WorldWideScience

Sample records for multilateral monitoring exercise

  1. Diverse Multilateralism

    DEFF Research Database (Denmark)

    Wuthnow, Joel; Li, Xin; Qi, Lingling

    2012-01-01

    This article addresses Chinas multilateral diplomacy by identifying four distinct strategies: watching, engaging, circumventing, and shaping. The typology builds on two literatures: power transition theory, and the more recent “assertiveness” discourse in the West. Drawing from a range of cases...... in both the economic and security domains, the article argues that China’s multilateralism is diverse, and that it cannot be un-problematically characterized as either status-quo or revisionist in nature. However, the general trend appears to be towards engagement, but with an assertive tact as China...

  2. Multilateral disarmament verification

    International Nuclear Information System (INIS)

    Persbo, A.

    2013-01-01

    Non-governmental organisations, such as VERTIC (Verification Research, Training and Information Centre), can play an important role in the promotion of multilateral verification. Parties involved in negotiating nuclear arms accords are for the most part keen that such agreements include suitable and robust provisions for monitoring and verification. Generally progress in multilateral arms control verification is often painstakingly slow, but from time to time 'windows of opportunity' - that is, moments where ideas, technical feasibility and political interests are aligned at both domestic and international levels - may occur and we have to be ready, so the preparatory work is very important. In the context of nuclear disarmament, verification (whether bilateral or multilateral) entails an array of challenges, hurdles and potential pitfalls relating to national security, health, safety and even non-proliferation, so preparatory work is complex and time-greedy. A UK-Norway Initiative was established in order to investigate the role that a non-nuclear-weapon state such as Norway could potentially play in the field of nuclear arms control verification. (A.C.)

  3. The International multilateral relationships

    International Nuclear Information System (INIS)

    Asty, M.; Lacoste, A.C.; Gauvain, J.; Scherrer, J.; Baer, A.J.; Thiebaud, Ph.; Delattre, D.; Domaratzki, Z.; Pretre, S.; Serviere, G.; Currie, J.; Martin, A.; Bye, R.; Williams, L.; Lacoste, A.C.

    2000-01-01

    Great multilateral organizations, at the end of the fifties to promote nuclear energy for peaceful uses, made structures in charge of promoting the exchanges in the field of safety. The Safety Authority takes part in numerous activities of these organisms with the double objective to know the practices of other ones and to make their own practices known. However, its limited means oblige to make choices among these ones that are proposed, on taking into account the specificities of each organism and on seeing not to be implied in promoting activities for nuclear energy. After the Chernobyl accident, the international community needed to conclude incentive conventions reminding of the liabilities of states in matter of nuclear safety. The first meeting of contracting parts at the Convention on nuclear safety in april 1999 has shown the high level of opening in which the countries considered their obligations. (N.C.)

  4. Multilateral and bilateral agreements

    International Nuclear Information System (INIS)

    Koponen, H.

    1993-01-01

    Finland has made both multilateral and bilateral agreements on the exchange of information related to radiation safety. The first arrangements for international agreements and exchange of information were made after the Chernobyl accident. In 1987, Finland joined the convention on early notification of a nuclear power accident coordinated by International Atomic Energy Agency. The convention is applied to accidents that cause of may cause emissions of radioactive substances that might affect the radiation safety of another country. Besides the convention on early notification, some other individual agreements have also been made. These include the International Nuclear Event Scale (INES) system and power companies own information exchange systems. Finland has conducted bilateral agreements with the Nordic countries and the Soviet Union on the notification of accidents and exchange of nuclear power plant information. Today, Russia answers for the Soviet Union's contractual obligations. (orig.)

  5. Validity of Wearable Activity Monitors during Cycling and Resistance Exercise.

    Science.gov (United States)

    Boudreaux, Benjamin D; Hebert, Edward P; Hollander, Daniel B; Williams, Brian M; Cormier, Corinne L; Naquin, Mildred R; Gillan, Wynn W; Gusew, Emily E; Kraemer, Robert R

    2018-03-01

    The use of wearable activity monitors has seen rapid growth; however, the mode and intensity of exercise could affect the validity of heart rate (HR) and caloric (energy) expenditure (EE) readings. There is a lack of data regarding the validity of wearable activity monitors during graded cycling regimen and a standard resistance exercise. The present study determined the validity of eight monitors for HR compared with an ECG and seven monitors for EE compared with a metabolic analyzer during graded cycling and resistance exercise. Fifty subjects (28 women, 22 men) completed separate trials of graded cycling and three sets of four resistance exercises at a 10-repetition-maximum load. Monitors included the following: Apple Watch Series 2, Fitbit Blaze, Fitbit Charge 2, Polar H7, Polar A360, Garmin Vivosmart HR, TomTom Touch, and Bose SoundSport Pulse (BSP) headphones. HR was recorded after each cycling intensity and after each resistance exercise set. EE was recorded after both protocols. Validity was established as having a mean absolute percent error (MAPE) value of ≤10%. The Polar H7 and BSP were valid during both exercise modes (cycling: MAPE = 6.87%, R = 0.79; resistance exercise: MAPE = 6.31%, R = 0.83). During cycling, the Apple Watch Series 2 revealed the greatest HR validity (MAPE = 4.14%, R = 0.80). The BSP revealed the greatest HR accuracy during resistance exercise (MAPE = 6.24%, R = 0.86). Across all devices, as exercise intensity increased, there was greater underestimation of HR. No device was valid for EE during cycling or resistance exercise. HR from wearable devices differed at different exercise intensities; EE estimates from wearable devices were inaccurate. Wearable devices are not medical devices, and users should be cautious when using these devices for monitoring physiological responses to exercise.

  6. Serial exercise gated radionuclide ventriculograms (RVG) in monitoring doxorubicin cardiotoxicity

    International Nuclear Information System (INIS)

    Goldstein, H.A.; Lahoda, J.; Fox, L.

    1985-01-01

    The resting RVG (Radionuclide Ventriculograms) are demonstrated to be an effective monitor of the cardiotoxicity of doxorubicin. The exercise RVG has not been as well studied to see if it yields additional information or detects toxicity effects earlier. Sixteen patients receiving doxorubicin for chemotherapy had 2-6 serial exercise studies with intervals between studies of 1 month to 15 months. The patients exercised varying amounts with cardiac work indicated by their double products (HR x Sys. BP). Although all patients started with a normal resting LVEF (>50%), 5 of the 16 did not have a normal response (≥5% increase in LVEF) with initial exercise study. Of the 11 patients with an initially normal response to exercise, on at least one subsequent study, 3 had an abnormal response to exercise. On a later follow up study 1 of these 3 patients again had a normal response to exercise. Six of these 11 patients had had RVG evidence of cardiotoxicity. Four of these 6 patients had continually normal exercise responses, while 2 of these 5 patients had had an abnormal exercise response. An initial exercise RVG may be reasonable to detect unsuspected CAD in cancer victims. These patients are reported to be more sensitive to the toxic effects of doxorubicin. Follow up exercise RVGs do not contribute useful information, do not predict cardiotoxicity, and may be misleading

  7. Monetary Exchange with Multilateral Matching

    DEFF Research Database (Denmark)

    Julien, Benoît; Kennes, John; King, Ian

    the results with Kiyotaki and Wright (1993), Trejos and Wright (1995), and Lagos and Wright (2005) respectively. We find that the multilateral matching setting generates very simple and intuitive equilibrium allocations that are similar to those in the other papers, but which have important differences...

  8. Multilateral negotiations in foreign investment

    Directory of Open Access Journals (Sweden)

    David Orlando Ruiz Castro

    2016-04-01

    Full Text Available Direct foreign investment is one of the most important economic variables in the world. Aspects related to international investment agreements are reaching an outstanding place in economic international diplomacy. Nowadays, in the multilateral level there is not an agreement regarding investment and therefore this study is focused on this particular type of agreement. In order to reach this objective this study shows, first of all, how different attempts have been developed to get a multicultural a agreement regarding investment, and to refuse the general opinion that says that exponential growth of foreign investment flows in recent years has given impulse to launch a multilateral investment agreement. Secondly, this study discusses about regulations related to foreign investment under current WTO regulations, such as investment, measure agreements, and service agreement. Then, it analyzes what has happened inside the WTO from the creation of the investment team at the Singapore Conference to the failed Conference in Cancun. Finally, it analyzes the main arguments against the multilateral agreement and the effects of future possible multilateral negotiations in investment and it ends with some recommendations and conclusions.

  9. Variable Accuracy of Wearable Heart Rate Monitors during Aerobic Exercise.

    Science.gov (United States)

    Gillinov, Stephen; Etiwy, Muhammad; Wang, Robert; Blackburn, Gordon; Phelan, Dermot; Gillinov, A Marc; Houghtaling, Penny; Javadikasgari, Hoda; Desai, Milind Y

    2017-08-01

    Athletes and members of the public increasingly rely on wearable HR monitors to guide physical activity and training. The accuracy of newer, optically based monitors is unconfirmed. We sought to assess the accuracy of five optically based HR monitors during various types of aerobic exercise. Fifty healthy adult volunteers (mean ± SD age = 38 ± 12 yr, 54% female) completed exercise protocols on a treadmill, a stationary bicycle, and an elliptical trainer (±arm movement). Each participant underwent HR monitoring with an electrocardiogaphic chest strap monitor (Polar H7), forearm monitor (Scosche Rhythm+), and two randomly assigned wrist-worn HR monitors (Apple Watch, Fitbit Blaze, Garmin Forerunner 235, and TomTom Spark Cardio), one on each wrist. For each exercise type, HR was recorded at rest, light, moderate, and vigorous intensity. Agreement between HR measurements was assessed using Lin's concordance correlation coefficient (rc). Across all exercise conditions, the chest strap monitor (Polar H7) had the best agreement with ECG (rc = 0.996) followed by the Apple Watch (rc = 0.92), the TomTom Spark (rc = 0.83), and the Garmin Forerunner (rc = 0.81). Scosche Rhythm+ and Fitbit Blaze were less accurate (rc = 0.75 and rc = 0.67, respectively). On treadmill, all devices performed well (rc = 0.88-0.93) except the Fitbit Blaze (rc = 0.76). While bicycling, only the Garmin, Apple Watch, and Scosche Rhythm+ had acceptable agreement (rc > 0.80). On the elliptical trainer without arm levers, only the Apple Watch was accurate (rc = 0.94). None of the devices was accurate during elliptical trainer use with arm levers (all rc < 0.80). The accuracy of wearable, optically based HR monitors varies with exercise type and is greatest on the treadmill and lowest on elliptical trainer. Electrode-containing chest monitors should be used when accurate HR measurement is imperative.

  10. Exercise participation and diet monitoring in pursuit of healthy aging ...

    African Journals Online (AJOL)

    This study examined the level of exercise participation and diet monitoring in pursuit of healthy aging. Descriptive survey research design and self-structured questionnaire was used to elicit information from the respondents. Proportionate stratified and simple random sampling techniques were used to select two hundred ...

  11. Ten years of effective multilateralism?

    International Nuclear Information System (INIS)

    Hautecouverture, Benjamin

    2013-12-01

    The EU Strategy against the Proliferation of Weapons of Mass Destruction - WMD - ('the Strategy') has just marked its tenth anniversary. This document, which was adopted by the European Council at the Thessalonica Summit on 12 December 2003, constitutes an historic yardstick in the old world for at least two reasons: on the one hand, it is the first of its kind; on the other, it is both the formulation of a vision, a framework, and common means aiming to make the European Union a global actor in the fight against proliferation, something that the Europeans could not hitherto have claimed to be, however much they may have wished to. It is important to recall the context of the Strategy's adoption. Two years earlier, attacks on an unprecedented scale had been carried out on American soil, confirming the perception of a terrorist threat of mass destruction; the existence of a proliferation network run by the Pakistani Abdul Qadeer Khan was confirmed in 2003 (following Iranian discoveries and Libyan revelations), while Washington accused Baghdad of not having abandoned its WMD programme; the Bush Administration launched military attacks in Afghanistan and Iraq and was victorious in both. Overall, WMD directly and indirectly became a threat to peace and security during the 1990's, as the statement by the President of the United Nations Security Council in January 1992 affirmed and in spite of significant progress on the multi-lateral arms control front during the first post-Cold War decade (op cit. the adoption in 1993 and entry into force in 1997 of the Chemical Weapons Convention, and the adoption in 1996 of a Comprehensive Nuclear-Test-Ban Treaty). In the face of what have been dubbed 'new threats', EU member States were yet to respond collectively. A European policy was emerging but the Iraq war launched in the spring of 2003 unearthed profound disagreements. The question that needed to be answered at the beginning of the century was the following one: do the

  12. Country impacts of multilateral oil sanctions

    International Nuclear Information System (INIS)

    Canes, M.E.

    2000-01-01

    In recent years, economic sanctions have become an important tool in the conduct of U.S. foreign policy. Though usually aimed at a single country, they also can affect the economics of other nations. Knowledge of such impacts would inform U.S. policy-makers as to which other countries might be helped or harmed, and help predict which other nations likely would support or oppose the sanctions. This article presents results relating to the imposition of sanctions in the oil market. These results are obtained from exercising a dynamic computable general equilibrium model built by Charles River Associates under sponsorship of the American Petroleum Institute. The model is used to analyze GDP effects on a number of countries from multilateral oil sanctions against Iraq. The results suggest that it is possible to provide useful information regarding the impact of sanctions as a foreign policy tool. However, they also indicate that sanctions can be expensive, with substantial spillover effects. Though sanctions may be appropriate policy choice in given instances, these effects should be incorporated into foreign policy analyses. (author)

  13. Modeling multi-lateral wells

    Energy Technology Data Exchange (ETDEWEB)

    Su, H. J.; Fong, W. S. [Chevron Petroleum Technology Company (United States)

    1998-12-31

    A method for modeling multi-lateral wells by using a computational scheme embedded in a general-purpose, finite difference simulator was described. The calculation of wellbore pressure profile for each lateral included the frictional pressure drop along the wellbore and proper fluid mixing at lateral connection points. To obtain a good production profile the Beggs and Brill correlation, a homogenous flow model, and the model proposed by Ouyang et al, which includes an acceleration term and accounts for the lubrication effect due to radial influx, were implemented. Well performance prediction results were compared using the three models. The impact of different tubing sizes on the well performance and the prediction contribution from each lateral were also studied. Results of the study in the hypothetical example and under normal field operating conditions were reviewed. 7 refs., 10 tabs., 3 figs.

  14. United Nations and Multilateralism: Appraising USA's Unilateralism ...

    African Journals Online (AJOL)

    DrNneka

    global peace and security, as well as the survival of the United Nations. This is because ... Key Words: United Nations, multilateralism, United States, unilateralism, national interest, UN Charter ..... Lebanon, Iraq, Turkey, Egypt, Jordan, etc.

  15. MULTILATERAL ORGANIZATIONS AND GLOBAL INEQUALITY: A ...

    African Journals Online (AJOL)

    Prof

    particular look at the three multilateral organizations viz IMF, World. Bank and ... The Nigerian experience with the implementation of SAP which the. IMF and ..... Devaluation of national currency and that is a reduction in the exchange value of.

  16. Exercise Sensing and Pose Recovery Inference Tool (ESPRIT) - A Compact Stereo-based Motion Capture Solution For Exercise Monitoring

    Science.gov (United States)

    Lee, Mun Wai

    2015-01-01

    Crew exercise is important during long-duration space flight not only for maintaining health and fitness but also for preventing adverse health problems, such as losses in muscle strength and bone density. Monitoring crew exercise via motion capture and kinematic analysis aids understanding of the effects of microgravity on exercise and helps ensure that exercise prescriptions are effective. Intelligent Automation, Inc., has developed ESPRIT to monitor exercise activities, detect body markers, extract image features, and recover three-dimensional (3D) kinematic body poses. The system relies on prior knowledge and modeling of the human body and on advanced statistical inference techniques to achieve robust and accurate motion capture. In Phase I, the company demonstrated motion capture of several exercises, including walking, curling, and dead lifting. Phase II efforts focused on enhancing algorithms and delivering an ESPRIT prototype for testing and demonstration.

