other definitions apply to this part?

Science.gov (United States)

2010-01-01

... ancillary to your fiduciary business include advertising, marketing, or soliciting fiduciary business, contacting existing or potential customers, answering questions and providing information to customers related to their accounts, acting as liaison between you and your customer (for example, forwarding...

NEI You Tube Videos: Amblyopia

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Glaucoma

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76 FR 56471 - Membership of the Senior Executive Service Standing Performance Review Boards

Science.gov (United States)

2011-09-13

... DIRECTOR, PROCUREMENT SERVICES STAFF. JORDAN, WYEVETRA APPROPRIATION LIAISON OFFICER. MORGAN, MELINDA B... ETHICS OFFICE. TOSCANO JR., RICHARD A DIRECTOR, EQUAL EMPLOYMENT OPPORTUNITY STAFF. National Drug..., APPELLATE UNIT. EVANS, STUART DEPUTY CHIEF, OPERATIONS SECTION. KAYE, JANICE A ETHICS OFFICER. KEEGAN...

Definition of successful defibrillation

NARCIS (Netherlands)

Koster, Rudolph W.; Walker, Robert G.; van Alem, Anouk P.

2006-01-01

OBJECTIVES: The definition of defibrillation shock "success" endorsed by the International Liaison Committee on Resuscitation since the publication of Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiac Care has been removal of ventricular fibrillation at 5 secs after shock

76 FR 72906 - Mid-Atlantic Fishery Management Council (MAFMC); Public Meetings

Science.gov (United States)

2011-11-28

... Council will receive a presentation on Fishery Management Councils: Decision-making, Communication, and... Council will conduct its regular Business Session, receive Organizational Reports, Council Liaison Reports... Biedron of Cornell University on Fishery Management Councils: Decision-making, Communication, and Social...

Myopia Increasing in the U.S. Population

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Retinoblastoma

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Myopia

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Hyperopia

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Facts about Hyperopia

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Bietti's Crystalline Dystrophy

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Diagram of the Eye

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Facts about Blepharospasm

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Vitreous Detachment

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What Is a Comprehensive Dilated Eye Exam?

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Macular Hole

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What the Age-Related Eye Disease Studies Mean for You (AREDS2)

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Do You Have Low Vision?

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Healthy Vision Tips

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Prevalence of Adult Vision Impairment and Age-Related Eye Diseases in America

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The Aging Eye

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For Parents, Teachers and Coaches: About Sports Eye Injury and Protective Eyewear

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Helping a Loved One (Who Has Vision Loss)

Science.gov (United States)

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Facts about Floaters

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NEI You Tube Videos: Amblyopia

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Retinal Detachment

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Cataracts

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Facts about Uveal Coloboma

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Idiopathic Intracranial Hypertension

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Diabetic Eye Disease

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Eye Disease Simulations

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Facts about Presbyopia

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Emerging Technologies Look Deeper into the Eyes to Catch Signs of Disease

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National Eye Institute

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Histoplasmosis

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Facts about Refractive Errors

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All Vision Impairment

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Glaucoma

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Macular Pucker

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Healthy Eyes

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Blindness

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First Aid Tips

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The Visual System

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About the Eye

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Facts About Pink Eye

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Autosomal Recessive Inheritance

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Facts about Cataract

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76 FR 72013 - Self-Regulatory Organizations; Municipal Securities Rulemaking Board; Notice of Filing of...

Science.gov (United States)

2011-11-21

...''); Colette J. Irwin-Knott, CIPFA, President, National Association of Independent Public Finance Advisors...''); and Susan Gaffney, Director, Federal Liaison Center, Government Finance Officers Association, dated... principles of trade, to foster cooperation and coordination with persons engaged in regulating, clearing...

[Study on the occupational stress norm and it's application for the marketing group, public service/safety group and production laborer group].

