Localized malignant pleural mesothelioma: report of two cases.

Science.gov (United States)

Tanzi, Silvia; Tiseo, Marcello; Internullo, Eveline; Cacciani, Giancarlo; Capra, Roberto; Carbognani, Paolo; Rusca, Michele; Rindi, Guido; Ardizzoni, Andrea

2009-08-01

Localized malignant pleural mesothelioma is very rare tumor disease. There are sporadic reports in the literature showing that this entity has a different biologic behavior compared with diffuse pleural mesothelioma. We report two cases of radically resected localized pleural malignant mesothelioma, with a previous history of asbestos exposure. Both cases showed a microscopic and immunohistochemical findings of malignant mesothelioma, biphasic and sarcomatoid lympho-histiocitoid variant type, respectively, without evidence of diffuse pleural spread. The first is very peculiar case of bilateral localized malignant pleural mesothelioma with complete response to chemotherapy and localized late recurrence, radically resected and treated with adjuvant radiotherapy. The second case revealed as a solitary localized mass, underwent a complete en bloc resection and adjuvant radiotherapy. Both cases demonstrate that the localized malignant mesothelioma should be distinguished from diffuse form and that complete resection is associated with good prognosis.

Case Report: Locally advanced skin cancer in an albino, a treatment ...

African Journals Online (AJOL)

Case Report: Locally advanced skin cancer in an albino ... headache, anorexia, weight loss, night sweats, dizziness, change in ... This was the case with our patient, whose five ... We need more interventional studies in treatment of locally.

Case studies of transportation investment to identify the impacts on the local and state economy.

Science.gov (United States)

2013-01-01

This project provides case studies of the impact of transportation investments on local economies. We use multiple : approaches to measure impacts since the effects of transportation projects can vary according to the size of a : project and the size...

Health promotion at local level: a case study of content, organization and development in four Swedish municipalities

Directory of Open Access Journals (Sweden)

Jansson Elisabeth VG

2010-08-01

Full Text Available Abstract Background Several health determinants are related to local conditions and prerequisites at community level. For this reason, strengthening community action has been one of five strategies implemented in health promotion since the end of the 1980s. Such action includes setting priorities, making decisions, planning strategies, and implementing them to achieve better health. The aim of this paper is to obtain a deeper understanding of content, organization and processes in the development of local health promotion. Methods A qualitative multiple case study of four Swedish municipalities. The cases were analyzed in accordance with the principles of cross-case study analysis, and a content analysis of documents and interviews was conducted in two steps. First, a manifest content analysis was performed to identify present and former actors and measures. Thereafter, a latent content analysis was performed to investigate structures and processes in local contexts. Results The results of the inductive content analysis showed development of local health promotion in three phases: initiation, action, and achievement. Strengthening factors were local actors, health statistics and events. Hindering factors were lack of resources and vague objectives. External factors, e.g. national policies, were not perceived as prominent influencing factors. Media reports were regarded as having had an influence, but only to some extent. The content of local health promotion has developed from ad-hoc lifestyle and behaviour-related actions into structural, intersectoral actions related to determinants of health. Conclusions The municipalities have organized and developed their health promotion targets, actions and priorities on the basis of local needs and prerequisites. The three phases in the identified health promotion processes were experienced and documented as being subject to greater influence from internal rather than external strengthening and hindering

CHP and Local Governments: Case Studies and EPA’s New Guide (Webinar) – September 30, 2014

Science.gov (United States)

This webinar presents two case studies of CHP development projects undertaken through cooperation between private companies and government entities, and introduces an EPA guide to assist local governments to reduce greenhouse gas (GHG) emissions.

Using Interactive Case Studies to Support Students Understandings of Local Environmental Problems

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Z. Kostova

2012-12-01

Full Text Available The article presents designed and refined an interactive-enhanced curriculum module for 9th grade secondary school students in Bulgaria, based on environmental case studies. In the module activities students from two schools studied the local environments, performed observations and experiments, collected and analyzed data, prepared and presented posters and role plays, made connections between scientific processes and socio-scientific issues and drew conclusions about the global effects of locally created environmental problems. The students’ critical observations of the quality of their surroundings helped them to make a list of local environmental problems, to apply interactive strategies in studying them and to propose rational scientifically based solutions. In the study the attention was directed to the advantages and disadvantages of poster presentations and role playing and to the specific learning difficulties that students had to overcome. Students’ achievements from the two experimental schools were assessed independently in order to give us insights into the details of learning using different interactive strategies and into the acquired performance skills, dependant on students’ interests and personal abilities. The three versions of the module (traditional, dominated by teacher presentation; poster preparation and presentation in which students imitate scientific team research; and role playing in which students not only study the local environmental problems but assume social roles to cope with them demonstrate three levels of students learning independence. Specific assessment tests and check lists were developed for analyzing, evaluating and comparing students’ achievements in each version of the module and in each school. Ecological knowledge assessment tests were based on Bloom’s taxonomy of educational objectives. Poster and role playing preparations and presentations were assessed by specific criteria, shown in the

The diffusion of medical technology, local conditions, and technology re-invention: a comparative case study on coronary stenting.

Science.gov (United States)

Hashimoto, Hideki; Noguchi, Haruko; Heidenreich, Paul; Saynina, Olga; Moreland, Abigail; Miyazaki, Shunichi; Ikeda, Shunya; Kaneko, Yoshihiro; Ikegami, Naoki

2006-12-01

Innovation of medical technology is a major driving force behind the increase in medical expenditures in developed countries. Previous studies identified that the diffusion of medical technology varied across countries according to the characteristics of regulatory policy and payment systems. Based on Roger's diffusion of innovation theory, this study purported to see how local practice norms, the evolving nature of diffusing technology, and local clinical needs in addition to differences in politico-economic systems would affect the process of innovation diffusion. Taking a case of coronary stenting, an innovative therapeutic technology in early 1990s, we provided a case study of hospital-based data between two teaching high-tech hospitals in Japan and the US for discussion. Stenting began to be widely used in both countries when complementary new technology modified its clinical efficacy, but the diffusion process still differed between the two hospitals due to (1) distinctive payment systems for hospitals and physicians, (2) practice norms in favor of percutaneous intervention rather than bypass surgery that was shaped by payment incentives and cultural attitudes, and (3) local patient's clinical characteristics that the technology had to be tailored for. The case study described the diffusion of stent technology as a dynamic process between patients, physicians, hospitals, health care systems, and technology under global and local conditions.

Opportunities for Local for Local Food Production. A Case in the Dutch Fruit and Vegetables

NARCIS (Netherlands)

Visser, J.; Trienekens, J.H.; Beek, van P.

2013-01-01

This paper investigates the opportunities for farmers to produce for local consumers, based on a case study in the Dutch horticulture sector. Main requirements for the set-up of a local chain of supply chain actors are investigated. Producer requirements are added value, availability of time,

Communication in Local Community (Koprivnica case study

Directory of Open Access Journals (Sweden)

Melita Pavlek

2014-09-01

Full Text Available It is about an article which, based on the research of the local media in Koprivnica, aims to question the current theoretical attitutes to the role of the media nowadays, changes in communication, ways of connecting politics and journalism, censorship and self-censorship, bigger involvement of citizens in informing themselves via social networks, as well as other aspects of the media influence on the public. The local media in Koprivnica, among others, published articles about the biggest political and economic scandals in Croatia. At the same time, local media is significantly intertwined with local politics. How much and how are these things related? The number of local journalists with a degree in journalism is not satisfactory. How does the local community cope with it? What has changed three years after the research of three local media in Koprivnica finished? Can the local community i.e. the experience of the local media draw attention to illogical, unacceptable and illegal anomalies that create a negative perception of journalism in Croatia as well as the rest of the world nowadays?

The valorization of local aggregates in the manufacturing of high-performance concrete (case study of Southwest of Algeria)

International Nuclear Information System (INIS)

Rikioui, T.; Abdelaziz, Y.; Mekkaoui, A.

2012-01-01

On the basis of an experimental program to achieve an optimization of formulations of high performance concretes (HPC) based on local aggregates, a study was conducted to identify the physicochemical and mechanical properties of the aggregates locally available at the city of Bechar (southwest Algeria). A comparative estimate study between the conventional concrete and its HPC equivalent was also initiated. Finally, potential applications are commented using two practical case. (author)

Recurrent Local Tetanus: A Case Report | Talabi | Nigerian Medical ...

African Journals Online (AJOL)

This case report is on the recurrence of tetanus localized over the (R) upper limb within a seventeen-month period. Recurrent localized tetanus has not been reported in our local medical literature just as there is paucity of reported localized tetanus. The patient in this case sustained a piercing broomstick injury to the medial ...

Case of prostate cancer with anterior localization multiparametric MRI study

International Nuclear Information System (INIS)

Georgiev, A.

2016-01-01

Prostate cancer most often originates from acinar epithelium. Most of the clinically palpable carcinomas are located predominantly in the rear/dorzo-lateraI zones of the gland, but the tumors in the transition zone anatomical may spread to the periphery. The detection of a neoplastic process in the front parts of the gland is rare and poses difficulties in diagnosis. We present a rare case of anterior location of prostate carcinoma with invasion of bladder, blood vessels and seminal vesicles. At present, diagnosis of prostate cancer in most men is demonstrated by elevated serum levels of prostate-specific antigen (PSA), or positive rectal examination or ultrasonography. Multi parametric MR study is a promising method for detecting prostate cancer. When used in conjunction with PSA values and rectal examination, MRI is increasingly accepted as a standard for the diagnosis and characterization of prostate carcinoma. Key words; Prostate Cancer. Anterior Localization. Multi Parametric MRI

Enhancing economic competiveness of dish Stirling technology through production volume and localization: Case study for Morocco

Science.gov (United States)

Larchet, Kevin; Guédez, Rafael; Topel, Monika; Gustavsson, Lars; Machirant, Andrew; Hedlund, Maria-Lina; Laumert, Björn

2017-06-01

The present study quantifies the reduction in the levelized cost of electricity (LCoE) and capital expenditure (CAPEX) of a dish Stirling power plant (DSPP) through an increase in localization and unit production volume. Furthermore, the localization value of the plant is examined to determine how much investment is brought into the local economy. Ouarzazate, Morocco, was chosen as the location of the study due to the country's favorable regulatory framework with regards to solar power technologies and its established industry in the concentrating solar power (CSP) field. A detailed techno-economic model of a DSPP was developed using KTH's in-house modelling tool DYESOPT, which allows power plant evaluation by means of technical and economic performance indicators. Results on the basis of LCoE and CAPEX were compared between two different cases of production volume, examining both a minimum and maximum level of localization. Thereafter, the DSPP LCoE and localization value were compared against competing solar technologies to evaluate its competitiveness. In addition, a sensitivity analysis was conducted around key design parameters. The study confirms that the LCoE of a DSPP can be reduced to values similar to solar photovoltaic (PV) and lower than other CSP technologies. Furthermore, the investment in the local economy is far greater when compared to PV and of the same magnitude to other CSP technologies. The competiveness of a DSPP has the potential to increase further when coupled with thermal energy storage (TES), which is currently under development.

Study Habits and Academic Performance of Secondary School Students in Mathematic: A Case Study of Selected Secondary Schools in Uyo Local Education Council

Science.gov (United States)

Sakirudeen, Abisola Oladeni; Sanni, Kudirat Bimbo

2017-01-01

The study examined study habits and academic performance of secondary school students in Mathematics. A case study of selected secondary schools in Uyo Local Education Council. The main purpose of the study was to investigate the relationship between study habits and academic performance of secondary school students in Mathematics. To carry out…

Correlation of clinical, radiographic, and surgical localization of intervertebral disc extrusion in small-breed dogs: a prospective study of 50 cases

International Nuclear Information System (INIS)

Schulz, K.S.; Walker, M.; Moon, M.; Waldron, D.; Slater, M.; McDonald, D.E.

1998-01-01

Objective-To compare prospectively clinical, radiographic, and surgical findings of intervertebral disc extrusion (IDE) localization in small-breed dogs and to determine the best means of lesion localization for the purpose of hemilaminectomy. Study Design-Clinical, radiographic, and surgical findings of small-breed dogs with thoracolumbar IDE were prospectively compared for agreement on lesion localization. Sample Population-50 small-breed dogs with IDE treated at the three participating veterinary hospitals were included in the study if no other confounding diseases were identified and if the owner gave permission for diagnostic tests and surgery. Methods-Clinical and surgical findings were recorded by the surgeon assigned to the case. Radiographic studies were evaluated independently by two radiologists blinded as to the clinical and surgical findings. K values and 95% confidence intervals were calculated for agreement on lesion localization by clinical, radiographic, and surgical means and for agreement between radiologists. Results-K values for agreement of lesion localization were as follows: clinical versus surgical, 0.595; radiologist A versus radiologist B, 0.81; radiologist A versus surgical findings, 0.60; radiologist B versus surgical findings, 0.71. Both radiologists interpretation of IDE localization agreed with surgical localization in 60% of cases. Conclusions-Clinical lateralization of IDE was found to be the least reliable factor of those studied for determining on which side the hemilaminectomy should be performed. Results of this study differ from those of previous studies examining the reliability of myelography to localize the site of IDE accurately. The results of this study further suggest that surgery may not be an absolute standard for determination of the localization of IDE in small-breed dogs. Clinical Relevance-Intervertebral disc extrusion in small-breed dogs frequently results in bilateral distribution of extruded material. Computed

Research partnerships with local communities: two case studies from Papua New Guinea and Australia

Science.gov (United States)

Almany, G. R.; Hamilton, R. J.; Williamson, D. H.; Evans, R. D.; Jones, G. P.; Matawai, M.; Potuku, T.; Rhodes, K. L.; Russ, G. R.; Sawynok, B.

2010-09-01

Partnerships between scientists and local communities can increase research capacity and data delivery while improving management effectiveness through enhanced community participation. To encourage such collaboration, this study demonstrates how these partnerships can be formed, drawing on two case studies in coral reef ecosystems in very different social settings (Papua New Guinea and Australia). In each case, steps towards successfully engaging communities in research were similar. These included: (1) early engagement by collaborating organizations to build trust, (2) ensuring scientific questions have direct relevance to the community, (3) providing appropriate incentives for participation, and (4) clear and open communication. Community participants engaged in a variety of research activities, including locating and capturing fishes, collecting and recording data (weight, length and sex), applying external tags, and removing otoliths (ear bones) for ageing and elemental analysis. Research partnerships with communities enhanced research capacity, reduced costs and, perhaps more importantly, improved the likelihood of long-term community support for marine protected areas (MPAs).

Local and sustainable development without government settlement at Conquista/MS: a case of study

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Moisés da Silva Martins

2016-12-01

Full Text Available The present work, through a case study of the Settlement Conquest in Campo Grande / MS, aims to demonstrate the fragility of settlements in the face of economic and social development. Settlers face cultural dogmas and no administrative management, basic guidelines for managing their own business, cannot achieve a family or community quality of life. Government programs and projects are not adhered to as planned, as there are delays in funding and technical follow-up. Simultaneously, the study proposes alternative crops and a line of action in the path of cooperativism, for local and sustainable development, supporting the tripod of social responsibility with economic and cultural growth.

Why Organization May Be the Primary Limitation to Implementing Sustainability at the Local Level: Examples from Swedish Case Studies

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E. Carina H. Keskitalo

2017-03-01

Full Text Available Much of the effort to address environmental issues at the local level has focused on defining principles and aims rather than addressing the operational difficulties of implementation. Drawing upon insights from sustainability scholarship, this study reviews two cases: the development of a Swedish standard for implementing sustainable development at municipality, county council, and regional levels, and attempts by a small rural municipality to establish a process towards implementing the Aalborg Commitments. The research illustrates the specific organizational and managerial complexity of these case study experiences. It concludes that an organizational focus on integration and mainstreaming deserves particular attention to achieve broader sustainability, or related environmental or adaptation goals. The results, in particular, highlight the role that integrated management systems can play for sustainability work at the local level.

A Case Study on the Implementation of Local Health Insurance Benefit Packages

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Supriyantoro Supriyantoro

2015-06-01

Full Text Available Background: The variation of benefit packages implemented by some local social health insurance schemes (Jamkesda become an important issue in the effort to integrating them into National Health Insurance (JKN. This study aims to describe implementation of Jamkesda’s benefit packages as a basic consideration in integration to JKN. Methods: Design of this study is case study with qualitative and quantitative aproaches, conducted 2013–2014 in all of districts/cities which already have Jamkesda. Primary and secondary data was collected. Primary data has been collected by focus group discussion, interview, observation, and self administered questioner. Secondary data collected from many sources such as articles, journal, official document, statistics data, and others. Results:Of this study show there is no significant relationship between fiscal capacity group and benefit packages (continuity correction, p value = 0.065. But, districts/cities with high fiscal capacity (high and very high seem likely to have probability 1,920 bigger than lower capacity districts/cities in giving equal or more benefit than existing national social health insurance (Jamkesmas (Mantel-Haenszel, Common Odds Ratio Estimates = 1.920; Confidence Interval 95% =1.008–3.658; asymp. Sig 2 sided = 0.047. There is variation of benefit packages between each Jamkesda. Qualitative results show there are many obstacles faced in giving benefit health services, such as limited community accessibility to health facilities, the absence of health workforce, and lack of health infrastructure and equipment. Recomendation: This study recommends to set a national minimum benefit packages and equalizing percetion of local decission maker.

The Local Value Chain of Hunted Red Deer Meat: A Scenario Analysis Based on a Northern Italian Case Study

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Anna Gaviglio

2018-05-01

Full Text Available Although in recent decades, meat from hunted wild ungulates has shown interesting results in terms of market opportunities, the scientific literature is still lacking in economic studies concerning the estimation of the meat’s value for involved stakeholders. We present an analysis of the evolution of price in the local red deer meat supply chain. This analysis has been conducted through a survey based on in-depth interviews with the stakeholders involved in an Italian local supply chain. Findings derived from this study describe a case study, however, they also represent the potential dynamics of the value of Italian game meat, highlighting that the development of a sustainable local supply chain of this product may represent an economic resource for involved stakeholders.

Does consideration of GHG reductions change local decision making? A Case Study in Chile

Science.gov (United States)

Cifuentes, L. A.; Blumel, G.

2003-12-01

While local air pollution has been a public concern in developing countries for some time, climate change is looked upon as a non-urgent, developed world problem. In this work we present a case study of the interaction of measures to abate air pollution and measures to mitigate GHG emissions in Santiago, Chile, with the purpose of determining if the consideration of reductions in GHG affects the decisions taken to mitigate local air pollution. The emissions reductions of both GHG and local air pollutants were estimated from emission factors (some derived locally) and changes in activity levels. Health benefits due to air pollution abatement were computed using figures derived previously for the cost benefit analysis of Santiago's Decontamination Plan, transferred to the different cities taking into consideration local demographic and income data. The Santiago estimates were obtained using the damage function approach, based on some local epidemiological studies, and on local health and demographic data. Unit social values for the effects were estimated locally (for cost of treatment and lost productivity values) or extrapolated from US values (mainly for WTP values) using the ratio of per-capita income and an income elasticity of 1. The average benefits of emission abatement (in 1997 US\\ per ton) are 1,800 (1,200-2300) for NOx, 3,000 (2,100-3900) for SO2, 31,900 (21,900 - 41,900) for PM, and 630 (430 - 830) for resuspended dust. Economic benefits due to carbon reduction were considered at 3.5, 10 and 20 UStCO2. Marginal abatement cost curves were constructed considering private and net costs (private less the potential sales of carbon credits) Due to the bottom-up approach to constructing the marginal cost curve, many abatement measures (like congestion tolls and CNG instead of diesel buses) amounting to 8% reduction of PM2.5 concentration, exhibit a negative private cost. If the health benefits are considered for the decision, a maximum reduction of 22% in PM2

Ecological Footprint as a tool for local sustainability: The municipality of Piacenza (Italy) as a case study

International Nuclear Information System (INIS)

Scotti, Marco; Bondavalli, Cristina; Bodini, Antonio

2009-01-01

The Ecological Footprint is a synthetic index useful to assess sustainability of anthropic systems. Its operational use, however, has been hampered by some difficulties, especially at a local scale. Being conceived as a measure of the biologically productive area requested to sustain individual consumptions in a human community, it leaves out the impacts associated to economic activities. Accordingly, the index cannot contribute much to define local policies, whose target are economic activities, and only marginally affect citizens' behaviour. Ecological Footprint calculation scheme can be modified to include the depletion of natural capital due to local activities such as industry, agriculture, tertiary sector, transport, waste and water management. We provide here an approach which takes into account these different aspects, while we discuss its application to a municipal area as a case study

How To Set Up Your Own Small Business. Service Company Case Study. Manufacturing Firm Case Study. Retail Store Case Study.

Science.gov (United States)

Fallek, Max

This collection of case studies is intended for use in a course in setting up a small business. The first, a case study of the process of setting up a service company, covers analyzing the pros and cons of starting one's own business, assessing the competition and local market, and selecting a site for and financing the business. The principal…

Gender isn't an issue! Case studies of exemplary practice in promoting gender equality and diversity in local authorities

OpenAIRE

Broussine, M.; Fox, P.

2005-01-01

Report of an inquiry, the aims of which were:\\ud \\ud 1)Develop case studies which demonstrate exemplary practice in progress towards gender equality in five selected local authorities. \\ud \\ud 2)Identify the systemic and cultural factors, working styles and practices and processes that contribute to good practice in gender equality and diversity. \\ud \\ud 3)Point local authorities to best practice so that they might learn from a process which has identified and celebrated achievement.

Public Sector Financial Management Reform: A Case Study of Local Government Agencies in Indonesia

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Monir Mir

2013-12-01

Full Text Available Indonesia has taken initiatives to reform its public sector financial management. One of the reform agendas was to introduce ‘cash to accrual’ accounting for improved financial reporting. It is expected that improved financial reporting will enhance financial accountabilities of the governmental agencies and will assist both internal and external decision makers whose decisions will be based on the financial reports. However, it has been observed that there is a significant increase in the number of qualified audit reports when these financial reports were audited. This also means that these financial reports are lacking in providing true and fair views on the financial activities of the governmental agencies, thereby not assisting in discharging their accountabilities. This study seeks to answer the question as to why the numbers of qualified audit reports have increased despite the existence of various governmental accounting reform agendas. Based on the in-depth case studies of three Indonesian local governments, it is found that the demand, the supply and the quality assurance of the accounting information outputs in these local governments are not in parity, and this lacking in parties actually has impacted in producing unqualified and usable accounting reports.

Local disease-ecosystem-livelihood dynamics: reflections from comparative case studies in Africa.

Science.gov (United States)

Leach, Melissa; Bett, Bernard; Said, M; Bukachi, Salome; Sang, Rosemary; Anderson, Neil; Machila, Noreen; Kuleszo, Joanna; Schaten, Kathryn; Dzingirai, Vupenyu; Mangwanya, Lindiwe; Ntiamoa-Baidu, Yaa; Lawson, Elaine; Amponsah-Mensah, Kofi; Moses, Lina M; Wilkinson, Annie; Grant, Donald S; Koninga, James

2017-07-19

This article explores the implications for human health of local interactions between disease, ecosystems and livelihoods. Five interdisciplinary case studies addressed zoonotic diseases in African settings: Rift Valley fever (RVF) in Kenya, human African trypanosomiasis in Zambia and Zimbabwe, Lassa fever in Sierra Leone and henipaviruses in Ghana. Each explored how ecological changes and human-ecosystem interactions affect pathogen dynamics and hence the likelihood of zoonotic spillover and transmission, and how socially differentiated peoples' interactions with ecosystems and animals affect their exposure to disease. Cross-case analysis highlights how these dynamics vary by ecosystem type, across a range from humid forest to semi-arid savannah; the significance of interacting temporal and spatial scales; and the importance of mosaic and patch dynamics. Ecosystem interactions and services central to different people's livelihoods and well-being include pastoralism and agro-pastoralism, commercial and subsistence crop farming, hunting, collecting food, fuelwood and medicines, and cultural practices. There are synergies, but also tensions and trade-offs, between ecosystem changes that benefit livelihoods and affect disease. Understanding these can inform 'One Health' approaches towards managing ecosystems in ways that reduce disease risks and burdens.This article is part of the themed issue 'One Health for a changing world: zoonoses, ecosystems and human well-being'. © 2017 The Authors.

Application of Local Vibrations in Delayed and Non-Union Fractures: a Case Study

Science.gov (United States)

Trombetta, Chiara; Abundo, Paolo; Foti, Calogero; Rosato, Nicola

2011-02-01

The aim of the study was to assess the efficacy of local vibration treatments (LV) in delayed-union and non-union fractures, through therapeutic exercise vibration (TEV) practice, analysing the radiological trend. The Medical Engineering Service of the Fondazione Policlinico Tor Vergata in collaboration with the Chair-Department of Rehabilitation Medicine of the University of Rome Tor Vergata and the Boscosystem company, is developing a device dedicated to LV application, to favour bone regeneration and muscle strengthening. This case report analyses the bone activity of a male patient presenting a right tibial fracture, treated with TEV. At the end of the TEV program, clinical results confirmed independent ambulation with disappearance of perimalleolar edema, while radiographic images revealed the presence of bone repair activity around the fracture line.

Application of Local Vibrations in Delayed and Non-Union Fractures: a Case Study

International Nuclear Information System (INIS)

Trombetta, Chiara; Abundo, Paolo; Foti, Calogero; Rosato, Nicola

2011-01-01

The aim of the study was to assess the efficacy of local vibration treatments (LV) in delayed-union and non-union fractures, through therapeutic exercise vibration (TEV) practice, analysing the radiological trend. The Medical Engineering Service of the Fondazione Policlinico Tor Vergata in collaboration with the Chair-Department of Rehabilitation Medicine of the University of Rome Tor Vergata and the Boscosystem company, is developing a device dedicated to LV application, to favour bone regeneration and muscle strengthening. This case report analyses the bone activity of a male patient presenting a right tibial fracture, treated with TEV. At the end of the TEV program, clinical results confirmed independent ambulation with disappearance of perimalleolar edema, while radiographic images revealed the presence of bone repair activity around the fracture line.

Locally advanced colon cancer with cutaneous invasion: case report.

Science.gov (United States)

Tenreiro, Nádia; Ferreira, Cátia; Silva, Silvia; Marques, Rita; Ribeiro, Artur; Sousa, Paulo Jorge; Luís, Fernando Próspero

2017-03-01

Locally advanced colon cancer with direct abdominal wall and skin invasion is an extremely rare finding with most data being derived from case reports, historical autopsy-based or single-center retrospective studies. We present a unique case of a colon cancer with direct cutaneous invasion and colocutaneous fistulization. Eighty-six year old Caucasian female with multiple comorbidities, referred to Surgical Consultation due to ulcerated skin lesion in the abdomen. She had a long-standing large umbilical hernia but with no previous episodes of incarceration or occlusive symptoms. She denied any digestive or constitutional symptoms. Physical examination showed a large non-reducible umbilical hernia, with an associated painless firm mass within the hernia sac and cutaneous ulcerated growth. Colonoscopy revealed transverse colon cancer (endoscopic biopsy of the tumor and skin punch biopsy confirmed adenocarcinoma of the colon). Computed tomography showed a tumoral mass within the umbilical hernia, with cutaneous infiltration and enlarged regional lymph nodes. Rapid local progression led to colocutaneous fistula with total fecal diversion. We performed an extended right hemicolectomy with en bloc excision of the hernia sac and infiltrating cutaneous mass. In the current era of widespread use of screening colonoscopies, initial diagnosis of locally advanced colon cancer is decreasing. However, this unique case presented an opportunity to recall the advantages of multivisceral resections.

Multiple Drivers of Local (Non- Compliance in Community-Based Marine Resource Management: Case Studies from the South Pacific

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Janne R. Rohe

2017-05-01

Full Text Available The outcomes of marine conservation and related management interventions depend to a large extent on people's compliance with these rule systems. In the South Pacific, community-based marine resource management (CBMRM has gained wide recognition as a strategy for the sustainable management of marine resources. In current practice, CBMRM initiatives often build upon customary forms of marine governance, integrating scientific advice and management principles in collaboration with external partners. However, diverse socio-economic developments as well as limited legal mandates can challenge these approaches. Compliance with and effective (legally-backed enforcement of local management strategies constitute a growing challenge for communities—often resulting in considerable impact on the success or failure of CBMRM. Marine management arrangements are highly dynamic over time, and similarly compliance with rule systems tends to change depending on context. Understanding the factors contributing to (non- compliance in a given setting is key to the design and function of adaptive management approaches. Yet, few empirical studies have looked in depth into the dynamics around local (non- compliance with local marine tenure rules under the transforming management arrangements. Using two case studies from Solomon Islands and Fiji, we investigate what drives local (non- compliance with CBMRM and what hinders or supports its effective enforcement. The case studies reveal that non-compliance is mainly driven by: (1 diminishing perceived legitimacy of local rules and rule-makers; (2 increased incentives to break rules due to market access and/ or lack of alternative income; and (3 relatively weak enforcement of local rules (i.e., low perceptions of risk from sanctions for rule-breaking. These drivers do not stand alone but can act together and add up to impair effective management. We further analyze how enforcement of CBMRM is challenged through a range of

Local stakeholder participation in CDM and new climate mitigation mechanisms – case study of a small scale hydropower project in China

DEFF Research Database (Denmark)

Dong, Yan; Olsen, Karen Holm; Filzmoser, Eva

2014-01-01

and China’s stakeholder participation policies in environment impact assessment at project level, the PDD of this project and similar projects were analyzed providing an overall impression of the stakeholder participations process and results in such projects. Afterwards, we focused on a single case, where...... that the Clean Development Mechanism (CDM) Executive Board should collect information on practices for local stakeholder consultation in collaboration with the Designated National Authorities (DNA) Forum and provide technical assistance for the development of guidelines for local stakeholder participation......, if a country requests assistance. Learning from a case study of how local stakeholder participation is practiced in CDM in a small scale hydropower project in China, this paper identifies the strengths and weaknesses of how the concept is applied in practice. To understand the execution of both CDM policies...

EVOLUTION OF THE LOCAL BUDGET REVENUES AND EXPENSES. CASE STUDY: ORĂȘTIE TOWN HALL, HUNEDOARA COUNTY

Directory of Open Access Journals (Sweden)

ILEANA-SORINA (BOCA RAKOS

2016-12-01

Full Text Available At present, the elaboration of budgets at any level is a real problem especially due to the need of respecting the budget balance principle, since the need for financial resources is greater than the existing funds necessary for a good development of the economic activites. Consequently, by this work, the authors deal with aspects concerning the general framework and procedures of creation, administration, commission and use of the local public funds, and the responsibilities of the local public authorities and of the public institutions involved in the domain of local public finances. The paper deals, on the level of an administrative-territorial unit with a number of about 20.000 inhabitants, with the aggregate budget revenues and expenses that make up the general budget of the respective unit, after consolidation, by the elimination of the transfers of sums between budgets, reflecting the dimension of the public financial effort, on the level of the year 2016 and its state of balance or imbalance. To analyze the data, the authors realized a case study regarding the evolution of the local budget revenues and expenses, at a public entity of Hunedoara County, the results obtained being analyzed and interpreted under the economic and social aspect. The overall objective of this study refers to the possibility of strengthening the operational and financial autonomy of the administrative-territorial unit and the local budget. Although at the national level, the laws necessary for the budget system operation were elaborated on the principle of local autonomy, however, at the level of administrative units we cannot yet speak of the existence of a real local autonomy, whereas the revenues of the local budgets are not sufficient to cover the expense level. The paper ends with the authors’ conclusions related to the need to increase the financial resources mobilized available to the local public authorities, by means of the local budgets, in order to

GIS and local knowledge in disaster management: a case study of flood risk mapping in Viet Nam.

Science.gov (United States)

Tran, Phong; Shaw, Rajib; Chantry, Guillaume; Norton, John

2009-03-01

Linking community knowledge with modern techniques to record and analyse risk related data is one way of engaging and mobilising community capacity. This paper discusses the use of the Geographic Information System (GIS) at the local level and the need for integrating modern technology and indigenous knowledge into disaster management. It suggests a way to mobilise available human and technical resources in order to strengthen a good partnership between local communities and local and national institutions. The paper also analyses the current vulnerability of two communes by correlating hazard risk and loss/damage caused by disasters and the contribution that domestic risk maps in the community can make to reduce this risk. The disadvantages, advantages and lessons learned from the GIS flood risk mapping project are presented through the case study of the Quang Tho Commune in Thua Thien Hue province, central Viet Nam.

Local Responses to Development and Conservation Projects - A case study in Río San Juan, Nicaragua

OpenAIRE

Dahlbom, Sanne

2007-01-01

Based on a case study in the buffer zone to the Biological Reserve Indio-Maíz, Nicaragua, and by employing an actor-oriented approach, this thesis sets out to explore how locals respond to conservation and development projects, and what factors facilitate these responses. It will be argued that differentiation in people’s capitals, such as access to wider social networks and information, capability to adapt to changes in livelihoods and deal with project requirements, as well as coping with i...

Comparing the Sustainability of Local and Global Food Chains: A Case Study of Cheese Products in Switzerland and the UK

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Emilia Schmitt

2016-04-01

Full Text Available Local food has recently gained popularity under the assumption that it is more sustainable than food from distant locations. However, evidence is still lacking to fully support this assumption. The goal of this study is to compare local and global food chains in five dimensions of sustainability (environmental, economic, social, ethical and health, covering all stages of the chain. In particular, four cheese supply chains are compared in detail: a local (L’Etivaz and global (Le Gruyère case in Switzerland and a local (Single Gloucester and global (Cheddar case in the UK. A multi-dimensional perspective is adopted to compare their sustainability performance. Eight attributes of performance (affordability, creation and distribution of added value, information and communication, consumer behaviour, resource use, biodiversity, nutrition and animal welfare are used to frame the comparative analysis. The results suggest that local cheese performs better in the field of added value creation and distribution, animal welfare and biodiversity. Global chains, by contrast, perform better in terms of affordability and efficiency and some environmental indicators. This analysis needed to be expressed in qualitative terms rather than quantified indicators and it has been especially useful to identify the critical issues and trade-offs that hinder sustainability at different scales. Cheese supply chains in Switzerland and the UK also often present hybrid arrangements in term of local and global scales. Comparison is therefore most meaningful when presented on a local (farmhouse/global (creamery continuum.

Research on the localization method of protecting traditional village landscape: a case study on Tangyin

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W. Li

2015-08-01

Full Text Available China has over 271 million villages and less than the number in ten years ago in which there are 363 million villages. New rural construction indeed do some good for common villages but still destroy hundreds and thousands traditional village which contain great cultural, science, artistic values. In addition, traditional villages can't meet the increasing needs in more convenient and comfortable living conditions. Increasing population also makes traditional villages out of control in construction. With the background of this, we have to set up in traditional village protection. This article put forward an idea in protection which make use of landscape localization to pursue the sustainable development and vernacular landscape protection. Tangyin Town is a famous trade center in history and left many cultural heritage, especially historical buildings. Take Tangyin as a case study to apply the localization method which could guide other similar villages to achieve same goals.

Local farmers' perceptions of climate change and local adaptive strategies: a case study from the Middle Yarlung Zangbo River Valley, Tibet, China.

Science.gov (United States)

Li, Chunyan; Tang, Ya; Luo, Han; Di, Baofeng; Zhang, Liyun

2013-10-01

Climate change affects the productivity of agricultural ecosystems. Farmers cope with climate change based on their perceptions of changing climate patterns. Using a case study from the Middle Yarlung Zangbo River Valley, we present a new research framework that uses questionnaire and interview methods to compare local farmers' perceptions of climate change with the adaptive farming strategies they adopt. Most farmers in the valley believed that temperatures had increased in the last 30 years but did not note any changes in precipitation. Most farmers also reported sowing and harvesting hulless barley 10-15 days earlier than they were 20 years ago. In addition, farmers observed that plants were flowering and river ice was melting earlier in the season, but they did not perceive changes in plant germination, herbaceous vegetation growth, or other spring seasonal events. Most farmers noticed an extended fall season signified by delays in the freezing of rivers and an extended growing season for grassland vegetation. The study results showed that agricultural practices in the study area are still traditional; that is, local farmers' perceptions of climate change and their strategies to mitigate its impacts were based on indigenous knowledge and their own experiences. Adaptive strategies included adjusting planting and harvesting dates, changing crop species, and improving irrigation infrastructure. However, the farmers' decisions could not be fully attributed to their concerns about climate change. Local farming systems exhibit high adaptability to climate variability. Additionally, off-farm income has reduced the dependence of the farmers on agriculture, and an agricultural subsidy from the Chinese Central Government has mitigated the farmers' vulnerability. Nevertheless, it remains necessary for local farmers to build a system of adaptive climate change strategies that combines traditional experience and indigenous knowledge with scientific research and

Generating local scale land use/cover change scenarios: case studies of high-risk mountain areas

Science.gov (United States)

Malek, Žiga; Glade, Thomas; Boerboom, Luc

2014-05-01

The relationship between land use/cover changes and consequences to human well-being is well acknowledged and has led to higher interest of both researchers and decision makers in driving forces and consequences of such changes. For example, removal of natural vegetation cover or urban expansion resulting in new elements at risk can increase hydro-meteorological risk. This is why it is necessary to study how the land use/cover could evolve in the future. Emphasis should especially be given to areas experiencing, or expecting, high rates of socio-economic change. A suitable approach to address these changes is scenario development; it offers exploring possible futures and the corresponding environmental consequences, and aids decision-making, as it enables to analyse possible options. Scenarios provide a creative methodology to depict possible futures, resulting from existing decisions, based on different assumptions of future socio-economic development. They have been used in various disciplines and on various scales, such as flood risk and soil erosion. Several studies have simulated future scenarios of land use/cover changes at a very high success rate, however usually these approaches are tailor made for specific case study areas and fit to available data. This study presents a multi-step scenario generation framework, which can be transferable to other local scale case study areas, taking into account the case study specific consequences of land use/cover changes. Through the use of experts' and decision-makers' knowledge, we aimed to develop a framework with the following characteristics: (1) it enables development of scenarios that are plausible, (2) it can overcome data inaccessibility, (3) it can address intangible and external driving forces of land use/cover change, and (4) it ensures transferability to other local scale case study areas with different land use/cover change processes and consequences. To achieve this, a set of different methods is applied

Translating an early childhood obesity prevention program for local community implementation: a case study of the Melbourne InFANT Program

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R. Laws

2016-08-01

Full Text Available Abstract Background While there is a growing interest in the field of research translation, there are few published examples of public health interventions that have been effectively scaled up and implemented in the community. This paper provides a case study of the community-wide implementation of the Melbourne Infant, Feeding, Activity and Nutrition Trial (InFANT, an obesity prevention program for parents with infants aged 3–18 months. The study explored key factors influencing the translation of the Program into routine practice and the respective role of policy makers, researchers and implementers. Methods Case studies were conducted of five of the eight prevention areas in Victoria, Australia who implemented the Program. Cases were selected on the basis of having implemented the Program for 6 months or more. Data were collected from January to June 2015 and included 18 individual interviews, one focus group and observation of two meetings. A total of 28 individuals, including research staff (n = 4, policy makers (n = 2 and implementers (n = 22, contributed to the data collected. Thematic analysis was conducted using cross case comparisons and key themes were verified through member checking. Results Key facilitators of implementation included availability of a pre-packaged evidence based program addressing a community need, along with support and training provided by research staff to local implementers. Partnerships between researchers and policy makers facilitated initial program adoption, while local partnerships supported community implementation. Community partnerships were facilitated by local coordinators through alignment of program goals with existing policies and services. Workforce capacity for program delivery and administration was a challenge, largely overcome by embedding the Program into existing roles. Adapting the Program to fit local circumstance was critical for feasible and sustainable delivery, however

Software for real-time localization of baleen whale calls using directional sonobuoys: A case study on Antarctic blue whales.

Science.gov (United States)

Miller, Brian S; Calderan, Susannah; Gillespie, Douglas; Weatherup, Graham; Leaper, Russell; Collins, Kym; Double, Michael C

2016-03-01

Directional frequency analysis and recording (DIFAR) sonobuoys can allow real-time acoustic localization of baleen whales for underwater tracking and remote sensing, but limited availability of hardware and software has prevented wider usage. These software limitations were addressed by developing a module in the open-source software PAMGuard. A case study is presented demonstrating that this software provides greater efficiency and accessibility than previous methods for detecting, localizing, and tracking Antarctic blue whales in real time. Additionally, this software can easily be extended to track other low and mid frequency sounds including those from other cetaceans, pinnipeds, icebergs, shipping, and seismic airguns.

The local embeddedness of lifestyle entrepreneur: an exploratory study

OpenAIRE

Saleilles , Séverine; Gomez-Velasco , Marie

2007-01-01

The aim of this paper is to conduct an exploratory study, based on four exploratory cases, of lifestyle entrepreneurship. Our inquiry is focused on the topic of local embeddedness: Does the location chosen for self satisfaction comply with the local embeddedness theory or does it have a specific relationship with the territory concept? It appears that the cases are integrated in a context that is not manifested in territorial but functional terms. This mixed embeddedness can be explained by a...

Towards an Understanding of the Impacts of Localized Real Case Studies

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Mathews Nkhoma

2014-02-01

Full Text Available This research aims to understand the mediating roles of learning engagement, learning process and learning experience in influencing students' outcomes through case study pedagogy. It gathered students' responses to localised real case studies discussed in Information Systems classes. Case knowledge and perception were used to measure students' learning outcomes in order to determine the degree to which students induced course concepts and how they felt the cases impacted their understanding of the course. Revised student engagement questionnaire was used to measure various forms of engagement such as skills, emotion, participation, and performance while revised study process questionnaire served to assess the extent to which students used deep or surface approach to learning. Additionally, seven roles of feedback were used to analyse students' learning experience. Finally, group performance and individual's positive perceptions of group learning were tested to measure students' learning outcomes. Structural equation modelling was used to test the causal model. Analysis revealed that case knowledge and case perception had positive influence on students' skill engagement and emotional engagement but only case knowledge had a positive impact on the functions of feedback.

Adopting local alcohol policies: a case study of community efforts to regulate malt liquor sales.

Science.gov (United States)

McKee, Patricia A; Nelson, Toben F; Toomey, Traci L; Shimotsu, Scott T; Hannan, Peter J; Jones-Webb, Rhonda J

2012-01-01

To learn how the local context may affect a city's ability to regulate alcohol products such as high-alcohol-content malt liquor, a beverage associated with heavy drinking and a spectrum of nuisance crimes in urban areas. An exploratory, qualitative case study comparing cities that adopted policies to restrict malt liquor sales with cities that considered, but did not adopt policies. Nine large U.S. cities in seven states. City legislators and staff, alcohol enforcement personnel, police, neighborhood groups, business associations, alcohol retailers, and industry representatives. Qualitative data were obtained from key informant interviews (n = 56) and media articles (n = 360). The data were coded and categorized. Similarities and differences in major themes among and across Adopted and Considered cities were identified. Cities faced multiple barriers in addressing malt liquor-related problems, including a lack of enforcement tools, alcohol industry opposition, and a lack of public and political will for alcohol control. Compared to cities that did not adopt malt liquor sales restrictions, cities that adopted restrictions appeared to have a stronger public mandate for a policy and were less influenced by alcohol industry opposition and lack of legislative authority for alcohol control. Strategies common to successful policymaking efforts are discussed. Understanding the local context may be a critical step in winning support for local alcohol control policies.

Horizontal rotation of the local stress field in response to magmatic activity: Evidence from case studies and modeling

Science.gov (United States)

Roman, D. C.

2003-12-01

A complete understanding of the initiation, evolution, and termination of volcanic eruptions requires reliable monitoring techniques to detect changes in the conduit system during periods of activity, as well as corresponding knowledge of conduit structure and of magma physical properties. Case studies of stress field orientation prior to, during, and after magmatic activity can be used to relate changes in stress field orientation to the state of the magmatic conduit system. These relationships may be tested through modeling of induced stresses. Here I present evidence from case studies and modeling that horizontal rotation of the axis of maximum compressive stress at an active volcano indicates pressurization of a magmatic conduit, and that this rotation, when observed, may also be indicative of the physical properties of the ascending magma. Changes in the local stress field orientation during the 1992 eruption sequence at Crater Peak (Mt. Spurr), Alaska were analyzed by calculating and inverting subsets of over 150 fault-plane solutions. Local stress tensors for four time periods, corresponding approximately to changes in activity at the volcano, were calculated based on the misfit of individual fault-plane solutions to a regional stress tensor. Results indicate that for nine months prior to the eruption, local maximum compressive stress was oriented perpendicular to regional maximum compressive stress. A similar horizontal rotation was observed beginning in November of 1992, coincident with an episode of elevated earthquake and tremor activity indicating intrusion of magma into the conduit. During periods of quiescence the local stress field was similar to the regional stress field. Similar horizontal rotations have been observed at Mt. Ruapehu, New Zealand (Miller and Savage 2001, Gerst 2003), Usu Volcano, Japan (Fukuyama et al. 2001), Unzen Volcano, Japan (Umakoshi et al. 2001), and Mt. St. Helens Volcano, USA (Moran 1994) in conjunction with eruptive

Four cases with localized brain-stem lesion on CT scan following closed head injury

International Nuclear Information System (INIS)

Saeki, Naokatsu; Odaki, Masaru; Oka, Nobuo; Takase, Manabu; Ono, Junichi.