  17. The role of multilateral institutions.

    Science.gov (United States)

    Kiss, Agi; Castro, Gonzalo; Newcombe, Kenneth

    2002-08-15

    In line with its mission of alleviating poverty through support for environmentally and socially sustainable economic development, The World Bank (along with some other multilateral development banks) is working to help developing countries capture a share of the emerging global market in greenhouse-gas-emissions reductions ('carbon trading'). Under the Kyoto Protocol of the United Nations Framework Convention on Climate Change (UNFCCC), the Joint Implementation instrument and the Clean Development Mechanism now provide an opening for substantial international resource transfers and potential for supporting sustainable development through the transfer of cleaner technologies or sustainable forestry and agro-forestry practices. For example, carbon sequestration represents a non-extractive non-consumptive sustainable use of living natural resources that can be incorporated within a multiple-use 'integrated ecosystem management' approach. The World Bank initiated the Prototype Carbon Fund (PCF) in April 2000, to help spur the development of a global carbon market and to 'learn by doing' how to use carbon-purchase transactions across a range of energy-sector technologies (and some forestry applications) to achieve environmentally credible and cost-effective emissions reductions that benefit developing countries and economies in transition. Building on the success of the PCF ($145 million raised from public and private-sector investors), The World Bank expects to launch two new funds in 2002: the Biocarbon Fund and the Community Development Carbon Fund. These funds will target synergies between carbon markets and objectives such as biodiversity conservation, combating desertification and small-scale community-driven development. Experience from the PCF shows that developing countries can have a comparative advantage in supplying this global market, as emissions reductions can be achieved in developing countries in the range of $3-$5 per ton of CO(2) equivalent, compared

  18. Velocity Loss as a Variable for Monitoring Resistance Exercise.

    Science.gov (United States)

    González-Badillo, Juan José; Yañez-García, Juan Manuel; Mora-Custodio, Ricardo; Rodríguez-Rosell, David

    2017-03-01

    This study aimed to analyze: 1) the pattern of repetition velocity decline during a single set to failure against different submaximal loads (50-85% 1RM) in the bench press exercise; and 2) the reliability of the percentage of performed repetitions, with respect to the maximum possible number that can be completed, when different magnitudes of velocity loss have been reached within each set. Twenty-two men performed 8 tests of maximum number of repetitions (MNR) against loads of 50-55-60-65-70-75-80-85% 1RM, in random order, every 6-7 days. Another 28 men performed 2 separate MNR tests against 60% 1RM. A very close relationship was found between the relative loss of velocity in a set and the percentage of performed repetitions. This relationship was very similar for all loads, but particularly for 50-70% 1RM, even though the number of repetitions completed at each load was significantly different. Moreover, the percentage of performed repetitions for a given velocity loss showed a high absolute reliability. Equations to predict the percentage of performed repetitions from relative velocity loss are provided. By monitoring repetition velocity and using these equations, one can estimate, with considerable precision, how many repetitions are left in reserve in a bench press exercise set. © Georg Thieme Verlag KG Stuttgart · New York.

  19. Multilateral Mediated Negotiation Protocols with Feedback (abstract)

    NARCIS (Netherlands)

    Aydogan, R.; Hindriks, K.V.; Jonker, C.M.

    2013-01-01

    Much attention has been paid to bilateral negotiation in which the dispute is between only two parties. However, automated multilateral negotiation in which more than two negotiating parties need to reach a joint agreement, has received relatively less attention, even though such negotiations are

  20. Preference Erosion and Multilateral Trade Liberalization

    NARCIS (Netherlands)

    J.F. François (Joseph); B. Hoekman (Bernard); M. Manchin (Miriam)

    2005-01-01

    textabstractBecause of concern that OECD tariff reductions will translate into worsening export performance for the least developed countries, trade preferences have proven a stumbling block to developing country support for multilateral liberalization. We examine the actual scope for preference

  1. United Nations and multilateralism: appraising USA's unilateralism ...

    African Journals Online (AJOL)

    Multilateralism as symbolized by the United Nations Organization, seems to have come under threat today, and nowhere is this more evident than in the United States-United Nations relations particularly in the area of military interventions around the world. The aim of this paper is to appraise the practice of the principle of ...

  2. Multilateral organizations and global inequality: A focus on IMF ...

    African Journals Online (AJOL)

    The paper examines issues relating to multilateral organizations, taking a particular look at the three multilateral organizations viz IMF, World Bank and WTO. It establishes that institutional and structural variables in the multilateral organizations are skewed in favour of the developed countries and this tends to entrench their ...

  3. Self-monitoring has potential for home exercise programmes in patients with haemophilia.

    Science.gov (United States)

    Goto, M; Takedani, H; Haga, N; Kubota, M; Ishiyama, M; Ito, S; Nitta, O

    2014-03-01

    Haemophiliacs who have had to keep a physically inactive lifestyle due to bleeding during childhood are likely to have little motivation for exercise. The purpose of this study is to clarify the effectiveness of the self-monitoring of home exercise for haemophiliacs. A randomized controlled trial was conducted with intervention over 8 weeks at four hospitals in Japan. Subjects included 32 male outpatients aged 26-64 years without an inhibitor who were randomly allocated to a self-monitoring group and a control group. Individual exercise guidance with physical activity for improvement of their knee functions was given to both groups. The self-monitoring materials included an activity monitor and a feedback system so that the self-monitoring group could send feedback via the Internet and cellular phone. The self-monitoring was performed by checking exercise adherence and physical activity levels, bleeding history and injection of a coagulation factor. Both groups showed significant improvements in exercise adherence (P self-efficacy (P self-monitoring group compared with those in the control group. No increase in bleeding frequency and pain scale was noted. The self-monitoring of home exercise for haemophilic patients is useful for the improvement of exercise adherence, self-efficacy and knee extension strength. © 2014 John Wiley & Sons Ltd.

  4. Planning for exercises of the Federal Radiological Monitoring and Assessment Plan

    International Nuclear Information System (INIS)

    Adler, M.V.

    1985-11-01

    This report is to be used in planning radiological emergency exercises to test the Federal Radiological Monitoring and Assessment Plan (FRMAP). Although developed for this specific purpose, the document also contains material that may be useful for planning other types of exercises. This report describes the types of exercises that might be used, the steps in planning and conducting the exercises, and the special considerations required for exercises to test the FRMAP. FRMAP exercises typically involve several federal and state agencies. General and specific objectives that could guide these exercises, as well as the possible activities of all the participants - players, controllers, and evaluators - are discussed. The resources that each participating federal agency might provide during an exercise are listed

  5. Intergovernmental organisation activities and Multilateral agreements

    International Nuclear Information System (INIS)

    2012-01-01

    This section summarises the activities of Intergovernmental organisations and the status of Multilateral agreements on December 1, 2011: 1 - Intergovernmental organisation activities: European Atomic Energy Community: Adopted legislative instruments, Reports, Meetings; International Atomic Energy Agency: IAEA Action Plan on Nuclear Safety, Non-binding instrument on the transboundary movement of scrap metal, 55. IAEA General Conference, Basic Safety Standards, Nuclear Law Institute; OECD Nuclear Energy Agency: Basic Safety Standards, International Nuclear Law Essentials, International School of Nuclear Law, New members, Russian Federation request for membership; 2 - Multilateral agreements: Status of conventions in the nuclear energy domain on December 1, 2011; Status of conventions in the environmental protection/evaluation impacting the nuclear energy use on December 1, 2011; participation of OECD Member States to nuclear energy and environment protection/evaluation related treaties/conventions

  6. Multilateral negotiations over climate change policy

    Energy Technology Data Exchange (ETDEWEB)

    Costa Pinto, L.M.; Harrison, G.W. [Universidade do Minho, Braga (Portugal). Nucleo de Investigacao em Microeconomia Aplicada, Departmento de Economia

    2000-07-01

    Negotiations in the real world have many features that tend to be ignored in policy modelling. They are often multilateral, involving many negotiating parties with preferences over outcomes that can differ substantially. They are also often multi-dimensional, in the sense that several policies are negotiated over simultaneously. Trade negotiations are a prime example, as are negotiations over environmental policies to abate CO{sub 2}. The authors demonstrate how one can formally model this type of negotiation process. They use a policy-oriented computable general equilibrium model to generate preference functions which are then used in a formal multilateral bargaining game. The case study is on climate change policy, but the main contribution is to demonstrate how one can integrate formal economic models of the impacts of policies with formal bargaining models of the negotiations over those policies. 8 refs., 2 figs., 6 tabs.

  7. Multilateral, regional and bilateral energy trade governance

    Energy Technology Data Exchange (ETDEWEB)

    Leal-Arcas, Rafael; Grasso, Costantino; Rios, Juan Alemany (Queen Mary Univ. of London (United Kingdom))

    2014-12-01

    The current international energy trade governance system is fragmented and multi-layered. Streamlining it for greater legal cohesiveness and international political and economic cooperation would promote global energy security. The current article explores three levels of energy trade governance: multilateral, regional and bilateral. Most energy-rich countries are part of the multilateral trading system, which is institutionalized by the World Trade Organization (WTO). The article analyzes the multilateral energy trade governance system by focusing on the WTO and energy transportation issues. Regionally, the article focuses on five major regional agreements and their energy-related aspects and examines the various causes that explain the proliferation of regional trade agreements, their compatibility with WTO law, and then provides several examples of regional energy trade governance throughout the world. When it comes to bilateral energy trade governance, this article only addresses the European Union’s (EU) bilateral energy trade relations. The article explores ways in which gaps could be filled and overlaps eliminated whilst remaining true to the high-level normative framework, concentrating on those measures that would enhance EU energy security.

  8. CONTINUOUS MONITORING OF LACTATE DURING EXERCISE IN HUMANS USING SUBCUTANEOUS AND TRANSCUTANEOUS MICRODIALYSIS

    NARCIS (Netherlands)

    DEBOER, J; PLIJTERGROENDIJK, H; VISSER, KR; MOOK, GA; KORF, J

    1994-01-01

    We have evaluated the possibility of monitoring the plasma lactate concentration in human volunteers during cycle ergometer exercise using subcutaneous and transcutaneous microdialysis. In transcutaneous microdialysis, the relative increase in dialysate lactate concentration exceeded that of plasma

  9. Multilateral Research Opportunities in Ground Analogs

    Science.gov (United States)

    Corbin, Barbara J.

    2015-01-01

    The global economy forces many nations to consider their national investments and make difficult decisions regarding their investment in future exploration. International collaboration provides an opportunity to leverage other nations' investments to meet common goals. The Humans In Space Community shares a common goal to enable safe, reliable, and productive human space exploration within and beyond Low Earth Orbit. Meeting this goal requires efficient use of limited resources and International capabilities. The International Space Station (ISS) is our primary platform to conduct microgravity research targeted at reducing human health and performance risks for exploration missions. Access to ISS resources, however, is becoming more and more constrained and will only be available through 2020 or 2024. NASA's Human Research Program (HRP) is actively pursuing methods to effectively utilize the ISS and appropriate ground analogs to understand and mitigate human health and performance risks prior to embarking on human exploration of deep space destinations. HRP developed a plan to use ground analogs of increasing fidelity to address questions related to exploration missions and is inviting International participation in these planned campaigns. Using established working groups and multilateral panels, the HRP is working with multiple Space Agencies to invite International participation in a series of 30- day missions that HRP will conduct in the US owned and operated Human Exploration Research Analog (HERA) during 2016. In addition, the HRP is negotiating access to Antarctic stations (both US and non-US), the German :envihab and Russian NEK facilities. These facilities provide unique capabilities to address critical research questions requiring longer duration simulation or isolation. We are negotiating release of international research opportunities to ensure a multilateral approach to future analog research campaigns, hoping to begin multilateral campaigns in the

  10. Unsupervised progressive elastic band exercises for frail geriatric inpatients objectively monitored by new exercise-integrated technology

    DEFF Research Database (Denmark)

    Rathleff, Camilla Rams; Bandholm, T.; Spaich, Erika Geraldina

    2017-01-01

    the amount of supervised training, and unsupervised training could possibly supplement supervised training thereby increasing the total exercise dose during admission. A new valid and reliable technology, the BandCizer, objectively measures the exact training dosage performed. The purpose was to investigate...... feasibility and acceptability of an unsupervised progressive strength training intervention monitored by BandCizer for frail geriatric inpatients. Methods: This feasibility trial included 15 frail inpatients at a geriatric ward. At hospitalization, the patients were prescribed two elastic band exercises...... of 2-min pauses and a time-under-tension of 8 s. The feasibility criterion for the unsupervised progressive exercises was that 33% of the recommended number of sets would be performed by at least 30% of patients. In addition, patients and staff were interviewed about their experiences...

  11. Multilateral collaboration between technical communicators and translators

    DEFF Research Database (Denmark)

    Vandepitte, Sonia; Maylath, Bruce; Mousten, Birthe

    2016-01-01

    This article describes a multilateral international project (Thompson and Carter 1973, Moreno-Lopez 2004) in technical communication and translator training programmes and discusses its use of technologies in what is seen as the largest and most complex international learning-by-doing collaboration...... to date. The project is a student collaboration involving two sets of cross-cultural virtual teams who either translate from Danish and Dutch into English and review (or edit) into American English or who are involved in international collaborative writing by Spaniards and Americans, usability testing...

  12. Cardiodynamicsgram: a novel tool for monitoring cardiac function in exercise training.

    Science.gov (United States)

    Wen, Xu; Guo, Bokai; Gong, Yinglan; Xia, Ling; Yu, Jie

    2018-04-27

    This study evaluated the feasibility of cardiodynamicsgram (CDG) for monitoring the cardiac functions of athletes and exercisers. CDG could provide an effective, simple, and economical tool for exercise training. Seventeen middle-distance race athletes aged 14-28 years old were recruited. CDG tests and blood test including creatine kinase (CK), CK-MB isoenzyme, and high-sensitivity troponin I (hsTnI) were performed before a high-intensity prolonged training, as well as 2 and 14 h after training, respectively. The CDG test result was unsatisfactory when the CK test result was used as standard. However, the accuracy of CDG test was about 80% when CK-MB and hsTnI were used as standards. Thus, CDG offers a noninvasive, simple, and economical approach for monitoring the cardiac function of athletes and exercisers during exercise training. Nonetheless, the applicability of CDG needs further investigation.

  13. Strengthening political co-operation through multilateral disarmament

    International Nuclear Information System (INIS)

    Ekeus, R.

    1991-01-01

    In this paper, the Ministry for Foreign Affairs of Sweden discussed how the multilateral disarmament concept has contributed and still can contribute to strengthen political co-operation. This approach is the opposite to the usual question on how to achieve multilateral disarmament through political co-operation

  14. Multilateral Disarmament: Conspiracy for Common Sense. Occasional Paper 31.

    Science.gov (United States)

    Stanley, C. Maxwell

    This paper outlines the danger of continuing the conventional and nuclear arms races and offers alternatives to ensure both peace and security. There are five major sections to the paper. In the first section, "Mulitlateral Approach," global multilateral accomplishments, regional multilateral activities, and bilateral negotiations are discussed.…

  15. Multilateral collaboration between technical communicators and translators

    DEFF Research Database (Denmark)

    Vandepitte, Sonia; Maylath, Bruce; Mousten, Birthe

    2016-01-01

    This article describes a multilateral international project (Thompson and Carter 1973, Moreno-Lopez 2004) in technical communication and translator training programmes and discusses its use of technologies in what is seen as the largest and most complex international learning-by-doing collaboration...... to date. The project is a student collaboration involving two sets of cross-cultural virtual teams who either translate from Danish and Dutch into English and review (or edit) into American English or who are involved in international collaborative writing by Spaniards and Americans, usability testing...... by Finnish students, and translation from English into Dutch, French and Italian (Humbley et al. 2005; Maylath et al. 2008; Mousten et al. 2008; Mousten; Vandepitte et al. 2010; Mousten et al. 2010, Mousten et al. 2012, Maylath et al. 2013, Maylath et al. 2013b). While students use email, iChat and Skype...

  16. USING SESSION RPE TO MONITOR DIFFERENT METHODS OF RESISTANCE EXERCISE

    Directory of Open Access Journals (Sweden)

    Alison D. Egan

    2006-06-01

    Full Text Available The purpose of this study was to compare session rating of perceived exertion for different resistance training techniques in the squat exercise. These techniques included traditional resistance training, super slow, and maximal power training. Fourteen college-age women (Mean ± SD; age = 22 ± 3 years; height = 1.68 ± 0. 07 m completed three experimental trials in a randomized crossover design. The traditional resistance training protocol consisted of 6 sets of 6 repetitions of squats using 80% of 1-RM. The super slow protocol consisted of 6 sets of 6 repetitions using 55% of 1-RM. The maximal power protocol consisted of 6 sets of 6 repetitions using 30% of 1-RM. Rating of perceived exertion (RPE measures were obtained following each set using Borg's CR-10 scale. In addition, a session RPE value was obtained 30 minutes following each exercise session. When comparing average RPE and session RPE, no significant difference was found. However, power training had significantly lower (p < 0.05 average and session RPE (4.50 ± 1.9 and 4.5 ± 2.1 compared to both super slow training (7.81 ± 1.75 and 7.43 ± 1.73 and traditional training (7.33 ± 1.52 and 7.13 ± 1.73. The results indicate that session RPE values are not significantly different from the more traditional methods of measuring RPE during exercise bouts. It does appear that the resistance training mode that is used results in differences in perceived exertion that does not relate directly to the loading that is used. Using session RPE provides practitioners with the same information about perceived exertion as the traditional RPE measures. Taking a single measure following a training session would appear to be much easier than using multiple measures of RPE throughout a resistance training workout. However, practitioners should also be aware that the RPE does not directly relate to the relative intensity used and appears to be dependent on the mode of resistance exercise that is used

  17. Self-Efficacy and the Self-Monitoring of Selected Exercise and Eating Behaviors of College Students.

    Science.gov (United States)

    Kingery, Paul M.

    1990-01-01

    Results from a study of 85 college students indicate that self-efficacy is a moderately strong predictor of self-monitored performance of dietary and exercise behaviors when measured following a self-monitored performance attempt. (IAH)

  18. Influence of environmental changes on continuous radon monitors. Results of a Spanish intercomparison exercise

    International Nuclear Information System (INIS)

    Vargas, A.; Ortega, X.