Science.gov (United States)

Yang, Xin-Wei; Wang, Zhi-Ming; Jin, Tai-Yi; Lan, Ya-Jia

2006-09-01

A study of the occupational stress norm and it's application for the marketing group, public service/safety group and production laborer group. In this study, cross-sectional study method is used, and a synthetic way of sorting and randomized sampling is adopted to deal with research targets (36 marketing group, 331 public service/safety group, 903 production laborer group). Descriptive statistics for OSI-R scale scores for the marketing group, public service/safety group and production laborer group were modulated. Scale raw score to T-score conversion tables derived from the OSI-R normative sample for marketing group public service/safety group and production laborer group were established. OSI-R profile from for marketing group, public service/safety group and production laborer group were established. For the ORQ and PSQ scales, scores at or above 70 indicate a strong levels of maladaptive stress and strain. Score in the range of 60 to 69 suggest middle levels of maladaptive stress and strain. Score in the range of 40 to 59 indicate normal levels of stress and strain. Score below 40 indicate a relative absence of occupational stress and strain. For the PRQ scales, score below 30 indicate a significant lack of coping resources. Score in the range of 30 to 39 suggest middle deficits in coping resources. Score in the range of 40 to 59 indicate average coping resources. Scores at or above 60 indicate a strong levels of coping resources. The authors combined subjective and objective environment match model of occupational stress. Different intervention measure should be take to reduce the occupational stress so as to improve the work ability.

AREVA group overview

International Nuclear Information System (INIS)

2002-01-01

This document presents the Group Areva, a world nuclear industry leader, from a financial holding company to an industrial group, operating in two businesses: the nuclear energy and the components. The structure and the market of the group are discussed, as the financial assets. (A.L.B.)

Geometric group theory

CERN Document Server

Bestvina, Mladen; Vogtmann, Karen

2014-01-01

Geometric group theory refers to the study of discrete groups using tools from topology, geometry, dynamics and analysis. The field is evolving very rapidly and the present volume provides an introduction to and overview of various topics which have played critical roles in this evolution. The book contains lecture notes from courses given at the Park City Math Institute on Geometric Group Theory. The institute consists of a set of intensive short courses offered by leaders in the field, designed to introduce students to exciting, current research in mathematics. These lectures do not duplicate standard courses available elsewhere. The courses begin at an introductory level suitable for graduate students and lead up to currently active topics of research. The articles in this volume include introductions to CAT(0) cube complexes and groups, to modern small cancellation theory, to isometry groups of general CAT(0) spaces, and a discussion of nilpotent genus in the context of mapping class groups and CAT(0) gro...

Essays in the history of Lie groups and algebraic groups

CERN Document Server

Borel, Armand

2001-01-01

Lie groups and algebraic groups are important in many major areas of mathematics and mathematical physics. We find them in diverse roles, notably as groups of automorphisms of geometric structures, as symmetries of differential systems, or as basic tools in the theory of automorphic forms. The author looks at their development, highlighting the evolution from the almost purely local theory at the start to the global theory that we know today. Starting from Lie's theory of local analytic transformation groups and early work on Lie algebras, he follows the process of globalization in its two main frameworks: differential geometry and topology on one hand, algebraic geometry on the other. Chapters II to IV are devoted to the former, Chapters V to VIII, to the latter. The essays in the first part of the book survey various proofs of the full reducibility of linear representations of \\mathbf{SL}_2{(\\mathbb{C})}, the contributions of H. Weyl to representations and invariant theory for semisimple Lie groups, and con...

Authentic leadership, group cohesion and group identification in security and emergency teams.