1981-01-01

Cases of primary brain-stem injury following closed head injury, verified by a CT scan, have been increasingly reported. However, most of them have other intracranial lesions in addition to the brain stem, resulting in a poor outcome. The CT scan of 200 cases with severe head injury-Araki's classification of types 3 and 4 - were analysed. Four cases out of them had localized brain-stem lesion without any other significant intracranial injury on a CT scan at the acute stage and had a better outcome than had previously been reported. In this analysis, these 4 cases were studied, and the CT findings, prognosis, and pathogenesis of the localized brain-stem injury were discussed. Follow-up CT of three cases, and taken one month or more later, showed diffuse cortical atrophy. This may indicate the presence of diffuse cerebral injury which could not be seen on CT scans at the acute stage. This atrophic change may also be related with the mechanism of posttraumatic conscious impairment and posttraumatic neurological deficits, such as mental symptoms and impairment of the higher cortical function. Shearing injury is a probable pathogenesis for this diffuse cortical injury. On the other hand, one case did not have any cortical atrophy on a follow-up CT scan. Therefore, this is a case with a localized primary brain-stem injury. Coup injury against the brain stem by a tentorial margin in a case with a small tentorial opening is a possible mechanism producing the localized brain-stem injury. (J.P.N.)

Methodology for locale-scale monitoring for the PROTHEGO project: the Choirokoitia case study

Science.gov (United States)

Themistocleous, Kyriacos; Agapiou, Athos; Cuca, Branka; Danezis, Chris; Cigna, Francesca; Margottini, Claudio; Spizzichino, Daniele

2016-10-01

PROTHEGO (PROTection of European Cultural HEritage from GeO-hazards) is a collaborative research project funded in the framework of the Joint Programming Initiative on Cultural Heritage and Global Change (JPICH) - Heritage Plus in 2015-2018 (www.prothego.eu). PROTHEGO aims to make an innovative contribution towards the analysis of geohazards in areas of cultural heritage, and uses novel space technology based on radar interferometry (InSAR) to retrieve information on ground stability and motion in the 400+ UNESCO's World Heritage List monuments and sites of Europe. InSAR can be used to measure micro-movements to identify geo-hazards. In order to verify the InSAR image data, field and close range measurements are necessary. This paper presents the methodology for local-scale monitoring of the Choirokoitia study site in Cyprus, inscribed in the UNESCO World Heritage List, and part of the demonstration sites of PROTHEGO. Various field and remote sensing methods will be exploited for the local-scale monitoring, static GNSS, total station, leveling, laser scanning and UAV and compared with the Persistent Scatterer Interferometry results. The in-situ measurements will be taken systematically in order to document any changes and geo-hazards that affect standing archaeological remains. In addition, ground truth from in-situ visits will provide feedback related to the classification results of urban expansion and land use change maps. Available archival and current optical satellite images will be used to calibrate and identify the level of risk at the Cyprus case study site. The ground based geotechnical monitoring will be compared and validated with InSAR data to evaluate cultural heritage sites deformation trend and to understand its behaviour over the last two decades.

Localized lymphedema (elephantiasis): a case series and review of the literature.

Science.gov (United States)

Lu, Song; Tran, Tien Anh; Jones, David M; Meyer, Dale R; Ross, Jeffrey S; Fisher, Hugh A; Carlson, John Andrew

2009-01-01

Lymphedema typically affects a whole limb. Rarely, lymphedema can present as a circumscribed plaque or an isolated skin tumor. To describe the clinical and pathologic characteristics and etiologic factors of localized lymphedema. Case-control study of skin biopsy and excision specimens histologically diagnosed with lymphedema and presenting as a localized skin tumor identified during a 4-year period. We identified 24 cases of localized lymphedema presenting as solitary large polyps (11), solid or papillomatous plaques (7), pendulous swellings (4), or tumors mimicking sarcoma (2). Patients were 18 females and 6 males with a mean age of 41 years (range 16-74). Anogenital involvement was most frequent (75%)--mostly vulva (58%), followed by eyelid (13%), thigh (8%) and breast (4%). Causative factors included injury due to trauma, surgery or childbirth (54%), chronic inflammatory disease (rosacea, Crohn's disease) (8%), and bacterial cellulitis (12%). Eighty-five percent of these patients were either overweight (50%) or obese (35%). Compared with a series of 80 patients with diffuse lymphedema, localized lymphedema patients were significantly younger (41 vs. 62 years old, p = 0.0001), had no history of cancer treatment (0% vs. 18%, p = 0.03), and had an injury to the affected site (54% vs. 6%, p = 0.0001). Histologically, all cases exhibited dermal edema, fibroplasia, dilated lymphatic vessels, uniformly distributed stromal cells and varying degrees of papillated epidermal hyperplasia, inflammatory infiltrates and hyperkeratosis. Tumor size significantly and positively correlated with history of cellulitis, obesity, dense inflammatory infiltrates containing abundant plasma cells, and lymphoid follicles (p elephantiasis.

Challenges for a Local Service Agency to Address Domestic Violence –A Case Study From Rural Indonesia

Science.gov (United States)

Hayati, Elli Nur; Emmelin, Maria; Eriksson, Malin

2014-01-01

Since the launch of a Zero Tolerance Policy in Indonesia, several policies to address domestic violence have been enacted. The obligation of local governments to establish service units for women survivors of domestic violence is one of them. Since domestic violence is a sensitive and complex issue in Indonesia it is important to understand how governmentally regulated services function in practice. This case study aimed to explore challenges faced by a local service agency in managing service provision for women survivors of domestic violence in rural Indonesia. Data from one focus group discussion (12 participants), four individual interviews, six short narratives, two days of participant observation, as well as archive reviews were collected. All data were analyzed using Grounded Theory Situational Analysis. The major challenge faced by the local agency was the low priority that was given them by the local authorities, mirrored also in low involvement by the assigned volunteers in the daily service. The study also identified a gap between the socio-cultural arena and the law & policy arena that needs to be bridged to avoid that the two arenas address domestic violence in a contradictory way. Budget allocation to support the sustainability of the daily routines of service agencies has to be given priority. There is also a need for careful considerations regarding the composition of personnel involved within daily management of service agencies addressing domestic violence. To bridge the gap between the legal systems and traditional cultural values, culturally adjusted alternative justice systems could be developed to increase women’s access to legal support. PMID:25363105

The role of local government in redressing neighbourhood disadvantage: A case study from Penrith City Council

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Jason Prior

2008-04-01

Full Text Available The concentration of disadvantage in specific neighbourhoods is a widespread characteristic of many Australian cities. A broad range of policies and programs which utilize integrated forms of governance have been designed and implemented to redress this. Within the state of New South Wales, Australia, local governments have been identified as being amongst the most effective drivers for these integrated governance approaches. Utilizing a case study of the Penrith Neighbourhood Renewal Program, this paper explores recent attempts by Penrith City Council to develop a framework to redress neighbourhood disadvantage, firstly by establishing an integrated governance framework for the program, and secondly by transforming the council’s operational structure.

Opportunities for Local for Local Food Production: A Case in the Dutch Fruit and Vegetables

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Jurriaan Visser

2013-03-01

Full Text Available This paper investigates the opportunities for farmers to produce for local consumers, based on a case study in the Dutch horticulture sector. Main requirements for the set-up of a local chain of supply chain actors are investigated. Producer requirements are added value, availability of time, infrastructure and training. Retailer requirements are quality of food, purchasing volumes, food safety, communication to consumers and traceability of products. For consumers taste/freshness, sustainability, health benefits and authenticity are important attributes of local foods. Based on literature review and interviews with stakeholders four possible strategies for local food chains are defined. The ‘keep it local’ strategy means that the local food supply chains will not make use of the current infrastructure of the marketing coop that acts as chain coordinator. Deliveries are directly between farmer and retail outlet. The local products - conventional supply chain strategy implies that current (non-local supply chains are used to distribute local products. The supply chain planning will be more complex since products need to be separated per grower and distributed to several local supermarkets. In the ‘enabling producers’ strategy the marketing coop/chain coordinator is going to enable its member producers to sell their products locally. The marketing coop can support producers in for instance, billing and payments, marketing, logistics. The fourth strategy aims at strengthening current consumer communication strategies. It is argued that connecting producers and consumers, regardless of where they live is advantageous.Conclusion is that strategy 3; ‘Enabling producers’, in combination with strategy 4; ‘Strengthening current consumer communication strategies’ are the most promising options in setting up local food supply chains. Strategies 1 and 2, where the marketing coop/chain coordinator itself takes on the challenge of setting up

Evolutionary dynamics of molecular markers during local adaptation: a case study in Drosophila subobscura

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Matos Margarida

2009-06-01

Full Text Available Abstract Here we present a correction to our article "Evolutionary dynamics of molecular markers during local adaptation: a case study in Drosophila subobscura". We have recently detected an error concerning the application of the Ln RH formula – a test to detect positive selection – to our microsatellite data. Here we provide the corrected data and discuss its implications for our overall findings. The corrections presented here have produced some changes relative to our previous results, namely in a locus (dsub14 that presents indications of being affected by positive selection. In general, our populations present less consistent indications of positive selection for this particular locus in both periods studied – between generations 3 and 14 and between generation 14 and 40 of laboratory adaptation. Despite this, the main findings of our study regarding the possibility of positive selection acting on that particular microsatellite still hold. As previously concluded in our article, further studies should be performed on this specific microsatellite locus (and neighboring areas to elucidate in greater detail the evolutionary forces acting on this specific region of the O chromosome of Drosophila subobscura.

CDC's National Environmental Public Health Tracking Program in Action: Case Studies From State and Local Health Departments.

Science.gov (United States)

Eatman, Shana; Strosnider, Heather M

The Centers for Disease Control and Prevention's (CDC's) National Environmental Public Health Tracking Program (Tracking Program) is a multidisciplinary collaboration that involves the ongoing collection, integration, analysis, interpretation, and dissemination of data from environmental hazard monitoring, human exposure surveillance, and health effects surveillance. With a renewed focus on data-driven decision-making, the CDC's Tracking Program emphasizes dissemination of actionable data to public health practitioners, policy makers, and communities. The CDC's National Environmental Public Health Tracking Network (Tracking Network), a Web-based system with components at the national, state, and local levels, houses environmental public health data used to inform public health actions (PHAs) to improve community health. This article serves as a detailed landscape on the Tracking Program and Tracking Network and the Tracking Program's leading performance measure, "public health actions." Tracking PHAs are qualitative statements addressing a local problem or situation, the role of the state or local Tracking Program, how the problem or situation was addressed, and the action taken. More than 400 PHAs have been reported by funded state and local health departments since the Tracking Program began collecting PHAs in 2005. Three case studies are provided to illustrate the use of the Tracking Program resources and data on the Tracking Network, and the diversity of actions taken. Through a collaborative network of experts, data, and tools, the Tracking Program and its Tracking Network are actively informing state and local PHAs. In a time of competing priorities and limited funding, PHAs can serve as a powerful tool to advance environmental public health practice.

Environmental Management Systems in Local Authorities: The Case Study of the Cesana Torinese Municipality, a Turin 2006 Olympic Site

OpenAIRE

Serena Botta; Claudio Comoglio

2007-01-01

Environmental certification according to the ISO 14001 standard and EMAS regulation represents an efficient tool for those organizations who want to continuously improve their environmental performances. Even though first thought up for application to the industrial section, in recent years these schemes have also proved to be valid in organizations with territorial competences, such as local authorities. The case study of the Cesana Torinese municipality, an important ski resort in North Wes...

Local duality for 2-dimensional local ring

Indian Academy of Sciences (India)

dimensional complete local ring whose residue field is an n-dimensional local field in the sense of. Kato–Parshin. Our results generalize the Saito works in the case n = 0 and are applied to study the Bloch–Ogus complex for such rings in various cases.

Understanding and mapping local conflicts related to protected areas in small islands: a case study of the Azores archipelago

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Chiara Bragagnolo

2016-05-01

Full Text Available Establishing Protected Areas (PAs is considered one of the most appropriate ways to conserve nature and cultural landscapes. However, conservation constraints can generate social conflicts, especially at a local level. In small islands (SIs, local conflicts may escalate due to an increase in competition for limited space and resources. Pico island in the Azores Archipelago (Portugal, part of the Outermost European region, was considered a good case to study conservation-development conflicts due to the amount of designated protected land (> 35% of its surface and the approval of a new Azorean PA network in 2007. This paper presents a new approach to understanding and mapping local conflicts within PAs in SIs by integrating qualitative data and spatially explicit information. This research takes stock of the benefits, needs and constraints related to Pico Natural Park as perceived by local stakeholders through face-to-face semi-structured interviews; it subsequently identifies and transposes the conflicts distilled from stakeholder discourse into spatially representative visual maps via GIS. Research outcomes show that PAs are perceived mainly as constraints to local development, showing inconsistency between local expectations and regional conservation policy. This highlights the importance of including public participation processes prior to any implementation of conservation strategies. The proposed method provides a springboard towards effective conflict management for PAs on Pico island, showing a relatively low-cost and straightforward approach to minimising future local conflicts which could be adapted to other similar Outermost European regions and SIs.

Intraosseous injection as an adjunct to conventional local anesthetic techniques: A clinical study

OpenAIRE

Mohamed Idris; Nasil Sakkir; Kishore Gopalakrishna Naik; Nandakishore Kunijal Jayaram

2014-01-01

Background: The achievement of successful local anesthesia is a continual challenge in dentistry. Adjunctive local anesthetic techniques and their armamentaria, such as intraosseous injection (the Stabident system and the X-tip system) have been proposed to be advantageous in cases where the conventional local anesthetic techniques have failed. Aim: A clinical study was undertaken using intraosseous injection system by name X-tip to evaluate its effectiveness in cases where inferior alve...

Localized fibrous mesothelioma of the liver: a case report

Energy Technology Data Exchange (ETDEWEB)

Kim, Young Hwan; Lee, Moon Gyu; Weon, Young Cheol; Lee, Seung Gyu; Kim, Yoon Jeong; Lee, In Chul; Auh, Yong Ho [Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of)

1995-10-15

Localized fibrous mesothelioma of the liver is very rare benign tumor. It usually manifest large palpable hepatic mass in right upper quadrant area, and the prognosis is excellent by surgical resection. Contrast enhanced CT scan shows well defined hyperattenuating mass and celiac angiogram shows hypervascular mass. Recently we experienced 1 case of localized fibrous mesothelioma of the liver, and we report CT and angiographic findings of this tumor.

A STUDY OF LOCALLY ADVANCED CARCINOMA OF BREAST

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Prabhakar Jenna

2017-08-01

Full Text Available BACKGROUND Worldwide, breast cancer is the most frequent cancer in women and represents the second leading cause of cancer death among women. Locally advanced breast cancer constitutes more than 50-70% of the patients presenting for treatment has two common problems in treatment. Achieving local control and prolonging survival by preventing or delaying distant metastasis. Today, treatment of LABC requires a combination of systemic and local/regional therapies. The aim of the study is to study the clinicopathological presentation, age distribution and various modes of management of locally advanced breast carcinoma. Worldwide breast cancer is the most frequent cancer in women and represents the second leading cause of cancer death among women. Locally advanced breast cancer constitutes more than 50-70% of the patients presenting treatment. MATERIALS AND METHODS The present study includes 50 patients who attended Department of General Surgery for a period of three years. RESULTS The patients were regularly followed up and at the end of the study 35 (70% of the patients were doing well. 4(8% of the patients developed distant metastasis and 3 (6% of the patients developing local recurrence. 8 (16% of the patients were lost follow up. CONCLUSION About half of the cases presenting with breast cancer are in locally advanced stages. Multimodality therapy is the effective treatment of locally advanced carcinoma of breast. Breast cancer management is a challenge and improvement in therapies are needed for disease-free interval and overall survival period.

Modeling Thermal Comfort and Optimizing Local Renewal Strategies—A Case Study of Dazhimen Neighborhood in Wuhan City

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Chong Peng

2015-03-01

Full Text Available Modeling thermal comfort provides quantitative evidence and parameters for effective and efficient urban planning, design, and building construction particularly in a dense and narrow inner city, which has become one of many concerns for sustainable urban development. This paper aims to develop geometric and mathematical models of wind and thermal comfort and use them to examine the impacts of six small-scale renewal strategies on the wind and thermal environment at pedestrian level in Dazhimen neighborhood, Wuhan, which is a typical case study of urban renewal project in a mega-city. The key parameters such as the solar radiation, natural convection, relative humidity, ambient crosswind have been incorporated into the mathematical models by using user-defined-function (UDF method. Detailed temperature and velocity distributions under different strategies have been compared for the optimization of local renewal strategies. It is concluded that five rules generated from the simulation results can provide guidance for building demolition and reconstruction in a neighborhood and there is no need of large-scale demolition. Particularly, combining the local demolition and city virescence can both improve the air ventilation and decrease the temperature level in the study area.

The implementation of local wisdom in reducing natural disaster risk: a case study from West Sumatera

Science.gov (United States)

Zulfadrim, Z.; Toyoda, Y.; Kanegae, H.

2018-01-01

The purpose of this paper is to introduce some local wisdoms in West Sumatra and propose their challenges that modern values have degraded its knowledge. In a contemporary context, traditional stories (written and oral stories) still relevant to be used and internalized in disaster risk reduction. Traditional knowledge or local wisdom is a system of knowledge derived from long experienced process in the past, adopted and handed over to next generation through evolutionary process. Indigenous or traditional knowledge can be practiced in understanding the nature of natural disaster, to propose the best action in mitigation, to respond in emergency phase, and to suggest more option for recovery process based on previous experience. The paper based on four weeks field research in west Sumatra which is known with their natural hazards due to its geographical location. In the beginning, this paper discusses the nature of local wisdom and how it can be matched in disaster management, then continues to the specific case how the traditional stories in West Sumatera can be internalized and integrated with contemporary disaster risk reduction. This paper proves that local wisdom can be useful as an effective instrument to deal with natural disaster or natural hazard.

Features of Local Murders and Murderers (Latvia Case Study

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Aron Shneyer

2012-11-01

Full Text Available This article examines the subject of collaborationism. The author for the first time examines the materials of the trial, held in Riga in October 1965. Some documents of the criminal trials against former SS guards, held in the USSR in 1945-1965 are also introduced for the scientific use for the first time. Special attention is attached to the collaborators' personal participation in single, localized murders.The circumstances and sites of these murders are usually little-known and remain beyond the scope of scientific research. This is explained by the fact that, unlike Babi Yar or Zmievskaya Balka, the number of victims of these localized murders is incomparably small and therefore, could never acquire a symbolic meaning and be used for propaganda purposes. The author draws attention to certain behavioral features of some of the crimes participants. In the author's view, the politicized claims of some researchers regarding the prominent role of certain ethnicities in Nazi crimes are debatable. The article emphasizes that the ethnic composition of local Nazi collaborators within the occupied territories depended on the ethnic composition of the population of those territories. Crimes and criminals transcend national boundaries. As one of the proofs of his thesis, the author cites the ethnic composition of the SS guards in the Stutthof concentration camp and in the Trawniki training camp.This article may stimulate researchers' interest to the problem of localized murders, including the possibilities to determine crime sites, number of victims and their names, the crime participants and perpetuate the memory of the dead.

Resort-oriented tourism development and local tourism networks – a case study from northern Finland

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Outi Kulusjärvi

2016-02-01

Full Text Available In tourism studies, it has been widely recognized that resort-oriented tourism development creates challenges for regional development, mainly due to its enclave nature and lack of regional economic linkages. However, there have been relatively few studies on the destination-scale cooperative networks, although, they are vital in increasing the positive regional economic impacts of tourism development. This paper is an empirical qualitative study exploring the connections between resort-oriented tourism development and tourism business cooperation in the case study area of the Ruka-Kuusamo tourism destination in Northeast Finland. The interest is on how the local cooperative networks of the Ruka tourist resort are spatially constructed within the Ruka-Kuusamo tourism destination. The research data consists of semi-structured interviews conducted for ten tourism actors located in the Ruka resort. The results show that the businesses located in the Ruka resort cooperate at the regional scale mainly in marketing, while their partners in production cooperation are located mostly within the resort, particularly in its very core area. The resort appears to function as a basis for spatial identification for tourism actors, which, in turn, affects entrepreneurs’ motivation to cooperate at the local and regional scale. Tourism entrepreneurs operating in the very core of the resort perceive the area as the principal area for their operations, and therefore, they do not particularly engage with the surrounding areas and businesses or with other actors located there. Thus, for smaller enterprises outside the core, it can be difficult to benefit from the resort’s core’s growth via network relations. This contributes mainly to the development of the core areas alone, creates challenges for sustainable regional economic development in the destination region, and hinders the resort’s tourism growth in the long run.

Local Governance and ICTs in Africa: Case Studies and Guidelines ...

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

2011-08-01

Aug 1, 2011 ... ... been a lack of evidence on information technology in local governance in Africa. ... land management, education, local economic development, citizen registration ... but is also a practical handbook for government decision makers. ... call for proposals to establish Cyber Policy Centres in the Global South.

Grounding local peace organisations: a case study of Southern Sudan

NARCIS (Netherlands)

Hilhorst, D.J.M.; Leeuwen, van M.

2005-01-01

Since the early 1990s, building peace during and after conflict has been moving away from the conference tables of diplomats to informal settings created by local NGOs. The vast majority, if not all, of the peacebuilding policy and literature argues for strengthening local organisations as vehicles

Voice over IP in the Local Exchange: A Case Study

OpenAIRE

Weiss, Martin B. H.; Kim, Hak-Ju

2001-01-01

There have been a small number of cost studies of Voice over IP (VoIP) in the academic literature. Generally, they have been for abstract networks, have not been focused on the public switched telephone network, or they have not included the operating costs. This paper presents the operating cost portion of our ongoing research project comparing circuit-switched and IP network costs for an existing local exchange carrier. We have found that (1) The operating cost differential between IP and c...

Participatory vulnerability assessment in the context of conservation and development projects: A case study of local communities in Southwest Cameroon

DEFF Research Database (Denmark)

van Vliet, Nathalie

2010-01-01

People living in landscapes of high conservation value are trapped between their dependence on natural resources to meet their development aspirations and the international pressure to conserve those resources. Although it is increasingly recognized that the conservation of some natural resources...... cannot happen without providing alternative livelihood solutions for local communities dependent on them, global experiences illustrate that the successful integration of conservation and development continues to be elusive. We adapted the approach based on “participatory vulnerability assessments......” developed for climate change research and applied it to changes occurring in a conservation and development context. As a case study, we focused on a biodiversity hotspot in Southwest Cameroon that was recently designated a national park. We have shown that local communities believe their livelihood options...

Local Water Management of Small Reservoirs: Lessons from Two Case Studies in Burkina Faso

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Hilmy Sally

2011-10-01

Full Text Available Burkina Faso is actively pursuing the implementation of Integrated Water Resources Management (IWRM in its development plans. Several policy and institutional mechanisms have been put in place, including the adoption of a national IWRM action plan (PAGIRE and the establishment so far of 30 local water management committees (Comités Locaux de l’Eau, or CLE. The stated purpose of the CLE is to take responsibility for managing water at sub-basin level. The two case studies discussed in this paper illustrate gaps between the policy objective of promoting IWRM on the one hand, and the realities associated with its practical on-the-ground implementation on the other. A significant adjustment that occurred in practice is the fact that the two CLE studied have been set up as entities focused on reservoir management, whereas it is envisioned that a CLE would constitute a platform for sub-basin management. This reflects a concern to minimise conflict and optimally manage the country’s primary water resource and illustrates the type of pragmatic actions that have to be taken to make IWRM a reality. It is also observed that the local water management committees have not been able to satisfactorily address questions regarding access to, and allocation of, water, which are crucial for the satisfactory functioning of the reservoirs. Water resources in the reservoirs appear to be controlled by the dominant user. In order to correct this trend, measures to build mutual trust and confidence among water users 'condemned' to work together to manage their common resource are suggested, foremost of which is the need to collect and share reliable data. Awareness of power relationships among water user groups and building on functioning, already existing formal or informal arrangements for water sharing are key determinants for successful implementation of the water reform process underway.

Conservation of local chicken breeds of Turkey and Italy: a case study

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Demir Ozdemir

2013-06-01

Full Text Available Increased global use of highly productive breeds of farm animals has been associated with loss of genetic diversity in most species, but especially in local poultry species. In Italy, especially in the Veneto region since 2000, various governmental, non-governmental and private organizations have tried to preserve the genetic diversity of poultry resources. This successful conservation effort has included various activities: improving knowledge of biological functions, conservation of typical morphological characteristics, development of selection strategies, control of inbreeding and, finally, valorization strategies to diffuse the breed in local productive systems. These activities provide a good example for developing countries, such as Turkey. With the aim of contributing to conservation activities relating to the poultry resources of Turkey, this study described the current status of local chicken breeds in Turkey and Italy, and also makes some recommendations for developing countries such as Turkey.

Local control and image diagnosis of cases of esophageal carcinoma treated by external and intracavitary irradiation

International Nuclear Information System (INIS)

Hishikawa, Yoshio; Miura, Takashi

1984-01-01

Discussions are made on local control of 31 cases of esophageal carcinoma which were treated by external and intracavitary irradiation between May 1980 and March 1983. X-ray and endoscopic findings have been used for the image diagnosis. Before the begining of radiotherapy, types of esophageal carcinoma were determined from X-ray findings according to Borrmann's classification. There were 10 cases of types 1 and 2, and 21 cases of types 3 and 4. After completion of external and intracvitary irradiation, all 10 cases of types 1 and 2 were locally controlled. Of the 21 cases of types 3 and 4, 8 cases which developed stenosis or deep ulcer after external irradiation all failed in local control. The remaining 13 cases of types 3 and 4 were locally controlled except 2 by radiotherapy. (author)

A Case of Localized Scleroderma in a Sculptor and His Wife

Science.gov (United States)

Bakst, Richard; Kovarik, Carrie; Werth, Victoria P.

2011-01-01

SUMMARY The etiology of localized scleroderma is unknown, and its pathogenetic relationship to its systemic counterpart is unclear. Environmental exposures, notably to silica dust, have long been suspected in the pathogenesis of the disorder. However, its’ relationship to the localized variant has not been well described. Here we present two cases of localized scleroderma in a sculptor and his wife who have extensive exposure to silica dust. PMID:19955998

Imaging Findings of Localized Lymphoid Hyperplasia of the Pancreas: a Case Report

International Nuclear Information System (INIS)

Kim, Jin Woong; Heo, Suk Hee; Jeong, Yong Yeon; Kang, Heoung Keun; Shin, Sang Soo; Choi, Yoo Duk

2011-01-01

We report here on a case of localized lymphoid hyperplasia of the pancreas in a 70-year-old man which manifested as double lesions (uncinate process and tail) in the organ. The lesions were incidentally detected as hypoechoic lesions on ultrasonography and they appeared as delayed enhancing lesions on the contrast-enhanced dynamic CT and MRI. Total pancreatectomy was performed, because malignant tumor could not be excluded according to the preoperative imaging studies and the endoscopic ultrasound-guided biopsy failed. Pathology revealed localized lymphoid hyperplasia. The patient had an uneventful postoperative course. He has been alive for 18 months after surgery.

Imaging Findings of Localized Lymphoid Hyperplasia of the Pancreas: a Case Report

Energy Technology Data Exchange (ETDEWEB)

Kim, Jin Woong; Heo, Suk Hee; Jeong, Yong Yeon; Kang, Heoung Keun [Chonnam National University Hwasun Hospital and Medical School, Hwasun (Korea, Republic of); Shin, Sang Soo; Choi, Yoo Duk [Chonnam National University Hospital and Medical School, Gwangju (KR)

2011-08-15

We report here on a case of localized lymphoid hyperplasia of the pancreas in a 70-year-old man which manifested as double lesions (uncinate process and tail) in the organ. The lesions were incidentally detected as hypoechoic lesions on ultrasonography and they appeared as delayed enhancing lesions on the contrast-enhanced dynamic CT and MRI. Total pancreatectomy was performed, because malignant tumor could not be excluded according to the preoperative imaging studies and the endoscopic ultrasound-guided biopsy failed. Pathology revealed localized lymphoid hyperplasia. The patient had an uneventful postoperative course. He has been alive for 18 months after surgery.

GLAMUR case-study report: The comparison of three Dutch pork cases (Tasks 3.5)

NARCIS (Netherlands)

Oostindië, H.A.; Horlings, L.G.; Broekhuizen, van R.E.; Hees, E.

2015-01-01

This report presents the case study results of local-global pork chain performances in The Netherlands. As part of Work Package 3, this case study was carried out in cooperation with our Italian GLAMUR partner. The Dutch pork production sector came up after World War 2 and developed into a highly

Case for diagnosis. Localized scleroderma or morphea.

Science.gov (United States)

Tomiyoshi, Carolina; Wojcik, Adma Silva de Lima; Vencato, Elisa Milani Oba; Taques, Guilherme Ribas; Fillus Neto, José; Brenner, Fabiane Andrade Mulinari

2010-01-01

Localized scleroderma or morphea is a chronic disease of the connective tissue. Its etiology may be autoimmune and the condition results from a disturbance in collagen synthesis and deposition, clinically represented by sclerotic skin lesions. Some plaques may be yellowish, which can be misleading at diagnosis. This article reports the case of an adolescent girl who concomitantly presented erythematous lesions and yellowish lesions, both of which constitute clinical manifestations of the disease.

Incorporating Air Quality Improvement at a Local Level into Climate Policy in the Transport Sector: A Case Study in Bandung City, Indonesia

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Helmi Gunawan

2017-06-01

Full Text Available Climate policy has a strong influence on policy processes at national levels in Indonesia, while other policies with a focus on air quality improvement are being implemented at local levels. Indonesia as a developing country has committed to reducing greenhouse gas (GHG emissions by 29 percent by the year 2030. This calls into question the extent to which cities and local governments can cope with the challenges of climate change mitigation. The purpose of the research is to find out the extent to which local air pollution reduction policies can contribute to the climate change mitigation program. The research design involved an empirical case study on governance and policy relevant to climate change efforts to lower GHG in Bandung City, Indonesia. The study evaluated the air quality improvement and the climate change mitigation programs using the actor-based framework of the Contextual Interaction Theory (CIT. The governance and stakeholder characteristic of climate change mitigation were also analysed using the structural context part of the CIT framework. The result shows that air quality improvement policy is implemented separately from climate policy; the latter operates at the national level and the former at the local level. By looking at the actor interaction analysis, the study concludes that a more holistic environmental policy approach would be more efficient at reducing local air pollution and contributing to the mitigation of climate change.

Negotiating rural tourism development at the local level : a case study in Pisece, Slovenia

NARCIS (Netherlands)

Verbole, A.

1999-01-01

This study examines the policy and politics of the development of rural tourism at the local level in Slovenia. Its purpose was to increase our understanding of the socio-political dimensions of the rural tourism development process at the local community level by contributing to the

THE ACCOUNTING SYSTEM AND BUDGETARY FUNDING OF PUBLIC INSTITUTIONS. CASE STUDY: INSTITUTIONS FINANCED BY THE LOCAL COUNCIL OF GALATI

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Radu Riana Iren

2013-12-01

Full Text Available Full of reforms, accounting science always tried to approach the concerned user requirements as return on capital employed and the complete picture of the operations that occurred during the financial year. For public sector entities, international financial reporting practices are referring to International Accounting Standards for the Public Sector (IPSAS. In this paper we intend to present a parallel between International Financial Reporting Standards (IFRS and IPSAS conjunction with the main aspects of budgetary lending highlighted through a case study aimed at the budget-funded institutions Galati Local Council in 2011-2013.

Local GIS: development and assessment of the geoportal for local governments and local communities. Case study of a small town in Poland

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Medolińska Katarzyna

2017-12-01

Full Text Available Of the numerous applications of GIS, administration and public services count among the main fields of application. They are both the users and the owners of the largest amount of spatial data. Portals for higher authorities have been the subject of extensive discussions, but the development and possible use of GIS systems in the form of geoportals at local levels still seems to have been insufficiently discussed. This article presents the process of designing and developing a portal for the lowest authorities - local authorities and the local community. A small town in Poland, Sokółka, was assumed as the study area. The concept development was preceded by, among others: recognition of the needs of an administrative unit in conducting spatial policy; establishment of the objectives, functionalities and assumptions of the designed GIS; a SWOT analysis of the designed geoportal; and an analysis of data resources. Pilot implementation was completed with an evaluation of the geoportal encompassing various groups of potential users.

Environmental and economic effects of renewable energy sources use on a local case study

International Nuclear Information System (INIS)

Cosmi, C.; Salvia, M.; Pietrapertosa, F.

2003-01-01

Renewable sources represent an effective alternative to fossil fuels for preventing resources depletion and for reducing air pollution. However, their diffusion requires huge capital investment and major infrastructure changes, which have to be assessed to verify their effectiveness. The article present an application of the R-MARKAL model to investigate the feasibility of renewable use on a local case study for electricity and thermal energy production. A comprehensive modelling approach is used to emphasise the relationships and feedback between conversion and demand sectors (residential, services and commercial), taking into account contemporaneously legal issues and physical limits of the system. The model's solutions represent the minimum cost choice and the results show that even in absence of erogenous environmental constraints, many renewable technologies are profitable demand device and their investment costs are paid off in a medium term by lower operating and maintenance expenditures. In this context the use of thermal energy from incinerator allows one to achieve a consistent reduction of atmospheric pollutant emissions and, particularly, of greenhouse gases emissions due to waste degradation. (author)

Environmental and economic effects of renewable energy sources use on a local case study

Energy Technology Data Exchange (ETDEWEB)

Cosmi, C.; Salvia, M. [Istituto di Metodologie Avanzate di Analisi Ambientali, Tito Scalo (Italy); Unita di Napoli (Italy). Istituto Nazionale di Fisica della Materia; Macchiato, M. [Universita Federico II, Napoli (Italy). Dpto. di Scienze Fisiche; Mangiamele, L.; Marmo, G. [Universita degli Studi della Basilicata, Potenza (Italy); Pietrapertosa, F. [Istituto di Metodologie Avanzate di Analisi Ambientali, Tito Scalo (Italy); Universita degli Studi della Basilicata, Potenza (Italy)

2003-04-01

Renewable sources represent an effective alternative to fossil fuels for preventing resources depletion and for reducing air pollution. However, their diffusion requires huge capital investment and major infrastructure changes, which have to be assessed to verify their effectiveness. The article present an application of the R-MARKAL model to investigate the feasibility of renewable use on a local case study for electricity and thermal energy production. A comprehensive modelling approach is used to emphasise the relationships and feedback between conversion and demand sectors (residential, services and commercial), taking into account contemporaneously legal issues and physical limits of the system. The model's solutions represent the minimum cost choice and the results show that even in absence of erogenous environmental constraints, many renewable technologies are profitable demand device and their investment costs are paid off in a medium term by lower operating and maintenance expenditures. In this context the use of thermal energy from incinerator allows one to achieve a consistent reduction of atmospheric pollutant emissions and, particularly, of greenhouse gases emissions due to waste degradation. (author)

Case studies on the chemical composition of fogwater: The influence of local gaseous emissions

Science.gov (United States)

Johnson, C. Annette; Sigg, Laura; Zobrist, Jürg

In order to study the mechanisms governing the composition of fogwater, sequential samples were taken during two fog events over several hours and analyzed chemically. In addition, preliminary measurements of gases (HCl, HNO 3, NH 3) and aerosols (H 2SO 4, NH 4NO 3, NH 4Cl and ammonium sulfates) were made. The uptake of gaseous HCl in the fog droplets was a major source of acidity: in extreme cases pH values of 2.08 and 1.94 and Cl - concentrations up to 10 -2 M were observed. HCl originated from a local source, most probably a refuse incinerator from which plumes of the stack gas reached the sampling site. The NH +4, NO -3 and SO -24 concentrations (in the range of 0.1-2 mrnol l-1) were regulated by the inputs of aerosols and the liquid water content of the fog. The contribution of dissolved S(IV) (0.06-0.27 mmol l-1) to the total aqueous sulfur varied with time, according to the pH-dependent solubility of SO 2 and to oxidation reactions.

A clinical study on localized renal damage from percutaneous nephroureterolithotomy

International Nuclear Information System (INIS)

Chiba, Yutaka; Orikasa, Seiichi

1988-01-01

To study the localized renal damage from percutaneous nephroureterolithotomy (PNL), 3 divided DMSA renal scintigraphy in 41 renal units and dynamic CT in 17 renal units were performed. 1) Localized renal damages corresponding to the nephrostomy tract estimated by 3 divided DMSA renal scintigraphy were almost recovered by 6 months after PNL in most cases. But in 17 of the 41 renal units (41 %), the postoperative renal scintigram showed low uptake or cold area at the nephrostomy tract. 2) In several cases which showed cold area in postoperative renal scintigram, dynamic CT showed linear or diffuse low density area with sclerotic cortical deformity at the posterior wall of the kidney. These results indicate that an anatomically proper site of the puncture and a smaller nephrostomy size are mandatory to minimize localized renal damage from PNL. (author)

A digital local studies collection

Directory of Open Access Journals (Sweden)

Simona Resman

2005-01-01

Full Text Available Local studies and local studies departments reflect the entire spectrum of knowledge within the local community. Transition to the new digital environment means just continuing the basic functions of local studies collections: acquisition, cataloguing and preservation of materials in different formats on different media. The background of each digital library is the technical architecture of system that enables interaction between the user and the library, saving digital material and building a platform for searching and indexing digital objects. Using advanced ICT requests from librarians, designers of digital local studies collections a reflection about traditional roles. A digital local studies collection with new technology enlarges local boarders, local contents become more and more interesting for a wider sphere of people. In collecting of local materials a collaboration with archives and museums, with academic community, with community groups and with individuals comes in forefront. Digital local studies collections with their contents support local diversity, lifelong learning and social inclusion. The crucial elements of a digital local studies collection are attractive local contents with fast and simple access from one place – a portal. In the digital age public libraries become managers of knowledge also by establishing digital local studies collections.

CDC’s National Environmental Public Health Tracking Program in Action: Case Studies From State and Local Health Departments

Science.gov (United States)

Eatman, Shana; Strosnider, Heather M.

2017-01-01

The Centers for Disease Control and Prevention’s (CDC’s) National Environmental Public Health Tracking Program (Tracking Program) is a multidisciplinary collaboration that involves the ongoing collection, integration, analysis, interpretation, and dissemination of data from environmental hazard monitoring, human exposure surveillance, and health effects surveillance. With a renewed focus on data-driven decision-making, the CDC’s Tracking Program emphasizes dissemination of actionable data to public health practitioners, policy makers, and communities. The CDC’s National Environmental Public Health Tracking Network (Tracking Network), a Web-based system with components at the national, state, and local levels, houses environmental public health data used to inform public health actions (PHAs) to improve community health. This article serves as a detailed landscape on the Tracking Program and Tracking Network and the Tracking Program’s leading performance measure, “public health actions.” Tracking PHAs are qualitative statements addressing a local problem or situation, the role of the state or local Tracking Program, how the problem or situation was addressed, and the action taken. More than 400 PHAs have been reported by funded state and local health departments since the Tracking Program began collecting PHAs in 2005. Three case studies are provided to illustrate the use of the Tracking Program resources and data on the Tracking Network, and the diversity of actions taken. Through a collaborative network of experts, data, and tools, the Tracking Program and its Tracking Network are actively informing state and local PHAs. In a time of competing priorities and limited funding, PHAs can serve as a powerful tool to advance environmental public health practice. PMID:28763381

Predicting local dengue transmission in Guangzhou, China, through the influence of imported cases, mosquito density and climate variability.

Directory of Open Access Journals (Sweden)

Shaowei Sang

Full Text Available Each year there are approximately 390 million dengue infections worldwide. Weather variables have a significant impact on the transmission of Dengue Fever (DF, a mosquito borne viral disease. DF in mainland China is characterized as an imported disease. Hence it is necessary to explore the roles of imported cases, mosquito density and climate variability in dengue transmission in China. The study was to identify the relationship between dengue occurrence and possible risk factors and to develop a predicting model for dengue's control and prevention purpose.Three traditional suburbs and one district with an international airport in Guangzhou city were selected as the study areas. Autocorrelation and cross-correlation analysis were used to perform univariate analysis to identify possible risk factors, with relevant lagged effects, associated with local dengue cases. Principal component analysis (PCA was applied to extract principal components and PCA score was used to represent the original variables to reduce multi-collinearity. Combining the univariate analysis and prior knowledge, time-series Poisson regression analysis was conducted to quantify the relationship between weather variables, Breteau Index, imported DF cases and the local dengue transmission in Guangzhou, China. The goodness-of-fit of the constructed model was determined by pseudo-R2, Akaike information criterion (AIC and residual test. There were a total of 707 notified local DF cases from March 2006 to December 2012, with a seasonal distribution from August to November. There were a total of 65 notified imported DF cases from 20 countries, with forty-six cases (70.8% imported from Southeast Asia. The model showed that local DF cases were positively associated with mosquito density, imported cases, temperature, precipitation, vapour pressure and minimum relative humidity, whilst being negatively associated with air pressure, with different time lags.Imported DF cases and mosquito

Clientelism and vote buying in local elections: A case study of Kartu Bintan Sejahtera

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Tri Samnuzulsari

2018-03-01

Full Text Available This study finds out clientelism and vote buying on Kartu Bintan Sejahtera (KBS in Bintan Regency, Riau Islands. The objective of this study is to understand the practices of clientelism and vote buying using KBS. This study based on case study research. The informants consist of General Election Commission of (KPUD Riau Islands, candidates of the governor of Riau Islands 2015-2020, candidates of Bintan Regent 2015-2020, along with their supporting parties and campaigning team, and bureaucracy of the implementation of KBS. The main findings of this study suggest that KBS is used as a clientelism and vote buying practices by the candidate of Riau Islands governor and Bintan Regent, 2015-2020 period. This study also finds that formal and informal political networks are utilized by the candidates as a clientelism and vote buying arenas. This study not only contributes to the literature of clientelism and vote buying, but also adds the literature of social policy in the context of Indonesian local politics setting. This study suggests that KBS is used as a media to obtain the support of the voters in the election of governor of Riau Islands and regent of Bintan 2015-2020. All candidates capitalize the issue of KBS to obtain the popularity. The patterns of the practice of clientelism and vote buying in KBS is by using various media campaigns to promote the success story of KBS. Not only in formal campaign but also in informal campaign, they always promote KBS as their success.

Collaborative learning in local partnerships for public value : a multiple case study

NARCIS (Netherlands)

Bos, Eltje; de Zeeuw, Anna; van Vliet, Pieter; de Kreek, Mike

2017-01-01

In our recently started multiple case study - funded by the Netherlands Scientific Board (NWO) - on these processes of collaboration, we focused on the dynamics in growing partnerships between citizens, community social workers and civil servants. Three cases of social neighbourhood initiatives are

No case for Case in locality: Case does not help interpretation when intervention blocks A-bar chains

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Naama Friedmann

2017-04-01

Full Text Available We discuss a robust yet at first sight surprising fact: individuals who have problems understanding sentences with object A-bar movement cannot use overt Case marking of the object to interpret these sentences and to associate the DPs with thematic roles. We tested the effect of overt Case marking of the object in typically developing Hebrew-speaking children by comparing their comprehension of 'which 'object questions with and without the object Case marker 'et', and found that there was no difference in comprehension between the two. A similar pattern was found in an adolescent with syntactic SLI. We then tested the comprehension of object topicalized structures in the order OVS, where the only element identifying these sentences as object-first sentences and distinguishing them from simple SVO sentences was the object marker. We tested this in three populations with object A-bar movement problems: individuals with agrammatism, adolescents with syntactic SLI, and orally-trained children with hearing impairment, as well as in analysis of previous data on typically-developing children acquiring Hebrew. All populations failed to understand the sentence, but did not consistently reverse the thematic roles of the two noun phrases. This suggests that they were sensitive to the presence of the Case marker but could not use it for interpretation. We argue that these findings immediately follow from the way intervention and locality are computed, under the featural Relativized Minimality approach. Case is not among the features triggering movement, therefore a Case difference is not taken into account in trying to build a movement chain across an intervener. As a result, the object chain cannot be built across the intervening subject in the relevant cases, and overt Case marking of the object cannot help rescue the structure. Thematic role assignment in complex movement configurations requires the building of movement chains; if chain formation fails

Irreversible electroporation of locally advanced solid pseudopapillary carcinoma of the pancreas: A case report

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Luciano Tarantino

2018-04-01

Full Text Available Introduction: Solid pseudopapillary Carcinoma (SPC is a rare pancreatic Tumor with variable, usually low, malignancy potential. Howewer, several SPC are associated with aggressive behavior, local vascular infiltration, organ invasion, distant metastasis, and can be unresectable. Irreversible Electroporation (IRE is an emerging non-thermal ablation technique for the treatment of locally advanced pancreatic carcinoma. We report the results of four year disease-free follow-up in a case of locally advanced unresectable SPC treated with IRE. Presentation of case: A 24-year female patient with SPC of the pancreas underwent IRE during laparotomy under general anesthesia with intubation. Computed Tomography (CT showed complete tumor thrombosis of splenic vein, encasement of celiac artery and mesenteric vein. Six insertions of 3–4 electrodes per insertion were performed. One month-CT-control showed shrinkage of the tumor. 6 months-post-treatment imaging showed complete regression of the mass, patent Splenic/mesenteric veins, absence of local recurrence or distant metastasis. Post treatment CTs at 12-18-24-30-36-42-48 months follow-up confirmed absence of local or distant recurrence. Discussion: Surgery is the first choice curative treatment of SPC. Howewer aggressive surgery (duodeno-pancreasectomy in unresectable cases, may have a high risk of recurrences, morbidities and death, and bring concerns about endocrine and exocrine insufficiency in a young patient. In these cases, IRE could be a safe and effective alternative treatment and could realize, in selected cases, the condition for a radical surgery, and a bridge to R-0 resection. Conclusions: IRE could represent an effective alternative therapy to surgery in local advanced, unresectable SPC. Keywords: Pancreatic neoplasm, Solid papillary carcinoma, Intraoperative ultrasound, Irreversible electroporation, Case report

Concomitant chemo-radiotherapy and local dose of radiation as risk factors for second malignant neoplasms after cancer in childhood: a case control study

International Nuclear Information System (INIS)

Guerin, S.; Guibout, C.; Vathaire, F. de; Shamsaldin, A.; Diallo, I.; Oberlin, O.; Hartmann, O.; Le Deley, M.C.; Dondon, M.G.; Hawkins, M.