    2006-01-01

    The first Spanish intercomparison exercise for continuous radon monitors was carried out with the participation of nine monitoring systems from eight laboratories. The exposures were carried out in the radon and thoron chambers at the Inst. of Energy Techniques (INTE) of the Technical Univ. of Catalonia (UPC), which is considered to be the Spanish reference chamber. The monitors were exposed to three different temperatures (13, 20 and 30 deg. C), relative humidities (30, 45 and 80%) and radon concentrations (450, 2000 and 9000 Bq m -3 ). Exposures in the thoron chamber were carried out at concentrations of ∼450 Bq m -3 . The response of the ionisation chambers and scintillation monitors was acceptable. However, the response of monitors based on electrostatic collection was found to be influenced by external climatic conditions. Moreover, all radon monitors were sensitive to thoron concentration, which was especially significant for scintillation monitors. (authors)

  19. Validation of Heart Rate Monitor Polar RS800 for Heart Rate Variability Analysis During Exercise.

    Science.gov (United States)

    Hernando, David; Garatachea, Nuria; Almeida, Rute; Casajús, Jose A; Bailón, Raquel

    2018-03-01

    Hernando, D, Garatachea, N, Almeida, R, Casajús, JA, and Bailón, R. Validation of heart rate monitor Polar RS800 for heart rate variability analysis during exercise. J Strength Cond Res 32(3): 716-725, 2018-Heart rate variability (HRV) analysis during exercise is an interesting noninvasive tool to measure the cardiovascular response to the stress of exercise. Wearable heart rate monitors are a comfortable option to measure interbeat (RR) intervals while doing physical activities. It is necessary to evaluate the agreement between HRV parameters derived from the RR series recorded by wearable devices and those derived from an electrocardiogram (ECG) during dynamic exercise of low to high intensity. Twenty-three male volunteers performed an exercise stress test on a cycle ergometer. Subjects wore a Polar RS800 device, whereas ECG was also recorded simultaneously to extract the reference RR intervals. A time-frequency spectral analysis was performed to extract the instantaneous mean heart rate (HRM), and the power of low-frequency (PLF) and high-frequency (PHF) components, the latter centered on the respiratory frequency. Analysis was done in intervals of different exercise intensity based on oxygen consumption. Linear correlation, reliability, and agreement were computed in each interval. The agreement between the RR series obtained from the Polar device and from the ECG is high throughout the whole test although the shorter the RR is, the more differences there are. Both methods are interchangeable when analyzing HRV at rest. At high exercise intensity, HRM and PLF still presented a high correlation (ρ > 0.8) and excellent reliability and agreement indices (above 0.9). However, the PHF measurements from the Polar showed reliability and agreement coefficients around 0.5 or lower when the level of the exercise increases (for levels of O2 above 60%).

  20. DAMPAK KERJASAMA MULTILATERAL TERHADAP PERDAGANGAN PRODUK PERTANIAN

    Directory of Open Access Journals (Sweden)

    Dedi Budiman Hakim

    2011-08-01

    Full Text Available Normal 0 false false false MicrosoftInternetExplorer4 st1\\:*{behavior:url(#ieooui } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Multilateral trade agreement under the auspice of the GATT/WTO is expected to change the nation’s competitiveness in the global economy. In the context of the agricultural agreement, there are three mayor changing policies to be committed by the WTO members: (a market access, (b export subsidies and (c domestic support. Likewise, ASEAN regional agreement (AFTA will reduce the relative price of international prices to the domestic prices and the exploitation of the comparative advantage.  The questions to be answered is whether such multilateral agreements affect agricultural trade in the region.  A recursive-dynamic computable general equilibrium (CGE and the Global Trade Analysis Project (GTAP database were used to assess such impacts. Two important scenarios were then considered: APEC and AFTA scenarios.  The results indicate that as import tariff levels are completely removed, the demand for imported goods would certainly be increased.  This is because domestic consumers (private consumers and industries would face decreasing domestic prices.  However, the size of import changes depends on the initial tariff rates.  The higher the initial intra-regional tariffs, and the larger the tariff cuts, the higher the gains from the trade creation.  Under the AFTA trade liberalisation, rice output in the ASEAN member countries with the exception of Thailand is projected to shrink. The AFTA tariff reduction would cause an increase in exports in

  1. Plurilateral Trade Deals: An Alternative for Multilateral Trade Agreements?

    Directory of Open Access Journals (Sweden)

    Agnes Ghibuțiu

    2016-04-01

    Full Text Available While multilateral trade negotiations under the World Trade Organization (WTO continue to be in impasse, plurilateral trade negotiations – i.e. among a group of WTO members – have intensified in recent years, and also recorded a series of concrete results in liberalizing specific sectors of international trade. Hence, there is a widely shared view that plurilateral trade negotiations could be an alternative for the multilateral ones. This paper aims to answer the following questions: What are plurilateral trade agreements? Which are the reasons behind the surge in plurilateral negotiations in recent years? What are the main achievements in liberalizing trade at the plurilateral level? What are the advantages of plurilateral negotiations relative to multilateral ones, and why are they considered an attractive alternative for negotiations at the multilateral level?

  2. Central hemodynamic responses during serial exercise tests in heart failure patients using implantable hemodynamic monitors.

    Science.gov (United States)

    Ohlsson, A; Steinhaus, D; Kjellström, B; Ryden, L; Bennett, T

    2003-06-01

    Exercise testing is commonly used in patients with congestive heart failure for diagnostic and prognostic purposes. Such testing may be even more valuable if invasive hemodynamics are acquired. However, this will make the test more complex and expensive and only provides information from isolated moments. We studied serial exercise tests in heart failure patients with implanted hemodynamic monitors allowing recording of central hemodynamics. Twenty-one NYHA Class II-III heart failure patients underwent maximal exercise tests and submaximal bike or 6-min hall walk tests to quantify their hemodynamic responses and to study the feasibility of conducting exercise tests in patients with such devices. Patients were followed for 2-3 years with serial exercise tests. During maximal tests (n=70), heart rate increased by 52+/-19 bpm while S(v)O(2) decreased by 35+/-10% saturation units. RV systolic and diastolic pressure increased 29+/-11 and 11+/-6 mmHg, respectively, while pulmonary artery diastolic pressure increased 21+/-8 mmHg. Submaximal bike (n=196) and hall walk tests (n=172) resulted in S(v)O(2) changes of 80 and 91% of the maximal tests, while RV pressures ranged from 72 to 79% of maximal responses. An added potential value of implantable hemodynamic monitors in heart failure patients may be to quantitatively determine the true hemodynamic profile during standard non-invasive clinical exercise tests and to compare that to hemodynamic effects of regular exercise during daily living. It would be of interest to study whether such information could improve the ability to predict changes in a patient's clinical condition and to improve tailoring patient management.

  3. Multilateral cooperation for power interconnection in Northeast Asia

    Directory of Open Access Journals (Sweden)

    Chudinova Lyudmila

    2018-01-01

    Full Text Available Considered is experience of electric power integration in different parts of the world with emphasis on bilateral/multilateral interstate structures intended for promotion and development of interstate power grids. Analysed are Northeast Asian intergovernmental structures providing bilateral energy and power cooperation between Russia and other countries of the region. Multilateral cooperation in the field is just emerging, but should play a key role in promotion and development of Northeast Asian power grid.

  4. Developing Countries and the Multilateral Trading System after Doha

    OpenAIRE

    Srinivasan, T. N.

    2002-01-01

    The Fourth Session of the Ministerial Conference of the World Trade Organization (WTO), held in Doha, Qatar, in November 2001, launched a new round of multilateral trade negotiations (MTN) and a work programme (WP) for the WTO involving the negotiating agenda and steps for meeting the challenges facing the multilateral trading system. The paper evaluates the WP, in particular, whether it would redress the unfavourable balance between benefits and costs to developing countries DCs of the agree...

  5. Norway and the arctic: between multilateral governance and geopolitics

    Energy Technology Data Exchange (ETDEWEB)

    Flikke, Geir

    2013-03-01

    The article analyzes Norwegian politics in the high north in light of multilateral institutions and new security challenges. The author maintains that Norway's politics is based on functional multilateral organizations and continuity and predictability in the UN framework. This can become more of a challenge if the competition for resource access hardens and the Arctic is defined as a strategically valuable area for one or more states.(Author)

  6. Self-Monitoring Using Continuous Glucose Monitors with Real-Time Feedback Improves Exercise Adherence in Individuals with Impaired Blood Glucose: A Pilot Study.

    Science.gov (United States)

    Bailey, Kaitlyn J; Little, Jonathan P; Jung, Mary E

    2016-03-01

    Exercise helps individuals with prediabetes or type 2 diabetes (T2D) manage their blood glucose (BG); however, exercise adherence in this population is dismal. In this pilot study we tested the efficacy of a self-monitoring group-based intervention using continuous glucose monitors (CGMs) at increasing exercise adherence in individuals with impaired BG. Thirteen participants with prediabetes or T2D were randomized to an 8-week standard care exercise program (CON condition) (n = 7) or self-monitoring exercise intervention (SM condition) (n = 6). Participants in the SM condition were taught how to self-monitor their exercise and BG, to goal set, and to use CGM to observe how exercise influences BG. We hypothesized that compared with the CON condition, using a real-time CGM would facilitate self-monitoring behavior, resulting in increased exercise adherence. Repeated-measures analysis of variance revealed significant Condition × Time interactions for self-monitoring (P goal setting (P = 0.01), and self-efficacy to self-monitor (P = 0.01), such that the SM condition showed greater increases in these outcomes immediately after the program and at the 1-month follow-up compared with the CON condition. The SM condition had higher program attendance rates (P = 0.03), and a greater proportion of participants reregistered for additional exercise programs (P = 0.048) compared with the CON condition. Participants in both conditions experienced improvements in health-related quality of life, waist circumference, and fitness (P values exercise behavior in individuals living with prediabetes or T2D.

  7. New method for presenting offsite radiological monitoring data during emergency preparedness exercises

    International Nuclear Information System (INIS)

    Moeller, M.P.; Martin, G.F.; Hickey, E.E.; Jamison, J.D.

    1986-09-01

    As scenarios for exercises become more complicated and flexible to challenge emergency response personnel, improved means of presenting data must be developed. To provide maximum realism and free play during an exercise, staff at the Pacific Northwest Laboratory (PNL) have recently devised a simple method of presenting realistic radiological field monitoring information for a range of possible releases. The method uses only two pieces of paper. The first is a map of the offsite area showing the shape of the plume for the duration of the exercise. The second is a semilog graph containing curves that relate exposure rate and iodine concentration to downwind distance and time. Several techniques are used to maximize the information on the graph

  8. New method for presenting off-site radiological monitoring data during emergency preparedness exercises

    International Nuclear Information System (INIS)

    Moeller, M.P.; Martin, G.F.; Hickey, E.E.; Jamison, J.D.

    1987-01-01

    As scenarios for exercises become more complicated and flexible to challenge emergency response personnel, improved means of presenting data must be developed to meet this need. To provide maximum realism and free play during an exercise, staff at the Pacific Northwest Laboratory (PNL) have recently devised a simple method of presenting realistic radiological field monitoring information for a range of possible releases. The method utilizes only two pieces of paper. The first is a map of the offsite area showing the shape of the plume for the duration of the exercise. The second is a semi-log graph containing curves relating exposure rate and iodine concentration to downwind distance and time. Several techniques are used to maximize the information on the graph

  9. Sustainable multilateral nuclear fuel cycle framework. (2) Models for multilateral nuclear fuel cycle approach

    International Nuclear Information System (INIS)

    Adachi, T; Tanaka, S; Tazaki, M; Akiba, M; Takashima, R; Kuno, Y

    2011-01-01

    To construct suitable models for a reliable and sustainable international/regional framework in the fields of nuclear fuel cycle, it is essential to reflect recent political situations including such that 1) a certain number of emerging countries especially in south-east Asia want to introduce and develop nuclear power in the long-terms despite the accident of the Fukushima Daiichi NPP, and 2) exposition of nuclear proliferation threats provided by North Korea and Iran. It is also to be considered that Japan is an unique country having enrichment and reprocessing facilities on commercial base among non-nuclear weapon countries. Although many models presented for the internationalization have not been realized yet, studies at the University of Tokyo aim at multilateral nuclear approach (MNA) in Asian-Pacific countries balancing between nuclear non-proliferation and nuclear fuel supply/service and presenting specific examples such as prerequisites for participating countries, scope of cooperative activities, ownership of facilities and type of agreements/frameworks. We will present a model basic agreement and several bilateral and multi-lateral agreements for the combinations of industry or government led consortia including Japan and its neighboring countries and made a preliminary evaluation for the combination of processes/facilities based on the INFCIRC/640 report for MNA. (author)

  10. Variation in heart rate during submaximal exercise: Implications for monitoring training : Implications for monitoring training

    NARCIS (Netherlands)

    Lamberts, R.P.; Lemmink, K.A.P.M.; Durandt, J.J.; Lambert, M.I.

    2004-01-01

    A change in heart rate at a controlled submaximal exercise intensity is used as a marker of training status. However, the standard error of measurement has not been studied systematically, and therefore a change in heart rate, which can be considered relevant, has not been determined. Forty-four

  11. Monitoring Change of Body Fluid during Physical Exercise using Bioimpedance Spectroscopy and Finite Element Simulations

    Directory of Open Access Journals (Sweden)

    Lisa Röthlingshöfer

    2011-12-01

    Full Text Available Athletes need a balanced body composition in order to achieve maximum performance. Especially dehydration reduces power and endurance during physical exercise. Monitoring the body composition, with a focus on body fluid, may help to avoid reduction in performance and other health problems.For this, a potential measurement method is bioimpedance spectroscopy (BIS. BIS is a simple, non-invasive measurement method that allows to determine different body compartments (body fluid, fat, fat-free mass. However, because many physiological changes occur during physical exercise that can influence impedance measurements and distort results, it cannot be assumed that the BIS data are related to body fluid loss alone.To confirm that BIS can detect body fluid loss due to physical exercise, finite element (FE simulations were done. Besides impedance, also the current density contribution during a BIS measurement was modeled to evaluate the influence of certain tissues on BIS measurements.Simulations were done using CST EM Studio (Computer Simulation Technology, Germany and the Visible Human Data Set (National Library of Medicine, USA. In addition to the simulations, BIS measurements were also made on athletes. Comparison between the measured bioimpedance data and simulation data, as well as body weight loss during sport, indicates that BIS measurements are sensitive enough to monitor body fluid loss during physical exercise.doi:10.5617/jeb.178 J Electr Bioimp, vol. 2, pp. 79-85, 2011

  12. Organization, Management and Function of International Space Station (ISS) Multilateral Medical Operations

    Science.gov (United States)

    Duncan, James M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.

    2007-01-01

    Long duration crews have inhabited the ISS since November of 2000. The favorable medical outcomes of its missions can be largely attributed to sustained collective efforts of all ISS Partners medical organizations. In-flight medical monitoring and support, although crucial, is just a component of the ISS system of Joint Medical Operations. The goal of this work is to review the principles, design, and function of the multilateral medical support of the ISS Program. The governing documents, which describe the relationships among all ISS partner medical organizations, were evaluated, followed by analysis of the roles, responsibilities, and decision-making processes of the ISS medical boards, panels, and working groups. The degree of integration of the medical support system was evaluated by reviewing the multiple levels of the status reviews and mission assurance activities carried out throughout the last six years. The Integrated Medical Group, consisting of physicians and other essential personnel in the mission control centers represents the front-line medical support of the ISS. Data from their day-to-day activities are presented weekly at the Space Medicine Operations Team (SMOT), where known or potential concerns are addressed by an international group of physicians. A broader status review is conducted monthly to project the state of crew health and medical support for the following month, and to determine measures to return to nominal state. Finally, a comprehensive readiness review is conducted during preparations for each ISS mission. The Multilateral Medical Policy Board (MMPB) issues medical policy decisions and oversees all health and medical matters. The Multilateral Space Medicine Board (MSMB) certifies crewmembers and visitors for training and space flight to the Station, and physicians to practice space medicine for the ISS. The Multilateral Medical Operations Panel (MMOP) develops medical requirements, defines and supervises implementation of

  13. Saliva as a tool for monitoring steroid, peptide and immune markers in sport and exercise science.

    Science.gov (United States)

    Papacosta, Elena; Nassis, George P

    2011-09-01

    This paper discusses the use of saliva analysis as a tool for monitoring steroid, peptide, and immune markers of sports training. Salivary gland physiology, regarding the regulation and stimulation of saliva secretion, as well as methodological issues including saliva collection, storage and analysis are addressed in this paper. The effects of exercise on saliva composition are then considered. Exercise elicits changes in salivary levels of steroid hormones, immunoglobulins, antimicrobial proteins and enzymes. Cortisol, testosterone and dehydroepiandrosterone can be assessed in saliva, providing a non-invasive option to assess the catabolic and anabolic effects of exercise. Validation studies using blood and salivary measures of steroid hormones are addressed in this paper. Effects of acute exercise and training on salivary immunoglobulins (SIgA, SIgM, SIgG) and salivary antimicrobial proteins, including α-amylase, lysozyme and lactoferrin, are also discussed. Analysis of cortisol and testosterone in saliva may help detect the onset of non-functional overreaching and subsequently may help to prevent the development of overtraining syndrome. Assessment of salivary immunoglobulins and antimicrobial proteins has been shown to successfully represent the effects of exercise on mucosal immunity. Increases in SIgA and antimicrobial proteins concentration and/or secretion rate are associated with acute exercise whereas conversely, decreases have been reported in athletes over a training season leaving the athlete susceptible for upper respiratory tract infections. The measurement of physiological biomarkers in whole saliva can provide a significant tool for assessing the immunological and endocrinological status associated with exercise and training. Copyright © 2011 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

  14. A novel noninvasive all optical technique to monitor physiology of an exercising muscle

    Energy Technology Data Exchange (ETDEWEB)

    Saxena, Vishal [Department of Radiology, University of Southern California, 4650 Sunset Blvd., Los Angeles, CA 90027 (United States); Marcu, Laura [Department of Bioengineering, University of California at Davis, Davis, CA 95616 (United States); Karunasiri, Gamani [Department of Physics, Naval Postgraduate School, Monterey, California 93943 (United States)], E-mail: Vsaxena@usc.edu

    2008-11-07

    An all optical technique based on near-infrared spectroscopy and mid-infrared imaging (MIRI) is applied as a noninvasive, in vivo tool to monitor the vascular status of skeletal muscle and the physiological changes that occur during exercise. A near-infrared spectroscopy (NIRS) technique, namely, steady state diffuse optical spectroscopy (SSDOS) along with MIRI is applied for monitoring the changes in the values of tissue oxygenation and thermometry of an exercising muscle. The NIRS measurements are performed at five discrete wavelengths in a spectral window of 650-850 nm and MIRI is performed in a spectral window of 8-12 {mu}m. The understanding of tissue oxygenation status and the behavior of the physiological parameters derived from thermometry may provide a useful insight into muscle physiology, therapeutic response and treatment.