Science.gov (United States)

García-Guiu López, Carlos; Molero Alonso, Fernando; Moya Morales, Miguel; Moriano León, Juan Antonio

2015-01-01

Authentic leadership (AL) is a kind of leadership that inspires and promotes positive psychological capacities, underlining the moral and ethical component of behavior. The proposed investigation studies the relations among AL, cohesion, and group identification in security and emergency teams. A cross-sectional research design was conducted in which participated 221 members from 26 fire departments and operative teams from the local police of three Spanish provinces. The following questionnaires were administered: Authentic Leadership (ALQ), Group Cohesion (GEQ), and Mael and Ashford's Group Identification Questionnaire. A direct and positive relation was found between AL, cohesion, and group identification. An indirect relation was also found between AL and group cohesion through group identification, indicating the existence of partial mediation. The utility of the proposed model based on AL is considered; this model can be employed by those in charge of the fire departments and operative groups in organizations to improve workteams' cohesion. Both AL and group identification help to explain group cohesion in organizations committed to security and emergencies.

Effects of rooting via out-groups on in-group topology in phylogeny.

Science.gov (United States)

Ackerman, Margareta; Brown, Daniel G; Loker, David

2014-01-01

Users of phylogenetic methods require rooted trees, because the direction of time depends on the placement of the root. While phylogenetic trees are typically rooted by using an out-group, this mechanism is inappropriate when the addition of an out-group changes the in-group topology. We perform a formal analysis of phylogenetic algorithms under the inclusion of distant out-groups. It turns out that linkage-based algorithms (including UPGMA) and a class of bisecting methods do not modify the topology of the in-group when an out-group is included. By contrast, the popular neighbour joining algorithm fails this property in a strong sense: every data set can have its structure destroyed by some arbitrarily distant outlier. Furthermore, including multiple outliers can lead to an arbitrary topology on the in-group. The standard rooting approach that uses out-groups may be fundamentally unsuited for neighbour joining.

Group Milieu in systemic and psychodynamic group therapy

DEFF Research Database (Denmark)

Lau, Marianne Engelbrecht

Objectives: A recent meta-analysis also concluded that psychotherapeutic approaches are beneficial for adult with a history of CSA and maintained for at least six months follow-up. The results suggest that different characteristics of therapy moderate the therapeutic outcome. We found in a random......Objectives: A recent meta-analysis also concluded that psychotherapeutic approaches are beneficial for adult with a history of CSA and maintained for at least six months follow-up. The results suggest that different characteristics of therapy moderate the therapeutic outcome. We found....... Methods: This randomized prospective study included 106 women: 52 assigned to psychodynamic group psychotherapy and 54 assigned to systemic group psychotherapy. The Group Environment Scale (GES) was filled in the mid phase of therapy and analysed in three dimensions and 10 subscales. Results: The systemic...... subscales: Cohesion (pLeader support (p=0.001), Expressiveness (p

Kin groups and trait groups: population structure and epidemic disease selection.

Science.gov (United States)

Fix, A G

1984-10-01

A Monte Carlo simulation based on the population structure of a small-scale human population, the Semai Senoi of Malaysia, has been developed to study the combined effects of group, kin, and individual selection. The population structure resembles D.S. Wilson's structured deme model in that local breeding populations (Semai settlements) are subdivided into trait groups (hamlets) that may be kin-structured and are not themselves demes. Additionally, settlement breeding populations are connected by two-dimensional stepping-stone migration approaching 30% per generation. Group and kin-structured group selection occur among hamlets the survivors of which then disperse to breed within the settlement population. Genetic drift is modeled by the process of hamlet formation; individual selection as a deterministic process, and stepping-stone migration as either random or kin-structured migrant groups. The mechanism for group selection is epidemics of infectious disease that can wipe out small hamlets particularly if most adults become sick and social life collapses. Genetic resistance to a disease is an individual attribute; however, hamlet groups with several resistant adults are less likely to disintegrate and experience high social mortality. A specific human gene, hemoglobin E, which confers resistance to malaria, is studied as an example of the process. The results of the simulations show that high genetic variance among hamlet groups may be generated by moderate degrees of kin-structuring. This strong microdifferentiation provides the potential for group selection. The effect of group selection in this case is rapid increase in gene frequencies among the total set of populations. In fact, group selection in concert with individual selection produced a faster rate of gene frequency increase among a set of 25 populations than the rate within a single unstructured population subject to deterministic individual selection. Such rapid evolution with plausible rates of

Neural network integration during the perception of in-group and out-group members.