2006-01-01

Radiotherapy and chemotherapy are associated with an increased risk of a second malignant neoplasm. after a cancer during childhood. This study specified the dose effect relationship between the local dose of radiation received at the site of the second malignant neoplasm and the risk of a second malignant neoplasm.It also investigated the effect of chemo radiotherapy on the risk of second malignant neoplasm. An European cohort of 4581 patients, treated for a solid cancer during childhood have been included in the study. 153 cases with a second malignant neoplasm, and 442 controls were matched according to sex, age at first cancer, calendar year, type of first cancer and follow-up. The local dose of radiation was estimated at the site of the second malignant neoplasm, for each case and at the same site, for his matched control. In conclusion, radiation was the foremost treatment related risk factor for the occurrence of a second malignant neoplasm. Compared to sequential treatment, concomitant chemo radiotherapy may lead to a higher risk of a second malignant neoplasm. (N.C.)

Locally advanced leiomyosarcoma of the spleen. A case report and review of the literature

Directory of Open Access Journals (Sweden)

Recchia Franco

2007-11-01

Full Text Available Abstract Background Leiomyosarcomas are rare tumours, predominantly localized in the stomach, small intestine and retroperitoneum. Only one case of primary leiomyosarcoma of the spleen is described in human beings in literature. Case presentation We report a case of locally advanced primary leiomyosarcoma of the spleen in a 54 year-old woman, diagnosed only after splenectomy, performed with the suspicion of splenic haematoma. Conclusion Due to the lack of cases, no specific chemotherapy regimen has been tested to provide a longer survival.

Intergovernmental Information Highways for Local Police Organizations: A Case Study

Science.gov (United States)

Vidal, Denise Helena

2013-01-01

A lack of communication, information sharing, and a centralized and unified intelligence repository to gather, maintain, and analyze intelligence information before the September 11, 2001 (9/11) terrorist attacks limited the ability of U.S. law enforcement to share intelligence. The problem addressed in this case study was the lack of multiagency…

Localizing and tracking electrodes using stereovision in epilepsy cases

Science.gov (United States)

Fan, Xiaoyao; Ji, Songbai; Roberts, David W.; Paulsen, Keith D.

2015-03-01

In epilepsy cases, subdural electrodes are often implanted to acquire intracranial EEG (iEEG) for seizure localization and resection planning. However, the electrodes may shift significantly between implantation and resection, during the time that the patient is monitored for iEEG recording. As a result, the accuracy of surgical planning based on electrode locations at the time of resection can be compromised. Previous studies have only quantified the electrode shift with respect to the skull, but not with respect to the cortical surface, because tracking cortical shift between surgeries is challenging. In this study, we use an intraoperative stereovision (iSV) system to visualize and localize the cortical surface as well as electrodes, record three-dimensional (3D) locations of the electrodes in MR space at the time of implantation and resection, respectively, and quantify the raw displacements, i.e., with respect to the skull. Furthermore, we track the cortical surface and quantify the shift between surgeries using an optical flow (OF) based motion-tracking algorithm. Finally, we compute the electrode shift with respect to the cortical surface by subtracting the cortical shift from raw measured displacements. We illustrate the method using one patient example. In this particular patient case, the results show that the electrodes not only shifted significantly with respect to the skull (8.79 +/- 3.00 mm in the lateral direction, ranging from 2.88 mm to 12.87 mm), but also with respect to the cortical surface (7.20 +/- 3.58 mm), whereas the cortical surface did not shift significantly in the lateral direction between surgeries (2.23 +/- 0.76 mm).

Ultrasonographic Localization of Solitary Fibrous Tumor of Pleura: Case Report

Energy Technology Data Exchange (ETDEWEB)

Kim, Kyoung Tae; Jeon, Yong Sun; Cho, Soon Gu; Kim, Kwang Ho; Lee, Kyung Hee [Inha University School of Medicine, Incheon (Korea, Republic of)

2010-03-15

Plain radiography and computed tomography are widely used in the field of chest disease. Yet ultrasonography has a limitation as a diagnostic tool, except in the case of pleural effusion and chest wall lesion. We experienced a case of solitary fibrous tumor of the diaphragmatic pleura, and the origin of this tumor could be exactly localized by ultrasonography, but not by other imaging modalities

Ultrasonographic Localization of Solitary Fibrous Tumor of Pleura: Case Report

International Nuclear Information System (INIS)

Kim, Kyoung Tae; Jeon, Yong Sun; Cho, Soon Gu; Kim, Kwang Ho; Lee, Kyung Hee

2010-01-01

Plain radiography and computed tomography are widely used in the field of chest disease. Yet ultrasonography has a limitation as a diagnostic tool, except in the case of pleural effusion and chest wall lesion. We experienced a case of solitary fibrous tumor of the diaphragmatic pleura, and the origin of this tumor could be exactly localized by ultrasonography, but not by other imaging modalities

The Internet as a Global/Local Site of Contestation : The Case of Iran

NARCIS (Netherlands)

Alimardani, M.; Milan, S.; Peeren, E.; Celikates, R.; de Kloet, J.; Poell, T.

2018-01-01

This chapter sheds light on the role of the internet as a site of contestation capable of connecting the local and the global dimension of a protest in countries with a virtually closed political arena. It takes Iran as an exemplary case for the study of the technology-related protest cultures that

Abdominal localization of unicentric form of Castleman disease: A case report

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Milev Boško

2017-01-01

Full Text Available Introduction. Castleman disease is a rare disease of the unknown etiology, occuring in two clinical forms: unicentric or multicentric. It is characterized by the hyperplasia of lymph glands. In literature the four pathohistological forms were described: hyaline vascular type, plasma cell type, mixed type and a recently recognized plasmablastic type. The most frequent changes are localized in the mediastinum, while the abdominal localization is with significatly rare occurrence, and that was the motive for presentation of this case. Case report. In a 41-year old male magnetic resonance (MR enterography showed a change in the ileocecal area without the presence of subjective symptoms of digestive tract and without loss of body mass. Due to the suspicion of stromal tumor, surgical intervention was indicated. Pathohistological findings showed Castleman lymphadenopathia reactiva mesenterii (plasma cell type which was in the unicentric form. There were present only anaemia and the increased value of sedimentation from the laboratory analyses. Conclusion. Abdominal localization of unicentric plasma cell form occurs rarely and the surgical method of treatment presents the golden standard as it was shown in the presented case.

Tourism implications on local waste management. Case study: Neamț County

OpenAIRE

Mihai, Florin-Constantin

2013-01-01

The paper examines tourism as potential source of waste generation in urban and rural areas from Neamt County. An assessment method is proposed and the final result is mapping the process at local scale. In order to analyze the tourism impact on local waste management system, the waste generated by tourists (estimated values) is related to local household waste generation. This paper outlines the disparities within cities and communes and it also analyses the bad practices of tourists support...

Gigantic Suprapubic Lymphedema: A Case Study

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Roozbeh Tanhaeivash

2016-08-01

Full Text Available We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg. Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.

First case report of locally advanced malignant nodular hidradenoma of the scrotum.

Science.gov (United States)

Shah, Binay K; Qamruzzaman, Yusuf; Serban, Karina; Hire, Ervin; Ying, Shan-Ching

2010-01-01

Malignant nodular hidradenoma (MNH) is a malignant tumor of the eccrine glands, and most commonly involves the head, trunk, and extremities. To the best of our knowledge, MNH of the scrotum has not yet been described in the English literature. Despite the use of surgery, chemotherapy, radiotherapy, and hormonal therapy, optimal treatment of MNH is unclear. We describe the case of a 30-year-old African American man who was diagnosed with locally advanced MNH of the scrotum and treated with surgery. More than 2 years after surgery, the patient is without evidence of disease. This is the first case report of MNH of the scrotum. Surgery alone may be sufficient for the treatment of localized or locally advanced MNH. Copyright © 2010 S. Karger AG, Basel.

Case study: Promoting community resilience with local values – Greenland's Paamiut Asasara

DEFF Research Database (Denmark)

Berliner, Peter; Larsen, Line Natascha; de Casas Soberón, Elena

2012-01-01

The chapter describes the programme Paamiut Asasara. The programme mobilised the local community from locally defined values and promoted shared community resilience as well as individual and family resilience.......The chapter describes the programme Paamiut Asasara. The programme mobilised the local community from locally defined values and promoted shared community resilience as well as individual and family resilience....

Supply Chain Control Principles in Local Food Production: A Norwegian Case Study

Directory of Open Access Journals (Sweden)

Heidi C. Dreyer

2014-08-01

Full Text Available Based on an analysis of the supply chain of four producers of local specialty foods, we explore how planning and control principles can be applied to align supply chain capabilities and market requirements. It has been shown that local food struggles with market access, and that the supply chain is one of the obstacles preventing local food producers from gaining a solid market position. We identify a number of features of the local food chain, analyse the obstacles and develop generic designs and control principles for local food producers.

Distinguishing globally-driven changes from regional- and local-scale impacts: The case for long-term and broad-scale studies of recovery from pollution.

Science.gov (United States)

Hawkins, S J; Evans, A J; Mieszkowska, N; Adams, L C; Bray, S; Burrows, M T; Firth, L B; Genner, M J; Leung, K M Y; Moore, P J; Pack, K; Schuster, H; Sims, D W; Whittington, M; Southward, E C

2017-11-30

Marine ecosystems are subject to anthropogenic change at global, regional and local scales. Global drivers interact with regional- and local-scale impacts of both a chronic and acute nature. Natural fluctuations and those driven by climate change need to be understood to diagnose local- and regional-scale impacts, and to inform assessments of recovery. Three case studies are used to illustrate the need for long-term studies: (i) separation of the influence of fishing pressure from climate change on bottom fish in the English Channel; (ii) recovery of rocky shore assemblages from the Torrey Canyon oil spill in the southwest of England; (iii) interaction of climate change and chronic Tributyltin pollution affecting recovery of rocky shore populations following the Torrey Canyon oil spill. We emphasize that "baselines" or "reference states" are better viewed as envelopes that are dependent on the time window of observation. Recommendations are made for adaptive management in a rapidly changing world. Copyright © 2017. Published by Elsevier Ltd.

Hybridisation or Ousterisation? The Case of Local Accountability Policy in Finnish Early Childhood Education

Science.gov (United States)

Paananen, Maiju; Lipponen, Lasse; Kumpulainen, Kristiina

2015-01-01

Drawing on the analytic concept of imaginary, this study investigates policy hybridisation in the Finnish early childhood education. Specifically, it illuminates how the interplay between different imaginaries enabled the neoliberal imaginary to oust the social-democratic imaginary through a tripartite process in a case of local productivity…

Socio-economic impacts of nuclear generating stations: Oconee case study

International Nuclear Information System (INIS)

Flynn, J.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Oconee nuclear power stations. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of the construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socio-economic impacts of nuclear generating stations: Surry case study

International Nuclear Information System (INIS)

Flynn, J.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Surry nuclear power station. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of the construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Glocal clinical registries: pacemaker registry design and implementation for global and local integration--methodology and case study.

Directory of Open Access Journals (Sweden)

Kátia Regina da Silva

Full Text Available The ability to apply standard and interoperable solutions for implementing and managing medical registries as well as aggregate, reproduce, and access data sets from legacy formats and platforms to advanced standard formats and operating systems are crucial for both clinical healthcare and biomedical research settings.Our study describes a reproducible, highly scalable, standard framework for a device registry implementation addressing both local data quality components and global linking problems.We developed a device registry framework involving the following steps: (1 Data standards definition and representation of the research workflow, (2 Development of electronic case report forms using REDCap (Research Electronic Data Capture, (3 Data collection according to the clinical research workflow and, (4 Data augmentation by enriching the registry database with local electronic health records, governmental database and linked open data collections, (5 Data quality control and (6 Data dissemination through the registry Web site. Our registry adopted all applicable standardized data elements proposed by American College Cardiology / American Heart Association Clinical Data Standards, as well as variables derived from cardiac devices randomized trials and Clinical Data Interchange Standards Consortium. Local interoperability was performed between REDCap and data derived from Electronic Health Record system. The original data set was also augmented by incorporating the reimbursed values paid by the Brazilian government during a hospitalization for pacemaker implantation. By linking our registry to the open data collection repository Linked Clinical Trials (LinkedCT we found 130 clinical trials which are potentially correlated with our pacemaker registry.This study demonstrates how standard and reproducible solutions can be applied in the implementation of medical registries to constitute a re-usable framework. Such approach has the potential to

Three cases of unresectable locally advanced breast cancer treated with local injection of the new radiosensitization (KORTUC)

International Nuclear Information System (INIS)

Shimbo, Taijyu; Yosikawa, Nobuhiko; Yoshioka, H.; Tanaka, Y.; Yoshida, Ken; Uesugi, Yasuo; Narumi, Yoshifumi; Inomata, Taisuke

2013-01-01

New radiosensitization therapy named Kochi Oxydol-Radiation Therapy for Unresectabe carcinomas (KORTUC) using a new agent containing 0.5% hydrogen peroxide and 0.83% sodium hyaluronate is the world first treatment developed in Japan. The agent was injected into tumor two times per week under ultrasonographic guidance. Unresectable locally advanced breast cancer is radiation resistance. The local control is difficult in a conventional radiation therapy. In 3 cases, KORTUC was enforced safety, and remarkable effects was admitted. (author)

Giant Cell Angiofibroma in Unusual Localization: A Case Report

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Emel Ebru Pala

2012-01-01

Full Text Available Giant cell angiofibroma (GCA was initially described as a potentially recurrent tumor in the orbit of adults. However, it is now recognized that it can also present in other locations. The morphological hallmark is a richly vascularized patternless spindle cell proliferation containing pseudovascular spaces and floret like multinucleate giant cells. Our case was a 32-years-old female complaining of painless solitary nodule arising on the occipital region of the scalp, which was diagnosed as giant cell angiofibroma. We report the case because of its extremely rare localization.

Urbanización descontextualizada y condiciones locales. Cinco casos de estudio en España / Decontextualized urbanization and local conditions. Five case study in Spain

Directory of Open Access Journals (Sweden)

Irene Rodríguez Lorite

2013-01-01

Full Text Available ResumenLa expansión del sector de la construcción desde mediados del siglo XX hasta principios del siglo XXI ha crecido a un ritmo vertiginoso, especialmente en la década de los 60 a los años 70, por los acontecimientos históricos y demográficos ocurridos en España. Este acelerado desarrollo, trajo consigo la realización de multitud de periferias y nuevos barrios de carácter monótono, sin responder en gran parte de los casos a las condiciones de contorno del territorio en el que se ubicaban.Se describen procesos constructivos y de diseño urbano análogos en cada uno de los casos estudiados, llevando a la pérdida de identidad de la ciudad y de la relación del ciudadano con su territorio.Palabras claveHomogéneo, monótono, falta de identidad, condiciones locales, paisaje urbanoAbstractThe expansion in the field of construction since the mid-twentieth century to the early twenty-first century has grown at a fast pace, especially from the 60s to the 70s, by historical and demographic events that occurred in Spain. This accelerated growth brought about the realization of an many suburbs and new neighborhoods of monotonous character, that no respond in most cases to the boundary conditions of the territory in which they were located.Construction processes and similar urban design in each of the cases studied, are described leading to the loss of identity of the city and the relationship between citizens and their territory.KeywordsHomogeneous, monotonous, lack of identity, local conditions, cityscape

Experiences with local power production at the end-user (case studies)

International Nuclear Information System (INIS)

Morch, Andrei Z.; Grinden, Bjoern; Fleten, Stein-Erik; Maribu, Karl Magnus; Johansen, Boerre; Vanebo, Torstein; Berner, Monica; Stang, Jacob; Naesje, Paal

2004-12-01

This report describes the results of case studies performed as part of the project 'Local power production at the end-user'. It was found that the construction of a power plant, even a small one, is not an easy task. It is important to exploit the resources optimally and to allow for many income and cost elements in calculating the profitability. It may therefore be worth while to consult qualified assistance at an early stage during the planning of such construction projects. It is also found that there are clear scale effects in the development of small power plants, that is, the relative costs (NOK/kWh) are larger for small plants than for bigger ones. This is true of both investment costs and operation costs. This will affect the profitability. Of 16 plants, there is enough data for analysing 15, although estimates must be used instead of real data where the latter is missing. For eight of the 15, the net present value is positive at a power price of 25 oere/kWh, 6% discount rate and 15-20 years lifetime. For the other plants it will be more economical to wait until the market price of power rises. The price that is necessary to make these plants profitable varies from 32 to 45 oere/kWh. Basically it is assumed that the developer of small power plants (up to 10 MW) wants to produce as much energy (kWh) as possible from the plant, both to cover his own consumption and to sell surplus energy to the power market. However, there is an economically interesting market for power (kW), in which the producer (over 25 MW) is paid for being ready to start production on short notice

Enhancing local distinctiveness fosters public acceptance of tidal energy: A UK case study

International Nuclear Information System (INIS)

Devine-Wright, Patrick

2011-01-01

Tidal energy has the technical potential to form part of a low carbon electricity sector, however, its 'social potential' is less clear, as few empirical studies of public beliefs and responses have been conducted to date. This research addressed this gap by investigating a tidal energy convertor in Northern Ireland, said to be the first grid-connected device of its kind in the world. Data was collected from 313 residents of two nearby villages using mixed methods, guided by a conceptual framework that avoided 'NIMBY' assumptions and instead drew on place theory. Findings indicated strong support for the project, arising from beliefs that the project enhanced local distinctiveness by 'putting the area on the map worldwide'; appeared visually familiar and helped tackle climate change. These positive beliefs outweighed concerns about outcome and process aspects, which were preponderant in one of the two villages. The project was interpreted to have few positive local economic outcomes, to potentially threaten local livelihoods and local ecology. Moreover, residents expressed cynicism about consultation procedures, and reported low levels of behavioural engagement. Implications of the findings for the literature on public acceptance of renewable energy, and for the emerging marine energy sector specifically, are discussed.

Local Agenda 21 and sustainable development: The case of Harran, Turkey

Directory of Open Access Journals (Sweden)

Reyhan Genli Yiğiter

2011-01-01

Full Text Available The twenty-first century is the beginning of an era in which urban development at the international and national levels, equality, continuity, capability, administration involving many actors and settlement systems need to be dealt with using new settlement administration ethics. The concept of sustainable development first came up at the National Development and Environment Conference held in 1992 in Rio de Janeiro, when the action plan known as Agenda 21 was constituted at the Earth Summit. This is a comprehensive document assigning responsibility to governments, NGOs, local authorities, United Nations organisations, development organisations and all persons and institutions that have an impact on the environment. On this basis, this study evaluates the growing necessity of urban transformation in Turkey in various dimensions within the framework of Local Agenda 21, in which various actors can be involved. This paper approaches the issues not only from the point of view of the state, but also from the point of view of all actors to whom responsibility is assigned. It examines the philosophy of the Local Agenda 21 program and how it is being implemented in the Municipality of Harran, and it assesses the achievement level of Local Agenda 21 in Turkey and policies in the case reviewed. The paper includes proposals that will allow all local authorities in Turkey to examine their own programs within the framework of the Local Agenda 21 action program so that they can participate in the urban transformation process, develop local sustainable development policies and establish short-term and long-term strategic plans to solve problems.

Attitudes of Local People Toward Wildlife Conservation: A Case Study From the Kashmir Valley

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Zaffar Rais Mir

2015-11-01

Full Text Available People’s attitudes toward wildlife conservation can significantly affect the success of conservation initiatives. Understanding the factors influencing these attitudes is essential for designing strategies to alleviate human–wildlife conflict. Although this topic has been studied extensively across diverse regions, there has been no such study in the Kashmir Division of Jammu and Kashmir state, India. We surveyed 3 administrative units around Dachigam National Park through semistructured interviews (n = 384 to investigate the socioeconomic status of local people, the extent of economic damage caused by wild animals, and people’s attitudes toward wildlife conservation. Results, analyzed using a generalized linear model approach, indicated that about 75% of the respondents suffered crop damage, while 23% suffered livestock predation by wild animals. The majority of respondents expressed favorable attitudes toward wildlife, with only about 16% expressing a negative perception. Gender, crop damage, livestock predation, and total livestock holdings were the strongest variables influencing the attitudes of local people in the study area. The study identified the need to use appropriate mitigation measures to minimize economic damage by wildlife in order to reduce negative local attitudes toward wildlife conservation.

Constructing Local Identities via/for Humour: A Cretan-Greek Case Study

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Villy Tsakona

2017-06-01

Full Text Available One of the most common functions of humour is the construction of identity, usually achieved by including certain individuals in a group sharing specific values and views, and by excluding others representing different values and views (Archakis and Tsakona, 2005. The aim of the present study is to investigate how online interactants create a local identity via the production of digital humorous texts, thus forming a group of people with common perceptions on a specific event reported by the media. In particular, Facebook participants formed communities supporting the right of a crocodile -non endemic to Greece- to live on the loose in a lake in Crete, Greece, and opposing local authorities wishing to capture the animal. Interlocutors draw on, and reframe, popular -and even stereotypical- aspects of the Cretan identity involving, among other things, a passionate love of freedom, resistance to official authorities, rebelliousness, and heroism (Herzfeld, 1985. Such cultural traits seem to be attributed to the crocodile so as not only to bolster the interlocutors’ own perspective, but also to create a humorous effect.

Socio-economic impacts of nuclear generating stations: Diablo Canyon case study

International Nuclear Information System (INIS)

Pijawka, K.D.; Yaquinto, G.

1982-07-01

This report documents a case study of the socioeconomic impacts of the construction and operation of the Diablo Canyon nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Presentation of the case study of the WG1 (democracy and local participatory systems) of Cawam-Spain: building a combined cycle natural gas power plant: comparison between the case failed in Mora la Nova and the licensing success in Vandellos-Hospitalet de l'Infant

International Nuclear Information System (INIS)

Chiapella, M.

2007-01-01

The questions that were formulated in the request for this report are: 1. What does 'local level' mean? 2. Who are the local stakeholders? 3. Which prerequisites are needed to involve the local level? 4. Who begins the consultation? 5. Who assures the participation and security of the local level? Some of these questions will be approached through the comparative study of two cases (carried out in the context of COWAM-Spain in the work group on Local Democracy and Systems of Social Participation) regarding the siting of a combined cycle natural gas power plant. In one case it was not possible to consolidate the project, whereas siting and licensing were achieved in the other. The two cases are: the Enron project in Mora la Nova (municipality of the district of the Riverside d'Ebre. county of Tarragona) and the project of Natural Gas in the municipality of Vandellos Hospitalet (in the district of the Baix Camp, bordering on the other district, and also in Tarragona). Each case was studied in detail from a broad sociological perspective, as well as from a psycho-sociological perspective, to analyse the different aspects, strategy and process observed, in order to identify the factors that contributed to success or failure. (author)

Local/regional policies: Acting globally by thinking locally

International Nuclear Information System (INIS)

Hillsman, E.L.

1991-01-01

Policies to reduce greenhouse gas emissions from present levels will require changes in local and regional decision making as well as decisions made at national and multinational scales. A number of cities and states have taken action to reduce emissions either directly or as a byproduct of solving local problems such as air quality. These initiatives represent a potential resource to be mobilized in national policy. A series of case studies is under way to understand the decision making involved and its implications, and to identify ways that national policy might support and benefit from local efforts. Preliminary results from the first of these case studies indicate that reductions in greenhouse gas emissions may be greater when set as a direct target than when resulting as a byproduct of other local problem solving

Streamlining Local Behaviour Through Communication, Incentives and Control: A Case Study of Local Environmental Policies in China

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Thomas Heberer

2011-01-01

Full Text Available This article describes how China uses evaluation ratings and monitoring as incentives in order to foster the implementation of environmental policies at the local level. It is argued that decentralisation in China leaves room for actors at the local levels to manoeuver and bargain with those on higher levels for flexible adjustment of implementation policies according to local conditions. However, decentralisation is accompanied by significant institutional changes in the structure of intergovernmental communication, incentives and control. Accordingly, decentralisation in China exhibits a specific design which leaves space for divergent local environmental policies while also engendering “grass-roots mechanisms”. On the whole, this new institutional setting benefits the implementation of environmental policies.

Supply Chain Control Principles in Local Food Production: A Norwegian Case Study

OpenAIRE

Heidi C. Dreyer; Jan O. Strandhagen; Maria K. Thomassen; Anita Romsdal; Erik Gran

2014-01-01

Based on an analysis of the supply chain of four producers of local specialty foods, we explore how planning and control principles can be applied to align supply chain capabilities and market requirements. It has been shown that local food struggles with market access, and that the supply chain is one of the obstacles preventing local food producers from gaining a solid market position. We identify a number of features of the local food chain, analyse the obstacles and develop generic design...

Ewing's Sarcoma Localized in the Mandible: A Case Report

OpenAIRE

Akbayram, S; Başaranoglu, M; Kaya, A; Açıkgöz, M; Üstyol, L; Taşkın, GA; Dogan, M

2015-01-01

Ewing's sarcoma is one of the most aggressive primary bone tumours. Ewing's sarcoma arising from the bones of the head and neck region is extremely rare; only 4–9% of all Ewing's sarcoma originate in this region. We report a case of Ewing's sarcoma localized in the mandible because of its unusual presentation.

Managing locality in grand challenge applications: a case study of the gyrokinetic toroidal code

Energy Technology Data Exchange (ETDEWEB)

Marin, G; Jin, G; Mellor-Crummey, J [Department of Computer Science, Rice University, Houston, TX 77005 (United States)

2008-07-15

Achieving high performance with grand challenge applications on today's large-scale parallel systems requires tailoring applications for the characteristics of the modern microprocessor architectures. As part of the US Department of Energy's Scientific Discovery through Advanced Computing (SciDAC) program, we studied and tuned the Gyrokinetic Toroidal Code (GTC), a particle-in-cell code for simulating turbulent transport of particles and energy in burning plasma, developed at Princeton Plasma Physics Laboratory. In this paper, we present a performance study of the application that revealed several opportunities for improving performance by enhancing its data locality. We tuned GTC by performing three kinds of transformations: static data structure reorganization to improve spatial locality, loop nest restructuring for better temporal locality, and dynamic data reordering at run-time to enhance both spatial and temporal reuse. Experimental results show that these changes improve execution time by more than 20% on large parallel systems, including a Cray XT4.

Managing locality in grand challenge applications: a case study of the gyrokinetic toroidal code

International Nuclear Information System (INIS)

Marin, G; Jin, G; Mellor-Crummey, J

2008-01-01

Achieving high performance with grand challenge applications on today's large-scale parallel systems requires tailoring applications for the characteristics of the modern microprocessor architectures. As part of the US Department of Energy's Scientific Discovery through Advanced Computing (SciDAC) program, we studied and tuned the Gyrokinetic Toroidal Code (GTC), a particle-in-cell code for simulating turbulent transport of particles and energy in burning plasma, developed at Princeton Plasma Physics Laboratory. In this paper, we present a performance study of the application that revealed several opportunities for improving performance by enhancing its data locality. We tuned GTC by performing three kinds of transformations: static data structure reorganization to improve spatial locality, loop nest restructuring for better temporal locality, and dynamic data reordering at run-time to enhance both spatial and temporal reuse. Experimental results show that these changes improve execution time by more than 20% on large parallel systems, including a Cray XT4

Think Global, Act Local--A Power Generation Case Study

Science.gov (United States)

Dugdale, Pam

2012-01-01

This paper describes an exercise completed by sixth form college students to compare the power output from a local coal fired power station with the potential power output from renewable sources including wind farms, solar farms, and the proposed Mersey Tidal Barrage scheme. (Contains 1 figure, 1 table, and 3 photos.)

A Study on Water Pollution Source Localization in Sensor Networks

Directory of Open Access Journals (Sweden)

Jun Yang

2016-01-01

Full Text Available The water pollution source localization is of great significance to water environment protection. In this paper, a study on water pollution source localization is presented. Firstly, the source detection is discussed. Then, the coarse localization methods and the localization methods based on diffusion models are introduced and analyzed, respectively. In addition, the localization method based on the contour is proposed. The detection and localization methods are compared in experiments finally. The results show that the detection method using hypotheses testing is more stable. The performance of the coarse localization algorithm depends on the nodes density. The localization based on the diffusion model can yield precise localization results; however, the results are not stable. The localization method based on the contour is better than the other two localization methods when the concentration contours are axisymmetric. Thus, in the water pollution source localization, the detection using hypotheses testing is more preferable in the source detection step. If concentration contours are axisymmetric, the localization method based on the contour is the first option. And, in case the nodes are dense and there is no explicit diffusion model, the coarse localization algorithm can be used, or else the localization based on diffusion models is a good choice.

A Local Dimension of Integration Policies? A Comparative Study of Berlin, Malmö, and Rotterdam

NARCIS (Netherlands)

R. Dekker (Rianne); H. Emilsson (Henrik); B. Krieger (Bernhard); P.W.A. Scholten (Peter)

2015-01-01

textabstractThis study examines three theses on local integration policies by a qualitative comparative case study of integration policies in three cities in three different countries (Berlin, Malmö, and Rotterdam). We found little evidence of a congruent local dimension of integration policies.

Building Trust in Natural Resource Management Within Local Communities: A Case Study of the Midewin National Tallgrass Prairie

Science.gov (United States)

Davenport, Mae A.; Leahy, Jessica E.; Anderson, Dorothy H.; Jakes, Pamela J.

2007-03-01

Communities neighboring federally protected natural areas regularly weigh the costs and benefits of the administering agency’s programs and policies. While most agencies integrate public opinion into decision making, efforts to standardize and formalize public involvement have left many local communities feeling marginalized, spurring acrimony and opposition. A significant body of research has examined barriers to effective public participation as well as strategies for relationship building in planning processes; many of which point to trust as a key factor. Trust is especially tenuous in local communities. This paper explores perceptions of trust, expectations for management, as well as constraints to building trust. In-depth interviews were conducted with 21 community members and USDA Forest Service personnel at the Midewin National Tallgrass Prairie in northeastern Illinois. The interviews revealed that trust is perceived as important to effective management. Distinct expectations for management outcomes and processes emerged, including the values, knowledge, and capacity demonstrated in management decisions and actions and opportunities provided for communication, collaboration, and cooperation within the agency-community relationship. The case study identified several constraints to building trust, including competing values, knowledge gaps, limited community engagement, and staff turnover.

The role of community conversations in facilitating local HIV competence: case study from rural Zimbabwe.

Science.gov (United States)

Campbell, Catherine; Nhamo, Mercy; Scott, Kerry; Madanhire, Claudius; Nyamukapa, Constance; Skovdal, Morten; Gregson, Simon

2013-04-17

This paper examines the potential for community conversations to strengthen positive responses to HIV in resource-poor environments. Community conversations are an intervention method through which local people work with a facilitator to collectively identify local strengths and challenges and brainstorm potential strategies for solving local problems. We conducted 18 community conversations (with six groups at three points in time) with a total of 77 participants in rural Zimbabwe (20% HIV positive). Participants were invited to reflect on how they were responding to the challenges of HIV, both as individuals and in community groups, and to think of ways to better support openness about HIV, kindness towards people living with HIV and greater community uptake of HIV prevention and treatment. Community conversations contributed to local HIV competence through (1) enabling participants to brainstorm concrete action plans for responding to HIV, (2) providing a forum to develop a sense of common purpose in relation to implementing these, (3) encouraging and challenging participants to overcome fear, denial and passivity, (4) providing an opportunity for participants to move from seeing themselves as passive recipients of information to active problem solvers, and (5) reducing silence and stigma surrounding HIV. Our discussion cautions that community conversations, while holding great potential to help communities recognize their potential strengths and capacities for responding more effectively to HIV, are not a magic bullet. Poverty, poor harvests and political instability frustrated and limited many participants' efforts to put their plans into action. On the other hand, support from outside the community, in this case the increasing availability of antiretroviral treatment, played a vital role in enabling communities to challenge stigma and envision new, more positive, ways of responding to the epidemic.

A Case Report of Successful Treatment of Recalcitrant Childhood Localized Scleroderma with Infliximab and Leflunomide.

Science.gov (United States)

Ferguson, Ian D; Weiser, Peter; Torok, Kathryn S

2015-01-01

Herein we report successful treatment of an adolescent Caucasian female with severe progressive localized scleroderma (mixed subtype, including generalized morphea and linear scleroderma of the trunk/limb) using infliximab and leflunomide. The patient demonstrated improvement after the first 9 months of therapy based on her clinical examination, objective measures, and patient and parent global assessments. Infliximab is a potential treatment option for pediatric localized scleroderma patients who have progression of disease or who are unable to tolerate the side effect profile of more standard systemic therapy. Larger longitudinal studies or case series are needed to confirm and further investigate infliximab's role in localized scleroderma.

Calculation of the heat flow peak in case of local defect of the fuel plate of a nuclear reactor

International Nuclear Information System (INIS)

Fabrega, Serge

1965-11-01

The author reports the calculation of the local thermal flow which exits a fuel plate in a nuclear reactor, where a fabrication defect creates a much localized peak of the power density released in the plate. He first reports the development of the problem equations: hypotheses and data, equation elaboration, simplification and resolution. He presents the results of a numeric application to actual cases, and describes how the conduction in the sheath is taken into account (study of the influence of peak width and shape), and gives a synthetic presentation of the formula for the approximate calculation of the heat flow in case of local defect [fr

Systematic study of target localization for bioluminescence tomography guided radiation therapy

Science.gov (United States)

Yu, Jingjing; Zhang, Bin; Iordachita, Iulian I.; Reyes, Juvenal; Lu, Zhihao; Brock, Malcolm V.; Patterson, Michael S.; Wong, John W.

2016-01-01

Purpose: To overcome the limitation of CT/cone-beam CT (CBCT) in guiding radiation for soft tissue targets, the authors developed a spectrally resolved bioluminescence tomography (BLT) system for the small animal radiation research platform. The authors systematically assessed the performance of the BLT system in terms of target localization and the ability to resolve two neighboring sources in simulations, tissue-mimicking phantom, and in vivo environments. Methods: Multispectral measurements acquired in a single projection were used for the BLT reconstruction. The incomplete variables truncated conjugate gradient algorithm with an iterative permissible region shrinking strategy was employed as the optimization scheme to reconstruct source distributions. Simulation studies were conducted for single spherical sources with sizes from 0.5 to 3 mm radius at depth of 3–12 mm. The same configuration was also applied for the double source simulation with source separations varying from 3 to 9 mm. Experiments were performed in a standalone BLT/CBCT system. Two self-illuminated sources with 3 and 4.7 mm separations placed inside a tissue-mimicking phantom were chosen as the test cases. Live mice implanted with single-source at 6 and 9 mm depth, two sources at 3 and 5 mm separation at depth of 5 mm, or three sources in the abdomen were also used to illustrate the localization capability of the BLT system for multiple targets in vivo. Results: For simulation study, approximate 1 mm accuracy can be achieved at localizing center of mass (CoM) for single-source and grouped CoM for double source cases. For the case of 1.5 mm radius source, a common tumor size used in preclinical study, their simulation shows that for all the source separations considered, except for the 3 mm separation at 9 and 12 mm depth, the two neighboring sources can be resolved at depths from 3 to 12 mm. Phantom experiments illustrated that 2D bioluminescence imaging failed to distinguish two sources

Systematic study of target localization for bioluminescence tomography guided radiation therapy

Energy Technology Data Exchange (ETDEWEB)

Yu, Jingjing [Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland 21231 and School of Physics and Information Technology, Shaanxi Normal University, Shaanxi 710119 (China); Zhang, Bin; Reyes, Juvenal; Wong, John W.; Wang, Ken Kang-Hsin, E-mail: kwang27@jhmi.edu [Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland 21231 (United States); Iordachita, Iulian I. [Laboratory for Computational Sensing and Robotics, Johns Hopkins University, Baltimore, Maryland 21218 (United States); Lu, Zhihao [Department of Oncology and Department of Surgery, Johns Hopkins University, Baltimore, Maryland 21231 and Key laboratory of Carcinogenesis and Translational Research, Department of GI Oncology, Peking University, Beijing Cancer Hospital and Institute, Beijing 100142 (China); Brock, Malcolm V. [Department of Oncology and Department of Surgery, Johns Hopkins University, Baltimore, Maryland 21231 (United States); Patterson, Michael S. [Department of Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, Ontario L8S 4L8 (Canada)

2016-05-15

Purpose: To overcome the limitation of CT/cone-beam CT (CBCT) in guiding radiation for soft tissue targets, the authors developed a spectrally resolved bioluminescence tomography (BLT) system for the small animal radiation research platform. The authors systematically assessed the performance of the BLT system in terms of target localization and the ability to resolve two neighboring sources in simulations, tissue-mimicking phantom, and in vivo environments. Methods: Multispectral measurements acquired in a single projection were used for the BLT reconstruction. The incomplete variables truncated conjugate gradient algorithm with an iterative permissible region shrinking strategy was employed as the optimization scheme to reconstruct source distributions. Simulation studies were conducted for single spherical sources with sizes from 0.5 to 3 mm radius at depth of 3–12 mm. The same configuration was also applied for the double source simulation with source separations varying from 3 to 9 mm. Experiments were performed in a standalone BLT/CBCT system. Two self-illuminated sources with 3 and 4.7 mm separations placed inside a tissue-mimicking phantom were chosen as the test cases. Live mice implanted with single-source at 6 and 9 mm depth, two sources at 3 and 5 mm separation at depth of 5 mm, or three sources in the abdomen were also used to illustrate the localization capability of the BLT system for multiple targets in vivo. Results: For simulation study, approximate 1 mm accuracy can be achieved at localizing center of mass (CoM) for single-source and grouped CoM for double source cases. For the case of 1.5 mm radius source, a common tumor size used in preclinical study, their simulation shows that for all the source separations considered, except for the 3 mm separation at 9 and 12 mm depth, the two neighboring sources can be resolved at depths from 3 to 12 mm. Phantom experiments illustrated that 2D bioluminescence imaging failed to distinguish two sources

Localized scleroderma: a clinical study at a single center in Korea.

Science.gov (United States)

Noh, Jung Won; Kim, Jinseok; Kim, Jae-Wang

2013-08-01

Localized scleroderma (morphea) is a rare autoimmune disease limited to the skin, characterized by cutaneous fibrosing and obstructive vasculopathy. Localized scleroderma may invade into the subcutaneous fat layer and cause permanent functional disability. Because of its rarity, there have been few clinical surveys of patients with localized scleroderma in Korea. The aim of this study was to elucidate the clinical presentation, serological data, and clinical outcomes of localized scleroderma. This was a retrospective survey conducted by reviewing available medical records during a 7 year-period from 2004 to 2010 in a single medical center in Jeju Island, South Korea. In total 43 patients with localized scleroderma were included. Localized scleroderma occurred primarily in females (female to male ratio 2.6 : 1.0). Most patients were between 10 and 29 years of age and the mean age at diagnosis was 26.2 years. Plaque (51.2%) and linear morphea (37.2%) were most common. No case was associated with systemic scleroderma (systemic sclerosis). The most common site of plaque morphea was the trunk (47.8%). In the linear type, the most common site was head-neck (52.9%). Fluorescent antinuclear antibody was positive in 23.3% of all cases. Treatment included systemic corticosteroids, colchicine, anti-malarial agents, D-penicillamine or intralesional triamcinolone injection. Clinical improvement, including significant and partial response, was seen in only 62.8% of treated patients. Localized scleroderma is a chronic inflammatory condition confined to the skin. In order to exclude other conditions, thorough history taking, physical examination, serologic studies and histopathologic examinations should be conducted. © 2013 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd.

Socio-economic impacts of nuclear generating stations: Calvert Cliffs case study

International Nuclear Information System (INIS)

Flynn, J.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Calvert Cliffs nuclear power station. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socio-economic impacts of nuclear generating stations: Rancho Seco case study

International Nuclear Information System (INIS)

Bergmann, P.A.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Rancho Seco nuclear power station. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of the construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socio-economic impacts of nuclear generating stations: Peach Bottom case study

International Nuclear Information System (INIS)

Pijawka, K.D.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Peach Bottom nuclear power station. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of the construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Working Locally as a True Professional: Case Studies in the Development of Local Curriculum

Science.gov (United States)

Sahasewiyon, Kirin

2004-01-01

This article investigates the dynamic overall picture concerning the development of local curriculum in Thailand through action research conducted by 27 Thai elementary school teachers in three private schools in Fang District, Chiang Mai Province. This was the teachers' first experience with action research. The article examines the following…

Gobiernos locales y desarrollo: un estudio de caso para Argentina Local goverments and development: a case study in Argentina

Directory of Open Access Journals (Sweden)

Mónica Páez

2009-05-01

Full Text Available Las autoridades locales son agentes relevantes en los procesos de desarrollo local. Por lo tanto, sus actitudes, intereses y percepciones configuran un factor de suma importancia en el estudio de esos procesos. Partiendo de estas bases, se presenta una propuesta de análisis basada en los resultados que la Fiscal Austerity and Urban Innovation (FAUI arrojó para el caso de Argentina. Esta encuesta internacional se orienta principalmente al análisis de estilos de liderazgo en las autoridades municipales a partir de una muestra representativa de intendentes de municipios de 10 mil habitantes o más, un tamaño de municipio mínimo para que exista diversidad y movilización de grupos y asociaciones locales. Para este estudio en particular, orientado al análisis de intereses y actitudes que podrían favorecer o no al desarrollo local, se seleccionaron las variables más relevantes: Alianzas, apoyos recibidos a la candidatura; Interacción con otros actores; Influencia de actores sociales en la definición del gasto; Grado de respuesta a las demandas de diferentes grupos en preferencias de gasto; Prioridades de la gestión; Prioridad en las acciones de gobierno; Preferencia de gasto sobre diferentes áreas de políticas públicas; Ideología y actitudes. En términos generales, los resultados evidencian, por un lado, una tensión entre los nuevos modelos de gestión relacionados con un líder-administrador y los liderazgos más asociados en Argentina a la política tradicional. Por otro lado, un imperativo derivado de la situación socioeconómica: paliar los efectos de la pobreza. Generar las condiciones para un desarrollo no se percibe, en general, como una prioridad.Local authorities are important agents in any local development oriented process. Therefore, its attitudes, interests and perceptions become very relevant issues in the study of these processes. Starting off from these bases, this paper presents a proposal of analysis based on the

WP4 Case study Report

DEFF Research Database (Denmark)

Elle, Morten; van Gameren, Valentine; Pel, Bonno

The INFORSE case consists of an analysis of the transnational network INFORSE (International Network for Sustainable Energy), the Danish local initiative VE and the Belgian local initiative APERe. All three are dealing with renewable energy and energy savings. The link between INFORSE and VE...

Glocal Clinical Registries: Pacemaker Registry Design and Implementation for Global and Local Integration – Methodology and Case Study

Science.gov (United States)

da Silva, Kátia Regina; Costa, Roberto; Crevelari, Elizabeth Sartori; Lacerda, Marianna Sobral; de Moraes Albertini, Caio Marcos; Filho, Martino Martinelli; Santana, José Eduardo; Vissoci, João Ricardo Nickenig; Pietrobon, Ricardo; Barros, Jacson V.