  15. A novel noninvasive all optical technique to monitor physiology of an exercising muscle

    International Nuclear Information System (INIS)

    Saxena, Vishal; Marcu, Laura; Karunasiri, Gamani

    2008-01-01

    An all optical technique based on near-infrared spectroscopy and mid-infrared imaging (MIRI) is applied as a noninvasive, in vivo tool to monitor the vascular status of skeletal muscle and the physiological changes that occur during exercise. A near-infrared spectroscopy (NIRS) technique, namely, steady state diffuse optical spectroscopy (SSDOS) along with MIRI is applied for monitoring the changes in the values of tissue oxygenation and thermometry of an exercising muscle. The NIRS measurements are performed at five discrete wavelengths in a spectral window of 650-850 nm and MIRI is performed in a spectral window of 8-12 μm. The understanding of tissue oxygenation status and the behavior of the physiological parameters derived from thermometry may provide a useful insight into muscle physiology, therapeutic response and treatment.

  16. Forecasting method in multilateration accuracy based on laser tracker measurement

    International Nuclear Information System (INIS)

    Aguado, Sergio; Santolaria, Jorge; Samper, David; José Aguilar, Juan

    2017-01-01

    Multilateration based on a laser tracker (LT) requires the measurement of a set of points from three or more positions. Although the LTs’ angular information is not used, multilateration produces a volume of measurement uncertainty. This paper presents two new coefficients from which to determine whether the measurement of a set of points, before performing the necessary measurements, will improve or worsen the accuracy of the multilateration results, avoiding unnecessary measurement, and reducing the time and economic cost required. The first specific coefficient measurement coefficient (MC LT ) is unique for each laser tracker. It determines the relationship between the radial and angular laser tracker measurement noise. Similarly, the second coefficient is related with specific conditions of measurement β . It is related with the spatial angle between the laser tracker positions α and its effect on error reduction. Both parameters MC LT and β are linked in error reduction limits. Beside these, a new methodology to determine the multilateration reduction limit according to the multilateration technique of an ideal laser tracker distribution and a random one are presented. It provides general rules and advice from synthetic tests that are validated through a real test carried out in a coordinate measurement machine. (paper)

  17. The Multilateral Financial Institutions of Development

    Directory of Open Access Journals (Sweden)

    Jaume Munich i Gasa

    1998-04-01

    Full Text Available The aim of this paper is to analyse the role of Multilateral Development Institutions (MDIs in promoting economic and social progress in Less Developed Countries (LDC. After examining the activities of the main MDIs (International Monetary Fund, WorldBank Group, Interamerican Development Bank, African Development Bank, Asian Development Bank and European Bank for Reconstruction and Development we have come to some conclusions. First, MDIs loans play a catalytic effect in channeling flows of additional public or private resources to LDC. Second, MDIs emphasize both the role of the private sector and an efficient public sector to achieve its objectives (to promote economic growth, reduce poverty, etc.. Third, MDIs provide direct financing for private sector activities, restructuring and privatisation to encourage the development of market economies as well as funding for the infrastructure that supports these activities. Fourth, over the last few years the MDIs have increased their conditionalities on the borrowers, especially in environment and governance areas. Fifth, the resources provided by the MDIs are not enough to cope with the financial needs of LDC; furthermore, a low percentage of total loans are on concessional terms. Sixth, most of the MDIs resources go to the benefit of medium-income countries (South Korea, Mexico, Brazil, etc. and only a small amount of credits go to the poorest countries; what´s more, in the last few last years MDIs are increasing their financial support of countries in the East. Seventh, MDIs have integrated social sector and environment as a first-order priority in their reports, but the lending reality is far from incorporating such an aim: one thing istheory, the other is practice. Eighth, MDIs’ institutional structures and decision-making processes are similar, as in most of them the principle of one dollar one vote holds. As a result, the MDIs are dominated by the developed countries, which use such

  18. Comparison of an in-helmet temperature monitor system to rectal temperature during exercise.

    Science.gov (United States)

    Wickwire, P Jason; Buresh, Robert J; Tis, Laurie L; Collins, Mitchell A; Jacobs, Robert D; Bell, Marla M

    2012-01-01

    Body temperature monitoring is crucial in helping to decrease the amount and severity of heat illnesses; however, a practical method of monitoring temperature is lacking. In response to the lack of a practical method of monitoring the temperature of athletes, Hothead Technologies developed a device (HOT), which continuously monitors an athlete's fluctuations in body temperature. HOT measures forehead temperature inside helmets. The purpose of this study was to compare HOT against rectal temperature (Trec). Male volunteers (n = 29, age = 23.5 ± 4.5 years, weight = 83.8 ± 10.4 kg, height = 180.1 ± 5.8 cm, body fat = 12.3 ± 4.5%) exercised on a treadmill at an intensity of 60-75% heart rate reserve (HRR) (wet bulb globe temperature [WBGT] = 28.7° C) until Trec reached 38.7° C. The correlation between Trec and HOT was 0.801 (R = 0.64, standard error of the estimate (SEE) = 0.25, p = 0.00). One reason for this relatively high correlation is the microclimate that HOT is monitoring. HOT is not affected by the external climate greatly because of its location in the helmet. Therefore, factors such as evaporation do not alter HOT temperature to a great degree. HOT was compared with Trec in a controlled setting, and the exercise used in this study was moderate aerobic exercise, very unlike that used in football. In a controlled laboratory setting, the relationship between HOT and Trec showed favorable correlations. However, in applied settings, helmets are repeatedly removed and replaced forcing HOT to equilibrate to forehead temperature every time the helmet is replaced. Therefore, future studies are needed to mimic how HOT will be used in field situations.

  19. Exercise

    Science.gov (United States)

    ... decreased bone density with an increased risk of fracture, and shallow, inefficient breathing. An exercise program needs ... and-Soul (Feb. 2013 issue) (.pdf) Download Document Rehabilitation: Recommendations for Persons with MS (.pdf) Download Brochure ...

  20. Development of multilateral comparative evaluation method for fuel cycle system

    International Nuclear Information System (INIS)

    Tamaki, Hitoshi; Ikushima, Takeshi; Nomura, Yasushi; Nakajima, Kiyoshi.

    1998-03-01

    In the near future, Japanese nuclear fuel cycle system will be promoted by national nuclear energy policy, and it''s options i.e. once through, thermal cycle and fast breeder cycle must be selected by multilateral comparative evaluation method from various aspects of safety, society, economy, and e.t.c. Therefore such a problem can be recognized as a social problem of decision making and applied for AHP (Analytic Hierarchy Process) that can multilaterally and comparatively evaluate the problem. On comparative evaluation, much information are needed for decision making, therefore two kinds of databases having these information have been constructed. And then, the multilateral comparative evaluation method consisting of two kinds of databases and AHP for optimum selection of fuel cycle system option have been developed. (author)

  1. International bilateral and multilateral arrangements in energy technologies

    International Nuclear Information System (INIS)

    1978-07-01

    This document, the second report in the series, outlines current DOE international commitments under bilateral and multilateral arrangements, as of January 1, 1978. Included are bilateral agreements for cooperation in the civil uses of atomic energy with countries and international organizations, bilateral and multilateral technical exchanges in all energy technology areas, and multilateral agreements under the auspices of the International Energy Agency (IEA). In addition to outlining the terms, scope, and status of these agreements, this document describes DOE's participation in the work of the major international energy organizations. IEA, the International Atomic Energy Agency (IAEA), and the Nuclear Energy Agency (NEA). Future reports will update the status of ongoing cooperative projects and provide information on new energy R and D activities

  2. The development and validation of using inertial sensors to monitor postural change in resistance exercise.

    Science.gov (United States)

    Gleadhill, Sam; Lee, James Bruce; James, Daniel

    2016-05-03

    This research presented and validated a method of assessing postural changes during resistance exercise using inertial sensors. A simple lifting task was broken down to a series of well-defined tasks, which could be examined and measured in a controlled environment. The purpose of this research was to determine whether timing measures obtained from inertial sensor accelerometer outputs are able to provide accurate, quantifiable information of resistance exercise movement patterns. The aim was to complete a timing measure validation of inertial sensor outputs. Eleven participants completed five repetitions of 15 different deadlift variations. Participants were monitored with inertial sensors and an infrared three dimensional motion capture system. Validation was undertaken using a Will Hopkins Typical Error of the Estimate, with a Pearson׳s correlation and a Bland Altman Limits of Agreement analysis. Statistical validation measured the timing agreement during deadlifts, from inertial sensor outputs and the motion capture system. Timing validation results demonstrated a Pearson׳s correlation of 0.9997, with trivial standardised error (0.026) and standardised bias (0.002). Inertial sensors can now be used in practical settings with as much confidence as motion capture systems, for accelerometer timing measurements of resistance exercise. This research provides foundations for inertial sensors to be applied for qualitative activity recognition of resistance exercise and safe lifting practices. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. SQUID: sensorized shirt with smartphone interface for exercise monitoring and home rehabilitation.

    Science.gov (United States)

    Farjadian, Amir B; Sivak, Mark L; Mavroidis, Constantinos

    2013-06-01

    Stroke is a leading cause of serious long-term disability in the United States. There is a need for new technological adjuncts to expedite patients' scheduled discharge from hospital and pursue rehabilitation procedure at home. SQUID is a low-cost, smart shirt that incorporates a six-channel electromyography (EMG) and heart rate data acquisition module to deliver objective audiovisual and haptic biofeedback to the patient. The sensorized shirt is interfaced with a smartphone application, for the subject's usage at home, as well as the online database, for the therapist's remote supervision from hospital. A single healthy subject was recruited to investigate the system functionality during improperly performed exercise. The system can potentially be used in automated, remote monitoring of variety of physical therapy exercises, rooted in strength or coordination training of specific muscle groups.

  4. Exercise

    DEFF Research Database (Denmark)

    Idorn, Manja; thor Straten, Eivind Per

    2016-01-01

    We recently demonstrated that voluntary exercise leads to an influx of immune cells in tumors and a greater than 60% reduction in tumor incidence and growth across several mouse models. Improved immunological control of tumor progression may have important clinical implications in the prevention...

  5. Economic evaluation of multilateral nuclear fuel cycle approach

    International Nuclear Information System (INIS)

    Takashima, Ryuta; Kuno, Yusuke; Omoto, Akira; Tanaka, Satoru

    2011-01-01

    Recently previous works have shown that multilateral nuclear fuel cycle approach has benefits not only of non-proliferation but also of cost effectiveness. This is because for most facilities in nuclear fuel cycle, there exist economies of scale, which has a significant impact on the costs of nuclear fuel cycle. Therefore, the evaluation of economic rationality is required as one of the evaluation factors for the multilateral nuclear fuel cycle approach. In this study, we consider some options with respect to multilateral approaches to nuclear fuel cycle in Asian-Pacific region countries that are proposed by the University of Tokyo. In particular, the following factors are embedded into each type: A) no involvement of assurance of services, B) provision of assurance of services including construction of new facility, without transfer of ownership, and C) provision of assurance of service including construction of new joint facilities with ownership transfer of facilities to multilateral nuclear fuel cycle approach. We show the overnight costs taking into account install and operation of nuclear fuel cycle facilities for each option. The economic parameter values such as uranium price, scale factor, and market output expansion influences the total cost for each option. Thus, we show how these parameter values and economic risks affect the total overnight costs for each option. Additionally, the international facilities could increase the risk of transportation for nuclear material compared to national facilities. We discuss the potential effects of this transportation risk on the costs for each option. (author)

  6. International Relations and the environment: practical examples of environmental multilateralism

    Directory of Open Access Journals (Sweden)

    Filipa Tiago Gomes

    2012-01-01

    Full Text Available The “environmental crisis” we experience today and the international community’s struggle to develop environmental standards to reach the epic “sustainable development” are widely known topics. What is needed, then, is an urgent and determined practice, which is only possible if international governance is structured, coherent and effective. The optimization of Environmental Multilateralism (the joining of what are considered the “driving forces” of Environmental International Relations: Law, Politics and international Diplomacy contributes greatly to this end. To understand its basic concepts and systems, as for example, its actors, negotiation and implementation of Multilateral Environmental Agreements (MEAs and the carrying out of their Regimes, as well as their development in the United Nations, these are all crucial elements for its improvement and optimization. The United Nations Conference on Environment and Development (Rio de Janeiro, 1992 and “its” Conventions are important examples in the history of Environmental Multilateralism, still very up-to-date not only due to the 20th anniversary of the “Rio Conference” but also due to the continuity and importance that the “Rio Conventions” and their Conferences of Parties (COP still have. This papers aims to analyze this area of studies transversal to International Relations and to the Environment, namely by studying the relation between the theory of Environmental Multilateralism and its practice.

  7. RUSSIA'S PARTICIPATION IN MULTILATERAL MECHANISMS IN EAST ASIA

    Directory of Open Access Journals (Sweden)

    Natalya V. Stapran

    2014-01-01

    Full Text Available After the end of the Cold War Russia has significantly increased its participation in multilateral mechanisms in the Asia-Pacific region and is clearly trying to become a significant player in regional institution-building. For two post-Cold War Russia decades was involved in almost all the basic mechanisms of multilateral cooperation in the Asia-Pacific region. However, often Russia isn't perceived by Asian partners as an equal participant in the Asia-Pacific region, it is felt particularly in the area of multilateral economic cooperation. Russia's entry into the WTO (2011 and the formation of the Common Economic stimulated Russia's engagement in multilateral economic structures. Russia's inclusion in the negotiating framework of ASEM (2010 and EAS (2011 perceives that Asian countries are willing to see Russia as a full member not only in regional processes, but also globally. The main stimulus for the revision of the Asian direction of foreign policy and the role of Siberia and the Far East appears during APEC summit in Vladivostok in 2012. The APEC summit demonstrated the geostrategic importance of the development of the Russian Far East and Siberia, as a key element of Russia's inclusion in the mechanisms of regional cooperation, on the other hand, it became clear that without the participation of foreign partners effective development of the Far Eastern territories is hardly possible. Large-scale investment and infrastructure projects in the Far East has already significantly revived the situation in the region opening new opportunities for multilateral cooperation.

  8. Russia's Participation In Multilateral Mechanisms In East Asia

    Directory of Open Access Journals (Sweden)

    Natalya V. Stapran

    2014-01-01

    Full Text Available After the end of the Cold War Russia has significantly increased its participation in multilateral mechanisms in the Asia-Pacific region and is clearly trying to become a significant player in regional institution-building. For two post-Cold War Russia decades was involved in almost all the basic mechanisms of multilateral cooperation in the Asia-Pacific region. However, often Russia isn't perceived by Asian partners as an equal participant in the Asia-Pacific region, it is felt particularly in the area of multilateral economic cooperation. Russia's entry into the WTO (2011 and the formation of the Common Economic stimulated Russia's engagement in multilateral economic structures. Russia's inclusion in the negotiating framework of ASEM (2010 and EAS (2011 perceives that Asian countries are willing to see Russia as a full member not only in regional processes, but also globally. The main stimulus for the revision of the Asian direction of foreign policy and the role of Siberia and the Far East appears during APEC summit in Vladivostok in 2012. The APEC summit demonstrated the geostrategic importance of the development of the Russian Far East and Siberia, as a key element of Russia's inclusion in the mechanisms of regional cooperation, on the other hand, it became clear that without the participation of foreign partners effective development of the Far Eastern territories is hardly possible. Large-scale investment and infrastructure projects in the Far East has already significantly revived the situation in the region opening new opportunities for multilateral cooperation.