Science.gov (United States)

Greven, Inez M; Ramsey, Richard

2017-11-01

Group biases guide social interactions by promoting in-group favouritism, but the neural mechanisms underpinning group biases remain unclear. While neuroscience research has shown that distributed brain circuits are associated with seeing in-group and out-group members as "us" and "them", it is less clear how these networks exchange signals. This fMRI study uses functional connectivity analyses to investigate the contribution of functional integration to group bias modulation of person perception. Participants were assigned to an arbitrary group and during scanning they observed bodies of in-group or out-group members that cued the recall of positive or negative social knowledge. The results showed that functional coupling between perceptual and cognitive neural networks is tuned to particular combinations of group membership and social knowledge valence. Specifically, coupling between body perception and theory-of-mind networks is biased towards seeing a person that had previously been paired with information consistent with group bias (positive for in-group and negative for out-group). This demonstrates how brain regions associated with visual analysis of others and belief reasoning exchange and integrate signals when evaluating in-group and out-group members. The results update models of person perception by showing how and when interplay occurs between perceptual and extended systems when developing a representation of another person. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Culture and group-based emotions: could group-based emotions be dialectical?

Science.gov (United States)

Lu, Minjie; Hamamura, Takeshi; Doosje, Bertjan; Suzuki, Satoko; Takemura, Kosuke

2017-08-01

Group-based emotions are experienced when individuals are engaged in emotion-provoking events that implicate the in-group. This research examines the complexity of group-based emotions, specifically a concurrence of positive and negative emotions, focusing on the role of dialecticism, or a set of folk beliefs prevalent in Asian cultures that views nature and objects as constantly changing, inherently contradictory, and fundamentally interconnected. Study 1 found that dialecticism is positively associated with the complexity of Chinese participants' group-based emotions after reading a scenario depicting a positive intergroup experience. Study 2 found that Chinese participants experienced more complex group-based emotions compared with Dutch participants in an intergroup situation and that this cultural difference was mediated by dialecticism. Study 3 manipulated dialecticism and confirmed its causal effect on complex group-based emotions. These studies also suggested the role of a balanced appraisal of an intergroup situation as a mediating factor.

Group Cooperation without Group Selection: Modest Punishment Can Recruit Much Cooperation.

Science.gov (United States)

Krasnow, Max M; Delton, Andrew W; Cosmides, Leda; Tooby, John

2015-01-01

Humans everywhere cooperate in groups to achieve benefits not attainable by individuals. Individual effort is often not automatically tied to a proportionate share of group benefits. This decoupling allows for free-riding, a strategy that (absent countermeasures) outcompetes cooperation. Empirically and formally, punishment potentially solves the evolutionary puzzle of group cooperation. Nevertheless, standard analyses appear to show that punishment alone is insufficient, because second-order free riders (those who cooperate but do not punish) can be shown to outcompete punishers. Consequently, many have concluded that other processes, such as cultural or genetic group selection, are required. Here, we present a series of agent-based simulations that show that group cooperation sustained by punishment easily evolves by individual selection when you introduce into standard models more biologically plausible assumptions about the social ecology and psychology of ancestral humans. We relax three unrealistic assumptions of past models. First, past models assume all punishers must punish every act of free riding in their group. We instead allow punishment to be probabilistic, meaning punishers can evolve to only punish some free riders some of the time. This drastically lowers the cost of punishment as group size increases. Second, most models unrealistically do not allow punishment to recruit labor; punishment merely reduces the punished agent's fitness. We instead realistically allow punished free riders to cooperate in the future to avoid punishment. Third, past models usually restrict agents to interact in a single group their entire lives. We instead introduce realistic social ecologies in which agents participate in multiple, partially overlapping groups. Because of this, punitive tendencies are more expressed and therefore more exposed to natural selection. These three moves toward greater model realism reveal that punishment and cooperation easily evolve by

Group Cooperation without Group Selection: Modest Punishment Can Recruit Much Cooperation.