2013-01-01

Background The ability to apply standard and interoperable solutions for implementing and managing medical registries as well as aggregate, reproduce, and access data sets from legacy formats and platforms to advanced standard formats and operating systems are crucial for both clinical healthcare and biomedical research settings. Purpose Our study describes a reproducible, highly scalable, standard framework for a device registry implementation addressing both local data quality components and global linking problems. Methods and Results We developed a device registry framework involving the following steps: (1) Data standards definition and representation of the research workflow, (2) Development of electronic case report forms using REDCap (Research Electronic Data Capture), (3) Data collection according to the clinical research workflow and, (4) Data augmentation by enriching the registry database with local electronic health records, governmental database and linked open data collections, (5) Data quality control and (6) Data dissemination through the registry Web site. Our registry adopted all applicable standardized data elements proposed by American College Cardiology / American Heart Association Clinical Data Standards, as well as variables derived from cardiac devices randomized trials and Clinical Data Interchange Standards Consortium. Local interoperability was performed between REDCap and data derived from Electronic Health Record system. The original data set was also augmented by incorporating the reimbursed values paid by the Brazilian government during a hospitalization for pacemaker implantation. By linking our registry to the open data collection repository Linked Clinical Trials (LinkedCT) we found 130 clinical trials which are potentially correlated with our pacemaker registry. Conclusion This study demonstrates how standard and reproducible solutions can be applied in the implementation of medical registries to constitute a re-usable framework

Barriers to Energy Efficiency in Swedish Non-Energy-Intensive Micro- and Small-Sized Enterprises—A Case Study of a Local Energy Program

Directory of Open Access Journals (Sweden)

Fredrik Backman

2017-01-01

Full Text Available Improved energy efficiency has become a strategic issue and represents a priority for European competitiveness. Countries adopt various energy policies on local and national levels where energy audit programs are the most common energy end-use efficiency policy for industrial small- and medium-sized enterprises (SMEs. However, studies indicate that cost-efficient energy conservation measures are not always implemented, which can be explained by the existence of barriers to energy efficiency. This paper investigates how Swedish municipalities can support local micro- and small-sized enterprises with improved energy efficiency and the existence of different barriers to the implementation of energy efficiency. Relating this empirical case study to the theoretical barriers outlined in the text, this study found that the major explanatory factors related to non-implementation of cost-effective energy efficiency measures among micro- and small-sized industrial enterprises were bounded rationality (lack of time and/or other priorities, split incentives (having other priorities for capital investments, and imperfect information (slim organization and lack of technical skill. This study also found that information in the form of a report was the main thing that companies gained from working on the project “Energy-Driven Business”. Notably, the study involved companies that had participated in a local energy program and, still, companies face major barriers inhibiting implementation, indicating a need to further study other alternative policy models and how knowledge transfer can be improved.

The Roles of Science in Local Resilience Policy Development: A Case Study of Three U.S. Cities

Science.gov (United States)

Clavin, C.; Gupta, N.

2015-12-01

The development and deployment of resilience policies within communities in the United States often respond to the place-based, hazard-specific nature of disasters. Prior to the onset of a disaster, municipal and regional decision makers establish long-term development policies, such as land use planning, infrastructure investment, and economic development policies. Despite the importance of incorporating disaster risk within community decision making, resilience and disaster risk are only one consideration community decision makers weigh when choosing how and whether to establish resilience policy. Using a case study approach, we examine the governance, organizational, management, and policy making processes and the involvement of scientific advice in designing and implementing resilience policy in three U.S. communities: Los Angeles, CA; Norfolk, VA; and Flagstaff, AZ. Disaster mitigation or resilience initiatives were developed and deployed in each community with differing levels and types of scientific engagement. Engagement spanned from providing technical support with traditional risk assessment to direct engagement with community decision makers and design of community resilience outreach. Best practices observed include embedding trusted, independent scientific advisors with strong community credibility within local government agencies, use of interdisciplinary and interdepartmental expert teams with management and technical skillsets, and establishing scientifically-informed disaster and hazard scenarios to enable community outreach. Case study evidence suggest science communication and engagement within and across municipal government agencies and scientifically-informed direct engagement with community stakeholders are effective approaches and roles that disaster risk scientists can fill to support resilience policy development.

Chondroid Syringoma: A case with unusual localization

Directory of Open Access Journals (Sweden)

Serdar Yüce

2014-09-01

Full Text Available Chondroid syringoma is a skin tumour with benign character that is named as mixcutaneous tumour. Chondroid syringoma grows slowly without pain and ulcer and is seen as subcutaneous or intracutaneous in 0.5-3 cm size. Chondroid syringoma is generally seen in middle age and old men in head and neck region. It can rarely trunk, back, extremities and genital organs. Since chondroid syringoma is a benign lesion, it was reported in malign and atypic forms. The most important clinical finding of malign tumours is a rapid growing bulk. Malign chondroid syringoma is generally seen in young female patients in body and extremity localizations. Because of malign transformation, potential, total excision is the preferred treatment in benign chondroid syringomas. Despite being rare lesions, in subcutaneous nodules in body and extremities, particularly in head and neck region, chondroid syringoma should be thought. In this study, benign a case chondroid syringoma locating in extremity of young female patient was presented. J Clin Exp Invest 2014; 5 (3: 441-443

Nonlinear Eigenvalue Problems in Elliptic Variational Inequalities: a local study

International Nuclear Information System (INIS)

Conrad, F.; Brauner, C.; Issard-Roch, F.; Nicolaenko, B.

1985-01-01

The authors consider a class of Nonlinear Eigenvalue Problems (N.L.E.P.) associated with Elliptic Variational Inequalities (E.V.I.). First the authors introduce the main tools for a local study of branches of solutions; the authors extend the linearization process required in the case of equations. Next the authors prove the existence of arcs of solutions close to regular vs singular points, and determine their local behavior up to the first order. Finally, the authors discuss the connection between their regularity condition and some stability concept. 37 references, 6 figures

Local resource based approach to maintaining and preserving rural local access roads assets: Siyatentela institutional framework and governance case study discourses

CSIR Research Space (South Africa)

Chakwizira, J

2010-10-01

Full Text Available and other development agencies focusing on the use of appropriate technologies for civil construction be it in the road, transport, water, agriculture or environmental sectors (World Bank 2001; ILO, 2002; Clegg, 2003). The seminal study conducted... and contribution of local resource based approach to rural and community access roads requires a review of the labour based initiatives in the road, transport and infrastructure sub-sector. An apt statement that captures the essence of building local community...

Tourism implications on local waste management. Case study: Neamț County, Romania

OpenAIRE

Mihai , Florin ,

2013-01-01

International audience; The paper examines tourism as potential source of waste generation in urban and rural areas from Neamt County. An assessment method is proposed and the final result is mapping the process at local scale. In order to analyze the tourism impact on local waste management system, the waste generated by tourists (estimated values) is related to local household waste generation. This paper outlines the disparities within cities and communes and it also analyses the bad pract...

Case Report: Down-staging locally advanced head and neck cancer ...

African Journals Online (AJOL)

Case Report: Down-staging locally advanced head and neck cancer in an HIV infected patient in a limited resource setting. L Masamba, D Nkosi, D Kumiponjera. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals ...

Laryngeal sarcoidosis: a case-control study.

Science.gov (United States)

Duchemann, Boris; Lavolé, Armelle; Naccache, Jean-Marc; Nunes, Hilario; Benzakin, Sylvain; Lefevre, Marine; Kambouchner, Marianne; Périé, Sophie; Valeyre, Dominique; Cadranel, Jacques

2014-10-20

We undertook a study on a series of laryngeal sarcoidosis (LS), a very rare and often threatening localization to better specify laryngeal manifestations, sarcoidosis clinical expression and long-term follow-up. This was a retrospective case-control study. All LS patients from two French centers were included and compared to sarcoidosis patients without laryngeal localization with two controls for one patient. Twelve consecutive LS patients were recruited between 1993 and 2011. LS revealed sarcoidosis in eight cases (67%). The most common symptoms were hoarseness (77%), inspiratory dyspnea (38%) and dysphagia (38%). Epidemiological characterisics were not different. Extrapulmonary localizations were significantly more common in LS patients than in controls (92% vs. 54%, p=0.02), particularly lupus pernio (25% vs. 0%, p=0.03) and nasosinusal involvement (83% vs. 4%, p<0.01) while thoracic involvement was less frequent (58% vs 100%, p < 0.01). Treatment rates were higher in the LS group (92% vs. 58%, p=0.04), and treatment duration was longer (median: 81 vs. 13 months, p=0.04), with frequent long-term treatment (67%, N=8/12). Two patients underwent surgery. One patient needed temporary tracheostomy during the course of the disease; Remission rates were lower in LS patients (9% vs. 58% at 2 years p<0.01). Eventually, there was no death nor definitive tracheotomy. LS is a rare condition that is often associated to other loco-regional localizations. LS are often difficult to manage. Survival is good but may require a medico-surgical approach.

The Adoption of International Proceedures, the Bologna Process, by a Local University: A Case Study at Unitau

Directory of Open Access Journals (Sweden)

Edson Aparecida de Araujo Querido Oliveira

2012-12-01

Full Text Available This paper aims to discuss the process of internationalization of the HEI, based on the Bologna Process. An exploratory study was made to identify barriers for the internationalization of a local institution: The University of Taubate. The main topics were the internationalization of the firm and the Bologna Process. This HEI is located in the Vale Paraíba Paulista, a growing and strategic region in Brazilian soil. Education and skilled labor are key elements to regional development. The essay consists of a case study. Particularities from the Brazilian Higher Education System and the European Model are analyzed. They are combined with the Institution’s policies. The results show the current stage of the action lines that direct the application of the European model, at the University of Taubate. The conclusions consider the convergence of the Bologna Process with the guidelines of the Brazilian higher education policies, and point out some difficulties and opportunities that may be considered if the HEI decides to adopt an internationalization model.

Measuring the Economic Impact of Rural Tourism Membership on Local Economy: A Korean Case Study

Directory of Open Access Journals (Sweden)

Hio-Jung Shin

2017-04-01

Full Text Available The implementation of rural tourism membership can aid in boosting economic growth in rural areas. This study examines households’ preferences for rural tourism experience in association with sales of local agricultural products. Using a choice experiment method developed by experimental designs, this paper examines households’ preferences to trade off purchasing costs of local agricultural products against various benefits provided by the rural tourism membership. The methods utilized in this paper represent an effective approach to evaluate the value of local tourism resources and the influence of these resources on the local economy. In empirical estimation we applied econometric approaches that allow for different preferences by incorporating income and residence effects into the models. Findings reveal that respondents place a premium on tourism attributes such as invitation seats and outdoor adventure tickets when choosing a tourism membership. We also find that the economic impacts associated with inducing higher-level tourism membership are substantial. This paper illustrates the potential for the development of a strategy associated with rural tourism management to enhance the local economy.

Connections and consequences in complex systems: insights from a case study of the emergence and local impact of crisis resolution and home treatment services.

Science.gov (United States)

Hannigan, Ben

2013-09-01

In this article the broad contours of a complexity perspective are outlined. Complexity ideas are then drawn on to frame an empirical examination of the connections running between different levels of organisation in health and social care, and to underpin investigation into the intended and unintended local system consequences of service development. Data are used from a study conducted in the UK's mental health field. Here, macro-level policy has led to the supplementing of longstanding community mental health teams by newer, more specialised, services. An example includes teams providing crisis resolution and home treatment (CRHT) care as an alternative to hospital admission. Using an embedded case study design, where 'the case' examined was a new CRHT team set in its surrounding organisational environment, ethnographic data (with interviews predominating) were generated in a single site in Wales over 18 months from the middle of 2007. In a large-scale context favourable to local decision-making, and against a background of a partial and disputed evidence base, the move to establish the new standalone service was contested. Whilst users valued the work of the team, and local practitioners recognised the quality of its contribution, powerful effects were also triggered across the locality's horizontal interfaces. Participants described parts of the interconnected system being closed to release resources, staff gravitating to new crisis services leaving holes elsewhere, and the most needy service users being cared for by the least experienced workers. Some community mental health team staff described unexpected increases in workload, and disputes over eligibility for crisis care with implications for system-wide working relations. Detailed data extracts are used to illustrate these connections and consequences. Concluding lessons are drawn on the use of evidence to inform policy, on the significance of local contexts and system interfaces, and on anticipating the

Localization of musicogenic epilepsy to Heschl's gyrus and superior temporal plane: case report.

Science.gov (United States)

Nagahama, Yasunori; Kovach, Christopher K; Ciliberto, Michael; Joshi, Charuta; Rhone, Ariane E; Vesole, Adam; Gander, Phillip E; Nourski, Kirill V; Oya, Hiroyuki; Howard, Matthew A; Kawasaki, Hiroto; Dlouhy, Brian J

2017-09-15

Musicogenic epilepsy (ME) is an extremely rare form of the disorder that is provoked by listening to or playing music, and it has been localized to the temporal lobe. The number of reported cases of ME in which intracranial electroencephalography (iEEG) has been used for seizure focus localization is extremely small, especially with coverage of the superior temporal plane (STP) and specifically, Heschl's gyrus (HG). The authors describe the case of a 17-year-old boy with a history of medically intractable ME who underwent iEEG monitoring that involved significant frontotemporal coverage as well as coverage of the STP with an HG depth electrode anteriorly and a planum temporale depth electrode posteriorly. Five seizures occurred during the monitoring period, and a seizure onset zone was localized to HG and the STP. The patient subsequently underwent right temporal neocortical resection, involving the STP and including HG, with preservation of the mesial temporal structures. The patient remains seizure free 1 year postoperatively. To the authors' knowledge, this is the first reported case of ME in which the seizure focus has been localized to HG and the STP with iEEG monitoring. The authors review the literature on iEEG findings in ME, explain their approach to HG depth electrode placement, and discuss the utility of STP depth electrodes in temporal lobe epilepsy.

A Local Dimension of Integration Policies? A Comparative Study of Berlin, Malmö, and Rotterdam

OpenAIRE

Dekker, Rianne; Emilsson, Henrik; Krieger, Bernhard; Scholten, Peter

2015-01-01

textabstractThis study examines three theses on local integration policies by a qualitative comparative case study of integration policies in three cities in three different countries (Berlin, Malmö, and Rotterdam). We found little evidence of a congruent local dimension of integration policies. Local policies resemble their national policy frameworks fairly well in terms of policy approaches and domains. Our multi-level perspective shows that this is not the result of top-down hierarchical g...

Case Study: Testing with Case Studies

Science.gov (United States)

Herreid, Clyde Freeman

2015-01-01

This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses using case studies to test for knowledge or lessons learned.

Local brain herniation after partial membranectomy for organized chronic subdural hematoma in an adult patient: case report and review of the literature.

Science.gov (United States)

Kusano, Yoshikazu; Horiuchi, Tetsuyoshi; Seguchi, Tatsuya; Kakizawa, Yukinari; Tanaka, Yuichiro; Hongo, Kazuhiro

2010-01-01

Local brain herniation after removal of chronic subdural haematoma is extremely rare, especially in adult patients. This study reports a case of local brain herniation after partial membranectomy for organized chronic subdural haematoma. A 77-year-old man presented with dysarthria and dysphasia caused by local brain herniation of the right frontal lobe through a defect of the inner membrane. The herniated brain was detected by magnetic resonance (MR) imaging. The patient underwent a craniotomy to release the herniated and strangulated brain, which were consistent with the MR imaging findings. The patient recovered fully within 1 month after surgery. To date, five cases of brain herniation through the internal subdural membrane have been reported as complications of chronic subdural haematomas. All but one case occurred in the paediatric population. Urgent surgery should be performed, even if an adult patient suffers from local brain herniation, for preservation of brain function. This is the sixth reported case of brain herniation through a defect of the inner membrane and the second reported case in the adult population.

Socio-economic impacts of nuclear generating stations: D. C. Cook case study

International Nuclear Information System (INIS)

Branch, K.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the D. C. Cook nuclear power station. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socio-economic impacts of nuclear generating stations: Three Mile Island case study

International Nuclear Information System (INIS)

Flynn, C.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Three Mile Island nuclear power stations. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of the construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Evaluation of tumor localization in respiration motion-corrected cone-beam CT: prospective study in lung.

Science.gov (United States)

Dzyubak, Oleksandr; Kincaid, Russell; Hertanto, Agung; Hu, Yu-Chi; Pham, Hai; Rimner, Andreas; Yorke, Ellen; Zhang, Qinghui; Mageras, Gig S

2014-10-01

Target localization accuracy of cone-beam CT (CBCT) images used in radiation treatment of respiratory disease sites is affected by motion artifacts (blurring and streaking). The authors have previously reported on a method of respiratory motion correction in thoracic CBCT at end expiration (EE). The previous retrospective study was limited to examination of reducing motion artifacts in a small number of patient cases. They report here on a prospective study in a larger group of lung cancer patients to evaluate respiratory motion-corrected (RMC)-CBCT ability to improve lung tumor localization accuracy and reduce motion artifacts in Linac-mounted CBCT images. A second study goal examines whether the motion correction derived from a respiration-correlated CT (RCCT) at simulation yields similar tumor localization accuracy at treatment. In an IRB-approved study, 19 lung cancer patients (22 tumors) received a RCCT at simulation, and on one treatment day received a RCCT, a respiratory-gated CBCT at end expiration, and a 1-min CBCT. A respiration monitor of abdominal displacement was used during all scans. In addition to a CBCT reconstruction without motion correction, the motion correction method was applied to the same 1-min scan. Projection images were sorted into ten bins based on abdominal displacement, and each bin was reconstructed to produce ten intermediate CBCT images. Each intermediate CBCT was deformed to the end expiration state using a motion model derived from RCCT. The deformed intermediate CBCT images were then added to produce a final RMC-CBCT. In order to evaluate the second study goal, the CBCT was corrected in two ways, one using a model derived from the RCCT at simulation [RMC-CBCT(sim)], the other from the RCCT at treatment [RMC-CBCT(tx)]. Image evaluation compared uncorrected CBCT, RMC-CBCT(sim), and RMC-CBCT(tx). The gated CBCT at end expiration served as the criterion standard for comparison. Using automatic rigid image registration, each CBCT was

Social Media Participation and Local Politics: A Case Study of the Enschede Council in the Netherlands

NARCIS (Netherlands)

Effing, Robin; van Hillegersberg, Jos; Huibers, Theo W.C.; Wimmer, Maria A.; Tambouris, Efthimios; Macintosh, Ann

2013-01-01

Social media such as Facebook, Twitter and YouTube are often seen as political game changers. Yet little is known of the effects of social media on local politics. In this paper the Social Media Participation Model (SMPM) is introduced for studying the effects of social media on local political

Social Media Participation and Local Politics : A Case Study of the Enschede Council in the Netherlands

NARCIS (Netherlands)

Effing, Robin; van Hillegersberg, Jos; Huibers, Theo W.C.; Wimmer, Maria A.; Tambouris, Efthimios; Macintosh, Ann

Social media such as Facebook, Twitter and YouTube are often seen as political game changers. Yet little is known of the effects of social media on local politics. In this paper the Social Media Participation Model (SMPM) is introduced for studying the effects of social media on local political

Enhancing local action planning through quantitative flood risk analysis: a case study in Spain

Science.gov (United States)

Castillo-Rodríguez, Jesica Tamara; Escuder-Bueno, Ignacio; Perales-Momparler, Sara; Ramón Porta-Sancho, Juan

2016-07-01

This article presents a method to incorporate and promote quantitative risk analysis to support local action planning against flooding. The proposed approach aims to provide a framework for local flood risk analysis, combining hazard mapping with vulnerability data to quantify risk in terms of expected annual affected population, potential injuries, number of fatalities, and economic damages. Flood risk is estimated combining GIS data of loads, system response, and consequences and using event tree modelling for risk calculation. The study area is the city of Oliva, located on the eastern coast of Spain. Results from risk modelling have been used to inform local action planning and to assess the benefits of structural and non-structural risk reduction measures. Results show the potential impact on risk reduction of flood defences and improved warning communication schemes through local action planning: societal flood risk (in terms of annual expected affected population) would be reduced up to 51 % by combining both structural and non-structural measures. In addition, the effect of seasonal population variability is analysed (annual expected affected population ranges from 82 to 107 %, compared with the current situation, depending on occupancy rates in hotels and campsites). Results highlight the need for robust and standardized methods for urban flood risk analysis replicability at regional and national scale.

Primary laryngeal localization of multiple myeloma: A case report

OpenAIRE

Allegra, Eugenia; Marino, Nicol?; Modica, Domenico; Emmanuele, Carmela; Saita, Vincenzo

2017-01-01

Multiple myeloma is a lymphoproliferative disease that may involve the bone marrow as well as extramedullary soft tissues. However, laryngeal localization of multiple myeloma is extremely rare. We herein present the case of a 68-year-old male patient with a history of dyspnea, dysphonia and dysphagia. Laryngoscopic examination revealed a lesion involving the right glottis and right vestibular (false) vocal fold, with absence of ipsilateral laryngeal motility and constriction of the airway. Co...

Accessibility of Local Food Production to Regional Markets – Case of Berry Production in Northern Ostrobothnia, Finland

Directory of Open Access Journals (Sweden)

Korhonen Kirsi

2017-12-01

Full Text Available Consumers and institutional kitchens, as well as traders, have shown increasing interest towards local food. This is particularly due to the transparency and traceability characteristic of a short supply chain and social aspects related to food origins. The trend has been increasingly common during the past decade in Europe and North America, and it is strongly evident in the case area of this study in Northern Ostrobothnia, Finland. In general, ease of access to food is highly important for consumers and crucial for institutional kitchens, in addition to quality aspects and price. However, regardless of proximity, poor accessibility is one of the key issues preventing the further growth of local food markets. Due to scale economics in food value chain, food transport is presently organised mainly by centralised, large-scale logistics companies directed via hubs serving millions of consumers. Accordingly, production volumes required to enter large-scale markets are often unattainable for disjointed small-scale local food producers. In this study, geographic information system (GIS-based accessibility analyses are applied for analysing potential for integral networking of local food production and transport companies. Berry production was selected as a case study because it has a relatively strong role in Northern Ostrobothnia, while its logistics are notably underdeveloped. Spatial data of primary production volumes consists of register records of farm-specific cultivation areas and average yields in Northern Ostrobothnia and Finland. Accessibility computations are based on the digital model of the Finnish road network, Digiroad. Two surveys were also implemented to farmers and food processing companies to seek views on food processing, sales, logistics and procurements regarding local food. Data from the surveys was used in accessibility analysis, which enables exploration of opportunities for establishing ‘local food’ clusters integrating

Effect of local geology on indoor radon levels: a case study

Energy Technology Data Exchange (ETDEWEB)

Hawthorne, A.R.; Gammage, R.B.; Dudney, C.S.

1984-01-01

This paper presents the results of radon monitoring in 40 East Tennessee homes that were a component of a larger study to evaluate indoor air quality. Measurements were conducted during two 3-month time periods with passive integrating track etch monitors in each of the forty homes. In a subset of homes, measurements were also conducted with a real-time monitor that provided readings on an hourly basis. The results of the monitoring indicate that about 30% of the homes had radon levels were associated with local variations in geology; most of the homes having higher levels were located on the porous dolomite ridge partially surrounding Oak Ridge, Tennessee. 7 references, 3 figures, 2 tables.

Effect of local geology on indoor radon levels: a case study

International Nuclear Information System (INIS)

Hawthorne, A.R.; Gammage, R.B.; Dudney, C.S.

1984-01-01

This paper presents the results of radon monitoring in 40 East Tennessee homes that were a component of a larger study to evaluate indoor air quality. Measurements were conducted during two 3-month time periods with passive integrating track etch monitors in each of the forty homes. In a subset of homes, measurements were also conducted with a real-time monitor that provided readings on an hourly basis. The results of the monitoring indicate that about 30% of the homes had radon levels were associated with local variations in geology; most of the homes having higher levels were located on the porous dolomite ridge partially surrounding Oak Ridge, Tennessee. 7 references, 3 figures, 2 tables

Reconceiving Citizenship: Noncitizen Voting in New York City Municipal Elections as a Case Study in Immigrant Integration and Local Governance

Directory of Open Access Journals (Sweden)

Lauren Gilbert

2014-09-01

Full Text Available This paper uses New York City’s consideration of an amendment to its charter that would extend voting rights to noncitizens in municipal elections as a case study in immigrant integration and local governance.  It argues that New York City’s biggest challenge in moving this issue forward is dealing successfully with two related questions: 1 why the New York City Council should be able to decide who "the People" are without approval from the state government in Albany and 2 whether it should attempt to enact the measure without a referendum.The analysis first examines the role of local government in regulating the lives of immigrants, contrasting enforcement-oriented strategies with those that are more integration-oriented. It then spotlights federal law obstacles to noncitizen suffrage, concluding that while neither federal criminal nor immigration law prevents state or local governments from extending the franchise to noncitizens in state or local matters, federal law imposes impediments that may deter some noncitizens from registering or that could carry serious immigration consequences for those who vote in violation of federal law.  The article then focuses on state law obstacles, including New York’s constitution, its state election law and its home rule provisions. It contrasts other recent experiences with noncitizen suffrage around the country, looking at both municipal and school board elections. Finally, it provides some thoughts on best practices in moving forward the issue of noncitizen suffrage in New York City and other locales. New York law is ambiguous enough that good arguments can be made for why neither Albany’s approval nor a city-wide referendum is required. However, given New York City’s historic relationship with Albany and the state legislature’s power to preempt local law on election matters, if the city council attempts to expand the franchise to noncitizen voters without a referendum or comparable measure

Costs of performance based maintenance for local roads: Case study Albania

Science.gov (United States)

Jokanović, Igor; Grujić, Bojana; Zeljić, Dragana; Grujić, Žarko; Svilar, Mila

2017-12-01

The provision and maintenance of road infrastructure is a major global business, consequently it is essential that road maintenance services are provided in the most cost effective manner. Without regular maintenance, roads can rapidly fall into disrepair, preventing realization of the longer term impacts of road improvements on development, such as increased agricultural production and growth in school enrollment, which is of particular importance for a network of local (access) roads. Inadequate local roads maintenance in Albania is proposed to be solved by implementing performance based maintenance approach for which the costing exercise is presented within the paper.

A Giant Vulvar Mass: A Case Study of Cellular Angiofibroma

Science.gov (United States)

Aydın, Ümit; Terzi, Hasan; Turkay, Ünal; Eruyar, Ahmet Tuğrul; Kale, Ahmet

2016-01-01

Cellular angiofibroma is a mesenchymal tumor that affects both genders. Nucci et al. first described it in 1997. Cellular angiofibroma is generally a small and asymptomatic mass that primarily arises in the vulvar-vaginal region, although rare cases have been reported in the pelvic and extrapelvic regions. It affects women most often during the fifth decade of life. The treatment requires simple local excision due to low local recurrence and no chance of metastasization. The current study presents a case of angiofibroma in the vulvar region that measured approximately 20 cm. PMID:27293929

A Giant Vulvar Mass: A Case Study of Cellular Angiofibroma

Directory of Open Access Journals (Sweden)

Ümit Aydın

2016-01-01

Full Text Available Cellular angiofibroma is a mesenchymal tumor that affects both genders. Nucci et al. first described it in 1997. Cellular angiofibroma is generally a small and asymptomatic mass that primarily arises in the vulvar-vaginal region, although rare cases have been reported in the pelvic and extrapelvic regions. It affects women most often during the fifth decade of life. The treatment requires simple local excision due to low local recurrence and no chance of metastasization. The current study presents a case of angiofibroma in the vulvar region that measured approximately 20 cm.

Globalization, Local and Global Identities of Students (Case study: University of Tabriz

Directory of Open Access Journals (Sweden)

Akram Hobbi

2010-06-01

Full Text Available The process of globalization is both a disputable issue and an ambiguous one and it has been approached through various and sometimes contradictory views. One of the major topics related to the process of globalization is the subject of survival or persistence of local identities in the mainstream of global economy and culture. Different views have been presented in this respect. One of them claims that globalization has a negative influence on local identities, and eliminates the differences. Some others, however, state an opposite view. This paper has identified three fundamental but different approaches and examines them by the research’s data .This research which its subjects are Fars, Turk and Kurd students of Tabriz University, indicates that as the global identity among the students’ increases, their local identities decrease. In other words, with enhancement of globalization process, local identities starts to decrease and it means that second and third approach’s theories in the research is rejected and the first approach’s theories are confirmed.

The role of localization strategy in development of brand equity: A case study of Samsumg firm

Directory of Open Access Journals (Sweden)

Marzieh Babayi

2015-05-01

Full Text Available In this paper an attempt is made to analyze the components of localization strategy including attribute policy, benefits policy, application/implementation policy, consumer policy, competition policy, quality/price policy and product category policy on development of brand equity. The study uses two questionnaires, one for measuring bran equity, which is adopted from Buil et al. (2013 [Buil, I., de Chernatony, L., & Martínez, E. (2013. Examining the role of advertising and sales promotions in brand equity creation. Journal of Business Research, 66(1, 115-122.], and the other for measuring localization strategy designed by researchers. Cronbach alphas for brand equity and localization strategy are 0.82 and 0.78, respectively. The study is applied among consumers of products with a name of Samsung in city of Tehran, Iran. Using Pearson correlation as well as multiple regression technique, the study has determined that attribute, consumer and application/implementation policies influenced positively on brand equity.

[Two Cases of Curative Resection of Locally Advanced Rectal Cancer after Preoperative Chemotherapy].

Science.gov (United States)

Mitsuhashi, Noboru; Shimizu, Yoshiaki; Kuboki, Satoshi; Yoshitomi, Hideyuki; Kato, Atsushi; Ohtsuka, Masayuki; Shimizu, Hiroaki; Miyazaki, Masaru

2015-11-01

Reports of conversion in cases of locally advanced colorectal cancer have been increasing. Here, we present 2 cases in which curative resection of locally advanced rectal cancer accompanied by intestinal obstruction was achieved after establishing a stoma and administering chemotherapy. The first case was of a 46-year-old male patient diagnosed with upper rectal cancer and intestinal obstruction. Because of a high level of retroperitoneal invasion, after establishing a sigmoid colostomy, 13 courses of mFOLFOX6 plus Pmab were administered. Around 6 months after the initial surgery, low anterior resection for rectal cancer and surgery to close the stoma were performed. Fourteen days after curative resection, the patient was discharged from the hospital. The second case was of a 66-year-old male patient with a circumferential tumor extending from Rs to R, accompanied by right ureter infiltration and sub-intestinal obstruction. After establishing a sigmoid colostomy, 11 courses of mFOLFOX6 plus Pmab were administered. Five months after the initial surgery, anterior resection of the rectum and surgery to close the stoma were performed. Twenty days after curative resection, the patient was released from the hospital. No recurrences have been detected in either case.

In silico local structure approach: a case study on outer membrane proteins.

Science.gov (United States)

Martin, Juliette; de Brevern, Alexandre G; Camproux, Anne-Claude

2008-04-01

The detection of Outer Membrane Proteins (OMP) in whole genomes is an actual question, their sequence characteristics have thus been intensively studied. This class of protein displays a common beta-barrel architecture, formed by adjacent antiparallel strands. However, due to the lack of available structures, few structural studies have been made on this class of proteins. Here we propose a novel OMP local structure investigation, based on a structural alphabet approach, i.e., the decomposition of 3D structures using a library of four-residue protein fragments. The optimal decomposition of structures using hidden Markov model results in a specific structural alphabet of 20 fragments, six of them dedicated to the decomposition of beta-strands. This optimal alphabet, called SA20-OMP, is analyzed in details, in terms of local structures and transitions between fragments. It highlights a particular and strong organization of beta-strands as series of regular canonical structural fragments. The comparison with alphabets learned on globular structures indicates that the internal organization of OMP structures is more constrained than in globular structures. The analysis of OMP structures using SA20-OMP reveals some recurrent structural patterns. The preferred location of fragments in the distinct regions of the membrane is investigated. The study of pairwise specificity of fragments reveals that some contacts between structural fragments in beta-sheets are clearly favored whereas others are avoided. This contact specificity is stronger in OMP than in globular structures. Moreover, SA20-OMP also captured sequential information. This can be integrated in a scoring function for structural model ranking with very promising results. (c) 2007 Wiley-Liss, Inc.

Letting Wood Rot: A Case Study on Local Perceptions of Global Conservation Initiatives (Boumba, Niger

Directory of Open Access Journals (Sweden)

Jocelyn Müller

2011-01-01

Full Text Available Although there is a pressing need for conservation in Africa and a push for such actions to be directed by the community, there is still much conflict both in academia and on the ground regarding the success and methods of community-based conservation. Employing key-informant interviews, focus group discussions and participant observation, we look at how one community has perceived the conservation actions in their village, Boumba, Niger, and the neighbouring national park, Park-W. This study examines local perceptions of the goals, priorities and methods of conservation in Park-W and the Boumba region. We demonstrate that while participants expressed positive alignment with perceived conservation goals, they did not agree with conservation priorities and felt strongly against the methods.  Reframing conservation discourse in the terms of sustainable-use or adaptive management may serve to help translate much of the conservation ethic to local realities. We argue that for local conservation to be culturally sustainable, programmers of conservation must engage the community on their own terms, and recognize the value of local perceptions.

Identifying the Local Impacts of National ATE Centers on Their Host Institutions: An Exploratory Study

Science.gov (United States)

Henderson, Charles; Fynewever, Herb; Petcovic, Heather; Bierema, Andrea

2012-01-01

The purpose of this study is to identify the local impacts of national advanced technological education (ATE) centers on their host institutions. A sample of three mature, national ATE centers are chosen, with each center serving as a case for a mixed-methods, collective case study research design. Results, drawn from interviews and surveys,…

Participation in development activities at the local level : case studies from a Sri Lankan village

NARCIS (Netherlands)

Frerks, G.E.

1991-01-01

This study is a sociological analysis of popular participation in local level development activities in Tegashena village in the Matara District, Sri Lanka. Social, economic, political and administrative factors that influence this process are identified.

The study discusses how the

Determinants of the intention to purchase an autochthonous local lamb breed: Spanish case study.

Science.gov (United States)

Gracia, Azucena; Maza, María Teresa

2015-12-01

The aim of the paper is to study consumers' acceptability for a lamb meat from a local autochthonous breed. An intention to purchase model was developed based on the Theory of Planned Behavior (TPB) and estimated using data from a survey conducted in Spain. Results indicated that consumers were willing to buy this lamb meat because 86% of respondents said that they probably/definitely would buy it, although only 23% would if the meat is not available in their usual meat store. Then, the lack of availability in the market is an aspect limiting its consumption. The most important factors explaining the intention to purchase for consumers who would purchase this meat if it were not available in their usual store are the importance attached to the animal breed and their social embeddedness with the local area. An appropriate food policy would be to inform consumers about the importance of the animal breed in the quality of the meat and the local origin. Copyright © 2015 Elsevier Ltd. All rights reserved.

Implementation Of The Local Minimum Wage In Malang City (A Case Study in Malang City 2014

Directory of Open Access Journals (Sweden)

Dhea Candra Dewi Candra Dewi

2015-04-01

Full Text Available Wage system in a framework of how wages set and defined in order to improve the welfare of worker. The Indonesian government attempt to set a minimum wage in accordance with the eligibility standard of living. The study intend to analize the policy of Local Minimum Wage in Malang City in 2014, its implementation and constraining factors of those Local Minimum Wages. The research uses interactive model analysis as introduced by Miles and Hubermann [6] that consist of data collection, data reduction, data display, and conclusion. Constraining factors seen at the respond given by relevant actors to the policy such as employer organizations, worker unions, wage councils, and local government. Firstly, company as employer organization does not use wage scale system as suggested by the policy. Secondly, lack of communication forum between company and worker union sounds very high. Thirdly, inability of small and big companies to pay minimum standard wages. Lastly, disagreement and different opinion about wage scale applied between local wage council, employer organization and workers union that often occurs in tripartite communication forum.     Keywords: Employers Organization, Local Minimum Wage, Local Wage Council, Policy Implementation, Tripartite Communication forum, Workers Union.

Effect of local geology on indoor radon levels: a case study

International Nuclear Information System (INIS)

Hawthorne, A.R.; Gammage, R.B.; Dudney, C.S.

1984-01-01

This paper presents the results of radon monitoring in 40 East Tennessee homes that were a component of a larger study to evaluate indoor air quality. Measurements were conducted during two 3-month time periods with passive integrating track etch monitors in each of the forty homes. In a subset of homes, measurements were also conducted with a real-time monitor that provided readings on an hourly basis. The results of the monitoring indicate that about 30% of the homes had radon levels greater that 4 pCi/L in the living space. Homes with elevated radon levels were associated with local variations in geology; most of the homes having higher levels were located on the porous dolomite ridge partially surrounding Oad Ridge, Tennessee. (Author)

Evaluation of tumor localization in respiration motion-corrected cone-beam CT: Prospective study in lung

Energy Technology Data Exchange (ETDEWEB)

Dzyubak, Oleksandr; Kincaid, Russell; Hertanto, Agung; Hu, Yu-Chi; Pham, Hai; Yorke, Ellen; Zhang, Qinghui; Mageras, Gig S., E-mail: magerasg@mskcc.org [Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, New York 10065 (United States); Rimner, Andreas [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York 10065 (United States)

2014-10-15

Purpose: Target localization accuracy of cone-beam CT (CBCT) images used in radiation treatment of respiratory disease sites is affected by motion artifacts (blurring and streaking). The authors have previously reported on a method of respiratory motion correction in thoracic CBCT at end expiration (EE). The previous retrospective study was limited to examination of reducing motion artifacts in a small number of patient cases. They report here on a prospective study in a larger group of lung cancer patients to evaluate respiratory motion-corrected (RMC)-CBCT ability to improve lung tumor localization accuracy and reduce motion artifacts in Linac-mounted CBCT images. A second study goal examines whether the motion correction derived from a respiration-correlated CT (RCCT) at simulation yields similar tumor localization accuracy at treatment. Methods: In an IRB-approved study, 19 lung cancer patients (22 tumors) received a RCCT at simulation, and on one treatment day received a RCCT, a respiratory-gated CBCT at end expiration, and a 1-min CBCT. A respiration monitor of abdominal displacement was used during all scans. In addition to a CBCT reconstruction without motion correction, the motion correction method was applied to the same 1-min scan. Projection images were sorted into ten bins based on abdominal displacement, and each bin was reconstructed to produce ten intermediate CBCT images. Each intermediate CBCT was deformed to the end expiration state using a motion model derived from RCCT. The deformed intermediate CBCT images were then added to produce a final RMC-CBCT. In order to evaluate the second study goal, the CBCT was corrected in two ways, one using a model derived from the RCCT at simulation [RMC-CBCT(sim)], the other from the RCCT at treatment [RMC-CBCT(tx)]. Image evaluation compared uncorrected CBCT, RMC-CBCT(sim), and RMC-CBCT(tx). The gated CBCT at end expiration served as the criterion standard for comparison. Using automatic rigid image

Ecotourism and community development: a case study of Olumirin ...

African Journals Online (AJOL)

Ecotourism and community development: a case study of Olumirin Waterfall, ... of ecotourism to the community development of the host community and her environs. ... Tourist survey, staff survey, local business sector survey and community ...

Whose Knowledge, Whose Values? The Contribution of Local Knowledge to Education Policy Processes: A Case Study of Research Development Initiatives in the Small State of Saint Lucia

Science.gov (United States)

Holmes, Keith; Crossley, Michael

2004-01-01

This paper draws upon a case study of education in the small Caribbean state of Saint Lucia (population 154,000) to examine how local knowledge and values can influence the education policy process. It is argued that recent research development initiatives have strengthened the ability of Saint Lucia to mediate international education agendas to…

Predicting changes in drug use and treatment entry for local programs: a case study.

Science.gov (United States)

Flaherty, E W; Olsen, K; Bencivengo, M

1980-01-01

Recent sharp decline in treatment admissions by opiate abusers stimulated the conduct of a study designed to provide timely data to treatment system administrators for the next cycle of program and budgetary planning. The process of designing the study involved definition of required study characteristics, review of four categories of drug abuse research, and generation of seven locally relevant hypotheses. Interviews were conducted with 335 heroin adicts: 196 new admissions to treatment and 139 "street" addicts not currently in treatment. Major findings were a marked reduction in the quality, availability, and price of heroin; very negative perceptions of methadone maintenance, especially by female respondents; decline in heroin popularity and increase in reported use of alcohol, amphetamines, and barbiturates; and differing perceptions of treatment by sex of respondent. Response patterns suggest that users who are not entering treatment are less "strung-out than those entering treatment because of decline in availability and quality of heroin and consequent increased mixing of drugs. The emphasis in the report is on the conduct of a study which can be timely, feasible, and useful to local planners. The study weaknesses and recommended remedies are discussed, as well as the characteristics which made the findings immediately useful to administrators and planners.

Local food protection and safety infrastructure and capacity: a Maryland case study.

Science.gov (United States)

Kufel, Joanna Zablotsky; Resnick, Beth A; Fox, Mary; Frattaroli, Shannon; Gielen, Andrea; Burke, Thomas A

2011-01-01

In Maryland, county Food Protection Programs (FPP), housed within Environmental Public Health (EPH) Divisions, maintain responsibility for regular inspection of all food service facilities (FSF). With growing concerns about how our food supply is protected, it is important to determine the state and effectiveness of our food safety systems. This research elucidates the roles, responsibilities, strengths, and weaknesses of Food Safety and Protection Programs in Maryland. A 16-question survey tool, which addressed facets of the local food protection infrastructure, including FSF inspections, staffing, budget, and foodborne illness surveillance, was distributed to all 24 county FPP. The number of FSF in Maryland increased 97% from 2001 to 2006 and counties had an average inspection completion rate of 73%, with a 4% increase over the time period. Statewide, there were 4.1 EPH full-time employees (FTE) per 10 000 population and 1.6 FPP FTE per 10 000 population. EPH Division budgets increased 63% statewide, from $19.5 million in 2000 to $31.9 million in 2007. FPP budgets also increased 59% over the period, from $6.2 million in 2000 to $9.8 million in 2007. This study offers new quantitative measures of the demands, capacities, and performance of Food Protection and Safety Programs in Maryland. This assessment of local EPH and FPP capacity also offers insight into the strengths and weaknesses of the local food protection and safety infrastructure. Importantly, it reveals an infrastructure and dedicated food protection workforce that inspects the food supply and responds to foodborne illness outbreaks. Yet, resources vary substantially from county to county, impacting which services can be provided and how well they can be performed. This can, in turn, impact the potential risk of foodborne illness and the public's overall health.

Usage Trends of Open Access and Local Journals: A Korean Case Study.

Science.gov (United States)

Seo, Jeong-Wook; Chung, Hosik; Yun, Jungmin; Park, Jin Young; Park, Eunsun; Ahn, Yuri

2016-01-01

Articles from open access and local journals are important resources for research in Korea and the usage trends of these articles are important indicators for the assessment of the current research practice. We analyzed an institutional collection of published papers from 1998 to 2014 authored by researchers from Seoul National University, and their references from papers published between 1998 and 2011. The published papers were collected from Web of Science or Scopus and were analyzed according to the proportion of articles from open access journals. Their cited references from published papers in Web of Science were analyzed according to the proportion of local (South Korean) or open access journals. The proportion of open access papers was relatively stable until 2006 (2.5 ~ 5.2% in Web of Science and 2.7 ~ 4.2% in Scopus), but then increased to 15.9% (Web of Science) or 18.5% (Scopus) in 2014. We analyzed 2,750,485 cited references from 52,295 published papers. We found that the overall proportion of cited articles from local journals was 1.8% and that for open access journals was 3.0%. Citations of open access articles have increased since 2006 to 4.1% in 2011, although the increase in open access article citations was less than for open access publications. The proportion of citations from local journals was even lower. We think that the publishing / citing mismatch is a term to describe this difference, which is an issue at Seoul National University, where the number of published papers at open access or local journals is increasing but the number of citations is not. The cause of this discrepancy is multi-factorial but the governmental / institutional policies, social / cultural issues and authors' citing behaviors will explain the mismatch. However, additional measures are also necessary, such as the development of an institutional citation database and improved search capabilities with respect to local and open access documents.

Usage Trends of Open Access and Local Journals: A Korean Case Study

Science.gov (United States)

Chung, Hosik; Yun, Jungmin; Park, Jin Young; Park, Eunsun; Ahn, Yuri

2016-01-01

Articles from open access and local journals are important resources for research in Korea and the usage trends of these articles are important indicators for the assessment of the current research practice. We analyzed an institutional collection of published papers from 1998 to 2014 authored by researchers from Seoul National University, and their references from papers published between 1998 and 2011. The published papers were collected from Web of Science or Scopus and were analyzed according to the proportion of articles from open access journals. Their cited references from published papers in Web of Science were analyzed according to the proportion of local (South Korean) or open access journals. The proportion of open access papers was relatively stable until 2006 (2.5 ~ 5.2% in Web of Science and 2.7 ~ 4.2% in Scopus), but then increased to 15.9% (Web of Science) or 18.5% (Scopus) in 2014. We analyzed 2,750,485 cited references from 52,295 published papers. We found that the overall proportion of cited articles from local journals was 1.8% and that for open access journals was 3.0%. Citations of open access articles have increased since 2006 to 4.1% in 2011, although the increase in open access article citations was less than for open access publications. The proportion of citations from local journals was even lower. We think that the publishing / citing mismatch is a term to describe this difference, which is an issue at Seoul National University, where the number of published papers at open access or local journals is increasing but the number of citations is not. The cause of this discrepancy is multi-factorial but the governmental / institutional policies, social / cultural issues and authors' citing behaviors will explain the mismatch. However, additional measures are also necessary, such as the development of an institutional citation database and improved search capabilities with respect to local and open access documents. PMID:27195948

Usage Trends of Open Access and Local Journals: A Korean Case Study.

Directory of Open Access Journals (Sweden)

Jeong-Wook Seo

Full Text Available Articles from open access and local journals are important resources for research in Korea and the usage trends of these articles are important indicators for the assessment of the current research practice. We analyzed an institutional collection of published papers from 1998 to 2014 authored by researchers from Seoul National University, and their references from papers published between 1998 and 2011. The published papers were collected from Web of Science or Scopus and were analyzed according to the proportion of articles from open access journals. Their cited references from published papers in Web of Science were analyzed according to the proportion of local (South Korean or open access journals. The proportion of open access papers was relatively stable until 2006 (2.5 ~ 5.2% in Web of Science and 2.7 ~ 4.2% in Scopus, but then increased to 15.9% (Web of Science or 18.5% (Scopus in 2014. We analyzed 2,750,485 cited references from 52,295 published papers. We found that the overall proportion of cited articles from local journals was 1.8% and that for open access journals was 3.0%. Citations of open access articles have increased since 2006 to 4.1% in 2011, although the increase in open access article citations was less than for open access publications. The proportion of citations from local journals was even lower. We think that the publishing / citing mismatch is a term to describe this difference, which is an issue at Seoul National University, where the number of published papers at open access or local journals is increasing but the number of citations is not. The cause of this discrepancy is multi-factorial but the governmental / institutional policies, social / cultural issues and authors' citing behaviors will explain the mismatch. However, additional measures are also necessary, such as the development of an institutional citation database and improved search capabilities with respect to local and open access documents.