  9. THE EFFECT OF TELE-MONITORING ON EXERCISE TRAINING ADHERENCE, FUNCTIONAL CAPACITY, QUALITY OF LIFE AND GLYCEMIC CONTROL IN PATIENTS WITH TYPE II DIABETES

    Directory of Open Access Journals (Sweden)

    Tracy Marios

    2012-03-01

    Full Text Available We used tele-monitoring to attempt to improve exercise adherence (number of hours of exercise completed, peak VO2, HbA1c% and quality of life in an unsupervised, home based exercise program in people with type II diabetes, a cost analysis was also conducted. Thirty-nine patients with type II diabetes were randomized to tele-monitoring (TELE or control (CON groups. All patients were asked to complete 6 months exercise training and complete an exercise activity diary. The TELE group was instructed to record their exercise heart rates using a monitor and received weekly telephone calls from an exercise physiologist. Six TELE patients and seven CON patients did not complete the 6 month testing. TELE patients completed a mean weekly volume of 138 minutes, moderate intensity exercise, while CON patients completed 58 minutes weekly (p < 0.02. Neither group achieved the American Heart Association statement guideline for weekly exercise volume of 150 minutes. TELE patients improved peak VO2 (5.5 %, but neither group improved HbA1c% or quality of life. The CON group showed a 4.9% reduction in peak VO2. While tele-monitored patients completed more hours of exercise and demonstrated improved peak VO2 compared to controls, the exercise volume completed was insufficient to improve glycemic control. There is the potential via tele-monitoring to enable people with diabetes to meet exercise training guidelines.

  10. Blood glucose monitoring during aerobic and anaerobic physical exercise using a new artificial pancreas system.

    Science.gov (United States)

    Quirós, Carmen; Bertachi, Arthur; Giménez, Marga; Biagi, Lyvia; Viaplana, Judith; Viñals, Clara; Vehí, Josep; Conget, Ignacio; Bondia, Jorge

    To assess an artificial pancreas system during aerobic (AeE) and anaerobic exercise (AnE). A pilot clinical trial on five subjects with type 1 diabetes (4 males) aged 37±10.9 years, diabetes diagnosed 21.2±12.2 years before, insulin pump users, and with a mean HbA 1c level of 7.8±0.5%. Every subject did three AeE and three AnE sessions. Blood glucose levels were monitored by the artificial pancreas system during exercise and up to four hours later. Before the start of exercise, 23g of carbohydrates were administered orally. The mean glucose level was 124.0±25.1mg/dL in the AeE studies and 152.1±34.1mg/dL in the AnE studies. Percent times in the different glucose ranges of 70-180, >180 and 18.6% and 75.9±27.6%; 7.7±18.4% and 23.2±28.0%; and 2.5±6.3% and 1.0±3.6% during the AeE and AnE sessions, respectively. Only six rescues with carbohydrates (15g) were required during the studies (4 in AeE and 2 in AnE). Total insulin dose during the five hours of the study was 3.1±1.0IU in the AeE studies and 3.5±1.3IU in the AnE studies. Blood glucose response to AeE and AnE exercise is different. The evaluated artificial pancreas system appeared to achieve effective and safe blood glucose control during exercise and up to four hours later. However, new control strategies that minimize patient intervention should be designed. Copyright © 2018 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. The Multilateralism and China’s OBOR Initiative

    Directory of Open Access Journals (Sweden)

    Pang Zhongying

    2015-12-01

    Full Text Available This article addresses several extremely political questions which are perhaps somewhat neglected in the current discussions and research on the China-sponsored international initiative “One Belt One Road” (OBOR. They are: 1. Why does the political logic of the OBOR matter? 2. Why does the OBOR not just mean that China takes the lead in global development, but that China seeks its own road for further development in the world? 3. Why does the OBOR need to be multilateralized towards a global institution? Can the new international financial institution AIIB help the multilateralization of the OBOR? 4. Can the OBOR contribute to the next generation of global governance? Finally, the article suggests that China should call for the OBOR nations, or the Silk Road System of Nations, to have their 1st summit – the Silk Road Summit – to gather political support for the reform of global governance.

  12. Regionalism vs. Multilateralism : An overview of the effects of Regionalism

    OpenAIRE

    Pöntinen, Martina

    2012-01-01

    The Purpose of this dissertation was to first find the motives behind and causes for regionalism and to explore the advantages and disadvantages of the phenomenon. Secondly, the intension was to determine the benefits of a possible bilateral FTA between Australia and China and whether a bilateral trade agreement would be more beneficial for the Australian economy than waiting for a multilateral WTO regulated framework. The research was conducted through an extensive literature review...

  13. Challenges to the multilateral trading system and possible responses

    OpenAIRE

    Panagariya, Arvind

    2013-01-01

    This paper develops three major themes. First, the atmosphere of gloom around the multilateral trading system due to dim prospects of a successful conclusion of the Doha Round notwithstanding, global trade regime remains open and the institution in charge of it, the World Trade Organization, is in sound health. If anything, the Doha Round has been a victim of its own success: considerable de facto liberalization in agriculture has been achieved since the launch of the round. Second, to secure...

  14. Rest and exercise radionuclide ventriculography in the ambulatory monitoring of patients with valvular heart disease

    Energy Technology Data Exchange (ETDEWEB)

    Raichlen, J.S.; Brest, A.N.

    1988-01-01

    Radionuclide angiography serves as a valuable adjunct in the noninvasive evaluation and monitoring of patients with valvular heart disease. Although estimations of regurgitant fractions and the differences between left and right ventricular stroke volumes can be made, the limitations of the techniques do not enable adequate quantitation of the severity of valvular insufficiency to warrant routine use in ambulatory management. The importance of radionuclide ventriculography, however, lies in its ability to examine global ventricular function both at rest and with exercise, thus enabling assessment of the functional reserve of the left and right ventricles. Such data are of considerable value in determining the need for invasive evaluation and the timing of valve replacement in patients with valvular heart disease. 41 references.

  15. Rest and exercise radionuclide ventriculography in the ambulatory monitoring of patients with valvular heart disease

    International Nuclear Information System (INIS)

    Raichlen, J.S.; Brest, A.N.

    1988-01-01

    Radionuclide angiography serves as a valuable adjunct in the noninvasive evaluation and monitoring of patients with valvular heart disease. Although estimations of regurgitant fractions and the differences between left and right ventricular stroke volumes can be made, the limitations of the techniques do not enable adequate quantitation of the severity of valvular insufficiency to warrant routine use in ambulatory management. The importance of radionuclide ventriculography, however, lies in its ability to examine global ventricular function both at rest and with exercise, thus enabling assessment of the functional reserve of the left and right ventricles. Such data are of considerable value in determining the need for invasive evaluation and the timing of valve replacement in patients with valvular heart disease. 41 references

  16. Cardiac Acceleration at the Onset of Exercise : A Potential Parameter for Monitoring Progress During Physical Training in Sports and Rehabilitation

    NARCIS (Netherlands)

    Hettinga, Florentina J.; Monden, Paul G.; van Meeteren, Nico L. U.; Daanen, Hein A. M.

    There is a need for easy-to-use methods to assess training progress in sports and rehabilitation research. The present review investigated whether cardiac acceleration at the onset of physical exercise (HRonset) can be used as a monitoring variable. The digital databases of Scopus and PubMed were

  17. Cardiac acceleration at the onset of exercise: A potential parameter for monitoring progress during physical training in sports and rehabilitation

    NARCIS (Netherlands)

    Hettinga, F.J.; Monden, P.G.; Meeteren, N.L.U. van; Daanen, H.A.M.

    2014-01-01

    There is a need for easy-to-use methods to assess training progress in sports and rehabilitation research. The present review investigated whether cardiac acceleration at the onset of physical exercise (HRonset) can be used as a monitoring variable. The digital databases of Scopus and PubMed were

  18. Building a Simulated Environment for the Study of Multilateral Approaches to Nuclear Materials Verification

    International Nuclear Information System (INIS)

    Moul, R.; Persbo, A.; Keir, D.

    2015-01-01

    Verification research can be resource-intensive, particularly when it relies on practical or field exercises. These exercises can also involve substantial logistical preparations and are difficult to run in an iterative manner to produce data sets that can be later utilized in verification research. This paper presents the conceptual framework, methodology and preliminary findings from part of a multi-year research project, led by VERTIC. The multi-component simulated environment that we have generated, using existing computer models for nuclear reactors and other components of fuel cycles, can be used to investigate options for future multilateral nuclear verification, at a variety of locations and time points in a nuclear complex. We have constructed detailed fuel cycle simulations for two fictional, and very different, states. In addition to these mass-flow models, a 3-dimensional, avatarbased simulation of a nuclear facility is under development. We have also developed accompanying scenarios-that provide legal and procedural assumptions that will control the process of our fictional verification solutions. These tools have all been produced using open source information and software. While these tools are valuable for research purposes, they can also play an important role in support of training and education in the field of nuclear materials verification, in a variety of settings and circumstances. (author)

  19. Unsupervised progressive elastic band exercises for frail geriatric inpatients objectively monitored by new exercise-integrated technology-a feasibility trial with an embedded qualitative study

    DEFF Research Database (Denmark)

    Rathleff, C R; Bandholm, T; Spaich, E G

    2017-01-01

    feasibility and acceptability of an unsupervised progressive strength training intervention monitored by BandCizer for frail geriatric inpatients. Methods: This feasibility trial included 15 frail inpatients at a geriatric ward. At hospitalization, the patients were prescribed two elastic band exercises......Background: Frailty is a serious condition frequently present in geriatric inpatients that potentially causes serious adverse events. Strength training is acknowledged as a means of preventing or delaying frailty and loss of function in these patients. However, limited hospital resources challenge...... the amount of supervised training, and unsupervised training could possibly supplement supervised training thereby increasing the total exercise dose during admission. A new valid and reliable technology, the BandCizer, objectively measures the exact training dosage performed. The purpose was to investigate...

  20. The Montreal Protocol's multilateral fund and sustainable development

    International Nuclear Information System (INIS)

    Luken, Ralph; Grof, Tamas

    2006-01-01

    The 1987 Montreal Protocol is widely seen as a global environmental accord that has produced tangible results in terms of reductions in ozone-depleting substances. In addition, there have been other benefits, largely unrecognized and undocumented, that can best be characterized in a sustainable development framework based on a review of 50 out of 931 projects implemented over a 13 year period by one of the four implementing agencies of the Multilateral Fund for the Implementation of the Montreal Protocol. All investment projects have reduced ozone depleting potential and global warming potential. Some projects have reduced atmospheric emissions and contamination of groundwater. Other projects have increased the competitiveness of enterprises in domestic and international markets and have sustained and in a few cases created employment opportunities. Others, fewer in number, have potentially contributed to environmental problems, have initially created difficulties in maintaining productivity and quality standards and have decreased the number of employment opportunities because of the need to rationalize manufacturing processes. The potential contributions from Multilateral Fund investment projects to sustainable development could probably have been amplified with project design guidance for the technical staffs of all three implementing agencies executing investment projects. In thinking about other multilateral environmental agreements, one can see the need for similar guidance for Global Environment Facility funded projects supporting the focal areas of climate change, international waters, ozone depletion and persistent organic pollutants. Some of them have the potential to generate multiple beneficial impacts in addition to their stated environmental objective if designed and implemented within a sustainable development framework. (author)

  1. Accurate ocean bottom seismometer positioning method inspired by multilateration technique

    Science.gov (United States)

    Benazzouz, Omar; Pinheiro, Luis M.; Matias, Luis M. A.; Afilhado, Alexandra; Herold, Daniel; Haines, Seth S.

    2018-01-01

    The positioning of ocean bottom seismometers (OBS) is a key step in the processing flow of OBS data, especially in the case of self popup types of OBS instruments. The use of first arrivals from airgun shots, rather than relying on the acoustic transponders mounted in the OBS, is becoming a trend and generally leads to more accurate positioning due to the statistics from a large number of shots. In this paper, a linearization of the OBS positioning problem via the multilateration technique is discussed. The discussed linear solution solves jointly for the average water layer velocity and the OBS position using only shot locations and first arrival times as input data.

  2. Regional cooperation based on multilateral international agreements in nuclear field

    International Nuclear Information System (INIS)

    Valcic, I.

    1996-01-01

    Multilateral international agreements have defined the framework of behavior and cooperation in various fields and aspects of peaceful use of nuclear energy. Thus, obligations have been defined in the following areas: nonproliferation of nuclear weapons, physical protection of nuclear material, liability for nuclear damage, nuclear safety, early notification about a nuclear accident and assistance in case of nuclear accident. Obligations regarding radioactive waste management should be defined soon. This paper gives a review of obligations from particular agreements with a special emphasis on those which are being realized through mutual cooperation of concerned countries and are important for safe use of nuclear energy. (author)

  3. Ambulatory diffuse optical tomography and multimodality physiological monitoring system for muscle and exercise applications

    Science.gov (United States)

    Hu, Gang; Zhang, Quan; Ivkovic, Vladimir; Strangman, Gary E.

    2016-09-01

    Ambulatory diffuse optical tomography (aDOT) is based on near-infrared spectroscopy (NIRS) and enables three-dimensional imaging of regional hemodynamics and oxygen consumption during a person's normal activities. Although NIRS has been previously used for muscle assessment, it has been notably limited in terms of the number of channels measured, the extent to which subjects can be ambulatory, and/or the ability to simultaneously acquire synchronized auxiliary data such as electromyography (EMG) or electrocardiography (ECG). We describe the development of a prototype aDOT system, called NINscan-M, capable of ambulatory tomographic imaging as well as simultaneous auxiliary multimodal physiological monitoring. Powered by four AA size batteries and weighing 577 g, the NINscan-M prototype can synchronously record 64-channel NIRS imaging data, eight channels of EMG, ECG, or other analog signals, plus force, acceleration, rotation, and temperature for 24+ h at up to 250 Hz. We describe the system's design, characterization, and performance characteristics. We also describe examples of isometric, cycle ergometer, and free-running ambulatory exercise to demonstrate tomographic imaging at 25 Hz. NINscan-M represents a multiuse tool for muscle physiology studies as well as clinical muscle assessment.

  4. A Multilateral Negotiation Model for Cloud Service Market

    Science.gov (United States)

    Yoo, Dongjin; Sim, Kwang Mong

    Trading cloud services between consumers and providers is a complicated issue of cloud computing. Since a consumer can negotiate with multiple providers to acquire the same service and each provider can receive many requests from multiple consumers, to facilitate the trading of cloud services among multiple consumers and providers, a multilateral negotiation model for cloud market is necessary. The contribution of this work is the proposal of a business model supporting a multilateral price negotiation for trading cloud services. The design of proposed systems for cloud service market includes considering a many-to-many negotiation protocol, and price determining factor from service level feature. Two negotiation strategies are implemented: 1) MDA (Market Driven Agent); and 2) adaptive concession making responding to changes of bargaining position are proposed for cloud service market. Empirical results shows that MDA achieved better performance in some cases that the adaptive concession making strategy, it is noted that unlike the MDA, the adaptive concession making strategy does not assume that an agent has information of the number of competitors (e.g., a consumer agent adopting the adaptive concession making strategy need not know the number of consumer agents competing for the same service).