Directory of Open Access Journals (Sweden)

Max M Krasnow

Full Text Available Humans everywhere cooperate in groups to achieve benefits not attainable by individuals. Individual effort is often not automatically tied to a proportionate share of group benefits. This decoupling allows for free-riding, a strategy that (absent countermeasures outcompetes cooperation. Empirically and formally, punishment potentially solves the evolutionary puzzle of group cooperation. Nevertheless, standard analyses appear to show that punishment alone is insufficient, because second-order free riders (those who cooperate but do not punish can be shown to outcompete punishers. Consequently, many have concluded that other processes, such as cultural or genetic group selection, are required. Here, we present a series of agent-based simulations that show that group cooperation sustained by punishment easily evolves by individual selection when you introduce into standard models more biologically plausible assumptions about the social ecology and psychology of ancestral humans. We relax three unrealistic assumptions of past models. First, past models assume all punishers must punish every act of free riding in their group. We instead allow punishment to be probabilistic, meaning punishers can evolve to only punish some free riders some of the time. This drastically lowers the cost of punishment as group size increases. Second, most models unrealistically do not allow punishment to recruit labor; punishment merely reduces the punished agent's fitness. We instead realistically allow punished free riders to cooperate in the future to avoid punishment. Third, past models usually restrict agents to interact in a single group their entire lives. We instead introduce realistic social ecologies in which agents participate in multiple, partially overlapping groups. Because of this, punitive tendencies are more expressed and therefore more exposed to natural selection. These three moves toward greater model realism reveal that punishment and cooperation

The Development of In-Group Favoritism : Between Social Reality and Group Identity

NARCIS (Netherlands)

Verkuyten, Maykel; Wolf, Angela de

2007-01-01

This study examined how social reality restricts children’s tendency for in-group favoritism in group evaluations. Children were faced with social reality considerations and with group identity concerns. Using short stories, in this experimental study, conducted among 3 age groups (6-, 8-, and

Topological K-Kolmogorov groups

International Nuclear Information System (INIS)

Abd El-Sattar, A. Dabbour.

1987-07-01

The idea of the K-groups was used to define K-Kolmogorov homology and cohomology (over pairs of coefficient groups) which are descriptions of certain modifications of the Kolmogorov groups. The present work is devoted to the study of the topological properties of the K-Kolmogorov groups which lie at the root of the group duality based essentially upon Pontrjagin's concept of group multiplication. 14 refs

Culture and group-based emotions? : Could group-based emotions be dialectical

NARCIS (Netherlands)

Lu, M.; Hamamura, T.; Doosje, B.; Suzuki, S.; Takemura, K.

2016-01-01

Group-based emotions are experienced when individuals are engaged in emotion-provoking events that implicate the in-group. This research examines the complexity of group-based emotions, specifically a concurrence of positive and negative emotions, focusing on the role of dialecticism, or a set of

78 FR 30861 - Membership of the Office of the Secretary Performance Review Board

Science.gov (United States)

2013-05-23

... of Budget Lisa Casias, Director for Financial Management and Deputy Chief Financial Officer Office of... and Information Administration Leonard M. Bechtel, Chief Financial Officer and Director for... Theodore Constantine Johnston, Director, Office of White House Liaison Office of the Chief Financial...

Case series

African Journals Online (AJOL)

abp

16 déc. 2015 ... ... d'Oncologie Médicale, Institut National d'Oncologie de Rabat, CHU Ibn Sina, BP 6213 Rabat, Maroc ..... plus actif que l'administration en continue [4]. ... formation de ponts stables, par des liaisons covalentes, entre les.

Researcher Story: Stuttering

Medline Plus

Full Text Available ... gov , or contact the NIH Clinical Center Patient Recruitment and Public Liaison Office, (800) 411-1222, prpl@ ... Contact Us Twitter Facebook Instagram YouTube Flickr More Social Media from NIH Footer NIH Home En Español ...