String-localized quantum fields and modular localization

Energy Technology Data Exchange (ETDEWEB)

Mund, J. [Juiz de Fora Univ., MG (Brazil). Dept. de Fisica; Schroer, B. [FU-Berlin, Berlin (Germany). Inst. fuer Theoretische Physik; Yngvason, J. [Erwin Schroedinger Institute for Mathematical Physics, Vienna (Austria)

2005-12-15

We study free, covariant, quantum (Bose) fields that are associated with irreducible representations of the Poincare group and localized in semi-infinite strings extending to spacelike infinity. Among these are fields that generate the irreducible representations of mass zero and infinite spin that are known to be incompatible with point-like localized fields. For the massive representation and the massless representations of finite helicity, all string-localized free fields can be written as an integral, along the string, of point-localized tensor or spinor fields. As a special case we discuss the string-localized vector fields associated with the point-like electromagnetic field and their relation to the axial gauge condition in the usual setting. (author)

String-localized quantum fields and modular localization

International Nuclear Information System (INIS)

Mund, J.

2005-12-01

We study free, covariant, quantum (Bose) fields that are associated with irreducible representations of the Poincare group and localized in semi-infinite strings extending to spacelike infinity. Among these are fields that generate the irreducible representations of mass zero and infinite spin that are known to be incompatible with point-like localized fields. For the massive representation and the massless representations of finite helicity, all string-localized free fields can be written as an integral, along the string, of point-localized tensor or spinor fields. As a special case we discuss the string-localized vector fields associated with the point-like electromagnetic field and their relation to the axial gauge condition in the usual setting. (author)

Socio-economic impacts of nuclear generating stations: Arkansas Nuclear One Station case study

International Nuclear Information System (INIS)

Pijawka, K.D.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Arkansas Nuclear One nuclear power station. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socio-economic impacts of nuclear generating stations: Crystal River Unit 3 case study

International Nuclear Information System (INIS)

Bergmann, P.A.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Crystal River Unit 3 nuclear power station. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Long-time follow-up study of localized gastric mucosa-associated lymphoid tissue (MALT) lymphoma and the clinical features of antibiotic-resistant cases of gastric MALT lymphoma

International Nuclear Information System (INIS)

Akamatsu, Taiji; Sano, Kenji; Suzawa, Ken-ichi; Kaneko, Yasunori; Shikama, Naoto; Ota, Hiroyoshi; Miyabayashi, Hideharu

2007-01-01

To clarify the clinical features of gastric mucosa-associated lymphoid tissue (MALT) lymphoma (GML) with persistent lymphoma after eradication therapy of Helicobacter pylori (H. pylori), and the outcome of long-time follow-up study after treatment against GML, seventy-six patients with localized GML were studied. The median follow-up period was 44.4 months. Thirty-eight of 49 patients (77.6%) with H. pylori-positive GML had been cured of GML by antibiotic therapy alone. On the other hand, none of 13 patients with H. pylori-negative GML had been cured by antibiotic therapy (77.6% vs 0%, p<0.001). ''H. pylori-negative'' is one of the clinical features of antibiotic-resistant cases with GML. There was no significant difference in sex, age, stage, endoscopic finding, depth, and affected region between the two groups of cured and persistent GML with H. pylori infection. Twenty-two of 29 patients (75.6%) with antibiotic-resistant or H. pylori-negative cases of GML had been cured by 30 Gy radiation therapy. Low-dose radiation was thought to be a useful therapeutic procedure as a second line treatment'' of localized GML. (author)

Advantages of carotid endarterectomy under local anaesthesia with minimal cerebral monitoring: an experience of 45 cases

International Nuclear Information System (INIS)

Bajwa, S.P.; Jameel, M.; Masood, N.

2014-01-01

Objective: To evaluate the benefits, efficacy and safety of local cervical plexus block in the performance of carotid endarterectomy, in the absence of sophisticated cerebral perfusion monitoring. Place and Duration of Study: This study was carried out at Combined Military Hospital (CMH) Lahore, Pakistan from January 2012 to May 2013. Study Design: Quasi-experimental study. Patients and Methods: A total of 45 cases of ASA II and ASA III physical status were operated for carotid endarterectomy under local block of cervical plexus. After thorough preanaesthetic assessment, the patients physical conditions were optimized before surgery. Premedication was given with midazolam and sedated during operation with small doses of propofol. Local anaesthesia (LA) was completed by injecting bupivacaine in cervical plexuses 2, C3 and C4 areas. During operation vital signs and adequacy of cerebral perfusion were monitored by keeping the patient awake and making clinical neurological observations. Verbal contact was maintained with the patient. Breathing patterns and motor power were assessed in contralateral upper and lower limbs. Postoperatively patients were interviewed and analgesia during operation was assessed with visual analogue scale. Surgeon's satisfaction regarding intraoperative analgesia was also noted. Patients who required added sedation or local anesthetic agent were also noted. Average duration of surgery time was two hours and average stay of the patients in hospital was five days. Results: Out of 45 patients, 37 patients (82%) had smooth and comfortable anaesthesia and analgesia. In only 1 patient (2.2%) LA had to be converted into general anaesthesia (GA). In 3 cases (7%) LA was supplemented. One patient (2.2%) developed hoarseness and difficulty in breathing and 1 patient (2.2%) developed hemiparesis intra-operatively; while 1 patient (2.2%) developed hypotension in the immediate postoperative period. One patient (2.2%) developed haematoma at infiltration

Localized Quality Assurance and Certification for Cross-Border Education: A Shanghai Case Study

Science.gov (United States)

Yadong, Li; Yanqiao, Jiang

2009-01-01

The authors present a case study of Sino-foreign cooperation in education to illustrate how developments in the management of licensing and the approval of programs can contribute to better quality assurance. The study demonstrates how the Shanghai municipal education authority has jettisoned traditional dependence on administrative management and…

Synthesis across social innovation case studies

DEFF Research Database (Denmark)

Jørgensen, Michael Søgaard; Avelino, Flor; Dorland, Jens

2016-01-01

Part 1 is an overview and a comparative analysis of the findings from the 20 case study reports in TRANSIT about aspects of transformative social innovation (TSI). Each of the 20 reports, which the report is based on, includes an analysis of a transnational social innovation network and at least...... two local social innovation initiatives. Part 2 consists of extended abstracts of 8 papers which either focus on empirical phenomena surfacing in different TRANSIT cases (e.g. alternative economic arrangements), take a societal or methodological issue as starting point (e.g. inclusivity or research...... relations), address propositions from TRANSIT proto-theory (institutionalization dialectics, responses to crisis), build upon thematic clusters used for case selection (e.g. spaces for/of innovation, inclusive society, new economy, transformative science) or inductively develop specific sensitizing concepts...

Participation Dynamics of Voters Using ID Card in Local Elections: A Case Study of the 2015 Local Election in South Sulawesi

Directory of Open Access Journals (Sweden)

Andi Ahmad Yani

2017-10-01

Full Text Available The number of voters is an essential element in the legitimacy of a democratic regime. There are various factors that may influence voter turnout in elections; among other factors particularly is electoral management in voter’s registration. The problem of voters' data has always been a scourge in every general or local election due to poor population data management in Indonesia. Hence, the General Elections Commission (KPU responded to this issue with a number of policies to increase the number of voter participation in all elections, especially for those who have not been registered properly. The Commission made a specific regulation to allow voters who were not registered in the voter lists (DPS to use their ID card (KTP or other legal documents in voting. This study used qualitative methods in five regions in the South Sulawesi Province that conducted the 2015 local election. This study explores the dynamics of voters using ID card or other legal documents by identifying their reasons and characteristics in using KTP as well as examining the responses of the local election institutions regarding this policy. This condition tends to apply to countries in the transitional period of democracy where the electoral administration system has not been properly regulated. The causes include the failure of administrative systems of management and population data collection with e-KTP card system in Indonesia.

Local cases of institutional entrepreneurship:

DEFF Research Database (Denmark)

Gretzinger, Susanne; Leick, Birgit

2018-01-01

Population ageing and population decline are two contemporary phenomena that imply a tremendous transformation of local markets across many European regions and challenge their economic growth and development in the longer run. In such contexts of market change and, perhaps, crisis, institutional...... agendas and frameworks (including the institutionalised practices used in the local economy) can be stabilising anchors for the strategic planning of firms and public organisations. However, demographic challenges will also put a strain on these institutions that become subject to change themselves...... to support the local economy in coping with demographic challenges....

Intelligent Facades in Buildings Facades of local Office Buildings - Case Study

Directory of Open Access Journals (Sweden)

Al-Qaraghuli Anwar Subhi

2016-01-01

Full Text Available In order to meet the functional performance and requirements on the environmental, ecological, social and aesthetical aspects, it became a necessity to develop another options of building that would be more efficient in the provision of those requirements, so a new generation have appeared called “Smart Buildings” or “Intelligent Buildings” with their sophisticated parts and various details, one of those essential parts is the “Intelligent Façade” for it’s being the essential and primary defensive line for the building against the environmental and climatic variations.This research focused on presenting the most clearly and comprehensive perception of the intelligent façades, in a manner that serves the ability of the designer to apply them in his designs or while developing an existing façades in local (Iraqi office buildings.To achieve such goal, it has been a necessity to adopt a descriptive and analytical Method for the previous knowledge and take a sequential researching steps, the first step was to build a comprehensive theoretical framework by defining the intelligent façade. Down to abstracting three main vocabularies of the theoretical framework represented by: integrated intelligent façade design, intelligent façade techniques, and effective response.The next research steps focused on applying the vocabularies of the theoretical framework on the elected local office buildings that have been adopted the matter of intelligent façades in one of their forms, and then analyze/discuss the results of the applicable study, to be able to draw the final conclusions, and by this the research presented a determined recommendations.

The role of social and economic context, and local knowledge for post-disaster reconstruction of high-mountain hazards: a case study from the Peruvian Andes

Science.gov (United States)

Dulce Burga, María; Vicuña, Luis; Jurt, Christine; Huggel, Christian

2015-04-01

Following the occurrence of an extreme event, specific and immediate actions are oriented to relieve basic needs and guarantee the subsistence of daily life. One of the priorities is focused on the reconstruction and relocation to areas away from possible hazard. However, on a long-term perspective, new contexts, concerns and priorities among the affected as well as the immigrated population foster new risk perceptions, which in many cases may include the returning or settlement in areas exposed to hazards. In Santa Teresa (Cusco, Peru), risk has been part of its history. In 1998, two very large debris flows from deglaciated areas, in January and February respectively, destroyed the old city located by the riverside of the Sacsara river; including the loss of lives, housing, loss of infrastructure and roads, electricity and water cuts, among other important losses. Today, the new city is located on a terrace above the river reach; and their current inhabitants, mainly migrants from different cities of the region of Cusco, have a different perspective of this experience. On the contrary, many of the inhabitants who experienced these events have returned to the risk areas where they lost everything, or they have settled in disaster prone areas. There is a set of factors, such as local knowledge (regarding space, economy, etc.) and new social contexts (such as the rise of tourism in risk areas, for example) that are implicit in the current narratives regarding hazard and risk. This work purposes the following questions: how does the social and economic context, as well as local knowledge influence risk perceptions? Are there any differences concerning risk perceptions between groups who decided to live in disaster prone areas and groups who are less exposed to risk? And which are the strategies within the groups regarding risk, considering how this concept is understood among them? In order to analyze these questions, this work is based on a case study in the

Local Helioseismology of Emerging Active Regions: A Case Study

Science.gov (United States)

Kosovichev, Alexander G.; Zhao, Junwei; Ilonidis, Stathis

2018-04-01

Local helioseismology provides a unique opportunity to investigate the subsurface structure and dynamics of active regions and their effect on the large-scale flows and global circulation of the Sun. We use measurements of plasma flows in the upper convection zone, provided by the Time-Distance Helioseismology Pipeline developed for analysis of solar oscillation data obtained by Helioseismic and Magnetic Imager (HMI) on Solar Dynamics Observatory (SDO), to investigate the subsurface dynamics of emerging active region NOAA 11726. The active region emergence was detected in deep layers of the convection zone about 12 hours before the first bipolar magnetic structure appeared on the surface, and 2 days before the emergence of most of the magnetic flux. The speed of emergence determined by tracking the flow divergence with depth is about 1.4 km/s, very close to the emergence speed in the deep layers. As the emerging magnetic flux becomes concentrated in sunspots local converging flows are observed beneath the forming sunspots. These flows are most prominent in the depth range 1-3 Mm, and remain converging after the formation process is completed. On the larger scale converging flows around active region appear as a diversion of the zonal shearing flows towards the active region, accompanied by formation of a large-scale vortex structure. This process occurs when a substantial amount of the magnetic flux emerged on the surface, and the converging flow pattern remains stable during the following evolution of the active region. The Carrington synoptic flow maps show that the large-scale subsurface inflows are typical for active regions. In the deeper layers (10-13 Mm) the flows become diverging, and surprisingly strong beneath some active regions. In addition, the synoptic maps reveal a complex evolving pattern of large-scale flows on the scale much larger than supergranulation

The Case Study Of Ilorin, Kwara State, Nigeria *Olanrew

African Journals Online (AJOL)

Choice-Academy

Ethiopian Journal of Environmental Studies and Management Vol.2 No.2. 2009. * Department ... The Climate Effect of Urbanization in A City of Developing Country: The Case Study Of. Ilorin, Kwara ... (1995) called it network city while Dear (2000) described it as ... local and regional climate and even large scale atmosphere ...

Professionals without a profession? Redesigning case management in Dutch local welfare agencies

NARCIS (Netherlands)

van Berkel, H.H.A.; van der Aa, P.; van Gestel, N.

2010-01-01

This article explores the new roles of frontline workers in Dutch local welfare agencies against the background of recent active welfare state reforms, with a specific focus on frontline workers involved in activating social assistance recipients. The results presented in the article come from case

Attitudes of local communities towards conservation of mangrove forests: A case study from the east coast of India

Science.gov (United States)

Badola, Ruchi; Barthwal, Shivani; Hussain, Syed Ainul

2012-01-01

The ecological and economic importance of mangrove ecosystems is well established and highlighted by studies establishing a correlation between the protective function of mangroves and the loss of lives and property caused by coastal hazards. Nevertheless, degradation of this ecosystem remains a matter of concern, emphasizing the fact that effective conservation of natural resources is possible only with an understanding of the attitudes and perceptions of local communities. In the present study, we examined the attitudes and perceptions of local communities towards mangrove forests through questionnaire surveys in 36 villages in the Bhitarkanika Conservation Area, India. The sample villages were selected from 336 villages using hierarchical cluster analysis. The study revealed that local communities in the area had positive attitudes towards conservation and that their demographic and socio-economic conditions influenced people's attitudes. Local communities valued those functions of mangrove forests that were directly linked to their wellbeing. Despite human-wildlife conflict, the attitudes of the local communities were not altogether negative, and they were willing to participate in mangrove restoration. People agreed to adopt alternative resources if access to forest resources were curtailed. Respondents living near the forests, who could not afford alternatives, admitted that they would resort to pilfering. Hence, increasing their livelihood options may reduce the pressure on mangrove forests. In contrast with other ecosystems, the linkages of mangrove ecosystem services with local livelihoods and security are direct and tangible. It is therefore possible to develop strong local support for sustainable management of mangrove forests in areas where a positive attitude towards mangrove conservation prevails. The current debates on Reducing Emissions from Deforestation and Forest Degradation (REDD) and payment for ecosystem services provide ample scope for

Unusual localizations of unicameral bone cysts and aneurysmal bone cysts: A retrospective review of 451 cases.

Science.gov (United States)

Aycan, Osman Emre; Çamurcu, İsmet Yalkın; Özer, Devrim; Arıkan, Yavuz; Kabukçuoğlu, Yavuz Selim

2015-06-01

Unicameral bone cysts (UBC) and aneurysmal bone cysts (ABC) are benign cystic lesions of bone which are easily diagnosed. However, unusual locations may lead to a false diagnosis. Therefore the aim of this retrospective study was to determine the frequency of unusual localizations. The authors studied 451 cases with histopathologically confirmed diagnosis of UBC or ABC, seen between 1981 and 2012. In the UBC group (352 cases) humerus, femur and calcaneus were found to be the most common sites, while acetabulum, scapula, scaphoid, lunatum, metacarpals, metatarsals, toe phalanges and ulna each accounted for less than 1%. In the ABC group (99 cases) the most common sites of involvement were femur, humerus and tibia, while finger phalanges, ilium, acetabulum, pubis, calcaneus, cuboid, and toe phalanges each accounted for only 1%. The differential diagnosis of cystic bone lesions should include both UBC and ABC. Pain complaints plead for the latter, except in case of fracture.

WHAT IS THE IMPACT OF THE WEB ON LOCAL JOURNALISM? TWO CASE STUDIES IN TOULOUSE, FRANCE.

Directory of Open Access Journals (Sweden)

Franck Bousquet

2014-06-01

Full Text Available Our article aims to explore how the emergence of independent journalism could reconfigure local news. Our field research, carried out from January to April 2013, focuses on two news-based websites in Toulouse: Carré d'infos and LibéToulouse. The results of our research show how newcomers to the world of independent journalism are struggling to maintain their business. A business which is even more precarious than that of their national counterparts, also highlighting the low number of readers and limited exposure they get within the local public space. However, our study has shown that these new players concentrate on field reporting, covering issues that mainstream media often does not and, in particular, cherishing their independence from local politics and economics.

A Parameter Study of Localization

Directory of Open Access Journals (Sweden)

Sandor Stephen Mester

1996-01-01

Full Text Available Extensive work has been done on the vibration characteristics of perfectly periodic structures. Disorder in the periodic pattern has been found to lead to localization in one-dimensional periodic structures. It is important to understand localization because it causes energy to be concentrated near the disorder and may cause an overestimation of structural damping. A numerical study is conducted to obtain a better understanding of localization. It is found that any mode, even the first, can localize due to the presence of small imperfections.

LOCAL INITIATIVES FOR SUSTAINABLE DEVELOPMENT IN RURAL HOKKAIDO: A CASE STUDY OF SAMANI

Directory of Open Access Journals (Sweden)

Devon Dublin

2013-01-01

Full Text Available The paper presents the results of a field investigation about sustainable development of Samani town—a rural area in Hidaka region, Hokkaido, Japan. Local activities, business, environmental, social and economic challenges that affect the town as well as the advantages were investigated. The research was done by means of field visits, questionnaires and interviews involving the local people and government. The main economic sectors: olivine industry, fishery, agriculture and tourism were targeted as well as the government sector and the local high school with a particular focus on rural-urban migration. Samani has quite unique natural features on hand but a few strong comprehensive challenges on the other hand. The authors focused on the citizens opinions and positions which were based on the uniqueness of Samani and their own local activities and initiatives for the sustainable development of the town in the future which can be replicated in other rural communities around the world.

Local Stakeholders’ Perceptions about the Introduction of Performance-Based Financing in Benin: A Case Study in Two Health Districts

Directory of Open Access Journals (Sweden)

Elisabeth Paul

2014-09-01

Full Text Available Background Performance-Based Financing (PBF has been advanced as a solution to contribute to improving the performance of health systems in developing countries. This is the case in Benin. This study aims to analyse how two PBF approaches, piloted in Benin, behave during implementation and what effects they produce, through investigating how local stakeholders perceive the introduction of PBF, how they adapt the different approaches during implementation, and the behavioural interactions induced by PBF. Methods The research rests on a socio-anthropological approach and qualitative methods. The design is a case study in two health districts selected on purpose. The selection of health facilities was also done on purpose, until we reached saturation of information. Information was collected through observation and semi-directive interviews supported by an interview guide. Data was analysed through contents and discourse analysis. Results The Ministry of Health (MoH strongly supports PBF, but it is not well integrated with other ongoing reforms and processes. Field actors welcome PBF but still do not have a sense of ownership about it. The two PBF approaches differ notably as for the organs in charge of verification. Performance premiums are granted according to a limited number of quantitative indicators plus an extensive qualitative checklist. PBF matrices and verification missions come in addition to routine monitoring. Local stakeholders accommodate theoretical approaches. Globally, staff is satisfied with PBF and welcomes additional supervision and training. Health providers reckon that PBF forces them to depart from routine, to be more professional and to respect national norms. A major issue is the perceived unfairness in premium distribution. Even if health staff often refer to financial premiums, actually the latter are probably too weak—and ‘blurred’—to have a lasting inciting effect. It rather seems that PBF motivates health

Socio-economic impacts of nuclear generating stations: Nine Mile Point and Fitzpatrick case study

International Nuclear Information System (INIS)

Branch, K.; Cochran, R.; Meale, R.

1982-07-01

This report documents a case study of the socio-economic impacts of the construction and operation of the Nine Mile Point and Fitzpatrick nuclear power stations. It is part of a major post-licensing study of the socio-economic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period 1980 to 1981. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of the construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socio-economic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Using GPS and leveling data in local precise geoid determination and case study

Science.gov (United States)

Erol, B.; Çelik, R. N.; Erol, S.

2003-04-01

the fundamental mathematical equation; N=h-H. In the equation, "h" is the ellipsoidal height of a point P, "H" is the orthometric height of the same point and "N" is "geoid undulation" value. Normally, "H" orthometric height derived from leveling measurements but these measurements are tiring applications. So, while having a geoid model in the region as the essential part of geodetic infrastructure, number leveling measurements can be reduced from the procedure and by this way time and labor is saved. Geoid determination is modeling of the data in such a way that geoid height can be obtained digital or analog at a point whose horizontal position is known. Geoid models can be developed for local, regional or global regions. Using satellite techniques, especially GPS, in geodetic measurements are increased importance of geoid. Because geoid is a natural tie between high precision geodetic coordinates and coordinates which obtained from satellites. There are several geoid determination methods according to used data and models. GPS/Leveling method, which is also known as geometric method, is one of these methods. This method is appropriate for local precise geoid determination in respectively small areas. In this paper, it is going to be given information about GPS/Leveling geoid determination method and mathematical models, which are used in geoid determination with this method. And Izmir local geoid model will be presented as a case study. Izmir is one of the west metropolitan cities of Turkey and located near Aegean Sea. The topography is extremely rough in the region. There are two different geoid determination studies which were carried out in 1996 and 2001 in Izmir. Both models were accomplished according to GPS/Leveling method. Those two geoid models of Izmir Metropolitan region are investigated in here, the conflict of them were discussed. The relation between distribution of common reference points and differences of geoid undulation values, which are calculated

A local studies collection: unexploited possibilities?

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Silva Novljan

2005-01-01

Full Text Available Public libraries have traditionally carried out the local history activities with the main emphasis on the collection and preservation of local studies material in order to meet the educational and research needs, whereas the significance of the local studies material for the everyday needs of different groups of citizens has not been emphasized so much. More than a decade ago, the document adopted by the National Council for Librarianship should have encouraged the librarians to modernize their work based on the market policy and to develop local studies collections in all libraries. By an analysis of the selected published articles and the collected data, the author states that librarians strived to improve the situation at all times but they have not achieved the goals. They will continue to follow this objective, but due to the new Act of Librarianship, now they can expect more help from the state and from the regional libraries, and also from the new technology. In author’s opinion, the help itself will not be sufficient if the market power of the local history material is not used, and if this material will not be brought closer to different target groups and individuals. Appropriate services should be provided inside and outside of their environment, and thus the diversity of the purposes of local studies material will be realized. A detailed definition of the benefits of the use of local studies material proposed by the author, provides a useful starting-point to encourage the use of local studies material and services, which can strengthen the satisfaction among the citizens and the reputation of the library in its environment.

The Utilization of Local History in Teaching American Religious History: A Gilded Age and Progressive Era North Dakota Case Study

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Price, Christopher Neal

2013-01-01

Teachers of college-level courses on American religious history generally leave out the importance of local and regional histories when telling the story of religion in America. The study of local history provides a fertile ground for understanding broad national trends in a local context. This dissertation focuses upon a little-studied religious…

Localizing studies in patients with persistent or recurrent hyperparathyroidism

International Nuclear Information System (INIS)

Levin, K.E.; Gooding, G.A.; Okerlund, M.

1987-01-01

Preoperative localizing studies are essential for patients with persistent or recurrent hyperparathyroidism requiring reoperation, because of loss of normal tissue planes and because the hyperfunctioning parathyroid tissue that remains is more likely to be situated in an ectopic position. The value of noninvasive and invasive localizing techniques was evaluated in 59 consecutive patients undergoing reoperation for persistent (40 patients) or recurrent (19 patients) hyperparathyroidism. Magnetic resonance imaging was performed in 17 patients; 11 results (65%) were positive, 3 (18%) were negative, and 3 (18%) were false-positive. Ultrasonography was performed in 52 patients; 29 (56%) were positive, 16 (31%) were negative, and 7 (13%) were false-positive. Computed tomography was performed on 41 patients; 19 (46%) were positive, 16 (39%) were negative, and 6 (15%) were false-positive. Thallium chloride 201-technetium 99m pertechnetate scans were used in 39 patients; 19 (49%) were positive, 11 (28%) were negative, and 9 (13%) were false-positive. One or more of these noninvasive tests was positive in 78% of the cases. Highly selective venous catheterization with measurement of immunoreactive parathyroid hormone concentration localized the abnormal parathyroid gland in 20 of 28 patients (71%) overall and in 8 of the 14 patients (57%) whose tumors were not identified by the noninvasive techniques. Since false-positive results were common, a combination of localizing studies was helpful in identifying the abnormal gland. Fifty-three of the 59 patients (90%) were successfully treated at the initial reoperation and three were successfully treated at a second reoperation. Advances in parathyroid localization have contributed to the improved surgical results in patients with persistent or recurrent hyperparathyroidism

SUSTAINABLE DEVELOPMENT: THINK GLOBAL, ACT LOCAL – A CASE STUDY IN IGHIU, ROMANIA

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L. Baltador

2015-06-01

Full Text Available Sustainable development refers to the fair usage of the resources, so that future generations can be able to satisfy their needs, as well. For this to happen, a new paradigm on how economic development is being carried out is imperative. Thus, inter-national treaties on mitigating Climate Change, bio-diversity and fighting poverty and other such matters have been signed by most states. At local level, the problems appear more concrete, and thus, the practical solutions are (or appear to be sometimes in opposition to what is needed for a sustainable way of handling things. This paper aims to present an instrument, which can be used by the local authorities to overcome this impediment. The Integrated Management System (I.M.S. aims to contribute to a better communication between the local stakeholders, citizens and local authorities, which, in the end, can lead to a more sus-tainable future. For this, we will analyze first steps towards implementing the IMS in the village of Ighiu, Alba County, on the basis of the minimum requirements developed by the Champ project.

Local food policies can help promote local foods and improve health: a case study from the Federated States of Micronesia.

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Englberger, Lois; Lorens, Adelino; Pretrick, Moses; Tara, Mona J; Johnson, Emihner

2011-11-01

The Federated States of Micronesia (FSM) and other countries throughout the Pacific are facing an epidemic of non-communicable disease health problems. These are directly related to the increased consumption of unhealthy imported processed foods, the neglect of traditional food systems, and lifestyle changes, including decreased physical activity. The FSM faces the double burden of malnutrition with both non-communicable diseases and micronutrient deficiencies, including vitamin A deficiency and anemia. To help increase the use of traditional island foods and improve health, the Island Food Community of Pohnpei has initiated a program in the FSM to support and promote local food policies, along with its Go Local awareness campaign. Such local food policies are defined broadly and include individual and family commitments, community group local food policies and policies established by government, including presidential proclamations and increased taxation on soft drinks. The aim of this paper is to describe this work. An inter-agency, community- and research-based, participatory and media approach was used. Partners are both non-governmental and governmental. The use of continuing awareness work along with local food policy establishment and the acknowledgement of the individuals and groups involved are essential. The work is still in the preliminary stage but ad hoc examples show that this approach has had success in increased awareness on health issues and improving dietary intake on both an individual and group basis. This indicates that further use of local food policies could have an instrumental impact in FSM as well as other Pacific Island countries in promoting local foods and improving dietary intake and health, including the control of non-communicable diseases and other dietary-related health problems.

Clinical Case Registries: Simultaneous Local and National Disease Registries for Population Quality Management

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Backus, Lisa I.; Gavrilov, Sergey; Loomis, Timothy P.; Halloran, James P.; Phillips, Barbara R.; Belperio, Pamela S.; Mole, Larry A.

2009-01-01

The Department of Veterans Affairs (VA) has a system-wide, patient-centric electronic medical record system (EMR) within which the authors developed the Clinical Case Registries (CCR) to support population-centric delivery and evaluation of VA medical care. To date, the authors have applied the CCR to populations with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). Local components use diagnosis codes and laboratory test results to identify patients who may have HIV or HCV and support queries on local care delivery with customizable reports. For each patient in a local registry, key EMR data are transferred via HL7 messaging to a single national registry. From 128 local registry systems, over 60,000 and 320,000 veterans in VA care have been identified as having HIV and HCV, respectively, and entered in the national database. Local and national reports covering demographics, resource usage, quality of care metrics and medication safety issues have been generated. PMID:19717794

Propensity score matching for selection of local areas as controls for evaluation of effects of alcohol policies in case series and quasi case-control designs.

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de Vocht, F; Campbell, R; Brennan, A; Mooney, J; Angus, C; Hickman, M

2016-03-01

Area-level public health interventions can be difficult to evaluate using natural experiments. We describe the use of propensity score matching (PSM) to select control local authority areas (LAU) to evaluate the public health impact of alcohol policies for (1) prospective evaluation of alcohol policies using area-level data, and (2) a novel two-stage quasi case-control design. Ecological. Alcohol-related indicator data (Local Alcohol Profiles for England, PHE Health Profiles and ONS data) were linked at LAU level. Six LAUs (Blackpool, Bradford, Bristol, Ipswich, Islington, and Newcastle-upon-Tyne) as sample intervention or case areas were matched to two control LAUs each using PSM. For the quasi case-control study a second stage was added aimed at obtaining maximum contrast in outcomes based on propensity scores. Matching was evaluated based on average standardized absolute mean differences (ASAM) and variable-specific P-values after matching. The six LAUs were matched to suitable control areas (with ASAM 0.05 indicating good matching) for a prospective evaluation study that sought areas that were similar at baseline in order to assess whether a change in intervention exposure led to a change in the outcome (alcohol related harm). PSM also generated appropriate matches for a quasi case-control study--whereby the contrast in health outcomes between cases and control areas needed to be optimized in order to assess retrospectively whether differences in intervention exposure were associated with the outcome. The use of PSM for area-level alcohol policy evaluation, but also for other public health interventions, will improve the value of these evaluations by objective and quantitative selection of the most appropriate control areas. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Inclusive Discourse? Local Media Coverage of the Terri Schiavo Case.

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Rohlinger, Deana A; Pederson, JoEllen; Valle, Giuseppina

2015-01-01

This article contributes to a more systematic understanding of the role of mainstream media in deliberative processes by analyzing how inclusive local newspapers are of diverse perspectives on the Terri Schiavo case. Using both Pearson's chi-square test and multinomial logistic regression, we assess how ownership, state political ideology, geographic location, and news format affect what ideas are included in the debate over whether Terri Schiavo's hydration and nutrition tubes should be removed as well as the tone with which these ideas are discussed. We find that mainstream newspapers are relatively inclusive of diverse ideas and perspectives-regardless of whether the newspaper is independently or corporately owned, the political leanings of the target audience, and the geographic location of the outlet. However, we also find that local newspapers do significantly differ from one another in terms of the frequency and tone with which they include diverse viewpoints. Our research suggests that local outlets downplay ideas that are likely to be regarded as controversial by their target audiences. We conclude with a discussion of the implications of this research for understanding the role of media in deliberative democratic processes in the United States.

Evaluation of co-sourcing communications amongst international company and local public relations agencies (case company: company x)

OpenAIRE

Yin, Ying

2009-01-01

The subject of the thesis is the evaluation of co-sourcing communications amongst international company and local public relations agencies, taking the company x as a case. It analyses the environment the co-sourcing PR agencies communicate with international clients, compares with the current communications the case company has, and comes up with practical suggestions for the company to have better cooperation with local agencies to achieve mutual benefits. The theoretical part consi...

Pancreatic PEComa: a case report with ultrastructural localization of HMB-45 within melanosomes.

Science.gov (United States)

Finzi, Giovanna; Micello, Donata; Wizemann, Giorgio; Sessa, Fausto; Capella, Carlo

2012-04-01

PEComas (perivascular epithelioid cell tumors) represent a group of mesenchymal neoplasms showing characteristic morphologic, immunohistochemical, ultrastructural, and genetic features. These neoplasms are usually considered benign, being often well circumscribed by a thin capsule and showing scarce atypia. However, in some cases, they show local invasion and multiple metastases and cause the patient's death. PEComas have been found in many locations, but only 7 cases have been described in the pancreas to date. Here, the authors report an additional case of this rare neoplasm and demonstrate the HMB-45 immunoreactivity of melanosomes or premelanosomes at the ultrastructural level.

Prosumer-Citizenship and the Local: A Critical Case Study of Consumer Reviewing on Yelp.com

Science.gov (United States)

Kuehn, Kathleen M.

2011-01-01

Over the past few years, content developers searching for new markets have found a potentially lucrative consumer base in local and location-based services as new media platforms have begun to "expand" their focus to hyper-local place-based communities. This shift to "local 2.0" has given birth to "local listing sites," an emerging social medium…

Two cases with unusual mycetoma localizations in upper respiratory system.

Science.gov (United States)

Bektaş, Devrim; Ural, Ahmet; Caylan, Rahmet; Bahadır, Osman; Kul, Neslihan; Caylan, Refik

2011-01-01

Fungus balls or mycetomas are extramucosal and noninvasive accumulations of degenerating fungal hyphae. In head and neck they may localized most frequently in the paranasal sinuses, especially in the maxillary sinus. These indolent infections are mostly caused by Aspergillus spp. In this article, we present two rare fungus ball cases: one occurring in an automastoidectomy cavity of a temporal bone and the other in a concha bullosa. Typically, both patients admitted with vague symptoms consistent with chronic infection resistant to conventional antibacterial medication.

Farmers' Markets in Rural Communities: A Case Study

Science.gov (United States)

Alfonso, Moya L.; Nickelson, Jen; Cohen, Danielle

2012-01-01

Background: Although the potential health benefits of farmers markets have been discussed for years, there is a dearth of literature to aid health educators in advocating for the development of local farmers markets. Purpose: The purpose of this manuscript is to present a case study of a rural farmers market in southeast Georgia with emphasis on…

[THE EPIDEMIOLOGICAL SITUATION OF LEISHMANIASIS IN THE RUSSIAN FEDERATION: THE FIRST VALID CASES OF LOCAL TRANSMISSION].

Science.gov (United States)

Ponrovsky, E N; Strelkova, M V; Zavoikin, V D; Tumolskaya, N I; Mazmanyan, M V; Baranets, M S; Zhirenkina, E N

2015-01-01

The authors have analyzed the data available in the literature and statistical offices and the results of their observations of the epidemiological situation of leishmaniasis in the Russian Federation (RF). In October 1991 to December 2014, the RF registered 89, leishmaniasis cases, including 83 imported cases from 24 countries and 6 local cases. Out of the 83 imported cases, there were those diagnosed with anthroponotic cutaneous leishmaniasis (n=31), zoonotic cutaneous leishmaniasis (n=20), visceral leishmaniasis (n=31), and mucocutaneous leishmaniasis (n=1). The Republic of Dagestan and Eastern Crimea are visceral Ieishmaniasis-enderpic, areas. The obtained data on the local cases of visceral leisimaniasis in Dagestan and on its sporadic cases in Crimea suggest that it is necessary to conduct epidemiological, epizootological, and entomological surveys in the above areas and to develop a system for visceral leishmaniasis epidemiological surveillance encompassing the whole package of antiepidemic measures. The effective treatment of leishmaniases requires that the RF Ministry of Health should register some current antileishmanial drugs (such as Glucantime) as soon as possible.

Localized modes in optics of photonic liquid crystals with local anisotropy of absorption

Energy Technology Data Exchange (ETDEWEB)

Belyakov, V. A., E-mail: bel1937@mail.ru, E-mail: bel@landau.ac.ru [Russian Academy of Science, Landau Institute for Theoretical Physics (Russian Federation); Semenov, S. V. [National Research Center “Kurchatov Institute,” (Russian Federation)

2016-05-15

The localized optical modes in spiral photonic liquid crystals are theoretically studied for the certainty at the example of chiral liquid crystals (CLCs) for the case of CLC with an anisotropic local absorption. The model adopted here (absence of dielectric interfaces in the structures under investigation) makes it possible to get rid of mixing of polarizations on the surfaces of the CLC layer and of the defect structure and to reduce the corresponding equations to only the equations for light with polarization diffracting in the CLC. The dispersion equations determining connection of the edge mode (EM) and defect mode (DM) frequencies with the CLC layer parameters (anisotropy of local absorption, CLC order parameter) and other parameters of the DMS are obtained. Analytic expressions for the transmission and reflection coefficients of CLC layer and DMS for the case of CLC with an anisotropic local absorption are presented and analyzed. It is shown that the CLC layers with locally anisotropic absorption reduce the EM and DM lifetimes (and increase the lasing threshold) in the way different from the case of CLC with an isotropic local absorption. Due to the Borrmann effect revealing of which is different at the opposite stop-band edges in the case of CLC layers with an anisotropic local absorption the EM life-times for the EM frequencies at the opposite stop-bands edges may be significantly different. The options of experimental observations of the theoretically revealed phenomena are briefly discussed.

A Case Study: To Internet or Not To Internet.

Science.gov (United States)

Carman, Jared; Boynton, Doug

1997-01-01

Interactive multimedia training can be delivered via CD-ROM, hard drive, local area networks (LAN), wide area networks (WAN), Intranet, Internet and hybrid systems. This article presents a case study of how two companies (Los Angeles Times and Allen Communication) evaluated alternative delivery systems, chose one, and implemented multimedia…

Assessing local resilience to typhoon disasters: A case study in Nansha, Guangzhou

Science.gov (United States)

Huang, Bo; Li, Rongrong

2018-01-01

Building communities’ resilience to natural weather hazards requires the appropriate assessment of such capabilities. The resilience of a community is affected not only by social, economic, and infrastructural factors but also by natural factors (including both site characteristics and the intensity and frequency of events). To date, studies of natural factors have tended to draw on annual censuses and to use aggregated data, thus allowing only a limited understanding of site-specific hot or cold spots of resilience. To improve this situation, we carried out a comprehensive assessment of resilience to typhoon disasters in Nansha district, Guangzhou, China. We measured disaster resilience on 1×1-km grid units with respect to socioeconomic and infrastructural dimensions using a set of variables and also estimated natural factors in a detailed manner with a meteorological modeling tool, the Weather Research and Forecast model. We selected typhoon samples over the past 10 years, simulated the maximum typhoon-borne strong winds and precipitation of each sample, and predicted the wind speed and precipitation volume at the 100-year return-level on the basis of extreme value analysis. As a result, a composite resilience index was devised by combining factors in different domains using factor analysis coupled with the analytic hierarchy process. Resilience mapping using this composite resilience index allows local governments and planners to identify potential hot or cold spots of resilience and the dominant factors in particular locations, thereby assisting them in making more rational site-specific measures to improve local resilience to future typhoon disasters. PMID:29522526

Assessing local resilience to typhoon disasters: A case study in Nansha, Guangzhou.

Science.gov (United States)

Song, Jinglu; Huang, Bo; Li, Rongrong

2018-01-01

Building communities' resilience to natural weather hazards requires the appropriate assessment of such capabilities. The resilience of a community is affected not only by social, economic, and infrastructural factors but also by natural factors (including both site characteristics and the intensity and frequency of events). To date, studies of natural factors have tended to draw on annual censuses and to use aggregated data, thus allowing only a limited understanding of site-specific hot or cold spots of resilience. To improve this situation, we carried out a comprehensive assessment of resilience to typhoon disasters in Nansha district, Guangzhou, China. We measured disaster resilience on 1×1-km grid units with respect to socioeconomic and infrastructural dimensions using a set of variables and also estimated natural factors in a detailed manner with a meteorological modeling tool, the Weather Research and Forecast model. We selected typhoon samples over the past 10 years, simulated the maximum typhoon-borne strong winds and precipitation of each sample, and predicted the wind speed and precipitation volume at the 100-year return-level on the basis of extreme value analysis. As a result, a composite resilience index was devised by combining factors in different domains using factor analysis coupled with the analytic hierarchy process. Resilience mapping using this composite resilience index allows local governments and planners to identify potential hot or cold spots of resilience and the dominant factors in particular locations, thereby assisting them in making more rational site-specific measures to improve local resilience to future typhoon disasters.

Quality of Governance and Local Development: The Case of Top Nine Performing Local Government Units in the Philippines

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MA. NIÑA I. ADRIANO

2014-08-01

Full Text Available There is a large body of literature that studies the link between good governance and development in a country level. However, only a few have exploited the same study in the local government unit (LGU setting. This study attempts to establish the relationship between the quality of governance and the state of local development of the Top 9 Performing LGUs in the Philippines (La Union, Albay, Cavite, Ilocos Norte, Makati City Valenzuela City, Taguig City, Davao City and Angeles City as measured by the Local Governance Performance Management System (LGPMS, the nationwide governance performance evaluation and management tool used in the Philippines. I used the data generated by the LGPMS, particularly the state of local governance and the state of local development, to see if there is a relationship between the two variables using Spearman’s correlation coefficient. Results revealed that that there is no relationship between the quality of governance and the state of local development in the consistently top performing LGUs in the Philippines for the period 2009-2011. The findings of this study will be useful to government officials such as public administrators, LGU executives, policy makers, researchers, and students of public administration in addressing the issue of good governance and local development in their respective LGUs.

Utility of local health registers in measuring perinatal mortality: a case study in rural Indonesia.

Science.gov (United States)

Burke, Leona; Suswardany, Dwi Linna; Michener, Keryl; Mazurki, Setiawaty; Adair, Timothy; Elmiyati, Catur; Rao, Chalapati

2011-03-17

Perinatal mortality is an important indicator of obstetric and newborn care services. Although the vast majority of global perinatal mortality is estimated to occur in developing countries, there is a critical paucity of reliable data at the local level to inform health policy, plan health care services, and monitor their impact. This paper explores the utility of information from village health registers to measure perinatal mortality at the sub district level in a rural area of Indonesia. A retrospective pregnancy cohort for 2007 was constructed by triangulating data from antenatal care, birth, and newborn care registers in a sample of villages in three rural sub districts in Central Java, Indonesia. For each pregnancy, birth outcome and first week survival were traced and recorded from the different registers, as available. Additional local death records were consulted to verify perinatal mortality, or identify deaths not recorded in the health registers. Analyses were performed to assess data quality from registers, and measure perinatal mortality rates. Qualitative research was conducted to explore knowledge and practices of village midwives in register maintenance and reporting of perinatal mortality. Field activities were conducted in 23 villages, covering a total of 1759 deliveries that occurred in 2007. Perinatal mortality outcomes were 23 stillbirths and 15 early neonatal deaths, resulting in a perinatal mortality rate of 21.6 per 1000 live births in 2007. Stillbirth rates for the study population were about four times the rates reported in the routine Maternal and Child Health program information system. Inadequate awareness and supervision, and alternate workload were cited by local midwives as factors resulting in inconsistent data reporting. Local maternal and child health registers are a useful source of information on perinatal mortality in rural Indonesia. Suitable training, supervision, and quality control, in conjunction with computerisation to

Accountability and governance in local public services: The particular case of mixed companies

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Nuno Ferreira da Cruz

2011-12-01

Full Text Available The growing budget restrictions and decentralization processes that local governments face nowadays are threatening the sustainability of local public services. To overcome this problem, local decision-makers around the world have been developing ambiguous reforms, leading to various governance models. Since these services are essential for citizens’ welfare, it is crucial to determine whether or not these models have been effective and useful to cope with this state of affairs. To offer extra leverage to key projects, the European governments have been resorting to public-private partnerships (PPPs. One of the visible trends, which lacks further research, has been the use of mixed public-private companies (institutionalized PPPs. Although it is recognized that this solution can be interesting for both public and private sides, it has some particular features that can avert the aimed goals. This paper provides a literature review on mixed companies encompassing theoretical, legal and operational aspects. It also focuses on regulation by contract, referring to a particular Portuguese case study in the water sector and explaining how the municipality handled risk allocation and regulated the access to the market of private investors. Finally, it discusses the need for external regulation and makes suggestions on how these processes should be managed right from the bidding stage

Submicroscopic malaria cases play role in local transmission in Trenggalek district, East Java Province, Indonesia.