  5. Sponsoring Asia-Pacific Security: PACOM’s Role in Reconciling Bilateral and Multilateral Security Structures

    Science.gov (United States)

    2016-05-13

    regional security order according to realist or liberal-institutionalist international relations theory.3 Realists emphasize the deep-seated...other states has motivated party officials to pursue multilateralism to impress international society with the country’s peaceful rise. 10 The...simultaneous pursuit ofbilateralism and multilateralism within Asia "amounts to outsourcing of great power management ofregional security order in two

  6. New multilateral approaches solving the nuclear energy dispute with Iran

    International Nuclear Information System (INIS)

    Heireng, Hege Schultz; Moezzi, Maryam; Kippe, Halvor

    2011-01-01

    The focus of this report is on possible multilateral approaches for cooperation with Iran on the nuclear fuel cycle. The aim is to contribute in finding diplomatic solutions to the Iranian nuclear dispute. The proposals challenge the traditional views of Iran's role in the nuclear negotiations in particular, and in the international community in general. The report investigates the possibility of accepting Iran's enrichment of uranium, under an enhanced safeguards regime, and through a multilateral cooperation on the production of nuclear fuel. In relation to this, the report also explores the benefits of including new actors in the proposed solutions.Two different models for multilateral nuclear fuel cycle cooperation with Iran will be presented. The aim of these models is to ensure greater transparency in Iran's nuclear activities, in order to minimize the risk of proliferation of nuclear weapons, while simultaneously presenting a solution that will be acceptable to Iran. The first model is a tripartite consortium model that consists of a cooperation between Kazakhstan, Iran and South Africa, in which these countries additionally cooperate with an IAEA-supervised international nuclear fuel bank. The second model is a nuclear fuel cycle cooperation between Iran and six of the countries bordering the Persian Gulf. In both models, the countries in question will be responsible for different parts of the nuclear fuel cycle. Iran will be responsible for the uranium enrichment activities, but will have to give up all other fuel cycle activities. Another prerequisite is that Iran accepts not to store enriched uranium on Iranian soil.The report shows that the international community should consider accepting enrichment of uranium on Iranian soil in the long-term. In addition, it is concluded that cooperation with Iran on the nuclear fuel cycle, where Iran is a reliable nuclear supplier state of enriched uranium and other states are responsible for the remaining parts of

  7. New multilateral approaches solving the nuclear energy dispute with Iran

    Energy Technology Data Exchange (ETDEWEB)

    Heireng, Hege Schultz; Moezzi, Maryam; Kippe, Halvor

    2011-07-01

    The focus of this report is on possible multilateral approaches for cooperation with Iran on the nuclear fuel cycle. The aim is to contribute in finding diplomatic solutions to the Iranian nuclear dispute. The proposals challenge the traditional views of Iran's role in the nuclear negotiations in particular, and in the international community in general. The report investigates the possibility of accepting Iran's enrichment of uranium, under an enhanced safeguards regime, and through a multilateral cooperation on the production of nuclear fuel. In relation to this, the report also explores the benefits of including new actors in the proposed solutions.Two different models for multilateral nuclear fuel cycle cooperation with Iran will be presented. The aim of these models is to ensure greater transparency in Iran's nuclear activities, in order to minimize the risk of proliferation of nuclear weapons, while simultaneously presenting a solution that will be acceptable to Iran. The first model is a tripartite consortium model that consists of a cooperation between Kazakhstan, Iran and South Africa, in which these countries additionally cooperate with an IAEA-supervised international nuclear fuel bank. The second model is a nuclear fuel cycle cooperation between Iran and six of the countries bordering the Persian Gulf. In both models, the countries in question will be responsible for different parts of the nuclear fuel cycle. Iran will be responsible for the uranium enrichment activities, but will have to give up all other fuel cycle activities. Another prerequisite is that Iran accepts not to store enriched uranium on Iranian soil.The report shows that the international community should consider accepting enrichment of uranium on Iranian soil in the long-term. In addition, it is concluded that cooperation with Iran on the nuclear fuel cycle, where Iran is a reliable nuclear supplier state of enriched uranium and other states are responsible for the

  8. New and Traditional Multilateral Development Banks: Current and Potential Cooperation

    Directory of Open Access Journals (Sweden)

    Andrei Shelepov

    2017-03-01

    Full Text Available Most experts on multilateral development banks (MDBs mention the possibility of large-scale co-financing in their forecasts concerning their future operations. However, interaction between MDBs and other actors, including co-financing, is rarely considered as a research problem for analytical and scientific papers. Yet this type of cooperation is one of the most important factors of effectiveness for the entire system of MDB financing. Thus, working in partnership with governmental institutions (development assistance agencies, export credit agencies, etc., MDBs help attract additional financial resources and expertise in the countries where they are active. Working on state, regional and global levels, multilateral banks cooperate not only with governmental institutions, but also with private sector and civil society representatives. Such cooperation benefits both parties. In addition to mobilizing additional financial resources, it improves project preparation and implementation, taking into account national peculiarities, while partner institutions get a chance to use their experience and expertise. Given the recent establishment of the New Development Bank (NDB and Asian Infrastructure Investment Bank (AIIB, they are unlikely to achieve their main goal of narrowing the infrastructure financing deficit in developing countries without active cooperation with other institutions. This article discusses the results and examines the prospects of the NDB and AIIB cooperating with traditional MDBs. It also focuses on the new banks’ engagement with other financial institutions, including commercial banks and national development banks. The author analyzes interbank memorandums and agreements as a formal basis for cooperation between various institutions, and examines in detail the examples of co-financing infrastructure projects by the new and traditional MDBs, as well as new multilateral cooperation mechanisms established by development banks. The

  9. Monitoring training response in young Friesian dressage horses using two different standardised exercise tests (SETs)

    NARCIS (Netherlands)

    de Bruijn, Cornelis Marinus; Houterman, Willem; Ploeg, Margreet; Ducro, Bart; Boshuizen, Berit; Goethals, Klaartje; Verdegaal, Elisabeth-Lidwien; Delesalle, Catherine

    2017-01-01

    BACKGROUND: Most Friesian horses reach their anaerobic threshold during a standardized exercise test (SET) which requires lower intensity exercise than daily routine training. AIM: to study strengths and weaknesses of an alternative SET-protocol. Two different SETs (SETA and SETB) were applied

  10. Monitoring training response in young Friesian dressage horses using two different standardised exercise tests (SETs)

    NARCIS (Netherlands)

    Bruijn, de Cornelis Marinus; Houterman, Willem; Ploeg, Margreet; Ducro, Bart; Boshuizen, Berit; Goethals, Klaartje; Verdegaal, Elisabeth Lidwien; Delesalle, Catherine

    2017-01-01

    Background: Most Friesian horses reach their anaerobic threshold during a standardized exercise test (SET) which requires lower intensity exercise than daily routine training. Aim: to study strengths and weaknesses of an alternative SET-protocol. Two different SETs (SETA and SETB) were applied

  11. Multilateral market-access reforms of the Doha Round

    DEFF Research Database (Denmark)

    Yu, Wusheng; Jensen, Hans Grinsted

    members such as the US. This paper provides a preliminary assessment of the likely impact of the tiered-formula reform approach on EU agricultural sectors. Numerical simulations of a multilateral market-access reform scenario show that such cuts would lead to across-the-board decreases in intra-EU trade...... external trade surpluses in many EU agricultural products. Further, the resulting adjustments in member states’ production and net trade positions are not equal: the new member states would generally lose part of their export shares in the EU market to external competitors, as highlighted in the cases......The July package of the Doha Round of trade negotiations stipulates that a tiered-formula approach should be used to significantly reduce market access barriers across countries, implying that the EU would have to make larger cuts to its high external tariffs, in comparison with many other WTO...

  12. Biotechnology in Argentina: New products, new multilateral challenges

    Directory of Open Access Journals (Sweden)

    Luciano M. Donadio Linares

    2016-06-01

    Full Text Available Since 20 years ago, a public-private alliance has transformed Argentina into a remarkable global actor in developing biotechnological products for food and renewable energies. This strategic alliance resulted in the boosting of scientific knowledge, the extension of the production boundary, the expansion of international trade and the creation of the conditions for an integral development. Furthermore, given the characteristics of biotechnology as a new phenomenon, wto has become the field within where a number of disputes take place, disputes which not only controvert trade issues, but also the State’s limits to design and apply public policies on the matter at issue. As a consequence, the present article seeks to, on the one hand, describe how Argentina built its public policy on Biotechnology and, on the other hand, analyze the challenges that Argentina faces within the multilateral trade system

  13. Optimal power transaction matrix rescheduling under multilateral open access environment

    International Nuclear Information System (INIS)

    Moghaddam, M.P.; Raoofat, M.; Haghifam, M.R.

    2004-01-01

    This paper addresses a new concept for determining optimal transactions between different entities in a multilateral environment while benefits of both buyer and seller entities are taken into account with respect to the rules of the system. At the same time, constraints of the network are met, which leads to an optimal power flow problem. A modified power transaction matrix is proposed for modeling the environment. The optimization method in this paper is the continuation method, which is suited for complex situations of power system studies. This complexity will become more serious when dual interaction between financial and electrical subsystems of competitive power system are taken into account. The proposed approach is tested on a typical network with satisfactory results. (author)

  14. Energy Technology Initiatives 2013. Implementation through Multilateral Co-operation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-07-01

    Ensuring energy security and addressing climate change cost-effectively are key global challenges. Tackling these issues will require efforts from stakeholders worldwide. To find solutions, the public and private sectors must work together, sharing burdens and resources, while at the same time multiplying results and outcomes. Through its broad range of multilateral technology initiatives (Implementing Agreements), the IEA enables member and non-member countries, businesses, industries, international organisations and non-governmental organisations to share research on breakthrough technologies, to fill existing research gaps, to build pilot plants and to carry out deployment or demonstration programmes across the energy sector. This publication highlights the most significant recent achievements of the IEA Implementing Agreements. At the core of the IEA energy technology network, these initiatives are a fundamental building block for facilitating the entry of new and improved energy technologies into the marketplace.

  15. Cardiac acceleration at the onset of exercise: a potential parameter for monitoring progress during physical training in sports and rehabilitation.

    Science.gov (United States)

    Hettinga, Florentina J; Monden, Paul G; van Meeteren, Nico L U; Daanen, Hein A M

    2014-05-01

    There is a need for easy-to-use methods to assess training progress in sports and rehabilitation research. The present review investigated whether cardiac acceleration at the onset of physical exercise (HRonset) can be used as a monitoring variable. The digital databases of Scopus and PubMed were searched to retrieve studies investigating HRonset. In total 652 studies were retrieved. These articles were then classified as having emphasis on HRonset in a sports or rehabilitation setting, which resulted in 8 of 112 studies with a sports application and 6 of 68 studies with a rehabilitation application that met inclusion criteria. Two co-existing mechanisms underlie HRonset: feedforward (central command) and feedback (mechanoreflex, metaboreflex, baroreflex) control. A number of studies investigated HRonset during the first few seconds of exercise (HRonsetshort), in which central command and the mechanoreflex determine vagal withdrawal, the major mechanism by which heart rate (HR) increases. In subsequent sports and rehabilitation studies, interest focused on HRonset during dynamic exercise over a longer period of time (HRonsetlong). Central command, mechanoreflexes, baroreflexes, and possibly metaboreflexes contribute to HRonset during the first seconds and minutes of exercise, which in turn leads to further vagal withdrawal and an increase in sympathetic activity. HRonset has been described as the increase in HR compared with resting state (delta HR) or by exponential modeling, with measurement intervals ranging from 0-4 s up to 2 min. Delta HR was used to evaluate HRonsetshort over the first 4 s of exercise, as well as for analyzing HRonsetlong. In exponential modeling, the HR response to dynamic exercise is biphasic, consisting of fast (parasympathetic, 0-10 s) and slow (sympathetic, 1-4 min) components. Although available studies differed largely in measurement protocols, cross-sectional and longitudinal training studies showed that studies analyzing HRonset

  16. New exercise-integrated technology can monitor the dosage and quality of exercise performed against an elastic resistance band by adolescents with patellofemoral pain

    DEFF Research Database (Denmark)

    Rathleff, Michael S; Bandholm, Thomas; McGirr, Kate A

    2016-01-01

    QUESTION: Is the exercise-integrated Bandcizer™ system feasible for recording exercise dosage (time under tension (TUT) and repetitions) and pain scores among adolescents with patellofemoral pain? Do adolescents practise the exercises as prescribed (TUT and repetitions)? Do adolescents accurately...... report the exercises they do in an exercise diary? DESIGN: Observational feasibility study. PARTICIPANTS: Twenty adolescents between 15 and 19 years of age with patellofemoral pain. INTERVENTION: Participants were prescribed three exercise sessions per week (one with and two without supervision) for 6......% of the instructed exercise dosage based on TUT. The exercise dosage reported in the exercise diaries was 2.3 times higher than the TUT data from the electronic system. Pain intensity was successfully collected in 100% of the exercise sets. CONCLUSION: The system was feasible for adolescents with patellofemoral pain...

  17. Prognosis in medically stabilized unstable angina: Early Holter ST-segment monitoring compared with predischarge exercise thallium tomography

    International Nuclear Information System (INIS)

    Marmur, J.D.; Freeman, M.R.; Langer, A.; Armstrong, P.W.

    1990-01-01

    The objective of this study was to assess the relative value of invasive and noninvasive predictors of outcome in patients after unstable angina. Fifty-four patients with unstable angina who had 6-month follow-up after stabilization on medical therapy were evaluated. We prospectively compared 24-hour Holter ST-segment monitoring at admission, quantitative exercise thallium tomography, and cardiac catheterization 5 +/- 2 days after admission and analyzed their value for predicting a cardiac event in patients with unstable angina within 6 months. When patients with a favorable outcome (n = 40) were compared with patients with an unfavorable outcome (n = 11) no statistical difference was found in duration of ST shift of 1 mm or more on Holter monitoring (51 +/- 119 min compared with 37 +/- 43 min), exercise duration by the standard Bruce protocol (8.0 +/- 3.6 min compared with 7.9 +/- 3.1 min), exercise-induced ST depression (0.6 +/- 0.9 mm compared with 1.0 +/- 1.0 mm), and contrast left ventricular ejection fraction (70% +/- 10% compared with 69% +/- 15%). Patients with a favorable outcome were distinguished from those with an unfavorable outcome by a higher maximum rate-pressure product (24 x 10(3) +/- 6 x 10(3) compared with 18 x 10(3) +/- 7 x 10(3), P = 0.0025), smaller size of the reversible scintigraphic perfusion defect expressed as a percentage of total myocardium imaged (6% +/- 11% compared with 17% +/- 18%, P = 0.05) and a smaller number of vessels with stenosis of 50% or more (1.1 +/- 1.2 compared with 2.1 +/- 1.0, P = 0.01). On multiple logistic regression analysis, a history of previous myocardial infarction was the most powerful predictor of outcome. In patients without myocardial infarction, reversible exercise thallium perfusion defect size was the only predictor

  18. Use of a consumer market activity monitoring and feedback device improves exercise capacity and activity levels in COPD.

    Science.gov (United States)

    Caulfield, Brian; Kaljo, Indira; Donnelly, Seamas

    2014-01-01

    COPD is associated with a gradual decline in physical activity, which itself contributes to a worsening of the underlying condition. Strategies that improve physical activity levels are critical to halt this cycle. Wearable sensor based activity monitoring and persuasive feedback might offer a potential solution. However it is not clear just how much intervention might be needed in this regard - i.e. whether programmes need to be tailored specifically for the target clinical population or whether more simple activity monitoring and feedback solutions, such as that offered in consumer market devices, might be sufficient. This research was carried out to investigate the impact of 4 weeks of using an off the shelf consumer market activity monitoring and feedback application on measures of physical activity, exercise capacity, and health related quality of life in a population of 10 Stage I and II COPD patients. Results demonstrate a significant and positive effect on exercise capacity (measured using a 6-minute walk test) and activity levels (measured in terms of average number of steps per hour) yet no impact on health related quality of life (St Georges Respiratory Disease Questionnaire).

  19. New multilateral approaches solving the nuclear energy dispute with Iran

    Energy Technology Data Exchange (ETDEWEB)

    Heireng, Hege Schultz; Moezzi, Maryam; Kippe, Halvor

    2010-12-15

    The focus of this report is on possible multilateral approaches for cooperation with Iran on the nuclear fuel cycle. The aim is to contribute in finding diplomatic solutions to the Iranian nuclear dispute. The proposals challenge the traditional views of Iran#Right Single Quotation Mark#s role in the nuclear negotiations in particular, and in the international community in general. The report investigates the possibility of accepting Iran#Right Single Quotation Mark#s enrichment of uranium, under an enhanced safeguards regime, and through a multilateral cooperation on the production of nuclear fuel. In relation to this, the report also explores the benefits of including new actors in the proposed solutions. Two different models for multilateral nuclear fuel cycle cooperation with Iran will be presented. The aim of these models is to ensure greater transparency in Iran#Right Single Quotation Mark#s nuclear activities, in order to minimize the risk of proliferation of nuclear weapons, while simultaneously presenting a solution that will be acceptable to Iran. The first model is a tripartite consortium model that consists of a cooperation between Kazakhstan, Iran and South Africa, in which these countries additionally cooperate with an IAEA-supervised international nuclear fuel bank. The second model is a nuclear fuel cycle cooperation between Iran and six of the countries bordering the Persian Gulf. In both models, the countries in question will be responsible for different parts of the nuclear fuel cycle. Iran will be responsible for the uranium enrichment activities, but will have to give up all other fuel cycle activities. Another prerequisite is that Iran accepts not to store enriched uranium on Iranian soil. The report shows that the international community should consider accepting enrichment of uranium on Iranian soil in the long-term. In addition, it is concluded that cooperation with Iran on the nuclear fuel cycle, where Iran is a reliable nuclear supplier

  20. Experience in exercise evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Bickerton, George E [Office of Emergency Planning, Food Safety and Inspection Service, United States Department of Agriculture, Washington, DC (United States)

    1989-09-01

    This summary outline presents environmental ingestion exposure pathways exercise evaluations that should be followed by state and local governments. It includes environmental monitoring, food, feeds and monitoring of organisms as well as emergency planning and execution exercises.

  1. Experience in exercise evaluations

    International Nuclear Information System (INIS)

    Bickerton, George E.