Science.gov (United States)

Arwati, Heny; Yotopranoto, Subagyo; Rohmah, Etik Ainun; Syafruddin, Din

2018-01-05

Trenggalek district is a hypoendemic malaria area with mainly imported cases brought by migrant workers from islands outside Java. During malaria surveillance in 2015, no malaria cases were found microscopically, but some cases were positive by PCR. Therefore, a study was conducted to prove that local malaria transmission still occur. The adult villagers were invited to the house of the head of this village to be screened for malaria using aseptic venipuncture of 1 mL blood upon informed consent. Thin and thick blood films as well as blood spots on filter paper were made for each subject. The blood films were stained with Giemsa and the blood spots were used to extract DNA for polymerase chain reaction (PCR) amplification to determine the malaria infection. In addition, the history of malaria infection and travel to malaria endemic areas were recorded. Entomologic survey to detect the existence of anopheline vector was also conducted. Of the total 64 subjects that participated in the survey, no malaria parasites were found through microscopic examination of the blood films. The PCR analysis found six positive cases (two Plasmodium falciparum, one Plasmodium vivax and two mixed infection of both species), and two of them had no history of malaria and have never travelled to malaria endemic area. Entomologic survey using human bait trap detected the existence of Anopheles indefinitus that was found to be positive for P. vivax by PCR. The results indicated that although we did not find any microscopically slide positive cases, six PCR positive subjects were found. The fact that 2 of the 6 malaria positive subjects have never travelled to malaria endemic area together with the existence of the vector confirm the occurence of local transmission of malaria in the area.

Aid conditionalities, international Good Manufacturing Practice standards and local production rights: a case study of local production in Nepal.

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Brhlikova, Petra; Harper, Ian; Subedi, Madhusudan; Bhattarai, Samita; Rawal, Nabin; Pollock, Allyson M

2015-06-14

Local pharmaceutical production has been endorsed by the WHO as a means of addressing health priorities of developing countries. However, local producers of essential medicines must comply with international pharmaceutical standards in order to be eligible to compete in donor tenders. These standards determine production rights for on-patent and off-patent medicines, and guide international procurement of medicines. We reviewed the literature on the impact of Good Manufacturing Practice (GMP) on local production; a gap analysis from the literature review indicated a need for further research. Over sixty interviews were conducted with people involved in the Nepali pharmaceutical production and distribution chain from 2006 to 2009 on the GMP areas of relevance: regulatory capacity, staffing, funding and training, resourcing of GMP, inspectors' interpretation of the rules and compliance. Although Nepal producers have increased their overall share of the domestic market, only the public manufacturer, Royal Drugs, focuses on medicines for public health programmes; private producers engage mainly in brand competition for private markets, not essential medicines. Nepali regulators and producers state that implementation of GMP standards is hindered by low regulatory capacity, insufficient training of staff in the industry, financial constraints and lack of investment for upgrading capital. The transition period to mandatory compliance with WHO GMP rules is lengthy. Less than half of private producers had WHO GMP in 2013. Producers are not directly affected by international harmonisation of standards as they do not export medicines and the Nepali regulator does not enforce the WHO standards strictly. Without an international GMP certificate they cannot tender for donor dependent health programmes. In Nepal, local private manufacturers focus mainly on brand competition for private consumption not essential medicines, the government preferentially procures essential

Atypical Localized Rheumatoid Nodule: Case Report

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KORHAN BARIS BAYRAM

2015-01-01

Full Text Available Rheumatoid nodules can be seen in about 30% of patiens with rheumatoid arthritis. They are occasionally localized subcutaneous, but they can rarely seen in visceral organs. Their appearance can be confused with many clinical conditions when they have atypical localizations. To exclude the presence of a malignancy, these lesions should always be investigated. We aimed to discuss a patient with rheumatoid nodule localized in close neighborhood of hyoid bone, presumed as malignancy.

Local-global knowledge sourcing in the context of an open innovation knowledge platform : the case of Amsterdam Denim City

NARCIS (Netherlands)

DiVito, Lori; Ingen-Housz, Zita

2016-01-01

Our paper investigates the inherent tensions between the local embeddedness of highly tacit knowledge and the global sourcing of ‘open’ knowledge or innovation. A single case study design enabled us to perform a thorough and detailed analysis of inter-firm collaboration and open innovation within

Historical Changes of Land Tenure and Land Use Rights in a Local Community: A Case Study in Lao PDR

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Saykham Boutthavong

2016-04-01

Full Text Available Land-titling programs, land and forest allocation programs, and projects on state-allocated land for development and investment in Laos have been key drivers of change in land tenure. These have triggered major shifts in land use rights, from customary, to temporary, and then to permanent land use rights. This article explores how government programs to grant land use rights to individual households have affected the way people have been able to acquire and secure land tenure. For our case study, we selected the village of Napo, the target of many land tenure changes in the past four decades. We collected data from district offices, group discussions with village organizations, and interviews with selected households. The study shows how land use rights shifted over time and reveals that households obtained most of their agricultural land and forestland through a claim process. Original households were mainly land claimers, while migrants were land buyers. The process of formalization and allocation of tenure triggered inequality among households. Attention is needed in future land governance and tenure reforms in order to safeguard the land use rights of local people in an equitable manner.

A prospective clinical study to evaluate the safety and performance of wireless localization of nonpalpable breast lesions using radiofrequency identification technology.

Science.gov (United States)

Dauphine, Christine; Reicher, Joshua J; Reicher, Murray A; Gondusky, Christina; Khalkhali, Iraj; Kim, Michelle

2015-06-01

The purpose of this study was to evaluate the safety and performance of localizing nonpalpable breast lesions using radiofrequency identification technology. Twenty consecutive women requiring preoperative localization of a breast lesion were recruited. Subjects underwent placement of both a hook wire and a radiofrequency identification tag immediately before surgery. The radiofrequency identification tag was the primary method used by the operating surgeon to localize each lesion during excision, with the hook wire serving as backup in case of tag migration or failed localization. Successful localization with removal of the intended lesion was the primary outcome measured. Tag migration and postoperative infection were also noted to assess safety. Twenty patients underwent placement of a radiofrequency identification tag, 12 under ultrasound guidance and eight with stereotactic guidance. In all cases, the radiofrequency identification tag was successfully localized by the reader at the level of the skin before incision, and the intended lesion was removed along with the radiofrequency identification tag. There were no localization failures and no postoperative infections. Tag migration did not occur before incision, but in three cases, occurred as the lesion was being retracted with fingers to make the final cut along the deep surface of the specimen. In this initial clinical study, radiofrequency tags were safe and able to successfully localize nonpalpable breast lesions. Radiofrequency identification technology may represent an alternative method to hook wire localization.

CASE STUDY CRITIQUE; UPPER CLINCH CASE STUDY

Science.gov (United States)

Case study critique: Upper Clinch case study (from Research on Methods for Integrating Ecological Economics and Ecological Risk Assessment: A Trade-off Weighted Index Approach to Integrating Economics and Ecological Risk Assessment). This critique answers the questions: 1) does ...

A case study of economic incentives and local citizens' attitudes toward hosting a nuclear power plant in Japan: Impacts of the Fukushima accident

International Nuclear Information System (INIS)

Kato, Takaaki; Takahara, Shogo; Nishikawa, Masashi; Homma, Toshimitsu

2013-01-01

The attitude of local communities near a nuclear power plant (NPP) is a key factor in nuclear policy decision making in Japan. This case study compared local citizens' attitudes in 2010 and 2011 toward the benefits and drawbacks of hosting Kashiwazaki–Kariwa NPP. The Fukushima accident occurred in this period. After the accident, benefit recognition of utility bill refunds clearly declined, while that of public facilities did not, suggesting the influence of a bribery effect. The negative shift of attitudes about hosting the NPP after the accident was more modest in Kariwa Village, which saw a large expansion of social welfare programs, than in the other two areas, which lacked such a budget expansion. Policy implications of these results regarding the provision of economic incentives in NPP host areas after the Fukushima accident were discussed. - Highlights: • The Fukushima accident shocked Japan's nuclear policy. • Citizens' attitudes toward incentives of hosting a nuclear power plant surveyed. • More citizens thought negatively about incentives after the Fukushima accident. • The bribery effect, mode and amount of incentives affected citizens' attitudes

A case of Fournier's gangrene following local radiation for the recurrence of rectal carcinoma

International Nuclear Information System (INIS)

Ohashi, Hideyuki; Okuno, Tetsuo; Mizuo, Toshiyuki

1993-01-01

A case of Fournier's gangrene in a 69-year-old man was reported. He had diabetes mellitus and had received 30 Gy radiation for local recurrence of rectal carcinoma. Immediately after the irradiation the disease of scrotum began as redness and swelling, and developed ulcer and necrosis. Antibiotics and local drainage were not of benefit, so we performed debridement and obtained good result. We described our experience of the gangrene from the early phase to recovery. (author)

Locally aggressive and multifocal phosphaturic mesenchymal tumors: two unusual cases of tumor-induced osteomalacia.

Science.gov (United States)

Higley, Meghan; Beckett, Brooke; Schmahmann, Sandra; Dacey, Elizabeth; Foss, Erik

2015-12-01

Tumor-induced osteomalacia (TIO) has long been recognized as a clinical paraneoplastic syndrome. The identification of a unique histopathologic entity, the phosphaturic mesenchymal tumor (PMT), as a distinct etiology for TIO has been a more recent discovery. The majority of published cases describe a solitary, non-aggressive appearing soft tissue or osseous lesions in patients with osteomalacia; aggressive appearing or multifocal lesions appear to be exceedingly rare. These tumors characteristically secrete fibroblast growth factor 23 (FGF23). Elevated serum levels of FGF23 result in phosphate wasting and osteomalacia. In the majority of cases, laboratory abnormalities and clinical signs and symptoms of osteomalacia precede identification of the causative lesion by years. Following diagnosis, complete resection with wide margins to prevent local recurrence is most often curative. Imaging characteristics of PMT are diverse and remain incompletely defined, as the majority of previous publications are outside of the radiologic literature. We present multiple imaging modalities in two cases of patients with debilitating osteomalacia and unusual appearing PMTs: one with a locally aggressive lesion leading to pathologic fracture, the second presenting with exceedingly rare multifocal PMT.

Multidrug resistance among new tuberculosis cases: detecting local variation through lot quality-assurance sampling.

Science.gov (United States)

Hedt, Bethany Lynn; van Leth, Frank; Zignol, Matteo; Cobelens, Frank; van Gemert, Wayne; Nhung, Nguyen Viet; Lyepshina, Svitlana; Egwaga, Saidi; Cohen, Ted

2012-03-01

Current methodology for multidrug-resistant tuberculosis (MDR TB) surveys endorsed by the World Health Organization provides estimates of MDR TB prevalence among new cases at the national level. On the aggregate, local variation in the burden of MDR TB may be masked. This paper investigates the utility of applying lot quality-assurance sampling to identify geographic heterogeneity in the proportion of new cases with multidrug resistance. We simulated the performance of lot quality-assurance sampling by applying these classification-based approaches to data collected in the most recent TB drug-resistance surveys in Ukraine, Vietnam, and Tanzania. We explored 3 classification systems- two-way static, three-way static, and three-way truncated sequential sampling-at 2 sets of thresholds: low MDR TB = 2%, high MDR TB = 10%, and low MDR TB = 5%, high MDR TB = 20%. The lot quality-assurance sampling systems identified local variability in the prevalence of multidrug resistance in both high-resistance (Ukraine) and low-resistance settings (Vietnam). In Tanzania, prevalence was uniformly low, and the lot quality-assurance sampling approach did not reveal variability. The three-way classification systems provide additional information, but sample sizes may not be obtainable in some settings. New rapid drug-sensitivity testing methods may allow truncated sequential sampling designs and early stopping within static designs, producing even greater efficiency gains. Lot quality-assurance sampling study designs may offer an efficient approach for collecting critical information on local variability in the burden of multidrug-resistant TB. Before this methodology is adopted, programs must determine appropriate classification thresholds, the most useful classification system, and appropriate weighting if unbiased national estimates are also desired.

Case Study Analysis of the Impacts of Water Acquisition for Hydraulic Fracturing on Local Water Availability

Science.gov (United States)

Hydraulic fracturing (HF) is used to develop unconventional gas reserves, but the technology requires large volumes of water, placing demands on local water resources and potentially creating conflict with other users and ecosystems. This study examines the balance between water ...

CASE STUDY: China — Young researchers battle poverty and ...

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

2010-12-14

Dec 14, 2010 ... CASE STUDY: China — Young researchers battle poverty and bureaucracy in rural China ... And the “three pig rule” is just one example of the problems the local people ... Revenues were applied to system maintenance and all financial ... The researchers, of course, were trained in science, fieldwork, and ...

The World of Wonder Accelerated Learning Community: A Case Study.

Science.gov (United States)

Biddle, Julie K.

This report presents a case study of the World of Wonders Accelerated Learning Community School (WOW). A community school in Ohio is a new kind of public school-an independent public school that is nonsectarian and nondiscriminatory. The report presents three contexts for the study--historical, local and methodological--and highlights some of the…

Stereotactic Body Radiotherapy for Localized Ureter Transitional Cell Carcinoma: Three Case Reports

Directory of Open Access Journals (Sweden)

Yoshiyasu Maehata

2015-01-01

Full Text Available The gold standard management for ureter transitional cell carcinoma (UTCC is radical nephroureterectomy with excision of the bladder cuff. However, some patients cannot undergo this procedure for several reasons. In the case reports described herein, we performed stereotactic body radiotherapy (SBRT on three patients with inoperable or surgery-rejected localized UTCC. Two out of the three patients did not develop local recurrence or distant metastasis during the observation period. However, recurrence was detected in the bladder of one patient 22 months after the treatment. No acute or late adverse events occurred in any of the three patients. SBRT may become one of the treatment options for inoperable or surgery-rejected UTCC patients.

Clusters and local development: the case of the textile district of Atuntaqui

Directory of Open Access Journals (Sweden)

César Paredes

2013-09-01

Full Text Available Atuntaqui is heralded as a local economic development success story. The author scrutinizes the experience of the textile industrial district in Atuntaqui in the province of Imbabura, and concludes that the district actually represents a case of overspecialization, given a lack of economic diversification. Moreover the author notes that the municipality has an urban bias, pointing out the need for a broader ¨territorial¨ approach to local and regional development planning that factors in issues like water scarcity, rural poverty and exploitation of female labour, as opposed to the current myopic view that ignores rural urban linkages. In the article the success story of Atuntaqui is downplayed, stating that donors exaggerated the economic impact of the textile cluster.Atuntaqui is viewed as a model by neighboring cities as a result of its recent economic dynamism. Local policy makers need to look deeper into these efforts, and also take into account negative externalities, concluding that clusters are not a panacea for quick industrial development.

Effects of Cultural and Tourism Policies on Local Development: the Case of Food Trails in Medellín (Colombia

Directory of Open Access Journals (Sweden)

Maria del Pilar Leal Londoño

2017-03-01

Full Text Available The emergence of Food Tourism worldwide has encouraged the rise of numerous food tourism strategies and initiatives everywhere, including Colombia. These are flourishing thanks to the tourism and cultural policies that recognise Colombian food processes and practices as intangible cultural heritage. One of the most representative strategies nowadays is the case of Medellín Sí Sabe (Medellín has a taste. The programme has been led by the local authorities and has been backed by different local organisations. This paper outlines an exploratory approach based on literature review, public documents, policies and the information obtained through nine semi-structured interviews applied to key stakeholders responsible for the implementation of this initiative in Medellín. The information provides some insights into how this strategy has had relevant effects on the local economic revitalisation by linking small and medium-sized food enterprises, which base their activity mainly on traditional dishes and products of the region. Firstly, it analyses the strategy’s structure and its link to national tourism and cultural policies based on the main concepts of territorial development: knowledge, learning and innovation. By analysing Medellín (Colombia as case study, it recognises the role played by local authorities in the promotion of food tourism.

Socioeconomic impacts of nuclear generating stations: Oconee case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Flynn, J.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Oconee nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socioeconomic impacts of nuclear generating stations: Surry case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Flynn, J.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Surry nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Button sequestrum in a case of localized Langerhans' cell histiocytosis of the ilium: case report

International Nuclear Information System (INIS)

Tordeur, M.; Wybier, M.; Laporte, J.L.; Grenier, P.; Laredo, J.D.

2000-01-01

Langerhans' cell histiocytosis (LCH) is characterized by a proliferation of cells exhibiting the same immunohistochemical and ultra-structural characteristics as Langerhans' cells of the epidermis. Eosinophilic granuloma, chronic polyostotic disease (Hand-Schuller-Christian disease) and multisystemic disease (Letterer-Siwe disease) all belong to the spectrum LCH. Osseous lesions are the most common findings. the radiological appearance of skeletal LCH depends on the site and on disease activity. Button sequestrum has been described as uncommon in LCH of the skull and exceedingly rare in LCH at other sites. We report a case of localized LCH of the ilium with a button sequestrum. (author)

Intraosseous injection as an adjunct to conventional local anesthetic techniques: A clinical study.

Science.gov (United States)

Idris, Mohamed; Sakkir, Nasil; Naik, Kishore Gopalakrishna; Jayaram, Nandakishore Kunijal

2014-09-01

The achievement of successful local anesthesia is a continual challenge in dentistry. Adjunctive local anesthetic techniques and their armamentaria, such as intraosseous injection (the Stabident system and the X-tip system) have been proposed to be advantageous in cases where the conventional local anesthetic techniques have failed. A clinical study was undertaken using intraosseous injection system by name X-tip to evaluate its effectiveness in cases where inferior alveolar nerve block has failed to provide pulpal anesthesia. Sixty adult patients selected were to undergo endodontic treatment for a mandibular molar tooth. Inferior alveolar nerve block was given using 4% articaine with 1:100,000 epinephrine. Twenty-four patients (40%) had pain even after administration of IAN block; intraosseous injection was administered using 4% articaine containing 1:100,000 epinephrine, using the X-tip system. The success of X-tip intraosseous injection was defined as none or mild pain (Heft-Parker visual analog scale ratings ≤ 54 mm) on endodontic access or initial instrumentation. Intraosseous injection technique was successful in 21 out of 24 patients (87.5%), except three patients who had pain even after supplemental X-tip injection. Within the limits of this study, we can conclude that supplemental intraosseous injection using 4% articaine with 1:100,000 epinephrine has a statistically significant influence in achieving pulpal anesthesia in patients with irreversible pulpitis.

Injectable bulking agents for urinary incontinence after radical prostaectomy, mimicking local recurrence: A case report

Energy Technology Data Exchange (ETDEWEB)

Yoon, Je Hong; Ahn, Sung Eun; Moon, Sung Kyoung; Park, Seong Jin; Lim, Joo Won; Lee, Sun Ju [Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul (Korea, Republic of)

2017-02-15

Periurethral bulking agent injection (or transurethral submucosal injection) is a comparatively less invasive procedure for the treatment of stress urinary incontinence in patients who develop incontinence after radical prostatectomy, and who are more frequently being treated with transurethral submucosal injection. However, as the radiologic findings of bulking agents are not very well known, they can be mistaken for local recurrence in prostate cancer patients who have undergone prostatectomy. Unlike some of the literatures, in which the radiologic features of collagen injections have been reported, the radiologic findings of silicone injections are yet to be determined. Thus, it is our intention to report this case along with the literature review as the authors have experienced an actual case of a silicone injection mistaken as local recurrence.

Localization fibrosing mediastinitis causing pulmonary infraction: A case report

Energy Technology Data Exchange (ETDEWEB)

Sur, Young Keun; Kim, Eun Young; Kang, Doo Kyoung; Park, Kyung Joo; Koh, Young Wha; Sun, Joo Sung [Ajou University School of Medicine, Suwon (Korea, Republic of)

2016-06-15

A 44-year-old female patient visited our emergency room for hemoptysis and refractory chest wall pain of 2 months duration. She had no history of smoking or other medical conditions. Chest CT scan showed homogenously enhancing soft tissue mass without calcification at the left pulmonary hilum. Encasing and compression of the left lower pulmonary artery by the mass had resulted in pulmonary infarction in the left lower lobe. Laboratory tests for tuberculosis, fungus, and vasculitis were all negative. The patient underwent surgical biopsy and resection of infarcted left lower lobe that was histopathologically confirmed as fibrosing mediastinitis. Herein, we reported a rare case of surgically confirmed and treated localized fibrosing mediastinitis causing pulmonary infarction.

Feeding problems in infancy and early childhood: A case study of ...

African Journals Online (AJOL)

Feeding problems in infancy and early childhood: A case study of selected ... of feeding problems among children 6 to 24 months of age in Ibadan, Nigeria. ... from four selected Primary Health Centres in Ibadan North Local Government Area.

Blessings for All? Community-Based Ecotourism in Bali Between Global, National, and Local Interests – A Case Study

Directory of Open Access Journals (Sweden)

Christian Byczek

2011-01-01

Full Text Available As a major island destination in South-East Asia, Bali has won a global reputation as one of the last paradises on earth. As one of the largest industries in the world, global tourism is utilised by the governments of many developing countries as an agent for development and national integration. However, local communities level the criticism that mass tourism has not only brought economic growth but also caused ecological and social costs. In reaction to the excessive developments of the past decades, local Balinese have started to actively implement community-based tourism. The ecotourism village-network Jaringan Ekowisata Desa seeks a more sustainable approach to tourism through stronger ownership and the minimisation of negative ecological impacts. The case study presented is based on fieldwork which took place in 2010. It aims to find answers to the questions of whether and to what extent community-based ecotourism initiatives may constitute a sustainable alternative to the negative effects associated with mass tourism. --- Bali gilt innerhalb der Tourismusindustrie als Inbegriff von Exotik und als eines der letzen Paradiese auf Erden. Seit jeher werden die vielfältigen Auswirkungen des Tourismus auf der Insel kontrovers diskutiert. Während vornehmlich Eliten an der in nationalem Interesse forcierten Tourismusentwicklung der südostasiatischen Top-Destination profitieren, kritisiert die einheimische Bevölkerung unzureichende Mitspracherechte und die Vernachlässigung von Nachhaltigkeitskriterien. In Reakti- on wurden seitens der Balinesen Projekte des gemeindebasierten Tourismus ins Leben gerufen. Das Ökotourismus-Dorf-Netzwerk Jaringan Ekowisata Desa ist eine solche Initiative, die sich der lokalen Eigentümerschaft und der Minimierung negativer ökologischer Folgen verschreibt. Anhand der hier präsentierten Fallstudie zu dem zivilgesellschaftlichen Projekt soll beantwortet werden, inwiefern gemeindebasierter Ökotourismus eine

Costs of performance based maintenance for local roads: Case study Albania

OpenAIRE

Jokanović Igor; Grujić Bojana; Zeljić Dragana; Grujić Žarko; Svilar Mila

2017-01-01

The provision and maintenance of road infrastructure is a major global business, consequently it is essential that road maintenance services are provided in the most cost effective manner. Without regular maintenance, roads can rapidly fall into disrepair, preventing realization of the longer term impacts of road improvements on development, such as increased agricultural production and growth in school enrollment, which is of particular importance for a network of local (access) roads. Inade...

State and local economic impacts from wind energy projects: Texas case study

International Nuclear Information System (INIS)

Slattery, Michael C.; Lantz, Eric; Johnson, Becky L.

2011-01-01

This paper uses the Jobs and Economic Development Impacts (JEDI) model to estimate economic impacts from 1398 MW of wind power development in four counties in west Texas. Project-specific impacts are estimated at the local level (i.e., within a 100-mile radius around the wind farms) and at the state level. The primary economic policy question addressed is how investment in wind energy affects the state and local communities where the wind farms are built. During the four-year construction phase approximately 4100 FTE (full time equivalents) jobs were supported with turbine and supply chain impacts accounting for 58% of all jobs generated. Total lifetime economic activity to the state from the projects equated to more than $1.8 billion, or $1.3 million per MW of installed capacity. The total economic activity to the local communities was also substantial, equating to nearly $730 million over the assumed 20-year life cycle of the farms, or $0.52 million per MW of installed capacity. Given the current level of impacts observed, and the potential for increased impacts via greater utilization of instate manufacturing capacity and the development of trained wind industry specific laborers, Texas appears to be well positioned to see increasing impacts from continued wind development. - Highlights: ► We use the JEDI model to assess economic impacts from wind development in west Texas. ► Total lifetime economic impact from 1398 MW wind equated to more than $1.8 billion. ► Texas is well positioned to see increasing impacts from continued wind development.

A case of viral encephalitis localized in the occipital lobe

International Nuclear Information System (INIS)

Izawa, Masahiro; Okino, Teruhiko; Kagawa, Mizuo; Kitamura, Koichi.

1987-01-01

A case is reported of a 63-year-old female admitted to our hospital in Oct., 1986, with complaints of headache and visual field disturbance. A plain CT scan showed no abnormal low-density focal area. A contrast-enhancement CT scan, however, showed a localized linear abnormal enhancement in the right occipital lobe, without any mass-effect. A dynamic CT scan demonstrated a hyperemic perfusion pattern of the right occipital lobe. A visual-field examination showed left homonymous hemianopsia with concentric narrowing. These abnormal findings on CT, EEG, and ophthalmological examination disappeared within 3 weeks. (author)

Knowledge Sharing Across Global-Local Boundaries

DEFF Research Database (Denmark)

Zølner, Mette

The paper explores how locals span boundaries between corporate and local levels. The aim is to better comprehend potentialities and challenges when MNCs draws on locals’ culture specific knowledge. The study is based on an in-depth, interpretive case study of boundary spanning by local actors in...... approach with pattern matching is a way to shed light on the tacit local knowledge that organizational actors cannot articulate and that an exclusively inductive research is not likely to unveil....

Study of Hybrid Localization Noncooperative Scheme in Wireless Sensor Network

Directory of Open Access Journals (Sweden)

Irfan Dwiguna Sumitra

2017-01-01

Full Text Available In this paper, we evaluated the experiment and analysis measurement accuracy to determine object location based on wireless sensor network (WSN. The algorithm estimates the position of sensor nodes employing received signal strength (RSS from scattered nodes in the environment, in particular for the indoor building. Besides that, we considered another algorithm based on weight centroid localization (WCL. In particular testbed, we combined both RSS and WCL as hybrid localization in case of noncooperative scheme with considering that source nodes directly communicate only with anchor nodes. Our experimental result shows localization accuracy of more than 90% and obtained the estimation error reduction to 4% compared to existing algorithms.

Self-consistent study of localization near band edges

International Nuclear Information System (INIS)

Brezini, A.

1982-02-01

The localization criterion of Kumar et al. is applied to the case of a uniform distribution for the site energies and particular attention is given to the behaviour of the mobility edge in the limit of weak disorder. The results are similar to other theories but disagree with that of Abou-Chacra and Thouless in the limit of zero disorder. (author)

New model. Local financing for local energy

International Nuclear Information System (INIS)

Detroy, Florent

2015-01-01

While evoking the case of the VMH Energies company in the Poitou-Charentes region, and indicating the difference between France and Germany in terms of wind and photovoltaic energy production potential, of number of existing local companies, and of citizen-based funding, this article shows that renewable energies could put the energy production financing in France into question again, with a more important participation of local communities and of their inhabitants. The author describes how the law on energy transition makes this possible, notably with the strengthening of citizen participation. The author evokes some French local experiments and the case of Germany where this participation is already very much developed

Accounting for spatially heterogeneous conditions in local-scale surveillance strategies: case study of the biosecurity insect pest, grape phylloxera (Daktulosphaira vitifoliae (Fitch)).

Science.gov (United States)

Triska, Maggie D; Powell, Kevin S; Collins, Cassandra; Pearce, Inca; Renton, Michael

2018-04-29

Surveillance strategies are often standardized and completed on grid patterns to detect pest incursions quickly; however, it may be possible to improve surveillance through more targeted surveillance that accounts for landscape heterogeneity, dispersal and the habitat requirements of the invading organism. We simulated pest spread at a local-scale, using grape phylloxera (Daktulosphaira vitifoliae (Fitch)) as a case study, and assessed the influence of incorporating spatial heterogeneity into surveillance strategies compared to current, standard surveillance strategies. Time to detection, spread within and spread beyond the vineyard were reduced by conducting surveys that target sampling effort in soil that is highly suitable to the invading pest in comparison to standard surveillance strategies. However, these outcomes were dependent on the virulence level of phylloxera as phylloxera is a complex pest with multiple genotypes that influence spread and detectability. Targeting surveillance strategies based on local-scale spatial heterogeneity can decrease the time to detection without increasing the survey cost and surveillance that targets highly suitable soil is the most efficient strategy for detecting new incursions. Additionally, combining targeted surveillance strategies with buffer zones and hygiene procedures, and updating surveillance strategies as additional species information becomes available, will further decrease the risk of pest spread. This article is protected by copyright. All rights reserved.

AFSC/REFM: Pacific cod Localized Depletion Study

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Data from Localized Depletion study for Pacific cod 2001-2005. Study was conducted using cod pot gear to measure localized abundance of Pacific cod inside and...

Multidrug Resistance Among New Tuberculosis Cases Detecting Local Variation Through Lot Quality-assurance Sampling

NARCIS (Netherlands)

Hedt, Bethany Lynn; van Leth, Frank; Zignol, Matteo; Cobelens, Frank; van Gemert, Wayne; Nhung, Nguyen Viet; Lyepshina, Svitlana; Egwaga, Saidi; Cohen, Ted

2012-01-01

Background: Current methodology for multidrug-resistant tuberculosis (MDR TB) surveys endorsed by the World Health Organization provides estimates of MDR TB prevalence among new cases at the national level. On the aggregate, local variation in the burden of MDR TB may be masked. This paper

STUDY REGARDING THE MANAGEMENT OF LOCAL POLICEMAN CAREER WITHIN THE REŞIŢA LOCAL POLICE DIVISION PUBLIC SERVICE

Directory of Open Access Journals (Sweden)

GHERGHINA LILIANA

2016-10-01

Full Text Available The paper entitled Study regarding the Management of Local Policemen Career within the Reşiţa Local Police Division Public Service aims at highlighting the need for this public service in the Reşiţa municipality community, the importance of the public office in this context, of the public service, of the public servant with special statute and, last but not least, of the managerial act in the administration of this type of human resources, and implicitly this type of career. Starting from the theoretic identifications and their translation into the practice of the field chosen for research we could conclude that in the development of the local policemen career, a special role is played by the human resources management, especially the management of the career of this value-bearing resource. Our investigation was based on the opinion poll-type inquiry, the main instrument being the questionnaire conceived, administered and then valorised and interpreted. The conclusions generated by this research highlighted step by step, along the activities of the analysed human resources management and implicitly their career management, the actual positive or negative aspects and the fact that the management of human resources and implicitly of their career which, we scrutinised – that of police officer or policeman in short – assures with priority: the observance of the legislation specific to the investigated field, support for the development of the local policemen’s career, their prompt availability in due time, the knowledge and fulfilment of the tasks according to the job and position requirements, all this assures the understanding of the employees’ expectations, of the change of employees’ roles within the organisation depending on their experience and solves the conflicts among the employees. Nevertheless, we identified, in a less significant percentage , some cases of discontent and dissatisfaction, cases that could generate ideas for

Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series

Directory of Open Access Journals (Sweden)

Joe Iwanaga

2016-01-01

Full Text Available Eminectomy which is one of the popular and most effective treatments for habitual temporomandibular joint luxation was first described by Myrhaug in 1951. There are few reports which described eminectomy being performed under local anesthesia and conscious sedation. We present a case series of habitual luxation of the TMJ treated by eminectomy performed under local anesthesia and conscious sedation and general anesthesia. Five patients were examined and found to have recurrent luxation of the TMJ. The age of patients ranged from 18 to 93 years. Bilateral eminectomy of the TMJ was performed for two patients, and unilateral eminectomy was performed for three patients. Two were examined under intravenous propofol sedation and local anesthesia, while three patients were examined under general anesthesia. One patient died from ileus one month after surgery. The follow-up period except for the case that died from ileus ranged from 12 to 33 months. No recurrent dislocation of the TMJ has been identified. Based on our experience and two other series in the literature, eminectomy with sedation and local anesthesia can be considered and might be a good option in elderly patients.

A comparative study of thoracoscopic sympathicotomy versus local surgical treatment for axillary hyperhidrosis

DEFF Research Database (Denmark)

Heidemann, Erik; Licht, Peter B

2013-01-01

Axillary hyperhidrosis affects approximately 1.4% of the population. Medical management is often frustrating, and the response generally transient. Surgical methods include thoracoscopic sympathectomy or sympathicotomy and local axillary surgery such as suction-curettage or en-bloc skin resection....... Many case series with retrospective follow-up are available in the literature, but no comparative studies between surgical techniques have been published....

Gastronomic Reflections of Cittaslow Movement on Local Cuisine: The Case Study of Seferihisar (İzmir, Turkey

Directory of Open Access Journals (Sweden)

Onur Görkem

2014-01-01

Full Text Available Globalization is forcing people to work harder, to live faster, to produce more and to consume more. The eating habits of people such as their lifestyles are affected by these pressures, and lose its cultural authenticity. People to get rid of this whirlpool who fall into it, come together, are looking for remedies and generate various reaction groups. Slow food and cittaslow movements are the most common and effective formations, being said about. This study was carried out to determine the assessments of people who live in Seferihisar town of İzmir as the first cittaslow in Turkey, regarding the cittaslow movement’s effects on gastronomy. In the study, different dimensions of the gastronomic effects of Seferihisar slow city constitution have been considered. According to the data obtained from surveys, cittaslow movement reflected positively on local cuisine and eating habits of the people, but found to be caused an increase in the price of food and beverage. Local people’s different ethnic cuisines do not recognize as a threat to the development of cittaslow movement, is another important findings of this study.

Determinants and impediments of whistle-blowing in local government councils: A case study of the South-East District Council, Botswana

Directory of Open Access Journals (Sweden)

Abiodun M.T. Omotoye

2017-11-01

Full Text Available This article investigates the perceptions of public service employees regarding the role of whistle-blowing in local government. Whistle-blowing has received increased attention and support as a means of detecting and correcting wrongdoing in organisations. Yet, as this case study discusses, the absence of whistle-blower protection measures and fear of reprisal and job loss deter potential witnesses from reporting wrongdoing in the workplace. A mixed research method approach was employed to undertake the study. A self-administered questionnaire was distributed to public servants employed within the South-East District Council (SEDC and literature related to corruption and whistle-blowing was reviewed. The findings indicate that public service employees strongly support the role whistle-blowing has to play in curbing corruption in the workplace, particularly if the corrupt activity could potentially threaten people’s lives and suppress social justice. However, the absence of whistle-blower protection measures was cited as the most significant impediment to reporting wrongdoing. The article proposes the need for the SEDC to adopt effective policies and procedures that place a strong emphasis on providing protection for employees to disclose misconduct and fraudulent conduct.

Socioeconomic impacts of nuclear generating stations: Peach Bottom case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Pijawka, K.D.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Peach Bottom nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socioeconomic impacts of nuclear generating stations: St. lucie case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Weisiger, M.L.; Pijawka, K.D.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the St. Lucie nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study are during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socioeconomic impacts of nuclear generating stations: Rancho Seco case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Bergmann, P.A.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Rancho Seco nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

The power of local action in occupational health: the adoption of local exhaust ventilation in the Chicago tuckpointing trade.

Science.gov (United States)

Weinstein, Marc; Susi, Pam; Goldberg, Mark

2016-04-01

Silica is a pervasive and potentially deadly occupational hazard in construction. The occupational risk posed by silica has long been known, but efforts to use engineering controls to minimize dust generation in tuckpointing operations, a masonry restoration specialty, have been slow. The objective of this study is to explore how local innovation in occupational safety and health may emerge, absent the establishment of national standards. This study uses a case study to explore the adoption of local exhaust ventilation in tuckpointing operations in the Chicago area. Sources of data for this research include interviews with a diverse range of key informants and the review of archival material. This case study found local unions, municipal regulators, contractors, and major public users of construction services played a central role in the events and milestones that led to the early adoption of local exhaust ventilation in Chicago. The adoption of local exhaust ventilation technology in Chicago demonstrates the potential for local actors to fill an important void when rulemaking in vital areas of occupational of health impedes effective national regulation.

Social and Environmental Responsibility and Local Sustainable Development: The Case of the Environmental Education Project and Asset – PEAP

Directory of Open Access Journals (Sweden)

Eugênia Rosa Cabral

2015-04-01

Full Text Available The study analyzes the actions of social responsibility expressed by the Environmental and Heritage Education Project (PEAP, which has been  implemented in the Boa Vista and Moura communities, both located in Oriximiná, State of Pará. This project purported to promote the rescue and preservation of environmental and cultural heritage in local communities, developed in a partnership between the Museu Paraense Emilio Goeldi (Emilio Goeldi [a painter] Pará Museum] (MPEG, the private company Mineração Rio do Norte (Rio do Norte Mining (MRN and representatives of local communities. This study examines to what extent the actions of PEAP can be considered drivers of sustainable local development. To answer this question, the research focused on the implementation of the PEAP actions and their effects on the two communities under study. Specifically, we sought to identify potential social, cultural and economic impacts of the actions of PEAP on both communities, and to identify future expectations of social subjects involved. This is a case study that follows a qualitative approach. The data collected in documents and interviews were analyzed according to the concepts of sustainable local development, corporate social responsibility and tri-sector partnership. The study identified that the actions taken by the PEAP result of management practices and participatory social planning, and reflecting the redemption of traditional practices, socialization of information and income generation, which together contribute to sustainable local development.

Intensity-modulated radiotherapy for localized nasopharyngeal amyloidosis. Case report and literature review

International Nuclear Information System (INIS)

Luo, Ming; Peng, Gang; Shi, Liangliang; Li, Zhenyu; Fei, Shijiang; Ding, Qian; Cheng, Jing; Ming, Xing

2016-01-01

Primary localized amyloidosis is characterized by the deposition of amyloid proteins restricted to one organ, without systemic involvement. Primary nasopharyngeal amyloidosis is an exceedingly rare condition, for which the standard treatment remains unknown. Because of its challenging anatomical position, surgery alone hardly results in complete resection of the localized amyloidosis. Therefore, an interdisciplinary planning board to design optimal treatment is of particular importance. A 39-year-old man presented with a several-week history of nasal obstruction and epistaxis. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed the presence of a retro-odontoid nonenhancing soft tissue mass. The endoscopic biopsy demonstrated that the mass was amyloid in nature. An extensive systemic workup revealed an absence of inflammatory process, systemic amyloidosis, or plasma cell dyscrasia. The patient was treated with a combination of surgery and radiotherapy, showing no evidence of recurrence or progression at his 1-year follow-up. Primary solitary amyloidosis is a rare form of amyloidosis. To the best of our knowledge, this is the first report of a nasopharyngeal amyloidosis case treated with excision and radiation leading to complete remission. Because of the difficulty for surgeons to achieve radical resection with such lesions, radiotherapy proved to be an excellent adjuvant treatment in this case. (orig.) [de

Local Community Versus Globalization Tendencies: Case Study of Czech Villages in Romanian Banat Region

Directory of Open Access Journals (Sweden)

Šantrůčková Markéta

2014-11-01

Full Text Available The research question is the relationship between the local community and globalization tendencies and transformation or maintenance of local traditions. The research area is a specific locality of a Czech village in Romanian Banat. The local community has evolved in a relative isolation. Agriculture was the most important activity despite the fact that a mining factory was opened there. Agriculture was and in many features still is traditional, self-supplying, and hard-work. The life-style has always been environmentally friendly as it has been without modern technologies. Nevertheless, modernization exploded dramatically in these villages after 1989, when the communist policies collapsed along with Romania's isolation. People from the Czech Republic have rediscovered Romanian Banat and a rather busy (agro tourism has developed there. The Czech Ministry of Foreign Affairs supports development projects for making living conditions in the village better. Simultaneously, strong migration from Banat to the Czech Republic has started. People find living conditions in the Czech Republic easier and leave hard work, poverty and unemployment. It brings huge land cover changes because people who remain cannot use all arable land, which is thus abandoned and left for the natural process. One of the distinct manifestations of globalization tendencies is the build-up of wind power plants.

Intraosseous injection as an adjunct to conventional local anesthetic techniques: A clinical study

Science.gov (United States)

Idris, Mohamed; Sakkir, Nasil; Naik, Kishore Gopalakrishna; Jayaram, Nandakishore Kunijal

2014-01-01

Background: The achievement of successful local anesthesia is a continual challenge in dentistry. Adjunctive local anesthetic techniques and their armamentaria, such as intraosseous injection (the Stabident system and the X-tip system) have been proposed to be advantageous in cases where the conventional local anesthetic techniques have failed. Aim: A clinical study was undertaken using intraosseous injection system by name X-tip to evaluate its effectiveness in cases where inferior alveolar nerve block has failed to provide pulpal anesthesia. Materials and Methods: Sixty adult patients selected were to undergo endodontic treatment for a mandibular molar tooth. Inferior alveolar nerve block was given using 4% articaine with 1:100,000 epinephrine. Twenty-four patients (40%) had pain even after administration of IAN block; intraosseous injection was administered using 4% articaine containing 1:100,000 epinephrine, using the X-tip system. The success of X-tip intraosseous injection was defined as none or mild pain (Heft-Parker visual analog scale ratings ≤ 54 mm) on endodontic access or initial instrumentation. Results: Intraosseous injection technique was successful in 21 out of 24 patients (87.5%), except three patients who had pain even after supplemental X-tip injection. Conclusion: Within the limits of this study, we can conclude that supplemental intraosseous injection using 4% articaine with 1:100,000 epinephrine has a statistically significant influence in achieving pulpal anesthesia in patients with irreversible pulpitis. PMID:25298642

Pathological characteristics and clinical specifications in gastroenteropancreatic neuroendocrine tumors: a study of 68 cases.

Science.gov (United States)

Stoica-Mustafa, Elena; Pechianu, C; Iorgescu, Andreea; Hortopan, Monica; Dima, Simona Olimpia; Tomulescu, V; Dumitraşcu, T; Ungureanu, C; Andronesi, D; Popescu, I; Herlea, V

2012-01-01

Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) represent a group of tumors, having their origin in cells of diffuse endocrine system, with particular clinical course, diagnosis and treatment. In our study, were included 68 patients with neuroendocrine digestive tumors admitted, diagnosed and treated in Fundeni Clinical Institute, Bucharest, in the last ten years--2000-2010 (retrospective study). Thirty-three (49%) patients were males, 35 (51%) females, and the main age was 58.9 years. In 62 (90.3%) cases was possible to find the primary tumor. The examined tumors had different localizations: pancreas--32 (47.04%) cases (head--17 (24.99%) cases, and body and tail--15 (22.05%) cases), stomach--7 (10.29%) cases, small intestine--7 (10.29%) cases, 6 (8.82%) cases--unknown primary site (diagnosis was established on metastases), right colon--6 (8.82%) cases, liver--6 (8.82%) cases, rectum--2 (2.94%) cases, and retroperitoneum--2 (2.94%) cases. Microscopic examination revealed 59 (86.8%) malignant tumors and 9 (13.2%) benign tumors. Using WHO 2000 Classification, 28 cases of malignant tumors were well-differentiated neuroendocrine carcinomas, and 31 cases were poor differentiated neuroendocrine carcinomas. From malignant cases, 25 (42.3%) have distant metastases and 15 (25.9%) lymph node metastases. Cases of gastroenteropancreatic neuroendocrine tumors included in our study had clinical and histopathological features in correspondence with data from literature--slight predominance in women, predominance in 5th and 6th decades of life, the most frequent localizations were at pancreatic level--both head and body and tail, but the rarest were in colon and retroperitoneum. Most of the cases studied, were malignant tumors, from these more than a half were poor differentiated, and a quarter of them having lymph node or distant metastases.

A Numerical and Experimental Study of Local Exhaust Capture Efficiency

DEFF Research Database (Denmark)

Madsen, U.; Breum, N. O.; Nielsen, Peter Vilhelm

1993-01-01

Direct capture efficiency of a local exhaust system is defined by introducing an imaginary control box surrounding the contaminant source and the exhaust opening. The imaginary box makes it possible to distinguish between contaminants directly captured and those that escape. Two methods for estim...... location is less important for the case studied. The choice of sampling strategy to obtain a representative background concentration is essential as substantial differences on direct capture efficiency are found. Recommendations are given......Direct capture efficiency of a local exhaust system is defined by introducing an imaginary control box surrounding the contaminant source and the exhaust opening. The imaginary box makes it possible to distinguish between contaminants directly captured and those that escape. Two methods...... for estimation of direct capture efficiency are given: (1) a numerical method based on the time-averaged Navier-Stokes equations for turbulent flows; and (2) a field method based on a representative background concentration. Direct capture efficiency is sensitive to the size of the control box, whereas its...

Implementing interorganizational cooperation in labour market reintegration: a case study.

Science.gov (United States)

Ståhl, Christian

2012-06-01

To bring people with complex medical, social and vocational needs back to the labour market, interorganizational cooperation is often needed. Yet, studies of processes and strategies for achieving sustainable interorganizational cooperation are sparse. The aim of this study was to analyse the implementation processes of Swedish legislation on financial coordination, with specific focus on different strategies for and perspectives on implementing interorganizational cooperation. A multiple-case study was used, where two local associations for financial coordination were studied in order to elucidate and compare the development of cooperative work in two settings. The material, collected during a 3-year period, consisted of documents, individual interviews with managers, and focus groups with officials. Two different implementation strategies were identified. In case 1, a linear strategy was used to implement cooperative projects, which led to difficulties in maintaining cooperative work forms due to a fragmented and time-limited implementation process. In case 2, an interactive strategy was used, where managers and politicians were continuously involved in developing a central cooperation team that became a central part of a developing structure for interorganizational cooperation. An interactive cooperation strategy with long-term joint financing was here shown to be successful in overcoming organizational barriers to cooperation. It is suggested that a strategy based on adaptation to local conditions, flexibility and constant evaluation is preferred for developing sustainable interorganizational cooperation when implementing policies or legislation affecting interorganizational relationships.

Concomitant pelvic irradiation and chemotherapy in locally advanced cervical carcinoma. A retrospective study of 92 patients treated at the Curie Institute

International Nuclear Information System (INIS)

Nguyen, D.; Rochefordiere, A. de la; Chauveinc, L.; Cosset, J.M.; Clough, K.B.; Mouret-Fourme, E.; Guyonnet, M.

2002-01-01

The prognosis of locally advanced cervix cancers is poor with metastatic and local recurrence risks. Recent publications reported that concurrent chemotherapy and pelvic radiation increased local control compared to radiotherapy alone. Chemotherapy could also decrease metastatic recurrences. We report 92 cases of patients with locally advanced cervix cancer treated between 1986 and 1998 at the Institut Curie. Patients and methods. - Concurrent chemo-radiation was exclusive in 51 cases and added to surgery in 41 cases. Chemotherapy with 5FU -Cisplatin-Mitomycin C-Vindesin (protocol A) was performed for 43% of patients and 57% of them received 5FU-Cisplatin alone (protocol B). Results. -Median follow-up was 64 months (6-149 months). Five-year disease-free survival rate was 47% and local control rate was 70%. Disease-free survival was correlated with therapeutic response. After exclusive chemo-radiation, the good responsive patients had a better DFS (54% vs 26%, p=0.018). In the surgery group, those patients with sterilized lymph nodes and tumours had also a higher DFS (76% vs 47%, p=0.036). Toxicity was higher with protocol A. Conclusion. - From our study, it appears that local control of advanced cervix cancers is better with combined chemoradiotherapy but disease-free survival stays low according to the metastatic evolution. Metastasis without local recurrence remained frequent in our study. 5FU-CDDP chemotherapy has a lower toxicity and is as effective as 5FU-CDDP-Mitomycin C-Vindesin protocol, in association with radiotherapy. (author)

Rare Infratentorial and Supratentorial Localization of Juvenile Angiofibroma: A Case Report.

Science.gov (United States)

Pašalić, Ivan; Trninić, Ines; Nemir, Jakob; Jednačak, Hrvoje; Žarković, Kamelija; Mrak, Goran

2016-01-01

Angiofibromas are rare tumors of the head and neck that mostly occur in the sphenopalatine region. We present a case of angiofibroma in a young male patient with an unusual and extremely rare localization, which to our knowledge has not been described before. It was situated in the tentorium and spread to the supratentorial and infratentorial regions. The patient initially presented with symptoms of increased intracranial pressure. After a diagnostic evaluation was done, the whole tumor was successfully removed using the supratentorial and infratentorial approach and the microsurgical technique. © 2016 S. Karger AG, Basel.

Locally advanced (neglected) breast cancer: the reality? relevance of two cases and reflection how to optimise the multidisciplinary approach

International Nuclear Information System (INIS)

Monnier, L.; Even, C.; Kirova, Y.M.; Even, C.; Cottu, P.H.

2009-01-01

The standard treatment for breast cancer patients with untreated locally advanced breast cancer is neo-adjuvant chemotherapy or hormonal treatment. In some cases, this treatment is followed by surgery and/or radiotherapy when the multidisciplinary approach is present. In some cases of patients presenting metastatic diseases, the radiotherapy is forgotten or proposed late when the local disease is extremely advanced with symptoms and decreased quality of life. Two cases of extremely advanced non operable T4 stage breast cancer are reported and the importance of multidisciplinary approach is discussed. The place and the right time of radiotherapy in this multidisciplinary strategy is reported. (authors)

An unusual type of myeloid sarcoma localization following myelofibrosis: A case report and literature review

Directory of Open Access Journals (Sweden)

Nicola Orofino

2017-01-01

We report the case of a patient with MS following myelofibrosis with multiple subcutaneous, cutaneous and muscle localizations; the latter has been reported in the literature as anecdotal. In this way we aimed to enhance the understanding of this disease.

Regional Autonomy and Local Democracy: Independent Candidates Cases

Directory of Open Access Journals (Sweden)

Suryanto

2016-11-01

Full Text Available One of the efforts to achieve local democracy is through the participation of independent candidates in the Direct General Election in the region. The presence of independent candidates in the Direct General Election gives a great hope to change the political structure of the shackles of the old forces. This paper aims to discuss the implication of regional heads coming from independent candidates on the effectiveness of local governance and the implementation of substantive democracy in the region. The method used is a qualitative approach using descriptive research method. The data collection is done through literature approach. Processing data uses Milles and Huberman interactive models, which includes data reduction, data presentation, and conclusion. The study concluded three things: First, the presence of independent candidates in the Direct General Election gives the opportunities to achieve local democracy that is getting bigger, Second, Regional Heads elected from independent candidates face the challenges of the ineffectiveness of regional government, and Third, within certain limits, the power of elected regional heads from independent lane leads to the realization of democracy that is not substantial.

More about the comparison of local and non-local NN interaction models

International Nuclear Information System (INIS)

Amghar, A.; Desplanques, B.

2003-01-01

The effect of non-locality in the NN interaction with an off-energy shell character has been studied in the past in relation with the possibility that some models could be approximately phase-shifts equivalent. This work is extended to a non-locality implying terms that involve an anticommutator with the operator p 2 . It includes both scalar and tensor components. The most recent 'high accuracy' models are considered in the analysis. After studying the deuteron wave functions, electromagnetic properties of various models are compared with the idea that these ones differ by their non-locality but are equivalent up to a unitary transformation. It is found that the extra non-local tensor interaction considered in this work tends to re-enforce the role of the term considered in previous works, allowing one to explain almost completely the difference in the deuteron D-state probabilities evidenced by the comparison of the Bonn-QB and Paris models for instance. Conclusions for the effect of the non-local scalar interaction are not so clear. In many cases, it was found that these terms could explain part of the differences that the comparison of predictions for various models evidences but cases where they could not were also found. Some of these last ones have been analyzed in order to pointing out the origin of the failure

Making the case for OWTS management: lessons from case studies and research

Science.gov (United States)

Rahm, B.; Woods, F.; Hwang, S.; Walter, M. T.; Grantham, D. G.; Riha, S. J.

2016-12-01

On-site wastewater treatment systems (OWTS) are used in 20-25% of homes in the United States and can be an efficient and cost-effective alternative to conventional centralized systems. However, OWTS also represent a source of non-point nutrient, pathogen, and micro-contaminant pollution to surface and groundwater if they are poorly designed, sited and/or maintained. Despite their ubiquity and potential to negatively impact water resources, the contribution of OWTS to local and regional water contamination issues is poorly understood. There are no federal regulations or uniform standards for the operation, maintenance, and management of these systems. The effectiveness of educational programs and best management practices developed by the US Environmental Protection Agency, along with local and regional governments, remains uncertain. Here we describe attempts to increase our knowledge of the state of OWTS in relation to water resources and their management. Specifically, we summarize 1) efforts to modernize a NY State-wide inventory of residential OWTS using GIS-based tools; 2) research aimed at better understanding the impact of OWTS on surface and ground water in 5 upstate NY counties across a gradient of land uses; 3) lessons learned from 13 case studies of municipal OWTS management programs across the US; and 4) observations on the roles of data, education and policy in creating and evaluating successful municipal OWTS management programs. Initial results show that total numbers of OWTS in NY State continue to grow, particularly in areas associated with ex-urban migration. Research into the relationship between OWTS and nutrient and pathogen contamination in ground and surface waters, respectively, suggests location-specific variation. This has implications for management approaches: preventing failure of any individual OWTS may be just as effective as programs attempting to bring all OWTS up to a high level of performance. Case studies of management programs

Ciguatera fish poisoning in la Habana, Cuba: a study of local social-ecological resilience.

Science.gov (United States)

Morrison, Karen; Aguiar Prieto, Pablo; Castro Domínguez, Arnaldo; Waltner-Toews, David; Fitzgibbon, John

2008-09-01

Following the collapse of the Cuban economy in the early 1990s, epidemiologists in the Cuban Ministry of Health noticed dramatic increases in reported outbreaks of ciguatera fish poisoning (CFP) in some coastal communities. This article summarizes the results of a comparative case study which applied an ecosystem approach to human health to investigate this issue. Situated learning and complexity theories were used to interpret the results of the investigation. CFP outbreaks are influenced by a complex set of interactions between ecological and socioeconomic processes. This study found that the level of organization of the local sports fishing community and the degree of degradation of the local nearshore marine ecosystem appear to be key factors influencing the diverging levels of CFP outbreaks recorded in the 1990s in the communities studied.

PRIMARY MULTIPLE MALIGNAT TUMORS MOST COMMON LOCALIZATIONS CANCER - CANCER STUDY CLINICS

Directory of Open Access Journals (Sweden)

G. V. Goncharenko

2015-01-01

Full Text Available The purpose. Analysis of statistical data of oncological departmental polyclinics, serving a permanent attached contingent of patients in cases of the most common cancer sites: basal cell skin cancer, breast cancer, prostate cancer. Materials and methods. Analisis of medical history patients of polyclinics. There were registered 1054 patients with malignant tumors. Of these 128 (12.14% and had the PMN, of that number, 8 patients had triple the localization of cancer. BCC: skin diagnosis was 132 patients, of which 52 (39.9% of had the PMN. With the diagnosis: breast cancer was registered 179 patients, including 30 patients had the PMN of the 8 patients had bilateral breast cancer. Diagnosed with FPW to outpatients included 139 patients, of whom 20 people (14.4%. On each localization of cancer presented with second and third cancer localizations. Conclusion. Patients with BCC skin were the in group of high risk for the development of PMN. The second location was in case of every third patient. Most commonly BCC combined with breast cancer, prostate cancer, cancer of the colon.

Universal features of localized eigenstates in disordered systems

International Nuclear Information System (INIS)

Ludlam, J J; Taraskin, S N; Elliott, S R; Drabold, D A

2005-01-01

Localization-delocalization transitions occur in problems ranging from semiconductor-device physics to propagation of disease in plants and viruses on the internet. Here, we report calculations of localized electronic and vibrational eigenstates for remarkably different, mostly realistic, disordered systems and point out similar characteristics in the cases studied. We show in each case that the eigenstates may be decomposed into exponentially localized islands which may appear in many different eigenstates. In all cases, the decay length of the islands increases only modestly near the localization-delocalization transition; the eigenstates become extended primarily by proliferation (growth in number) of islands near the transition. Recently, microphotoluminescence experiments (Guillet et al 2003 Phys. Rev. B 68 045319) have imaged exciton states in disordered quantum wires, and these bear a strong qualitative resemblance to the island structure of eigenstates that we have studied theoretically. (letter to the editor)

Comparative accuracy evaluation of fine-scale global and local digital surface models: The Tshwane Case Study I

CSIR Research Space (South Africa)

Breytenbach, Andre

2016-10-01

Full Text Available Conducted in the City of Tshwane, South Africa, this study set about to test the accuracy of DSMs derived from different remotely sensed data locally. VHR digital mapping camera stereo-pairs, tri-stereo imagery collected by a Pléiades satellite...

Assessment and application of national environmental databases and mapping tools at the local level to two community case studies.

Science.gov (United States)

Hammond, Davyda; Conlon, Kathryn; Barzyk, Timothy; Chahine, Teresa; Zartarian, Valerie; Schultz, Brad

2011-03-01

Communities are concerned over pollution levels and seek methods to systematically identify and prioritize the environmental stressors in their communities. Geographic information system (GIS) maps of environmental information can be useful tools for communities in their assessment of environmental-pollution-related risks. Databases and mapping tools that supply community-level estimates of ambient concentrations of hazardous pollutants, risk, and potential health impacts can provide relevant information for communities to understand, identify, and prioritize potential exposures and risk from multiple sources. An assessment of existing databases and mapping tools was conducted as part of this study to explore the utility of publicly available databases, and three of these databases were selected for use in a community-level GIS mapping application. Queried data from the U.S. EPA's National-Scale Air Toxics Assessment, Air Quality System, and National Emissions Inventory were mapped at the appropriate spatial and temporal resolutions for identifying risks of exposure to air pollutants in two communities. The maps combine monitored and model-simulated pollutant and health risk estimates, along with local survey results, to assist communities with the identification of potential exposure sources and pollution hot spots. Findings from this case study analysis will provide information to advance the development of new tools to assist communities with environmental risk assessments and hazard prioritization. © 2010 Society for Risk Analysis.

Socioeconomic impacts of nuclear generating stations: Three Mile Island case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Flynn, C.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Three Mile Island nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socioeconomic impacts of nuclear generating stations - Diablo Canyon case study. Technical report for 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Pijawka, K.D.; Yaquinto, G.

1982-07-01

This report documents a case study of the socioeconomic impacts of the construction and operation of the Diablo Canyon nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlemeent patterns and housing, local government and public services, social structure, and public response in the study during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socioeconomic impacts of nuclear generating stations: D. C. Cook case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Branch, K.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the D. C. Cook nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Eminectomy for Habitual Luxation of the Temporomandibular Joint with Sedation and Local Anesthesia: A Case Series

OpenAIRE

Iwanaga, Joe; Nakamura, Yoshiaki; Kusukawa, Jingo; Tubbs, R. Shane

2016-01-01

Eminectomy which is one of the popular and most effective treatments for habitual temporomandibular joint luxation was first described by Myrhaug in 1951. There are few reports which described eminectomy being performed under local anesthesia and conscious sedation. We present a case series of habitual luxation of the TMJ treated by eminectomy performed under local anesthesia and conscious sedation and general anesthesia. Five patients were examined and found to have recurrent luxation of the...

[Extra skeletal Ewing's sarcoma. Report of two cases. Ultrastructural study of one case (author's transl)].

Science.gov (United States)

Krulik, M; Brechot, J M; de Saint-Maur, P; Lecomte, D; Mougeot-Martin, M; Audebert, A A; Zylberait, D; Debray, J

The authors report two cases of extra skeletal Ewing's sarcoma. The first case concerns a 26 years old woman presenting a tumor at the level of the sacrum area, locally recurrent, metastazing to the lungs and the lumbar column, despite of radiotherapy and chemotherapy and leading to death after a course of 18 months. The second one is that of a 30 years old man bearing a tumor of the shoulder area probably already metastazed to bones, rapidly recurrent and metastazing to the lungs and cause of death after 9 months in spite of intensive therapy. About these 2 observations a review of the literature of the cases of extra skeletal Ewing's sarcoma is done. Whatever nosologic discussion it seems that Ewing's sarcoma may present essentially as a tumor of soft tissues. An ultrastructural study has been performed in the second case. The findings are similar to those reported in Ewing's sarcoma.

High risk human papillomavirus in the periodontium : A case control study.

Science.gov (United States)

Shipilova, Anna; Dayakar, Manjunath Mundoor; Gupta, Dinesh

2017-01-01

Human papilloma viruses (HPVs) are small DNA viruses that have been identified in periodontal pocket as well as gingival sulcus. High risk HPVs are also associated with a subset of head and neck carcinomas. It is thought that the periodontium could be a reservoir for HPV. 1. Detection of Human Papilloma virus (HPV) in periodontal pocket as well as gingival of patients having localized chronic periodontitis and gingival sulcus of periodontally healthy subjects. 2. Quantitative estimation of E6 and E7 mRNA in subjects showing presence of HPV3. To assess whether periodontal pocket is a reservoir for HPV. This case-control study included 30 subjects with localized chronic Periodontitis (cases) and 30 periodontally healthy subjects (controls). Two samples were taken from cases, one from periodontal pocket and one from gingival sulcus and one sample was taken from controls. Samples were collected in the form of pocket scrapings and gingival sulcus scrapings from cases and controls respectively. These samples were sent in storage media for identification and estimation of E6/E7 mRNA of HPV using in situ hybridization and flow cytometry. Statistical analysis was done by using, mean, percentage and Chi Square test. A statistical package SPSS version 13.0 was used to analyze the data. P value oral cancer, periodontitis and HPV. However prospective studies are required to further explore this link.

CT diagnosis and pathological basis of localized malignant peritoneal mesothelioma

International Nuclear Information System (INIS)

Zheng Xiangwu; Wu Enfu; Yin Weiwei; Zhou Weizhong; Zhu Qijian; Zheng Xiaofeng

2001-01-01

Objective: To study the value of CT diagnosis in localized malignant peritoneal mesothelioma. Methods: CT features of 4 cases with localized malignant peritoneal mesothelioma and the pathological basis were analyzed. Results: All 4 cases showed a large localized mass with an average size of 13 cm. 3 of 4 cases were cystic-solid predominantly multi-cystic; another case was solid accompanied by necrosis. Contrast CT demonstrated marked enhancement in the solid portion of tumor in all 4 cases, the highest CT density was 106 HU(average 76 HU). There was no distant metastasis and ascites. Conclusion: Multi-cysts, remarkable enhancement of the solid area and no distant metastasis may be the main characteristic CT features of localized malignant peritoneal mesothelioma

The case for local food in sustainable food-energy-water systems

Science.gov (United States)

Campbell, J. E.; Zumkehr, A. L.; Yang, Y.

2017-12-01

Local food systems, which are characterized by foodsheds with small distances between production and consumption ( 100 km), are currently experiencing explosive growth. Local food has largely been assessed within the context of transportation energy. While the effects of local food systems on transportation energy are well studied, broader implications of localization on the food-energy-water nexus are not. Furthermore, little is known about the potential for local food to scale beyond niche markets and meet a significant fraction of total food demand. Here we estimate the upper potential for all existing croplands to meet total U.S. food demand through local food networks. Our spatially explicit land-use model simulates the years 1850 through 2000 and accounts for a wide range of foodshed areas, diets, food waste, population distributions, cropland areas, and crop yields. While we find that the foodshed potential has declined in time, our results also demonstrate an unexpectedly large potential at present for supporting as much as 82% of national food demand within a 50 mile foodshed radius. The decline is associated with extreme pressures from demographic and agronomic trends that if continued could significantly undermine recent national policies focused on food localization. We then apply a life-cycle assessment approach to show that for some crops, irrigation could contribute up to 50% of the cradle-to-gate carbon emissions, thus they may benefit from food localization making use of water from wastewater treatment plants. Our results also show that local food could reduce the water footprint of lettuce by 50%. Our study suggests that exploring future scenarios, beyond assessing historical outcomes, is critical if food-energy-water research is to support sustainable decision making.

Stakeholder management in the local government decision-making area: evidences from a triangulation study with the English local government

Directory of Open Access Journals (Sweden)

Ricardo Corrêa Gomes

2006-01-01

Full Text Available The stakeholder theory has been in the management agenda for about thirty years and reservations about its acceptance as a comprehensive theory still remains. It was introduced as a managerial issue by the Labour Party in 1997 aiming to make public management more inclusive. This article aims to contribute to the stakeholder theory adding descriptive issues to its theoretical basis. The findings are derived from an inductive investigationcarried out with English Local Authorities, which will most likely be reproduced in other contexts. Data collection and analysis is based on a data triangulation method that involves case-studies, interviews of validation and analysis of documents. The investigation proposes a model for representing the nature of therelationships between stakeholders and the decision-making process of such organizations. The decision-making of local government organizations is in fact a stakeholder-based process in which stakeholders are empowered to exert influences due to power over and interest in the organization’s operations and outcomes.

Stakeholder participation in CDM and new climate mitigation mechanisms: China CDM case study

DEFF Research Database (Denmark)

Dong, Yan; Olsen, Karen Holm

2017-01-01

exists on how LSC is practised, and synergies between climate mechanisms are largely unexplored. This study explores how international LSC rules are practised at national and local levels. It aims to better shape future LSC in climate mechanisms by learning from the case of China. First, LSC policies...... in CDM, REDD +, and GCF are identified. Relevant rules in China’s local policies are analysed. To understand the interaction between CDM policies and China’s local LSC rules, a selection of Chinese CDM Projects Design Documents (PDDs) are analysed, providing an overall impression of the stakeholder...

From local checklists to online identification portals: a case study on vascular plants.

Science.gov (United States)

Martellos, Stefano; Nimis, Pier Luigi

2015-01-01

Checklists, the result of time-consuming exploration and painstaking bibliographic research, can be easily converted into online databases, which have the advantage of being updatable online in real time, and of reaching a much wider audience. However, thousands of local checklists (Natural Parks, protected areas, etc.) are still available on paper only, and most of those published online appear as dry lists of latin names, which strongly reduces their outreach for a wider audience. The University of Trieste has recently started the publication of several local checklists in a way that may be more appealing for the general public, by linking species' names to archives of digital resources, and especially to digital identification tools produced by software FRIDA (FRiendly IDentificAtion). The query interfaces were developed on the basis of feedback from a wide range of users. The result is no longer a simple list of names accessible on the Web, but a veritable multimedial, interactive portal to the biodiversity of a given area. This paper provides an example of how relevant added value can be given to local lists of taxa by embedding them in a complex system of biodiversity-related resources, making them usable for a much wider audience than a restricted circle of specialists, as testified by the almost 1.000.000 unique visitors reached in 2014. A critical mass of digital resources is also put at disposal of the scientific community by releasing them under a Creative Commons license.

COMPARATIVE STUDY OF MODIFIED RADICAL MASTECTOMY PERFORMED UNDER LOCAL ANAESTHESIA WITH DEXMEDETOMIDINE INFUSION VS. GENERAL ANAESTHESIA

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Ramesan Chayampurath

2016-11-01

Full Text Available BACKGROUND The incidence of breast cancer is on the rise in developing countries. Though, there have been significant advances in general anaesthesia, surgery in elderly and those with comorbid illness still have an attendant morbidity and mortality. After the introduction of local anaesthesia by Kolher in 1884 and in spite of steady refinement, local anaesthesia is still not being widely used in major general surgical procedures. MATERIALS AND METHODS The study was conducted in Government Medical College, Calicut, a tertiary care centre in Kerala. The outcome of Modified Radical Mastectomy performed under Local Anaesthesia (LA and dexmedetomidine infusion was compared to similar cases done under General Anaesthesia (GA. RESULTS Rapid recovery from sedation leading to early restoration of normal physical activity was observed in the LA group when compared to GA group. Early initiation of oral feeds was possible in the former group as Postoperative Nausea and Vomiting (PONV was significantly less. Effective postoperative pain relief and significant reduction in respiratory complications was observed in the LA group compared to GA group. CONCLUSION Modified Radical Mastectomy under LA and procedural sedation with dexmedetomidine was significantly better in selected cases when compared to similar cases done under GA with respect to early recovery pain relief and decreased incidence of respiratory complications.

Quality of Governance and Local Development: The Case of Top Nine Performing Local Government Units in the Philippines

OpenAIRE

MA. NIÑA I. ADRIANO

2014-01-01

There is a large body of literature that studies the link between good governance and development in a country level. However, only a few have exploited the same study in the local government unit (LGU) setting. This study attempts to establish the relationship between the quality of governance and the state of local development of the Top 9 Performing LGUs in the Philippines (La Union, Albay, Cavite, Ilocos Norte, Makati City Valenzuela City, Taguig City, Davao City and Angeles C...

Improving rehabilitation treatment in a local setting : a case study of prosthetic rehabilitation

NARCIS (Netherlands)

van Twillert, Sacha; Postema, Klaas; Geertzen, Jan H. B.; Hemminga, Titia; Lettinga, Ant T.

2009-01-01

Objective: To contribute to the discussion on the research-practice gap by illustrating obstacles and opportunities that arise in an evidence-informed improvement process of prosthetic rehabilitation in a local setting. Setting: Dutch rehabilitation centre. Presupposition: The improvement process

GIS-based evaluation of multifarious local renewable energy sources: a case study of the Chigu area of southwestern Taiwan

International Nuclear Information System (INIS)

Yue, C.-D.; Wang, S.-S.

2006-01-01

The issue of regulating greenhouse gas emissions of developing countries is one of the main reasons for the US's retreat from ratifying the Kyoto Protocal, and this deserves particular attention in order to ensure that a robust international climate policy exists in the future. Enabling developing countries to move toward low-carbon energy systems would enhance the feasibility for their participation in mitigating greenhouse gas emissions. This study evaluates wind, solar, and biomass energy sources in a rural area of Chigu in southwestern Taiwan by means of analyzing technical, economic, environmental, and political implications in order to establish an evaluation model for developing local renewable energy sources. The adopted approach evaluates local potentials of renewable energy sources with the aid of a geographic information system according to actual local conditions, and allows the assessment to consider local potentials and restrictions such as climate conditions, land uses, and ecological environments, thus enabling a more-accurate assessment than is possible with evaluations on an approximate basis. These results may help build a developmental vision for sustainable energy systems based on locally available natural resources, and facilitate a transition of national energy and environmental policies towards sustainability

Significance of localization of nonpalpable breast lesions

Energy Technology Data Exchange (ETDEWEB)

Oh, Ki Keun; Choi, Hyun Ju [Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul (Korea, Republic of)

1990-12-15

As mammography has become more popular for the evaluation of breast symptoms and for the screening of asymptomatic women, the smaller lesions are being detected before they become palpable, therefore preoperative localization became necessary. This has led to the development of several methods for preoperative localization of nonpalpable lesions. Authors analyzed 50 cases with preoperative localization in 45 patients which had abnormal findings on film mammogram or ultrasonomammogram since October 1985 through March 1990 at Yongdong Severance Hospital, College of Medicine, Yonsei University. The results were as follows: 1. Techniques of localization were spot method in 8 cases, conventional needle localization method in 38 cases and Kopan's needle localization method in 4 cases. 2. The most common mammographic indication for localization was focal calcifications in 29 cases(58%), which was followed by a newly developed mass in 25 cases(50%). 3. Outcome of pathologically confirmed diagnosis put into benign lesions in 37 cases(74%) and malignant lesions in 13 cases(26%). 4. Among the cases with localization of lesions which has suggested as benign lesions in film and ultrasonomammogram,all cases(100%) were confirmed in benign lesions pathologically. Among the cases with localization of lesions which has suggested as malignant lesions in film and ultrasonomammogram, pathologic malignant has been proved of 44% and possible histopathologic precursor of malignant was resulted in 25% such as atypical hyperplasia and adenosis. Conclusively, authors consider that the abnormal areas should be removed in their entirety with the sacrifice of minimum volume of contiguous normal breast tissue through the preoperative localization, hence our preoperative localization has contributed favorable prognosis based on material lesions in early stage breast cancer.

Significance of localization of nonpalpable breast lesions

International Nuclear Information System (INIS)

Oh, Ki Keun; Choi, Hyun Ju

1990-01-01

As mammography has become more popular for the evaluation of breast symptoms and for the screening of asymptomatic women, the smaller lesions are being detected before they become palpable, therefore preoperative localization became necessary. This has led to the development of several methods for preoperative localization of nonpalpable lesions. Authors analyzed 50 cases with preoperative localization in 45 patients which had abnormal findings on film mammogram or ultrasonomammogram since October 1985 through March 1990 at Yongdong Severance Hospital, College of Medicine, Yonsei University. The results were as follows: 1. Techniques of localization were spot method in 8 cases, conventional needle localization method in 38 cases and Kopan's needle localization method in 4 cases. 2. The most common mammographic indication for localization was focal calcifications in 29 cases(58%), which was followed by a newly developed mass in 25 cases(50%). 3. Outcome of pathologically confirmed diagnosis put into benign lesions in 37 cases(74%) and malignant lesions in 13 cases(26%). 4. Among the cases with localization of lesions which has suggested as benign lesions in film and ultrasonomammogram,all cases(100%) were confirmed in benign lesions pathologically. Among the cases with localization of lesions which has suggested as malignant lesions in film and ultrasonomammogram, pathologic malignant has been proved of 44% and possible histopathologic precursor of malignant was resulted in 25% such as atypical hyperplasia and adenosis. Conclusively, authors consider that the abnormal areas should be removed in their entirety with the sacrifice of minimum volume of contiguous normal breast tissue through the preoperative localization, hence our preoperative localization has contributed favorable prognosis based on material lesions in early stage breast cancer

A case of Fournier's gangrene following local radiation for the recurrence of rectal carcinoma

Energy Technology Data Exchange (ETDEWEB)

Ohashi, Hideyuki; Okuno, Tetsuo; Mizuo, Toshiyuki (Tokyo Rosai Hospital (Japan))

1993-02-01

A case of Fournier's gangrene in a 69-year-old man was reported. He had diabetes mellitus and had received 30 Gy radiation for local recurrence of rectal carcinoma. Immediately after the irradiation the disease of scrotum began as redness and swelling, and developed ulcer and necrosis. Antibiotics and local drainage were not of benefit, so we performed debridement and obtained good result. We described our experience of the gangrene from the early phase to recovery. (author).

Treatment of Acute Periodontal Abscesses Using the Biofilm Decontamination Approach: A Case Report Study.

Science.gov (United States)

Pini-Prato, Giovanpaolo; Magnani, Cristina; Rotundo, Roberto

2016-01-01

The aim of this preliminary study was to show the treatment effect of the biofilm decontamination approach on acute periodontal abscesses. Clinical cases showing acute periodontitis were treated using an oral tissue decontaminant material that contains a concentrated aqueous mixture of hydroxybenzenesulfonic and hydroxymethoxybenzene acids and sulfuric acid. The material was positioned into the pocket on the root surface and left in the site for 30 seconds. No instrumentation was performed before the treatment. No systemic or local antibiotics were used in any of the cases. A questionnaire was used for each patient to record the pain/discomfort felt when the material was administered. All of the treated cases healed well and very rapidly. The infections were quickly resolved without complications, and the pockets associated with marginal tissue recession were also reduced. The momentary pain upon introduction of the material was generally well tolerated in the nonsurgically treated cases, and it completely disappeared after a few seconds. The biofilm decontamination approach seems to be a very promising technique for the treatment of acute periodontal abscess. The local application of this material avoids the use of systemic or local antibiotics.

An Unusual Case of Locally Advanced Glycogen-Rich Clear Cell Carcinoma of the Breast

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Beatriz Martín-Martín

2011-09-01

Full Text Available Glycogen-rich clear cell (GRCC is a rare subtype of breast carcinoma characterized by carcinoma cells containing an optically clear cytoplasm and intracytoplasmic glycogen. We present the case of a 55-year-old woman with a palpable mass in the right breast and clinical signs of locally advanced breast cancer (LABC. The diagnosis of GRCC carcinoma was based on certain histopathological characteristics of the tumor and immunohistochemical analysis. To our knowledge, this is the first case of GRCC LABC with intratumoral calcifications. There is no evidence of recurrence or metastatic disease after 14 months’ follow-up.

Localized morphea after breast implant for breast cancer: A case report.

Science.gov (United States)

Moretti, A; Bianchi, F; Abbate, I V; Gherardi, G; Bonavita, M; Passoni, E; Nazzaro, G; Bramati, A; Dazzani, M C; Piva, S; Paternò, E; Frungillo, N; Farina, G; La Verde, N

2018-03-01

Early breast cancer follow-up guidelines for patients who underwent surgery suggest a regular and accurate clinical examination of the breast area, for an early identification of cutaneous or subcutaneous breast cancer relapse. Nonetheless, breast skin lesions arising in patients treated with mastectomy for breast cancer can be caused by several diseases. A series of diagnostic hypotheses should be considered, not only focusing on cutaneous metastasis, but also on dermatologic and systemic diseases. In February 2015, a 37-year-old patient underwent a right subcutaneous mastectomy for stage IIA breast cancer. Five months after beginning adjuvant chemotherapy, she noted hyperpigmentation and thickening of the skin on the right breast. Differential diagnosis included local relapse, skin infection, lymphoma, or primary cutaneous disease, and a skin biopsy was performed. The histopathologic specimen showed full-thickness sclerosis, with features of localized morphea. Therapy with clobetasol was prescribed, with progressive resolution of the thickness. The collaboration between many professionals in a multidisciplinary team (oncologist, dermatologist, plastic surgeon, and pathologist) was crucial to achieving the diagnosis. In the literature, some articles describe correlation between connective tissue diseases and silicone breast implants, but the pathogenetic mechanisms are unknown. We report a rare case of breast morphea after positioning a silicone implant in a patient who had undergone mastectomy. This clinical report represents an interesting model of multidisciplinary management of a patient with breast cancer who developed an uncommon dermatologic disease. Further studies are needed to clarify the association between silicone implants and breast morphea.

The objectivity of local knowledge. Lessons from ethnobiology

NARCIS (Netherlands)

Ludwig, David

2017-01-01

This article develops an account of local epistemic practices on the basis of case studies from ethnobiology. I argue that current debates about objectivity often stand in the way of a more adequate understanding of local knowledge and ethnobiological practices in general. While local knowledge

The Objectivity of Local Knowledge: Lessons From Ethnobiology

NARCIS (Netherlands)

Ludwig, D.J.

2017-01-01

This article develops an account of local epistemic practices on the basis of case studies from ethnobiology. I argue that current debates about objectivity often stand in the way of a more adequate understanding of local knowledge and ethnobiological practices in general. While local knowledge

Life in the Cloud: A WorldShare Management Services Case Study

Science.gov (United States)

Hartman, Robin R.

2012-01-01

A small, private academic library took the risk of moving from a traditional integrated library system to adopting a system "in the cloud." This case study presents the setting, history, and local needs of the library, including staffing challenges, and explains the decision-making rationale and process. A description of the library's transition…

Gastrointestinal Stromal Tumors with Unusual Localization: Report of Three Cases with a Brief Literature Review.

Science.gov (United States)

Yucel, Ahmet Fikret; Sunar, Haldun; Hut, Adnan; Kocakusak, Ahmet; Pergel, Ahmet; Barut, Gul; Dikici, Suleyman

2010-07-26

The most common tumors derived from the mesenchyme of the gastrointestinal system are stromal tumors. These tumors are typically seen in the stomach and small intestine and less frequently in the colon, rectum and esophagus and are very rarely located outside the gastrointestinal system. Cure is provided with complete surgical resection with resection borders free of tumor. Tumor size, mitotic index, localization, CD117 and CD34 negativity in immunohistochemical studies, mucosal ulceration and presence of necrosis help to predict recurrence of the illness and patient survival. In high-risk gastrointestinal stromal tumors (GISTs) there is an increased rate of recurrence and shortened survival despite complete surgical resection. Thus patients with a high-risk GIST should be given adjuvant therapy with imatinib mesylate. Sunitinib maleate is another FDA-approved agent only for cases who cannot tolerate imatinib or who are resistant to it. Herein we present three cases with GISTs in different locations of the gastrointestinal system with a review of the relevant literature.

Gastrointestinal Stromal Tumors with Unusual Localization: Report of Three Cases with a Brief Literature Review

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Ahmet Fikret Yucel

2010-07-01

Full Text Available The most common tumors derived from the mesenchyme of the gastrointestinal system are stromal tumors. These tumors are typically seen in the stomach and small intestine and less frequently in the colon, rectum and esophagus and are very rarely located outside the gastrointestinal system. Cure is provided with complete surgical resection with resection borders free of tumor. Tumor size, mitotic index, localization, CD117 and CD34 negativity in immunohistochemical studies, mucosal ulceration and presence of necrosis help to predict recurrence of the illness and patient survival. In high-risk gastrointestinal stromal tumors (GISTs there is an increased rate of recurrence and shortened survival despite complete surgical resection. Thus patients with a high-risk GIST should be given adjuvant therapy with imatinib mesylate. Sunitinib maleate is another FDA-approved agent only for cases who cannot tolerate imatinib or who are resistant to it. Herein we present three cases with GISTs in different locations of the gastrointestinal system with a review of the relevant literature.

Effect of conductor geometry on source localization: Implications for epilepsy studies

International Nuclear Information System (INIS)

Schlitt, H.; Heller, L.; Best, E.; Ranken, D.; Aaron, R.

1994-01-01

We shall discuss the effects of conductor geometry on source localization for applications in epilepsy studies. The most popular conductor model for clinical MEG studies is a homogeneous sphere. However, several studies have indicated that a sphere is a poor model for the head when the sources are deep, as is the case for epileptic foci in the mesial temporal lobe. We believe that replacing the spherical model with a more realistic one in the inverse fitting procedure will improve the accuracy of localizing epileptic sources. In order to include a realistic head model in the inverse problem, we must first solve the forward problem for the realistic conductor geometry. We create a conductor geometry model from MR images, and then solve the forward problem via a boundary integral equation for the electric potential due to a specified primary source. One the electric potential is known, the magnetic field can be calculated directly. The most time-intensive part of the problem is generating the conductor model; fortunately, this needs to be done only once for each patient. It takes little time to change the primary current and calculate a new magnetic field for use in the inverse fitting procedure. We present the results of a series of computer simulations in which we investigate the localization accuracy due to replacing the spherical model with the realistic head model in the inverse fitting procedure. The data to be fit consist of a computer generated magnetic field due to a known current dipole in a realistic head model, with added noise. We compare the localization errors when this field is fit using a spherical model to the fit using a realistic head model. Using a spherical model is comparable to what is usually done when localizing epileptic sources in humans, where the conductor model used in the inverse fitting procedure does not correspond to the actual head

Measurement of local blood flow and oxygen consumption in evolving irreversible cerebral infarction: an in vivo study in man

International Nuclear Information System (INIS)

Baron, J.C.; Rougemont, D.; Lebrun-Grandie, P.; Bousser, M.G.; Cabanis, E.; Bories, J.; Comar, D.; Castaigne, P.

1982-09-01

Positron emission tomography (PET) allows in vivo measurement of local cerebral blood flow (1CBF), oxygen consumption rate (1CMRO 2 ) and glucose utilisation (1CMRG1c) in man. Although 1CMRG1c is accessible in animals, this is not the case for 1CMRO 2 , an excellent index of local functional state. PET imaging of the local interrelationship of CBF and metabolism in completed ischemic stroke has attracted considerable interest because of its potential to differentiate irreversibly damaged from viable tissue on the basis of the CBF- metabolism patterns. Several qualitative or semi-quantitative pioneering studies provided a limited insight into this question, while the single truly quantitative study was only briefly reported. We report here a detailed study of the local CBF-CMRO 2 quantitative patterns in irreversibly infarcted brain regions

Socioeconomic impacts of nuclear generating stations: Crystal River Unit 3 case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Bergmann, P.A.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Crystal River Unit 3 nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Socioeconomic impacts of nuclear generating stations: Arkansas Nuclear One station case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Pijawka, K.D.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Arkansas Nuclear One nuclear power station. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Air quality impacted by local pollution sources and beyond - Using a prominent petro-industrial complex as a study case.

Science.gov (United States)

Chen, Sheng-Po; Wang, Chieh-Heng; Lin, Wen-Dian; Tong, Yu-Huei; Chen, Yu-Chun; Chiu, Ching-Jui; Chiang, Hung-Chi; Fan, Chen-Lun; Wang, Jia-Lin; Chang, Julius S

2018-05-01

The present study combines high-resolution measurements at various distances from a world-class gigantic petrochemical complex with model simulations to test a method to assess industrial emissions and their effect on local air quality. Due to the complexity in wind conditions which were highly seasonal, the dominant wind flow patterns in the coastal region of interest were classified into three types, namely northeast monsoonal (NEM) flows, southwest monsoonal (SEM) flows and local circulation (LC) based on six years of monitoring data. Sulfur dioxide (SO 2 ) was chosen as an indicative pollutant for prominent industrial emissions. A high-density monitoring network of 12 air-quality stations distributed within a 20-km radius surrounding the petrochemical complex provided hourly measurements of SO 2 and wind parameters. The SO 2 emissions from major industrial sources registered by the monitoring network were then used to validate model simulations and to illustrate the transport of the SO 2 plumes under the three typical wind patterns. It was found that the coupling of observations and modeling was able to successfully explain the transport of the industrial plumes. Although the petrochemical complex was seemingly the only major source to affect local air quality, multiple prominent sources from afar also played a significant role in local air quality. As a result, we found that a more complete and balanced assessment of the local air quality can be achieved only after taking into account the wind characteristics and emission factors of a much larger spatial scale than the initial (20 km by 20 km) study domain. Copyright © 2018 Elsevier Ltd. All rights reserved.

Strategy development for improving competitiveness of a Chinese local convenience store Case of Suguo Co., Ltd

OpenAIRE

Wang, Xiang; Ju, Wei

2014-01-01

The topic of the thesis is improving the competitiveness of the case company. We will regard Suguo as the case compamy. We focused on a Chinese local convenience store, and compared it in four perspectives with an international convenience store which has already entered the Chinese market successfully. The four perspectives are market perspective, customer perspective, management perspective, and decorative style perspective. In addition, we created a strategic map on the basis of the consum...

Viticulture – Challenge for Tourism Development (Znojmo Case Study Area

Directory of Open Access Journals (Sweden)

Miroslav Foret

2014-01-01

Full Text Available The article, which deals with the issue whether the viticulture can be the challenge for tourism development, is based on research conducted in Znojmo case study area (the Czech Republic. It starts with general introduction of wine tourism concept based on the selected results of the previous scientific researches. The second part of the article brings description of the methods and brief characterisation of case study area. The third part pays attention to the analyses of the selected statistical data showing importance of viticulture for the case study area. The main fourth part is focused on selected activities which are connected with projects developing wine tourism (especially vineyards and vine festivals, where cooperation of different actors is necessary and continues by analysing of the potential of more intensive development of wine tourism on example of the important actor in case study area – wine producer Znovín Znojmo. The conducted research shows strong local embededness and association of company with the tourism industry. The article concludes with general recommendations, which emphasize the importance of effective partnership of the different actors by successful development of wine tourism.

INTERSECTIONAL EMPOWERMENT: A CASE STUDY OF WOMEN IN LOCAL GOVERNANCE AND THE EVANGELICAL PRESBYTERIAN CHURCH, GHANA

OpenAIRE

Lolo, Dzifa Kweku

2015-01-01

This study explores the factors affecting the participation and representation of Anlo Ewe women in local-level politics in the Keta Municipality of Ghana. Generally, the low representation and participation of women in politics and public life can be considered a global issue; however, its impacts are more pronounced in Africa. Ghana is no exception, despite joining international conventions and treaties and the constitutional arrangements that women should be fairly represented in politics ...

Facial Localization of Malignant Chondroid Syringoma: A Rare Case Report

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Deniz Tural

2013-01-01

Full Text Available First described by Hirsch and Helwig in 1961, chondroid syringomas (CSs are rare, benign tumors of the skin arising from the eccrine sweat glands with tumor differentiation in the epithelial and mesenchymal tissues. They most commonly occur in the head and neck, although they may be also found in the axilla, trunk, limbs, and genitalia. The incidence of CS is <0.01% of all primary skin tumors. Malingnant chondroid syringomas (MCS, which are also called malignant mixed tumors of the skin, are extremely uncommon. MCSs commonly involve the limbs and rarely head and neck. In this article, we present a case of malignant chondroid syringoma localized in the face at the left nasolabial region in the light of literature review.

Local acceptance by people with unvoiced opinions living close to a wind farm: A case study from Japan

International Nuclear Information System (INIS)

Motosu, Memi; Maruyama, Yasushi

2016-01-01

The local acceptance of wind energy projects has received significant attention because local opposition is a barrier to implementing a wind energy project. To decrease objections from local residents, previous studies identified factors that evoke negative attitudes. However, little research has focused on the acceptance of people who remain silent. Therefore, the situation in which there is no marked opposition has been regarded as a success for the project. This research focused on the acceptance of people who are not objecting to a wind farm in their backyard and clarifies the implications of the silent situation. One of the principal findings is that while most of the respondents accept the existing local wind farm, they have negative attitudes towards a new wind farm. This result means that the silent situation does not support further wind development. We conclude that the purpose of consensus building needs to be set to encouraging local residents to express their opinions instead of simply aiming for the absence of opposing opinions. Finally, we discuss a council model through a budgetary provision, eliciting opinions from people who remain silent, and adaptable management as the policy implications for sustainable wind development. - Highlights: •We examined the acceptance of people with unvoiced opinions toward a wind project. •The silent situation does not support further wind farm construction. •Two factors were identified to maintain a receptive attitude. •A council model and eliciting opinions from people who remain silent are essential. •Adaptable management would contribute to promote further wind project development.

Case Study Research Methodology

Directory of Open Access Journals (Sweden)

Mark Widdowson

2011-01-01

Full Text Available Commenting on the lack of case studies published in modern psychotherapy publications, the author reviews the strengths of case study methodology and responds to common criticisms, before providing a summary of types of case studies including clinical, experimental and naturalistic. Suggestions are included for developing systematic case studies and brief descriptions are given of a range of research resources relating to outcome and process measures. Examples of a pragmatic case study design and a hermeneutic single-case efficacy design are given and the paper concludes with some ethical considerations and an exhortation to the TA community to engage more widely in case study research.