    1989-01-01

    This summary outline presents environmental ingestion exposure pathways exercise evaluations that should be followed by state and local governments. It includes environmental monitoring, food, feeds and monitoring of organisms as well as emergency planning and execution exercises

  2. A thirsty dragon. Rising Chinese crude oil demand and prospects for multilateral energy security cooperation

    Energy Technology Data Exchange (ETDEWEB)

    Causevic, Amar

    2012-07-01

    sovereignty. Hinderances in integrating China into the IEA are a factor of the organization itself. The IEA's efficiency depends on the willingness of its members to act and coordinate. The more coordinated and synchronized energy interests are, the more powerful the organization becomes. This means that the Chinese energy policy agenda as well as those of the other IEA members should increasingly converge. Should this not materialize, any conflict would prevent this organization from acting efficiently. This occurs whenever a member country exercises its veto power; in order to reach decisions, IEA member states must unanimously agree on decisions. As a consequence, prospective Chinese membership into the IEA will imply a reform of the latter's operating practices. In spite of the difficulties, China, the West and India would be better off using their power to foster common energy security rather than undermining one another. Instead of allowing tensions to rise, they could focus on designing an order that is legitimate, durable and in the interests of all. A stronger international energy security framework would reduce the enforcement costs of maintaining order due to institutionalization, and it could lock actors in favorable arrangements that persist beyond their power zenith. Working together and building mutual consensus on energy-related issues are, indeed, a greater challenge, but prove to be a better investment for the sake of international security. The process of China's further integration into a multilateral energy system must be executed in phases that do not demand too much change in too little time nor lag behind the development of the conflict potential. Powerful parties need to have enough time to adjust their national policies, and simultaneously tackle the problems of rising global demand for petroleum. Initially, China could be offered observer status in the IEA. This option would allow Beijing to participate in the organization

  3. Security in the Americas: A Move to Multilateralism in a Unilateral World

    National Research Council Canada - National Science Library

    Boudreau, George

    2000-01-01

    A "wave of democracy" has swept through Latin America and the Caribbean Basin. In order to keep pace with the changing environment, multilateralism has replaced the historic unilateral stance with regard to U.S...

  4. The multilateral Agreement on Investment: Implications and Policy Recommendations

    Directory of Open Access Journals (Sweden)

    Kwanho Kim

    1997-12-01

    Full Text Available Consultations that were kept under the discussions in the Organization for Economic Cooperation and Development (OECD are Multilateral Agreements on Investment (MAI and their aim was to be signed before April 1998. The significance of the agreement was to establish a transparent and predictable institutional environment for international investment. The agreement is about the nations participating to have the obligation to make sure that foreign investment and investors will to appreciate the national treatment (treated on the same basics with its citizens, and legally binding in the MAI system, the governmental protection for domestic enterprises will become difficult, and domestic enterprise which does not have international competitiveness will face the pressure of structural adjustment. But Korea should positively approach participation into MAI from the point of promoting the internationalization of Korean economies. Although the participation into MAI would also create new challenges of the Korean economy, but it also becomes an opportunity to promote the Korean economy for transferring to a more competitive economic structure.

  5. Energy Technology Initiatives - Implementation Through Multilateral Co-operation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-15

    New technologies will be critical in addressing current global energy challenges such as energy security. More must be done, however, to push forward the development and deployment of the technologies we need today and will need in the future. Government leaders have repeatedly underlined the crucial role of industry and businesses in advancing energy technologies and the importance of strong collaboration among all stakeholders to accelerate technology advances. To attain these goals, increased co-operation between industries, businesses and government energy technology research is indispensable. The public and private sectors must work together, share burdens and resources, while at the same time multiplying results and outcomes. The 42 multilateral technology initiatives (Implementing Agreements) supported by the IEA are a flexible and effective framework for IEA member and non-member countries, businesses, industries, international organisations and non-government organisations to research breakthrough technologies, to fill existing research gaps, to build pilot plants, to carry out deployment or demonstration programmes -- in short to encourage technology-related activities that support energy security, economic growth and environmental protection. This publication highlights the significant accomplishments of the IEA Implementing Agreements.

  6. A multilateral modelling of Youth Soccer Performance Index (YSPI)

    Science.gov (United States)

    Bisyri Husin Musawi Maliki, Ahmad; Razali Abdullah, Mohamad; Juahir, Hafizan; Abdullah, Farhana; Ain Shahirah Abdullah, Nurul; Muazu Musa, Rabiu; Musliha Mat-Rasid, Siti; Adnan, Aleesha; Azura Kosni, Norlaila; Muhamad, Wan Siti Amalina Wan; Afiqah Mohamad Nasir, Nur

    2018-04-01

    This study aims to identify the most dominant factors that influencing performance of soccer player and to predict group performance for soccer players. A total of 184 of youth soccer players from Malaysia sport school and six soccer academy encompasses as respondence of the study. Exploratory factor analysis (EFA) and Confirmatory factor analysis (CFA) were computed to identify the most dominant factors whereas reducing the initial 26 parameters with recommended >0.5 of factor loading. Meanwhile, prediction of the soccer performance was predicted by regression model. CFA revealed that sit and reach, vertical jump, VO2max, age, weight, height, sitting height, calf circumference (cc), medial upper arm circumference (muac), maturation, bicep, triceps, subscapular, suprailiac, 5M, 10M, and 20M speed were the most dominant factors. Further index analysis forming Youth Soccer Performance Index (YSPI) resulting by categorizing three groups namely, high, moderate, and low. The regression model for this study was significant set as p < 0.001 and R2 is 0.8222 which explained that the model contributed a total of 82% prediction ability to predict the whole set of the variables. The significant parameters in contributing prediction of YSPI are discussed. As a conclusion, the precision of the prediction models by integrating a multilateral factor reflecting for predicting potential soccer player and hopefully can create a competitive soccer games.

  7. Multilateral controls of nuclear fuel-cycle in Asia

    International Nuclear Information System (INIS)

    Choi, Jor-Shan

    2010-01-01

    To meet increasing energy demand and climate change issues, nuclear energy is expected to expand during the next decades in both developed and developing countries. This expansion, most visibly in Asian countries would no doubt be accompanied with complex and intractable challenges to global peace and security, notably in the back-end of the nuclear fuel cycle. What to do with the growing stocks of spent fuel in existing nuclear programs? And how to reduce proliferation concerns when spent fuels are generated in less stable regions of the world? The answers to these questions may lie in the possibility of multilateral (or regional) control of nuclear materials and technologies in the back-end of nuclear fuel cycle. One of the areas of interest is technology, e.g., spent fuel treatment (reprocessing) for long term sustainability and environmental-friendly disposal of radioactive wastes, as an alternative to directly disposing spent fuel in geologic repository. The other is to seek for regional centers for centralized interim spent fuel storage which can eventually turn into disposal facilities. Such centers could help facilitate the possibilities of spent fuel take-back/take-away from countries located in less stable regions for fix-period storage. (author)

  8. Expansion of Tubular with Elastomers in Multilateral Wells

    Directory of Open Access Journals (Sweden)

    Md Velden

    2013-06-01

    Full Text Available The use of solid expandable tubular technology during the last decade has focused on solving many challenges in well drilling and delivery including zonal isolation, deep drilling, conservation of hole sizes, etc. not only as pioneered solution but also providing cost effective and long lasting solutions. Concurrently, the technology was extended for construction of multilateral in typical wells. The process of horizontal tubular expansion is similar to the vertical expansion of expandable tubular in down-hole environment with the addition of uniformly distributed force due to its weight. The expansion is targeted to increase its diameter such that post expansion characteristics remain within allowable limits. In this study a typical expandable tubular of 57.15 mm outer diameter and 6.35 mm wall thickness was used with two different elastomer seals of 5 and 7 mm thickness placed at equal spacing of 200 mm. The developed stress contours during expansion process clearly showed the high stress areas in the vicinity of expansion region which lies around the mandrel. These high stresses may result in excessive wear of the mandrel. It was also found out that the drawing force increases as the mandrel angle, expansion ratio, and friction coefficient increases. A mandrel angle of 20o  requires minimum expansion force and can be considered as an optimum geometrical parameter to lower the power required for expansion.

  9. Advancing Sustainable Development in Global Trade and Multilateral Negotiations

    Directory of Open Access Journals (Sweden)

    Christophe Bellmann

    2011-05-01

    Full Text Available Published by Palgrave MacmillanWorld exports and imports are quickly recovering after the 2008-09 sharp decline in merchandise trade, as illustrated by global trade performances in the first and second quarters of 2010. In spite of this impressive recovery, domestic concerns in OECD countries about employment, competitiveness and China’s exchange rate policy have created a difficult political environment for further liberalisation under the Doha Round. Interestingly, developing countries, which were reluctant to engage in a new round of trade negotiations back in 2001, are now in the vanguard of those that wish for a swift conclusion of the talks, even if consensus on the ambitious ‘development package’ envisaged in Doha remains elusive. At the same time trade has been the subject of unprecedented attention and scrutiny in the climate change talks. In a world where multilateral cooperation is in crisis there is a dire need for the international community to generate new types of arrangements and innovative responses to the imperatives of development and the global transition to a low-carbon economy.

  10. The Multilateral Tax Instrument: How to Avoid a Stalemate on Distributional Issues?

    OpenAIRE

    Broekhuijsen, D.M.; Vording, H.

    2016-01-01

    Action 15 of the OECD/G-20 Base Erosion and Profit Shifting (BEPS) project is to "develop a multilateral instrument designed to provide an innovative approach to international tax matters" The authors turn to two areas of academic thought to clarify the choices faced by states when engaging in either bilateral or multilateral tax treaties. One is the field of international relations, and especially the "neoliberal" approach based on the economic self-interest of states. The other is political...

  11. The Political Economy of Bilateralism and Multilateralism: Institutional Choice in Trade and Taxation

    OpenAIRE

    Rixen, Thomas; Rohlfing, Ingo

    2005-01-01

    Trade relations are governed by the multilateral GATT, whereas the avoidance of international double taxation rests on a network of around 2000 bilateral treaties. Given the two regimes’ similar economic rationales this difference between bilateralism in international double tax avoidance and multilateralism in the trade regime poses an empirical puzzle. In this paper we develop an answer to this puzzle. Differentiating between different stages of international cooperation, we first describe ...

  12. A multilateral tax treaty: designing an instrument to modernise international tax law

    OpenAIRE

    Broekhuijsen, D.M.

    2017-01-01

    In this book, the author addresses the legal and political aspects of a multilateral tax treaty that fundamentally transforms the way states cooperate in the field of international taxation. Working from a normative and pragmatic view on international tax relations, he proposes a management-focused approach to multilateral cooperation in international taxation. The resulting managerial framework treaty is drawn up on the basis of insights from political science and legal philosophy and is ill...

  13. Endpoints of chronobiologic cardiovascular monitoring during pregnancy for planning exercise and assessing effects.

    Science.gov (United States)

    Crakes, J G; Cornélissen, G; Kopher, R; Halberg, F

    1990-01-01

    The chronobiologic question is raised whether exercise may be indicated for the pregnant woman as a general prophylactic measure and, if so, whether it should be timed according to rhythms and stage of pregnancy. This question, recently considered by others without chronobiologic focus, is here reviewed against the background of results from ongoing chronobiologic studies of blood pressure (BP) and heart rate (HR) in pregnancy. During pregnancy, the MESORs and circadian amplitudes of systolic (S), mean arterial (MA) and diastolic (D) BP are correlated with a questionnaire-assessed cardiovascular risk score. Such results were found under noisy ordinary conditions of life without accounting for effects of activity. They are group results, and as such require further work before they can contribute to identifying individuals at high risk in particular need of intervention, such as exercise. The dependence of exercise effects upon circadian rhythms should also prompt the use of rhythmometry at all ages for timing exercise, for gauging its effects and eventually for the optimization of fitness training for the population as well as for peak performance.

  14. Use of Saliva Biomarkers to Monitor Efficacy of Vitamin C in Exercise-Induced Oxidative Stress

    Directory of Open Access Journals (Sweden)

    Levi W. Evans

    2017-01-01

    Full Text Available Saliva is easily obtainable for medical research and requires little effort or training for collection. Because saliva contains a variety of biological compounds, including vitamin C, malondialdehyde, amylase, and proteomes, it has been successfully used as a biospecimen for the reflection of health status. A popular topic of discussion in medical research is the potential association between oxidative stress and negative outcomes. Systemic biomarkers that represent oxidative stress can be found in saliva. It is unclear, however, if saliva is an accurate biospecimen as is blood and/or plasma. Exercise can induce oxidative stress, resulting in a trend of antioxidant supplementation to combat its assumed detriments. Vitamin C is a popular antioxidant supplement in the realm of sports and exercise. One potential avenue for evaluating exercise induced oxidative stress is through assessment of biomarkers like vitamin C and malondialdehyde in saliva. At present, limited research has been done in this area. The current state of research involving exercise-induced oxidative stress, salivary biomarkers, and vitamin C supplementation is reviewed in this article.

  15. Syncope during exercise, documented with continuous blood pressure monitoring during ergometer testing

    NARCIS (Netherlands)

    Krediet, C. T. Paul; Wilde, Arthur A. M.; Halliwill, John R.; Wieling, Wouter

    2005-01-01

    A 27-year old female had one episode of transient loss of consciousness and several of nearunconsciousness during strenuous exercise and sexual activity. Episodes started with abdominal discomfort or nausea and light headedness. Unconsciousness never exceeded one minute. When trying to stand up, she

  16. Unsupervised progressive elastic band exercises for frail geriatric inpatients objectively monitored by new exercise-integrated technology-a feasibility trial with an embedded qualitative study.

    Science.gov (United States)

    Rathleff, C R; Bandholm, T; Spaich, E G; Jorgensen, M; Andreasen, J

    2017-01-01

    Frailty is a serious condition frequently present in geriatric inpatients that potentially causes serious adverse events. Strength training is acknowledged as a means of preventing or delaying frailty and loss of function in these patients. However, limited hospital resources challenge the amount of supervised training, and unsupervised training could possibly supplement supervised training thereby increasing the total exercise dose during admission. A new valid and reliable technology, the BandCizer, objectively measures the exact training dosage performed. The purpose was to investigate feasibility and acceptability of an unsupervised progressive strength training intervention monitored by BandCizer for frail geriatric inpatients. This feasibility trial included 15 frail inpatients at a geriatric ward. At hospitalization, the patients were prescribed two elastic band exercises to be performed unsupervised once daily. A BandCizer Datalogger enabling measurement of the number of sets, repetitions, and time-under-tension was attached to the elastic band. The patients were instructed in performing strength training: 3 sets of 10 repetitions (10-12 repetition maximum (RM)) with a separation of 2-min pauses and a time-under-tension of 8 s. The feasibility criterion for the unsupervised progressive exercises was that 33% of the recommended number of sets would be performed by at least 30% of patients. In addition, patients and staff were interviewed about their experiences with the intervention. Four (27%) out of 15 patients completed 33% of the recommended number of sets. For the total sample, the average percent of performed sets was 23% and for those who actually trained ( n  = 12) 26%. Patients and staff expressed a general positive attitude towards the unsupervised training as an addition to the supervised training sessions. However, barriers were also described-especially constant interruptions. Based on the predefined criterion for feasibility, the

  17. The Transition from Alliance Networks to Multilateral Alliances in the Global Airline Industry

    Directory of Open Access Journals (Sweden)

    Sergio G. Lazzarini

    2008-01-01

    Full Text Available This study examines conditions in which alliance networks (informal webs of bilateral entanglements between firms may or may not evolve into multilateral alliances (broad, formal multiple-firm arrangements. I offer a theory to explain the formation of multilateral alliances based on both the resource profile and the structure of existing interfirm networks, and provide an initial test of that theory in the context of the global airline industry. Using data from 75 global airlines and their alliances, I propose a methodology to retrieve samples of alliance networks and then use regression analysis to assess how the resource profile and the structure of these networks influence their formalization into multilateral alliances. I find that multilateral alliances are more likely to emerge when alliance networks exhibit high resource diversity and network structure characterized by moderate density and high centralization. Apparently, while highly sparse networks reduce actors’ awareness of their potential joint collaboration, highly dense or embedded networks substitute for the need for formal controls accompanying multilateral agreements. The effect of centralization suggests that the formation of multilateral alliances tends to be triggered by leading actors directly connected to other network members.

  18. Accuracy of Continuous Glucose Monitoring (CGM) during Continuous and High-Intensity Interval Exercise in Patients with Type 1 Diabetes Mellitus.

    Science.gov (United States)

    Moser, Othmar; Mader, Julia K; Tschakert, Gerhard; Mueller, Alexander; Groeschl, Werner; Pieber, Thomas R; Koehler, Gerd; Messerschmidt, Janin; Hofmann, Peter

    2016-08-10

    Continuous exercise (CON) and high-intensity interval exercise (HIIE) can be safely performed with type 1 diabetes mellitus (T1DM). Additionally, continuous glucose monitoring (CGM) systems may serve as a tool to reduce the risk of exercise-induced hypoglycemia. It is unclear if CGM is accurate during CON and HIIE at different mean workloads. Seven T1DM patients performed CON and HIIE at 5% below (L) and above (M) the first lactate turn point (LTP₁), and 5% below the second lactate turn point (LTP₂) (H) on a cycle ergometer. Glucose was measured via CGM and in capillary blood (BG). Differences were found in comparison of CGM vs. BG in three out of the six tests (p exercise-induced hypoglycemia, but usual BG control should be performed during intense exercise.

  19. Monitoring ventricular function at rest and during exercise with a nonimaging nuclear detector.

    Science.gov (United States)

    Wagner, H N; Rigo, P; Baxter, R H; Alderson, P O; Douglass, K H; Housholder, D F

    1979-05-01

    A portable nonimaging device, the nuclear stethoscope, for measuring beat to beat ventricular time-activity curves in normal people and patients with heart disease, both at rest and during exercise, is being developed and evaluated. The latest device has several operating modes that facilitate left ventricular and background localization, measurement of transit times and automatic calculation and display of left ventricular ejection fraction. The correlation coefficient of left ventricular ejection fraction obtained with the device and with a camera-computer system was 0.92 in 35 subjects. During bicycle exercise the ejection fraction in 15 normal persons increased from 44 to 64 percent (P less than 0.001), whereas among 12 patients with heart disease it was unchanged in 5 and decreased in 7.