Project management case studies

CERN Document Server

Kerzner, Harold R

2013-01-01

A new edition of the most popular book of project management case studies, expanded to include more than 100 cases plus a ""super case"" on the Iridium Project Case studies are an important part of project management education and training. This Fourth Edition of Harold Kerzner''s Project Management Case Studies features a number of new cases covering value measurement in project management. Also included is the well-received ""super case,"" which covers all aspects of project management and may be used as a capstone for a course. This new edition:Contains 100-plus case studies drawn from re

A Comprehensive Framework for Information Technology Governance and Localizing it for Automotive Industry of Iran (Case Study: ATLAS Automotive Holding

Directory of Open Access Journals (Sweden)

Mohammad Mosakhani

2017-03-01

Full Text Available Due to the absence of a comprehensive framework for IT governance, the main objective of the study is to identify all components of IT governance and present them in the form of a comprehensive IT governance framework .The localization of provided framework for the automotive industry is the secondary objective of the study. In this regard, the research questions are: what is the comprehensive framework of IT governance? What are the components and dimensions of a comprehensive framework of IT governance? What is the localized comprehensive framework of IT governance for the Iranian automotive industry? All researches on IT governance were investigated using meta-synthesis qualitative method and were limited to 96 selected articles by performing a meta-synthesis process. Then, the five categories, 19 concepts and 79 codes of IT governance were identified through detailed study of these articles. Then, a comprehensive framework of IT governance was presented. For localizing, a questionnaire designed based on the identified IT governance components, and distributed among the automotive industry experts. Statistical hypothesis testing of collected data led to the rejection of cross/functional job rotation component in the automotive industry. To demonstrate the applicability of the framework, the IT governance status of ATLAS holding company was evaluated based on the comprehensive framework that localized for automotive industry.

Use of wound soaker catheters for the administration of local anesthetic for post-operative analgesia: 56 cases.

Science.gov (United States)

Abelson, Amanda L; McCobb, Emily C; Shaw, Scott; Armitage-Chan, Elizabeth; Wetmore, Lois A; Karas, Alicia Z; Blaze, Cheryl

2009-11-01

To describe the administration of local anesthetic through wound soaker catheters for post-operative veterinary patients and to characterize complications. Retrospective study of hospital records. Records of patients in which a wound soaker catheter was placed post-operatively between November 1, 2004 and July 1, 2006 at a veterinary teaching hospital. Records in which a limb amputation was performed between January 1, 2002 and August 1, 2007 and in which a wound soaker catheter was not placed were reviewed for historic control. A total of 56 cases were identified in which a wound soaker catheter was placed post-operatively including 52 dogs, 2 cats, and 2 goats. Twenty canine cases were identified in which limb amputation was performed and no wound soaker catheter was placed. The majority of surgical procedures for which a wound soaker catheter was placed included thoracic limb amputation (46.4%) and pelvic limb amputation (35.7%). Wound soaker catheters remained in place for an average of 1.6 +/- 0.5 days. Feline and caprine patients received intermittent bupivacaine boluses every 6 hours. Canine patients received continuous lidocaine infusions. Complications included disconnection of the catheter from the infusion (7.7%), one seroma, and one suspected lidocaine neurotoxicity. Incisional infections were noted in 3/56 (5.3%) limb amputations with wound soaker catheters placed which was not higher than the incisional infection rate found in the historic control cases 3/20 (15%). Use of the wound soaker catheter was a viable means of providing local analgesia in post-operative veterinary patients. Studies are needed to evaluate efficacy of pain management, and to further investigate techniques for catheter placement and maintenance which may help to optimize the analgesia achieved using this technique.

Is HIA the most effective tool to assess the impact on health of climate change mitigation policies at the local level? A case study in Geneva, Switzerland.

Science.gov (United States)

Diallo, Thierno; Cantoreggi, Nicola; Simos, Jean; Christie, Derek P T H

2017-06-01

This study aims to understand how the health dimension is integrated into four impact assessment tools used in Geneva, Switzerland: environmental impact assessment (EIA), strategic environmental assessment (SEA), sustainability assessment (SA) and health impact assessment (HIA). We have chosen as a case study greenhouse gas (GHG) emissions reduction policies chosen by the city of Geneva. The methodological approach consists in analysing EIA, SEA, SA and HIA conducted on three projects in three topic areas: urban planning, heating and transportation. These projects are: a complex urbanisation plan in an urban neighbourhood in Geneva (the Gare des Eaux-Vives project), a sustainable transportation plan for a central district in Geneva (the St-Gervais transportation project) and a strategy to encourage the City's employees to use sustainable transport for local business travel. The results show some shortcomings in the consideration of health in SEA, EIA and SA. This work highlights a narrow vision of health in SEA and EIA, limiting itself to a review of the effects of projects on the determinants of the physical environment as required by the legislation relating to these tools. EIA does not require the integration of the health dimension. As for SA, our research found that health is treated much more superficially than in HIA and primarily through the analysis of 'health and safety' criteria. It appears from this work that HIA is the tool which provides the most elaborate assessment, compared to SA, SEA or EIA, of the consequences for health of the GHG reduction policies chosen by the local decision-makers of a city. However, our study suggests that the HIA community should identify the situations in which HIA should be carried out and in which cases it is better to include health issues within an integrated analysis.

A study on the prediction capability of GOTHIC and HYCA3D code for local hydrogen concentrations

International Nuclear Information System (INIS)

Choi, Y. S.; Lee, W. J.; Lee, J. J.; Park, K. C.

2002-01-01

In this study the prediction capability of GOTHIC and HYCA3D code for local hydrogen concentrations was verified with experimental results. Among the experiments, executed by SNU and other organization inside and outside of the country, the fast transient and the obstacle cases are selected. In case of large subcompartment both the code show good agreement with the experimental data. But in case of small and complex geometry or fast transient the results of GOTHIC code have the large difference from experimental ones. This represents that GOTHIC code is unsuitable for these cases. On the contrary HTCA3D code agrees well with all the experimental data

Social work in diverse ethno-cultural contexts: a case study of Nigeria

African Journals Online (AJOL)

A case study of Nigeria was conducted to ascertain the impact of social work on the country's ethno-cultural diversity and its impartation of local knowledge to the profession via a triangulation technique, which involved searching for evidence of multicultural social work, culturally rooted social development, indigenous social ...

Increasing market share through consumer marketing: a case study in obstetrics.

Science.gov (United States)

Kingsley, V H

1986-05-01

Consumers are becoming ever more selective in their choice of health care providers. Hospitals that are aware of local preferences and how to reach and influence consumers will gain a competitive advantage. Outlined in this article are consumer marketing techniques that can be utilized for all product lines. The concept is applied here as a case study in obstetrics.

The overlooked knowledge: exploring knowledge circulation in the scaling up of Local Innovation: the case of beehive construction and queen replacement in Enebsie District, Ethiopia

NARCIS (Netherlands)

Getnet, A.

2008-01-01

The study here is set out to explore the facilitating and restraining factors for knowledge circulation in the scaling up of local innovation taking beehive and queen replacement innovation as case of the study in Enebsie district, Amhara region, Ethiopia. Appreciating farmers’ innovations and

Implementation of PV plants in Spain: a case study

OpenAIRE

Diez Mediavilla, Montserrat; Alonso Tristán, Cristina; Rodríguez Amigo, María del Carmen; Garcia Calderon, Teofilo

2010-01-01

The implementation process of a photovoltaic system and its connection to the national grid in Spain is examined from an economic, an administrative and a legal standpoint. In the first place, this case study describes the solar farm, and it goes on to examine the economic aspects of electricity production, its associated costs, and relevant grants and financial subsidies. Finally, problems related to the administration of the project and the issuing of permits by local and regional authoriti...

Infrastructure and Local Agenda 21: the Municipality of Albertslund in the Copenhagen Region

DEFF Research Database (Denmark)

Elle, Morten

1998-01-01

A case-study on how the visions of the professional flow managers and the central Local Agenda 21 actors interconnect.......A case-study on how the visions of the professional flow managers and the central Local Agenda 21 actors interconnect....

Geotourism, Medical Geology and local development: Cape Verde case study

Science.gov (United States)

Rocha, F.; Ferreira da Silva, E.

2014-11-01

Geotourism and Geoparks in particular are real opportunities to rural developments promoting the rate decline of unemployment and emigration through engaging the local communities in geopark activities and tourism marketing in the form of adventure tourism, ecotourism, rural tourism and health geotourism. Geotourism is closely linked with Medical Geology. The intake of minerals and chemical elements for food, water, soil (through geophagy) or dust can be accomplished by ingestion, inhalation or dermal absorption. Pelotherapy or “Mudtherapy” is the use of mud/clay for therapeutic applications, internal or external. Cape Verde archipelago is located in Atlantic ocean, 400 km westwards of Senegal coast. Geotourism is being developed, mainly focused on the development of a geopark in Fogo island huge caldera, but also trying to take advantage of their potentialities for Geomedecine. A cooperative program established between Cape Verde University (UCV) and Aveiro University (UA, Portugal) is under way, aiming, on a first stage, to identify Geotouristic potentialities and, on a second stage, to develop products. Geotourism is being developed, mainly focused on the development of a geopark in Fogo isl. huge caldera, but also trying to take advantage of their potentialities for Geomedecine.

[Case and studies].

Science.gov (United States)

Schubert, András

2015-11-15

Case studies and case reports form an important and ever growing part of scientific and scholarly literature. The paper deals with the share and citation rate of these publication types on different fields of research. In general, evidence seems to support the opinion that an excessive number of such publications may negatively influence the impact factor of the journal. In the literature of scientometrics, case studies (at least the presence of the term "case study" in the titles of the papers) have a moderate share, but their citation rate is practically equal to that of other publication types.

Local Foods and Food Cooperatives: Ethics, Economics and Competition Issues

OpenAIRE

Katchova, Ani L.; Woods, Timothy A.

2013-01-01

Consumer interest in locally produced foods marketed through local food networks has been increasing. Local food networks utilize local supply chains such as direct market sales to consumers through CSAs, farmers markets, farm stands, and other alternative outlets. Our goal is to examine the role of food cooperatives in strengthening the local food networks and distributing locally produced products. We utilize data from a national study which includes case studies with three leading food co-...

Socioeconomic impacts of nuclear generating stations: Nine Mile Point and Fitzpatrick case study. Technical report 1 Oct 78-4 Jan 82

International Nuclear Information System (INIS)

Branch, K.; Cochran, R.; Meale, R.

1982-07-01

The report documents a case study of the socioeconomic impacts of the construction and operation of the Nine Mile Point and Fitzpatrick nuclear power stations. It is part of a major post-licensing study of the socioeconomic impacts at twelve nuclear power stations. The case study covers the period beginning with the announcement of plans to construct the reactor and ending in the period, 1980-81. The case study deals with changes in the economy, population, settlement patterns and housing, local government and public services, social structure, and public response in the study area during the construction/operation of the reactor. A regional modeling approach is used to trace the impact of construction/operation on the local economy, labor market, and housing market. Emphasis in the study is on the attribution of socioeconomic impacts to the reactor or other causal factors. As part of the study of local public response to the construction/operation of the reactor, the effects of the Three Mile Island accident are examined

Case studies of Kenyan digital villages with a focus on women and ...

African Journals Online (AJOL)

areas are more vulnerable compared to those in urban areas (Project Africa, 2010). ... (2005) draw from a case study on stages of telecentre development in New Zealand. ..... that social networking sites are of major interest among users. .... equal society nonetheless, not much of this is done on regional or local levels.

Impacts of Educational Tourism on Local Community: The Case of Gazimagusa, North Cyprus.

OpenAIRE

Aliyeva, Gunay

2015-01-01

This study examined the impacts of educational tourism on the local community of Gazimagusa, North Cyprus through the cultural exchange that took place between local and international students. The study used an inductive approach in order to achieve a qualitative understanding of the research area. Semi-structured interviews with Turkish Cypriot students supplied valuable information about the experiences, beliefs, attitudes, behaviors, and perspectives of the local students.The findings ...

A multidisciplinary clinical treatment of locally advanced rectal cancer complicated with rectovesical fistula: a case report

Directory of Open Access Journals (Sweden)

Zhan Tiancheng

2012-10-01

Full Text Available Abstract Introduction Rectal cancer with rectovesical fistula is a rare and difficult to treat entity. Here, we describe a case of rectal cancer with rectovesical fistula successfully managed by multimodality treatment. To the best of our knowledge, this is the first such case report in the literature. Case presentation A 51-year-old Chinese man was diagnosed as having rectal cancer accompanied by rectovesical fistula. He underwent treatment with neoadjuvant radiochemotherapy combined with total pelvic excision and adjuvant chemotherapy, as recommended by a multimodality treatment team. Post-operative pathology confirmed the achievement of pathological complete response. Conclusions This case suggests that a proactive multidisciplinary treatment is needed to achieve complete cure of locally advanced rectal cancer even in the presence of rectovesical fistula.

STUDY CONCERNING THE EXECUTION OF LOCAL BUDGETS REVENUES

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Cristinel ICHIM

2013-12-01

Full Text Available Implementation of local budget revenues is a very important sub-phase of the local budgetary process its correct accomplishment ensures regularity and efficiency in revenue collection, which will cover the local budget expenditures. Through this scientific approach we intended to achieve an analysis of the implementation of revenues mobilized to the local budgets in Romania. The study started with fixing the concept of execution of budget revenues and defining its phases, and followed with the analysis of the implementation of local budget revenues in three levels, namely: the overall local budgets in Romania, at the city level and at the community level. We have to mention that the analysis of the execution of local budgets was done in 2011, based on existing data in the last occurrence of the Romanian Statistical Yearbook for 2012. The paper concluded with some considerations regarding the execution of local budgets revenues and some proposals for improving the collection of local income.

Deformation theory and local-global compatibility of Langlands correspondences

CERN Document Server

Luu, Martin

2015-01-01

The deformation theory of automorphic representations is used to study local properties of Galois representations associated to automorphic representations of general linear groups and symplectic groups. In some cases this allows to identify the local Galois representations with representations predicted by a local Langlands correspondence.

Building theories from case study research: the progressive case study

NARCIS (Netherlands)

Steenhuis, H.J.; de Bruijn, E.J.

2006-01-01

Meredith (1998) argues for more case and field research studies in the field of operations management. Based on a literature review, we discuss several existing approaches to case studies and their characteristics. These approaches include; the Grounded Theory approach which proposes no prior

New Century Local Government: Commonwealth Perspectives

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Gareth Wall

2014-07-01

Full Text Available This ambitious and highly informative volume is premised on both the seismic shift in the perceived developmental role of local government across the globe, and the challenges that local governments will face as their key role in achieving the post-2015 sustainable development goals is increasingly being recognised within the global policy fora. New Century Local Government brings together an impressively wide geographic spread of country case studies from across the four regions of the Commonwealth, and pulls together work by leading scholars of local government who are all members of the Commonwealth Local Government Research Advisory Group (CLGF-RAG. It provides a plethora of detailed country case studies arranged around three themes: decentralisation in the Caribbean, Pakistan and England, local government finance and local economic development in India, South Africa and Tanzania, and new approaches to governance in Canada, Australia and New Zealand. Not only do the papers provide detailed accounts of the changes in policy and practice within their focus country cases – but many of them, notably the papers by Brown, Reid, McKinlay and Sansom include a comparative perspective with developments from Commonwealth countries in other regions, which is one of the key strengths of the volume. It is also the raison d’être of comparative work across the countries of the Commonwealth, given the shared legal and administrative histories and the dominance of English as the academic and often administrative lingua franca. It would have been great to see more of the cross-regional and cross-country lessons being drawn out from across the contributions in a final concluding chapter, but the editors leave this to the reader – possibly to ensure they read the volume in full.

A GIS-based methodology for highlighting fuelwood supply/demand imbalances at the local level: A case study for Central Mexico

International Nuclear Information System (INIS)

Ghilardi, Adrian; Guerrero, Gabriela; Masera, Omar

2009-01-01

When fuelwood is harvested at a rate exceeding natural growth and inefficient conversion technologies are used, negative environmental and socio-economic impacts, such as fuelwood shortages, natural forests degradation and net GHG emissions arise. In this study, we argue that analyzing fuelwood supply/demand spatial patterns require multi-scale approaches to effectively bridge the gap between national results with local situations. The proposed methodology is expected to help 1) focusing resources and actions on local critical situations, starting from national wide analyses and 2) estimating, within statistically robust confidence bounds, the proportion of non-renewable harvested fuelwood. Starting from a previous work, we selected a county-based fuelwood hot spot in the Central Highlands of Mexico, identified from a national wide assessment, and developed a grid-based model in order to identify single localities that face concomitant conditions of high fuelwood consumption and insufficient fuelwood resources. By means of a multi-criteria analysis (MCA), twenty localities, out of a total of 90, were identified as critical in terms of six indicators related to fuelwood use and availability of fuelwood resources. Fuelwood supply/demand balances varied among localities from -16.2 ± 2.5 Gg y -1 to 4.4 ± 2.6 Gg y -1 , while fractions of non-renewable fuelwood varied from 0 to 96%. These results support the idea that balances and non-renewable fuelwood fractions (mandatory inputs for Clean Development Mechanism (CDM) cookstoves projects) must be calculated on a locality by locality basis if gross under or over-estimations want to be avoided in the final carbon accounting. (author)

Implementation of PV plants in Spain: A case study

Energy Technology Data Exchange (ETDEWEB)

Diez-Mediavilla, M.; Alonso-Tristan, C. [Dpto. Ingenieria Electromecanica, Escuela Politecnica Superior. Universidad de Burgos, Avda. Cantabria s/n, 09006 Burgos (Spain); Rodriguez-Amigo, M.C.; Garcia-Calderon, T. [Dpto. Matematicas y Computacion Escuela Politecnica Superior. Universidad de Burgos, Avda. Cantabria s/n, 09006 Burgos (Spain)

2010-05-15

The implementation process of a photovoltaic system and its connection to the national grid in Spain is examined from an economic, an administrative and a legal standpoint. In the first place, this case study describes the solar farm, and it goes on to examine the economic aspects of electricity production, its associated costs, and relevant grants and financial subsidies. Finally, problems related to the administration of the project and the issuing of permits by local and regional authorities are discussed. (author)

OPPORTUNITIES OF LOCAL DEVELOPMENT USING NATURAL AND ANTHROPOGENIC RESOURCES IN TOURISM ACTIVITIES. CASE STUDY: ULMENI, MARAMUREŞ

Directory of Open Access Journals (Sweden)

Diana Mihaela MOJOLIC

2013-06-01

Full Text Available Ulmeni locality, that became town less than a decade ago, still shows, to a high degree, the general aspects of a rural locality, where agriculture is the main economic component. As capital city of the administrative-territorial division with the same name, Ulmeni town directs the activities of the entire territory. Possessing natural resources marked by the presence of Somes River and the existence of well-wooded areas, as well as anthropogenic resources embodied in values of the national heritage: museums, monuments, religious structures, folk activities, there is the possibility of providing the impulse of local development by means of tourism activities and the awareness of the need to revitalize the entire community.

PONDS AND CLIMATE, THE GEOGRAPHICAL ASCENDANCY RELATIONSHIP (“LA BRENNE” CASE STUDY, FRANCE

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Laurent TOUCHART

2012-03-01

Full Text Available Ponds and climate, the geographical ascendancy relationship (“La Brenne” case study, France. The climate influences markedly the volume of water ponds and lakes. However, the role and the influence of "small" water areas, and areas of ponds on the local climate remain poorly understood. Scientific studies for the Great Lakes have been made. Moreover, scientific studies on «small» water areas and areas of ponds do not exist until today. A first approach to study the area of ponds of “La Brenne” (Central Region, France was performed. The monthly climate data from some meteorological stations, with the reference station of “Issoudun”, located away from areas of ponds, were the basis of our analysis. The study focuses on the most representative climatic parameters. These are the temperature, precipitation and relative humidity. This first approach is used to distinguish and clarify the most important cases and relevant parameters in order to achieve a typology of criteria. Our results will be used for further study and quantify the real influence of "small" water areas and areas of ponds on the elements of the local climate.

AUDIT OF MUNICIPALITIES AND LOCAL GOVERNMENT UNITS - THE CASE STUDY OF THE CZECH REPUBLIC

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Richard POSPISIL

2017-05-01

Full Text Available Public economics examines the influence of the state on economic equality and efficiency, and on conduction of business entities in connection with the various tax systems and individual behavior in private consumption. To manage the public economy is thorough knowledge of the real decision-making and allocation mechanisms. From a budgetary perspective, the public economy in the Czech Republic is characterized mainly by the state budget, 6,249 municipal budgets and 14 budgets of local government units. These all units are together subject to annual statutory audit, which mainly represents the analysis of the system of the Audit informative and monitoring indicators (ASIMI. The paper analyzes the outcome of the audit with the use of absolute and relative indicators and suggests possible changes and consolidation of municipal and local government budgets in the Czech Republic.

Sustainability at the local scale: defining highly aggregated indices for assessing environmental performance. The province of Reggio Emilia (Italy) as a case study.

Science.gov (United States)

Clerici, Nicola; Bodini, Antonio; Ferrarini, Alessandro

2004-10-01

In order to achieve improved sustainability, local authorities need to use tools that adequately describe and synthesize environmental information. This article illustrates a methodological approach that organizes a wide suite of environmental indicators into few aggregated indices, making use of correlation, principal component analysis, and fuzzy sets. Furthermore, a weighting system, which includes stakeholders' priorities and ambitions, is applied. As a case study, the described methodology is applied to the Reggio Emilia Province in Italy, by considering environmental information from 45 municipalities. Principal component analysis is used to condense an initial set of 19 indicators into 6 fundamental dimensions that highlight patterns of environmental conditions at the provincial scale. These dimensions are further aggregated in two indices of environmental performance through fuzzy sets. The simple form of these indices makes them particularly suitable for public communication, as they condensate a wide set of heterogeneous indicators. The main outcomes of the analysis and the potential applications of the method are discussed.

Approaches to dog health education programs in Australian rural and remote Indigenous communities: four case studies.

Science.gov (United States)

Constable, S E; Dixon, R M; Dixon, R J; Toribio, J-A

2013-09-01

Dog health in rural and remote Australian Indigenous communities is below urban averages in numerous respects. Many Indigenous communities have called for knowledge sharing in this area. However, dog health education programs are in their infancy, and lack data on effective practices. Without this core knowledge, health promotion efforts cannot progress effectively. This paper discusses a strategy that draws from successful approaches in human health and indigenous education, such as dadirri, and culturally respectful community engagement and development. Negotiating an appropriate education program is explored in its practical application through four case studies. Though each case was unique, the comparison of the four illustrated the importance of listening (community consultation), developing and maintaining relationships, community involvement and employment. The most successful case studies were those that could fully implement all four areas. Outcomes included improved local dog health capacity, local employment and engagement with the program and significantly improved dog health.

Tourism Village Model Based on Local Indigenous: Case Study of Nongkosawit Tourism Village, Gunungpati, Semarang

Science.gov (United States)

Kurniasih; Nihayah, Dyah Maya; Sudibyo, Syafitri Amalia; Winda, Fajri Nur

2018-02-01

Officially, Nongkosawit Village has become a tourism village since 2012. However, the economic impact has not been received by the society yet because of inappropriate tourism village model. Therefore, this study aims to find out the best model for the development of Nongkosawit Tourism Village. This research used Analytical Hierarchy Process method. The results of this research shows that the model of tourism village which was suitable to the local indigenous of Nongkosawit Tourism Village was the cultural based tourism village with the percentage of 58%. Therefore, it is necessary to do re-orientation from the natural-based village model into the cultural-based village model by raising and exploring the existing culture through unique and different tourism products.

Two-port Laparoscopic-assisted Appendicectomy Under Local ...

African Journals Online (AJOL)

Journal of Surgical Technique and Case Report | Jul-Dec 2011 | Vol-3 | Issue-2. 84. Two-port Laparoscopic-assisted ... appendicectomy (LAA) using the two-port technique under local anesthesia in adults. As a pilot study we .... of failure are the reasons for avoidance of using local anesthesia for surgical procedures.

Oncoplastic round block technique has comparable operative parameters as standard wide local excision: a matched case-control study.

Science.gov (United States)

Lim, Geok-Hoon; Allen, John Carson; Ng, Ruey Pyng

2017-08-01

Although oncoplastic breast surgery is used to resect larger tumors with lower re-excision rates compared to standard wide local excision (sWLE), criticisms of oncoplastic surgery include a longer-albeit, well concealed-scar, longer operating time and hospital stay, and increased risk of complications. Round block technique has been reported to be very suitable for patients with relatively smaller breasts and minimal ptosis. We aim to determine if round block technique will result in operative parameters comparable with sWLE. Breast cancer patients who underwent a round block procedure from 1st May 2014 to 31st January 2016 were included in the study. These patients were then matched for the type of axillary procedure, on a one to one basis, with breast cancer patients who had undergone sWLE from 1st August 2011 to 31st January 2016. The operative parameters between the 2 groups were compared. 22 patients were included in the study. Patient demographics and histologic parameters were similar in the 2 groups. No complications were reported in either group. The mean operating time was 122 and 114 minutes in the round block and sWLE groups, respectively (P=0.64). Length of stay was similar in the 2 groups (P=0.11). Round block patients had better cosmesis and lower re-excision rates. A higher rate of recurrence was observed in the sWLE group. The round block technique has comparable operative parameters to sWLE with no evidence of increased complications. Lower re-excision rate and better cosmesis were observed in the round block patients suggesting that the round block technique is not only comparable in general, but may have advantages to sWLE in selected cases.

Local knowledge, science, and institutional change: the case of desertification control in Northern China.

Science.gov (United States)

Yang, Lihua

2015-03-01

This article studies the influence of local knowledge on the impact of science on institutional change in ecological and environmental management. Based on an empirical study on desertification control in 12 counties in north China, the study found the following major results: (1) although there was a cubic relationship between the extent and effect of local knowledge, local knowledge significantly influenced the impact of science on institutional change; (2) local knowledge took effect mainly through affecting formal laws and regulations, major actors, and methods of desertification control in institutional change but had no significant impact on the types of property rights; and (3) local knowledge enhanced the impact of science on the results of desertification control through affecting the impact of science on institutional change. These findings provide a reference for researchers, policy makers, and practitioners, both in China and in other regions of the world, to further explore the influence of local knowledge on the impact of science on institutional change and the roles of local knowledge or knowledge in institutional change and governance.

Long-term follow-up after surgery in localized laryngeal amyloidosis

NARCIS (Netherlands)

Hazenberg, Aldert J. C.; Hazenberg, Bouke P. C.; Dikkers, Frederik G.

2016-01-01

To study effectiveness of surgery and watchful waiting in localized laryngeal amyloidosis, retrospective case series. This retrospective study comprises all consecutive patients with localized laryngeal amyloidosis surgically treated in a tertiary hospital between 1994 and February 2016. Recurrence

Long-term follow-up after surgery in localized laryngeal amyloidosis

NARCIS (Netherlands)

Hazenberg, Aldert J. C.; Hazenberg, Bouke P. C.; Dikkers, Frederik G.

To study effectiveness of surgery and watchful waiting in localized laryngeal amyloidosis, retrospective case series. This retrospective study comprises all consecutive patients with localized laryngeal amyloidosis surgically treated in a tertiary hospital between 1994 and February 2016. Recurrence

Local Risk-Minimization for Defaultable Claims with Recovery Process

International Nuclear Information System (INIS)

Biagini, Francesca; Cretarola, Alessandra

2012-01-01

We study the local risk-minimization approach for defaultable claims with random recovery at default time, seen as payment streams on the random interval [0,τ∧T], where T denotes the fixed time-horizon. We find the pseudo-locally risk-minimizing strategy in the case when the agent information takes into account the possibility of a default event (local risk-minimization with G-strategies) and we provide an application in the case of a corporate bond. We also discuss the problem of finding a pseudo-locally risk-minimizing strategy if we suppose the agent obtains her information only by observing the non-defaultable assets.

Localization, correlation, and visualization of electroencephalographic surface electrodes and brain anatomy in epilepsy studies

Science.gov (United States)

Brinkmann, Benjamin H.; O'Brien, Terence J.; Robb, Richard A.; Sharbrough, Frank W.

1997-05-01

Advances in neuroimaging have enhanced the clinician's ability to localize the epileptogenic zone in focal epilepsy, but 20-50 percent of these cases still remain unlocalized. Many sophisticated modalities have been used to study epilepsy, but scalp electrode recorded electroencephalography is particularly useful due to its noninvasive nature and excellent temporal resolution. This study is aimed at specific locations of scalp electrode EEG information for correlation with anatomical structures in the brain. 3D position localizing devices commonly used in virtual reality systems are used to digitize the coordinates of scalp electrodes in a standard clinical configuration. The electrode coordinates are registered with a high- resolution MRI dataset using a robust surface matching algorithm. Volume rendering can then be used to visualize the electrodes and electrode potentials interpolated over the scalp. The accuracy of the coordinate registration is assessed quantitatively with a realistic head phantom.

Local Politics and Religion in Papua

Directory of Open Access Journals (Sweden)

Idrus Al Hamid

2013-08-01

Full Text Available Local political conflicts become an integral part of Indonesia. Various cause roots are assumed come from a religious dimension, in addition to ethnicity. In cases of Jayapura, Papua, local political dimensions of the conflict was obviously display as factors that religion should be integrating factor, but in fact religion become disintegrating factor. The various power of groups interconnect with a religious impulse that local political tensions grew louder and spread. The aim of this study is to describe analytically about the emergence of a strain on the local level in Jayapura Papua in the field of religion. To elaborate the analysis in this article, the excavation data through in-depth interviews, focus group discussion, and literature studies or documents on issues that occur on local level.

High risk human papillomavirus in the periodontium : A case control study

Directory of Open Access Journals (Sweden)

Anna Shipilova

2017-01-01

Full Text Available Background: Human papilloma viruses (HPVs are small DNA viruses that have been identified in periodontal pocket as well as gingival sulcus. High risk HPVs are also associated with a subset of head and neck carcinomas. It is thought that the periodontium could be a reservoir for HPV. Aims: 1. Detection of Human Papilloma virus (HPV in periodontal pocket as well as gingival of patients having localized chronic periodontitis and gingival sulcus of periodontally healthy subjects. 2. Quantitative estimation of E6 and E7 mRNA in subjects showing presence of HPV3. To assess whether periodontal pocket is a reservoir for HPV. Settings and Design: This case-control study included 30 subjects with localized chronic Periodontitis (cases and 30 periodontally healthy subjects (controls. Two samples were taken from cases, one from periodontal pocket and one from gingival sulcus and one sample was taken from controls. Methods and Materials: Samples were collected in the form of pocket scrapings and gingival sulcus scrapings from cases and controls respectively. These samples were sent in storage media for identification and estimation of E6/E7 mRNA of HPV using in situ hybridization and flow cytometry. Statistical analysis: Statistical analysis was done by using, mean, percentage and Chi Square test. A statistical package SPSS version 13.0 was used to analyze the data. P value < 0.05 was considered as statistically significant. Results: pocket samples as well as sulcus samples for both cases and controls were found to contain HPV E6/E7 mRNAInterpretation and Conclusion: Presence of HPV E6/E7 mRNA in periodontium supports the hypothesis that periodontal tissues serve as a reservoir for latent HPV and there may be a synergy between oral cancer, periodontitis and HPV. However prospective studies are required to further explore this link.

Localized gastric amyloidosis differentiated histologically from scirrhous gastric cancer using endoscopic mucosal resection: a case report

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Kamata Tsugumasa

2012-08-01

Full Text Available Abstract Introduction Amyloidosis most often manifests as a systemic involvement of multiple tissues and organs, and an amyloidal deposit confined to the stomach is extremely rare. It is sometimes difficult to provide a definitive diagnosis of localized gastric amyloidosis by biopsy specimen and diagnosis of amyloidosis in some cases has been finalized only after surgical resection of the stomach. Case presentation A 76-year-old Japanese woman with epigastric discomfort underwent an esophagogastroduodenoscopy procedure. The esophagogastroduodenoscopy revealed gastric wall thickening, suggesting scirrhous gastric carcinoma, at the greater curvature from the upper to the lower part of the gastric corpus. A biopsy specimen revealed amyloid deposits in the submucosal layer with no malignant findings. We resected a representative portion of the lesion by endoscopic mucosal resection using the strip biopsy method to obtain sufficient tissue specimens, and then conducted a detailed histological evaluation of the samples. The resected specimens revealed deposition of amyloidal materials in the gastric mucosa and submucosa without any malignant findings. Congo red staining results were positive for amyloidal protein and exhibited green birefringence under polarized light. Congo red staining with prior potassium permanganate incubation confirmed the light chain (AL amyloid protein type. Based on these results, gastric malignancy, systemic amyloidosis and amyloid deposits induced by inflammatory disease were excluded and this lesion was consequently diagnosed as localized gastric amyloidosis. Our patient was an older woman and there were no findings relative to an increase in gastrointestinal symptoms or anemia, so no further treatment was performed. She continued to be in good condition without any finding of disease progression six years after verification of our diagnosis. Conclusions We report an unusual case of primary amyloidosis of the stomach

Integrating the environment in local strategic planning : Guidelines (Case of Morocco)

Science.gov (United States)

Benbrahim, Hafsa

2018-05-01

Since 2010, an advanced regionalization project has been initiated by Morocco, which plans to consolidate the processes of decentralization and deconcentration by extending the powers of the regions and other local authorities. This project, institutionalized in the 2011 Constitution, defines the territorial organization of the Kingdom and reinforces decentralization according to a model of advanced regionalization. Through advanced regionalization, Morocco aims at integrated and sustainable development in economic, social, cultural and environmental terms, through the development of the potential and resources of each region. However, in order to honor this commitment of advanced regionalization, local authorities must be assisted in adopting a local strategic planning approach, allowing them to develop territorial plans for sustainable development in accordance with the national legal framework, specifically the Framework law 99-12, and international commitments in terms of environmental protection. This research deals with the issue of environmental governance in relation to the role and duties of local authorities. Thus, the main goal of our study is to present the guidelines to be followed by the local authorities to improve the quality of the environment integration process in the local strategic planning with the aim of putting it in a perspective of sustainable development.

Distributed and localized horizontal tectonic deformation as inferred from drainage network geometry and topology: A case study from Lebanon

Science.gov (United States)

Goren, Liran; Castelltort, Sébastien; Klinger, Yann

2016-04-01

Partitioning of horizontal deformation between localized and distributed modes in regions of oblique tectonic convergence is, in many cases, hard to quantify. As a case study, we consider the Dead Sea Fault System that changes its orientation across Lebanon and forms a restraining bend. The oblique deformation along the Lebanese restraining bend is characterized by a complex suite of tectonic structures, among which, the Yammouneh fault, is believed to be the main strand that relays deformation from the southern section to the northern section of the Dead Sea Fault System. However, uncertainties regarding slip rates along the Yammouneh fault and strain partitioning in Lebanon still prevail. In the current work we use the geometry and topology of river basins together with numerical modeling to evaluate modes and rates of the horizontal deformation in Mount Lebanon that is associated with the Arabia-Sinai relative plate motion. We focus on river basins that drain Mount Lebanon to the Mediterranean and originate close to the Yammouneh fault. We quantify a systematic counterclockwise rotation of these basins and evaluate drainage area disequilibrium using an application of the χ mapping technique, which aims at estimating the degree of geometrical and topological disequilibrium in river networks. The analysis indicates a systematic spatial pattern whereby tributaries of the rotated basins appear to experience drainage area loss or gain with respect to channel length. A kinematic model that is informed by river basin geometry reveals that since the late Miocene, about a quarter of the relative plate motion parallel to the plate boundary has been distributed along a wide band of deformation to the west of the Yammouneh fault. Taken together with previous, shorter-term estimates, the model indicates little variation of slip rate along the Yammouneh fault since the late Miocene. Kinematic model results are compatible with late Miocene paleomagnetic rotations in western

Local E11

International Nuclear Information System (INIS)

Riccioni, Fabio; West, Peter

2009-01-01

We give a method of deriving the field-strengths of all massless and massive maximal supergravity theories in any dimension starting from the Kac-Moody algebra E 11 . Considering the subalgebra of E 11 that acts on the fields in the non-linear realisation as a global symmetry, we show how this is promoted to a gauge symmetry enlarging the algebra by the inclusion of additional generators. We show how this works in eleven dimensions, and we call the resulting enlarged algebra E 11 local . Torus reduction to D dimensions corresponds to taking a subalgebra of E 11 local , called E 11,D local , that encodes the full gauge algebra of the corresponding D-dimensional massless supergravity. We show that each massive maximal supergravity in D dimensions is a non-linear realisation of an algebra E-tilde 11,D local . We show how this works in detail for the case of Scherk-Schwarz reduction of IIB to nine dimensions, and in particular we show how E-tilde 11,9 local arises as a subalgebra of the algebra E 11,10B local associated to the ten-dimensional IIB theory. This subalgebra corresponds to taking a combination of generators which is different to the massless case. We then show that E-tilde 11,D local appears as a deformation of the massless algebra E 11,D local in which the commutation relations between the E 11 and the additional generators are modified. We explicitly illustrate how the deformed algebra is constructed in the case of massive IIA and of gauged five-dimensional supergravity. These results prove the naturalness and power of the method.

Surgical Management of Localized Scleroderma.

Science.gov (United States)

Lee, Jae Hyun; Lim, Soo Yeon; Lee, Jang Hyun; Ahn, Hee Chang

2017-09-01

Localized scleroderma is characterized by a thickening of the skin from excessive collagen deposits. It is not a fatal disease, but quality of life can be adversely affected due to changes in skin appearance, joint contractures, and, rarely, serious deformities of the face and extremities. We present six cases of localized scleroderma in face from our surgical practice. We reviewed six localized scleroderma cases that were initially treated with medication and then received follow-up surgery between April 2003 and February 2015. Six patients had facial lesions. These cases presented with linear dermal sclerosis on the forehead, oval subcutaneous and dermal depression in the cheek. En coup de sabre (n=4), and oval-shaped lesion of the face (n=2) were successfully treated. Surgical methods included resection with or without Z-plasty (n=3), fat graft (n=1), dermofat graft (n=1), and adipofascial free flap (n=1). Deformities of the affected parts were surgically corrected without reoccurrence. We retrospectively reviewed six cases of localized scleroderma that were successfully treated with surgery. And we propose an algorithm for selecting the best surgical approach for individual localized scleroderma cases. Although our cases were limited in number and long-term follow-up will be necessary, we suggest that surgical management should be considered as an option for treating scleroderma patients.

EcoMobility. Changwon 2011 World Congress on Mobility for the Future of Sustainable Cities. A Series of Local Cases

Energy Technology Data Exchange (ETDEWEB)

NONE

2011-11-15

More than 390 participants from around the world gathered in Changwon, Republic of Korea to share ideas on sustainable mobility and discuss creative solutions for the future. On the occasion of this global multi-stakeholder forum ICLEI published a series of local case stories to showcase leading visionaries for EcoMobility. These local case stories provide a deeper insight into the practices of sustainable mobility and serve as a source of inspiration for innovative transport solutions. Included are 14 outstanding examples from: Ahmedabad, India; Bologna, Italy; Bremen, Germany; Curitiba, Brazil; Freiburg, Germany; Gaevle, Sweden; Hangzhou, China; La Rochelle, France; London, UK; Lund, Sweden; Portland, USA; Seoul, Republic of Korea; Stockholm, Sweden; and Vancouver, Canada.

Traveling magnetospheric convection twin vortices: Another case study, global characteristics, and a model

International Nuclear Information System (INIS)

Glassmeier, K.H.; Heppner, C.

1992-01-01

A case study of a transient geomagnetic field variation event associated with a traveling magnetospheric convection twin vortex is presented. The characteristics of this event are different from those of other presented cases, as the sense of rotation of the associated ionospheric current system is reversed, that is, it exhibits upward (downward) field-aligned currents in the tailward (dayside) part of the vortex structure. In particular, a clear tailward motion at high latitudes can be deduced from local as well as global magnetic field observations. At low dayside latitudes, magnetic field variations similar to sudden impulse (SI) variations are recorded. Almost simultaneous onset and no westward propagation are observed, too. As possible source mechanisms of such transient events, localized magnetic field reconnection as well as pressure pulses at the dayside magnetopause are discussed. If the switch-on of magnetic reconnection can be regarded as equivalent to an equivalent current flowing against the existing magnetopause current and if this countercurrent is spatially localized, an Alfven wave is generated with downward (upward) field-aligned current flow in the tailward (dayside) par of the wave, as observed for some of the reported transients. However, the SI-like behavior of the event studied in this paper, its reversed sense of rotation, and the vortex associated field-aligned current density excludes such localized magnetic reconnection as a possible source mechanism and argues in favor of the existence of pressure pulses at the magnetopause

Cardiac rehabilitation with a nurse case manager (GoHeart) across local and regional health authorities improves risk factors, self-care and psychosocial outcomes. A one-year follow-up study

DEFF Research Database (Denmark)

Hansen, Vibeke Brogaard; Maindal, Helle Terkildsen

2014-01-01

%). MAIN OUTCOME MEASURES: Cardiac risk factors, stratified self-care and self-reported psychosocial factors (SF12 and Hospital Anxiety and Depression Scale (HADS)) were assessed at admission (phase IIa), at three months at discharge (phase IIb) and at one-year follow-up (phase III). Intention.......01), self-care management (p depression symptoms (p ...OBJECTIVES: In Denmark, the local and regional health authorities share responsibility for cardiac rehabilitation (CR). The objective was to assess effectiveness of CR across sectors coordinated by a nurse case manager (NCM). DESIGN: A one-year follow-up study. SETTING: A CR programme (Go...

Financing Options and Development Projects in the Nigerian Local ...

African Journals Online (AJOL)

This study is an investigation into the impact of Nigerian local government financing options on successful execution of development projects. Through the ordinary least square regression analysis, the study proved that though there is an established case of underfunding in the entire Nigerian local government system, the ...

Local development, post conflict and sustainable cities. Case study about Neiva-Huila (Colombia

Directory of Open Access Journals (Sweden)

Fernando Sánchez

2016-12-01

Revised the last three (3 Municipal Development Plans of the Municipality of Neiva, in particular, Development Plan 2012-2015: “United to improve”; isolated actions are considered to be weak compared to a strong program on local development for not having adopted the Emerging or Sustainable Cities initiative supported by the Inter-American Development Bank-IDB in partnership with The Territorial Development Finance (Findeter, instruments that have already implemented cities in Colombia and Latin American.

Establishing a local authority market for green power

International Nuclear Information System (INIS)

Turnbull, A.; Evans, N.

1999-01-01

This report summarises the findings of a project examining ways to maximise the potential local authority market for green power by investigating procurement and supply issues, and also surveying local authorities engaged in green power procurement and green electricity suppliers. A review of the local authority procurement process is presented, and the way in which procurement practices had to be adapted to allow local authorities to purchase green power is explored. Appendices give details of the questionnaires used with 22 local authorities, five case study local authorities, and the green suppliers

Establishing a local authority market for green power

Energy Technology Data Exchange (ETDEWEB)

Turnbull, A.; Evans, N.

1999-07-01

This report summarises the findings of a project examining ways to maximise the potential local authority market for green power by investigating procurement and supply issues, and also surveying local authorities engaged in green power procurement and green electricity suppliers. A review of the local authority procurement process is presented, and the way in which procurement practices had to be adapted to allow local authorities to purchase green power is explored. Appendices give details of the questionnaires used with 22 local authorities, five case study local authorities, and the green suppliers .

Blueprint for the development of low carbon society scenarios for Asian regions- case study of Iskandar Malaysia

International Nuclear Information System (INIS)

Ho, C S; Chau, L W; Teh, B T; Matsuoka, Y; Simson, J J; Gomi, K

2013-01-01

Malaysian government aims to reduce 40% reduction of carbon emission intensity by the year 2020 using 2005 as the base year. Several mitigation and adaptation strategies in addressing environmental and climate change are formulated at national, regional and local level to mitigate greenhouse gases. This paper aims to examine local and regional resilient policy actions to reduce greenhouse gases using the empirical case of Iskandar Malaysia. The study case is selected because it is one of the fast developing economic corridor regions in Malaysia. In this study, a low carbon society blueprint is initiated to guide the rapid development of this economic corridor towards low carbon green growth. The blueprint provides the sustainable green growth roadmap with major 12 actions for the region. It is done through a bottom-up approach where stakeholder discussions are carried out to allow local communities participation in the plan formulation.

Blueprint for the development of low carbon society scenarios for Asian regions- case study of Iskandar Malaysia

Science.gov (United States)

Ho, C. S.; Matsuoka, Y.; Chau, L. W.; Teh, B. T.; Simson, J. J.; Gomi, K.

2013-06-01

Malaysian government aims to reduce 40% reduction of carbon emission intensity by the year 2020 using 2005 as the base year. Several mitigation and adaptation strategies in addressing environmental and climate change are formulated at national, regional and local level to mitigate greenhouse gases. This paper aims to examine local and regional resilient policy actions to reduce greenhouse gases using the empirical case of Iskandar Malaysia. The study case is selected because it is one of the fast developing economic corridor regions in Malaysia. In this study, a low carbon society blueprint is initiated to guide the rapid development of this economic corridor towards low carbon green growth. The blueprint provides the sustainable green growth roadmap with major 12 actions for the region. It is done through a bottom-up approach where stakeholder discussions are carried out to allow local communities participation in the plan formulation.

The local impacts of oil palm expansion in Malaysia; An assessment based on a case study in Sabah State

NARCIS (Netherlands)

Dayang Norwana, A.A.B.; Kanjappan, R.; Chin, M.; Schoneveld, G.C.; Potter, L.; Andriani, R.

2011-01-01

This study is part of a broader research process assessing the local economic, social and environmental impacts from feedstock expansion for the growing biofuel sector (see German et al. 2011). Nonetheless, in the Malaysian context, biofuel production volumes are negligible despite government

Estimating Aquifer Storage and Recovery (ASR Regional and Local Suitability: A Case Study in Washington State, USA

Directory of Open Access Journals (Sweden)

Maria T. Gibson