  20. Monitoring ventricular function at rest and during exercise with a nonimaging nuclear detector

    International Nuclear Information System (INIS)

    Wagner, H.N. Jr.; Rigo, P.; Baxter, R.H.; Alderson, P.O.; Douglass, K.H.; Housholder, D.F.

    1979-01-01

    A portable nonimaging device, the nuclear stethoscope, for measuring beat to beat ventricular time-activity curves in normal people and patients with heart disease, both at rest and during exercise, is being developed and evaluated. The latest device has several operting modes that facilitate left ventricular and background localization, measurement of transit times and automatic calculation and display of left ventricular ejection fraction. The correlation coefficient of left ventricular ejection fraction obtained with the device and with a camera-computer system was 0.92 in 35 subjects. During bicycle exercise the ejection fraction in 15 normal persons increased from 44 to 64% (P less than 0.001), whereas among 12 patients with heart disease it was unchanged in 5 and decreased in 7

  1. The value of spirometry and exercise challenge test to diagnose and monitor children with asthma.

    Science.gov (United States)

    van den Wijngaart, Lara S; Roukema, Jolt; Merkus, Peter Jfm

    2015-03-01

    Asthma is defined as a chronic inflammatory disease of the airways with characteristic symptoms including recurrent episodes of wheezing, breathlessness, chest tightness, and coughing. It may result in abnormalities of ventilator function, which can be assessed by different pulmonary function tests. In this case report, we present a 15-year-old boy with asthma and illustrate the value and limitations of spirometry and exercise challenge test in daily practice.

  2. The effect of cumulative endurance exercise on leptin and adiponectin and their role as markers to monitor training load

    Directory of Open Access Journals (Sweden)

    SC Voss

    2016-01-01

    Full Text Available Leptin and adiponectin play an essential role in energy metabolism. Leptin has also been proposed as a marker for monitoring training load. So far, no studies have investigated the variability of these hormones in athletes and how they are regulated during cumulative exercises This study monitored leptin and adiponectin in 15 endurance athletes twice daily in the days before, during and after a 9-day simulated cycling stage race. Adiponectin significantly increased during the race (p=0.001 and recovery periods (p=0.002 when compared to the baseline, while leptin decreased significantly during the race (p<0.0001 and returned to baseline levels during the recovery period. lntra-individual variability was substantially lower than inter-individual variability for both hormones (leptin 34.1 vs. 53.5%, adiponectin 19% vs. 37.2%. With regards to exercise, this study demonstrated that with sufficient, sustained energy expenditure, leptin concentrations can decrease within the first 24 hours. Under the investigated conditions there also appears to be an optimal leptin concentration which ensures stable energy homeostasis, as there was no significant decrease over the subsequent race days. ln healthy endurance athletes the recovery of leptin takes 48-72 hours and may even show a supercompensation- like effect. For adiponectin, significant increases were observed within 5 days of commencing racing, with these elevated values failing to return to baseline levels after 3 days of recovery. Additionally, when using leptin and adiponectin to monitor training loads, establishing individual threshold values improves their sensitivity.

  3. Adherence to and effectiveness of an individually tailored home-based exercise program for frail older adults, driven by mobility monitoring: design of a prospective cohort study.

    Science.gov (United States)

    Geraedts, Hilde A E; Zijlstra, Wiebren; Zhang, Wei; Bulstra, Sjoerd; Stevens, Martin

    2014-06-07

    With the number of older adults in society rising, frailty becomes an increasingly prevalent health condition. Regular physical activity can prevent functional decline and reduce frailty symptoms. In particular, home-based exercise programs can be beneficial in reducing frailty of older adults and fall risk, and in improving associated physiological parameters. However, adherence to home-based exercise programs is generally low among older adults. Current developments in technology can assist in enlarging adherence to home-based exercise programs. This paper presents the rationale and design of a study evaluating the adherence to and effectiveness of an individually tailored, home-based physical activity program for frail older adults driven by mobility monitoring through a necklace-worn physical activity sensor and remote feedback using a tablet PC. Fifty transitionally frail community-dwelling older adults will join a 6-month home-based physical activity program in which exercises are provided in the form of exercise videos on a tablet PC and daily activity is monitored by means of a necklace-worn motion sensor. Participants exercise 5 times a week. Exercises are built up in levels and are individually tailored in consultation with a coach through weekly telephone contact. The physical activity program driven by mobility monitoring through a necklace-worn sensor and remote feedback using a tablet PC is an innovative method for physical activity stimulation in frail older adults. We hypothesize that, if participants are sufficiently adherent, the program will result in higher daily physical activity and higher strength and balance assessed by physical tests compared to baseline. If adherence to and effectiveness of the program is considered sufficient, the next step would be to evaluate the effectiveness with a randomised controlled trial. The knowledge gained in this study can be used to develop and fine-tune the application of innovative technology in home

  4. Advanced multilateration theory, software development, and data processing: The MICRODOT system

    Science.gov (United States)

    Escobal, P. R.; Gallagher, J. F.; Vonroos, O. H.

    1976-01-01

    The process of geometric parameter estimation to accuracies of one centimeter, i.e., multilateration, is defined and applications are listed. A brief functional explanation of the theory is presented. Next, various multilateration systems are described in order of increasing system complexity. Expected systems accuracy is discussed from a general point of view and a summary of the errors is listed. An outline of the design of a software processing system for multilateration, called MICRODOT, is presented next. The links of this software, which can be used for multilateration data simulations or operational data reduction, are examined on an individual basis. Functional flow diagrams are presented to aid in understanding the software capability. MICRODOT capability is described with respect to vehicle configurations, interstation coordinate reduction, geophysical parameter estimation, and orbit determination. Numerical results obtained from MICRODOT via data simulations are displayed both for hypothetical and real world vehicle/station configurations such as used in the GEOS-3 Project. These simulations show the inherent power of the multilateration procedure.

  5. Education Systems and Multilateral Development Banks: International Practices and Perspectives

    Directory of Open Access Journals (Sweden)

    Alexandra Morozkina

    2017-03-01

    Full Text Available This article examines the role of multilateral development banks (MDBs in financing education development at the national level. It evaluates the share of national expenditures spent on education, analyzes loan structures by stage of education, and highlights key measures and instruments. In the context of the global economic slowdown, expected to continue for the long term, the most important objective is to identify new drivers of economic growth as traditional sources are exhausted. One of the main sources of economic growth is human capital, especially with regard to the gradual transition from an industrial economy to a service and knowledge economy. Human capital accumulation is particularly important in developing countries. Most developing countries face insuperable obstacles in building human capital accumulation particularly with regard to education development. The potential contribution of MDBs to human capital accumulation has been underestimated and there is a lack of empirical research on this issue. An evaluation of current experience will help identify opportunities for MDBs to increase their role in education performance, which in turn could have a positive impact on economic growth in developing countries. This article addresses this issue by studying MDBs’ financing of education projects in emerging economies. The authors collected a database that includes information on the volume and structure of financing with a breakdown by education stage. It was based on more than 500 projects funded by key MDBs. Sources included loan and grant agreements, project interim reports and project completion reports. The authors calculated an average annual ratio of MDB education financing to public expenditure for each country in the final selection. Results showed that the ratio of average annual MDBs allocations to average government expenditures on education is relatively low — between 1.5% and 4.0% for most countries. The largest

  6. Estimating Accuracy at Exercise Intensities: A Comparative Study of Self-Monitoring Heart Rate and Physical Activity Wearable Devices.

    Science.gov (United States)

    Dooley, Erin E; Golaszewski, Natalie M; Bartholomew, John B

    2017-03-16

    Physical activity tracking wearable devices have emerged as an increasingly popular method for consumers to assess their daily activity and calories expended. However, whether these wearable devices are valid at different levels of exercise intensity is unknown. The objective of this study was to examine heart rate (HR) and energy expenditure (EE) validity of 3 popular wrist-worn activity monitors at different exercise intensities. A total of 62 participants (females: 58%, 36/62; nonwhite: 47% [13/62 Hispanic, 8/62 Asian, 7/62 black/ African American, 1/62 other]) wore the Apple Watch, Fitbit Charge HR, and Garmin Forerunner 225. Validity was assessed using 2 criterion devices: HR chest strap and a metabolic cart. Participants completed a 10-minute seated baseline assessment; separate 4-minute stages of light-, moderate-, and vigorous-intensity treadmill exercises; and a 10-minute seated recovery period. Data from devices were compared with each criterion via two-way repeated-measures analysis of variance and Bland-Altman analysis. Differences are expressed in mean absolute percentage error (MAPE). For the Apple Watch, HR MAPE was between 1.14% and 6.70%. HR was not significantly different at the start (P=.78), during baseline (P=.76), or vigorous intensity (P=.84); lower HR readings were measured during light intensity (P=.03), moderate intensity (P=.001), and recovery (P=.004). EE MAPE was between 14.07% and 210.84%. The device measured higher EE at all stages (PApple Watch, and Garmin Forerunner 225. An advantage and novel approach of the study is the examination of HR and EE at specific physical activity intensities. Establishing validity of wearable devices is of particular interest as these devices are being used in weight loss interventions and could impact findings. Future research should investigate why differences between exercise intensities and the devices exist. ©Erin E Dooley, Natalie M Golaszewski, John B Bartholomew. Originally published in JMIR

  7. The Chiang Mai Initiative and Its Multilateralization: Toward an Asian Monetary Fund?

    Directory of Open Access Journals (Sweden)

    Youngwon Cho

    2011-11-01

    Full Text Available As a regional self-help system of liquidity support established in the aftermath of the Asian crisis of 1997, the Chiang Mai Initiative (CMI and its recent multilateralization have been touted in some quarters as important achievements in a region where institutionalized financial cooperation had been sorely lacking, taking East Asia one step closer to the resuscitation of the still-born Asian Monetary Fund. Against such a sanguine assessment, I argue that the significance of the CMI, even after its multilateralization, is largely limited to symbolism and its practical implications are inconsequential. Despite the progress associated with CMI multilateralization, the underlying political dynamics in the region render East Asia fundamentally incapable of producing a coherent regional solution to the recurring problem of global financial instability.

  8. Dialogue between Mexico and the EU: an analysis from the new multilateralism approach

    Directory of Open Access Journals (Sweden)

    Rebecka Villanueva Ulfgard

    2013-04-01

    Full Text Available The practice of multilateralism today and its contemporary conceptual redefinition has different sources: the rise of emerging economies, increasing regional and sub-national politics and the intensity of regionalism. This study focuses on the growing role of civil society in this transformation of the coordinates that define the so-called New Multilateralism. The article problematizes, theoretically and empirically, the incorporation of civil society into multilateral settings or mechanisms by studying a particular case: after more than 10 years of the existence of the "Global Agreement" between Mexico and the European Union, it is important to analyze the incorporation of civil society into this relationship. Taking as their starting point the stakeholders’ strategies, the authors analyze the problem nexus concerning legitimacy and representativeness in the context of the dialogue between governments and civil societies in Mexico and the EU.

  9. TRADE AND POLITICS IN THE PACIFIC AREA:TRENDS IN MULTILATERAL TRADE NEGOTIATIONS

    OpenAIRE

    Florin Bonciu

    2014-01-01

    The paper analyzes the ongoing multilateral trade negotiations from the Asia – Pacific area in the larger context of the shift of the economic center of the world economy from the Atlantic to the Pacific area. The high economic dynamism of the region has been accompanied in the past two decades by the establishment of a large number of bilateral and multilateral free trade agreements that included in many cases regulations on investments and other topics. In the wake of the Doha Round of nego...

  10. MULTILATERALISM AND THE EMERGENCE OF ‘MINILATERALISM’ IN EU PEACE OPERATIONS

    Directory of Open Access Journals (Sweden)

    Fulvio Attinà

    2008-06-01

    Full Text Available In recent years, the multilateral practice of peacekeeping and peace support operations has been growing as legitimate instrument to interrupt violence, strengthen security, and protect against gross human rights violations. Invented by the United Nations, peace operations have passed through a process of change that has given new features to multilateral security. Since the late 1980s, the number of UN-authorized peace operations has been growing. Also regional organisations have engaged themselves in an unprecedented number of peace support operations. Recently, the European Union has entered into the practice of peacekeeping, and put multilateralism at the centre of its presence in the world political system. This paper reviews political science knowledge on peace operations (especially, the legitimacy and efficacy issues, and examines the hypothesis of the appearance of minilateralism as the consequence of the engagement of regional organisations and actors, like the EU, in peace operations. The hypothesis is tested by comparing the data of the peace missions of three European organisations (EU, OSCE, and NATO with those of the United Nations. The paper conclusion is that the European states are developing a preference for selective engagement (i.e. minilateralism in peace operations, and the EU is capable of playing both as multilateral and minilateral security provider.

  11. The Multilateral Tax Instrument : How to Avoid a Stalemate on Distributional Issues?

    NARCIS (Netherlands)

    Broekhuijsen, D.M.; Vording, H.

    2016-01-01

    Action 15 of the OECD/G-20 Base Erosion and Profit Shifting (BEPS) project is to "develop a multilateral instrument designed to provide an innovative approach to international tax matters" The authors turn to two areas of academic thought to clarify the choices faced by states when engaging in

  12. Multilateral Disarmament and the Special Session: Twelfth Conference on the United Nations of the Next Decade.

    Science.gov (United States)

    Stanley Foundation, Muscatine, IA.

    The report discusses issues relating to multilateral disarmament in the context of the Special Session of the United Nations General Assembly to be convened in 1978. Intended as a forum for the exchange of ideas of government leaders from the United States and other nations about the international peace-keeping role of the United Nations, the…

  13. Coalbed methane recovery from multilateral horizontal wells in Southern Qinshui Basin

    Directory of Open Access Journals (Sweden)

    Shenggui Liu

    2018-01-01

    Full Text Available Since 2006, more than 80 multilateral horizontal wells have been drilled in Panzhuang block, Southern Qinshui Basin. In this paper, 6 typical wells in a region are selected as an example. The thickness of coal, gas content, reservoir pressure, permeability, burial depth, and reservoir pressure conditions are analyzed. The practice shows that production by multilateral horizontal well declines from 43,111 m3/day per well in the 2nd year to 25,126 m3/day per well in the 4th year. The numerical simulation result shows that the lateral interference forms in Well QNP05 after two years of gas production, and the gas content is reduced to less than 8 m3/t within the controlled region after six years. The area of gas content was less than 8 m3/t after eight years of gas production is about 3.2 km2, which is about 76% of the controlled area of the six multilateral horizontal wells. The results indicate that multilateral horizontal wells contribute to high production rates at potentially profitable levels and can also serve as an effective tool for a high-rank CBM field drainage.

  14. WTO’s information technology agreement (ITA and its expansion (ITA II: multilateralizing regionalism

    Directory of Open Access Journals (Sweden)

    Camilla Capucio

    2018-03-01

    Full Text Available Bearing in mind the complex context of the relationship between multilateralism and regionalism, the conclusion of plurilateral agreements within the WTO, open to participation of all interested members, offers a multilateral perspective of regionalism, in which the benefits of partial consensus are to be extended to the multilateral sphere. The ITA - Information Technology Agreement - is mentioned as an example of this possibility, and its recent expansion, through the negotiation of the ITA II, demonstrates the strengthening of this multilateralisation trend of regionalism, although with special features. Thus, this article is developed drawing the context and introduction of the theme of regionalism and multilateralism, and presents the theory of multilateralisation of regionalism and the ITA as one of those experiences, and its recent expansion as a resumption of the relevance of this theory. Considering the impasses for the conclusion of the Doha Round, the expansion of these partial consensus and the continuation of negotiations at the World Trade Organization by the conclusion of sectoral plurilateral agreements emerges as a possible way out, which demands a re-architecture of the interpretation of the role of the WTO in the global economic governance.

  15. A Model of Solid Waste Management Based Multilateral Co-Operation in Semi-Urban Community

    Science.gov (United States)

    Kanchanabhandhu, Chanchai; Woraphong, Seree

    2016-01-01

    The purpose of this research was to construct a model of solid waste management based on multilateral cooperation in semi-urban community. Its specific objectives were to 1) study the solid waste situation and involvement of community in the solid waste management in Wangtaku Sub-district, Muang District, Nakhon Pathom Province; 2) construct a…

  16. Legitimacy and the Making of International Tax Law : The Challenges of Multilateralism

    NARCIS (Netherlands)

    Mosquera, Valderrama I.J.

    2015-01-01

    This article aims to analyse the multilateral action and instruments that have been and are being developed by the Organization for Economic Cooperation and Development (“OECD”) to enhance transparency and exchange of information and the Base Erosion Profit Shifting (“BEPS”) Project in light of

  17. A multilateral tax treaty : designing an instrument to modernise international tax law

    NARCIS (Netherlands)

    Broekhuijsen, D.M.

    2017-01-01

    In this book, the author addresses the legal and political aspects of a multilateral tax treaty that fundamentally transforms the way states cooperate in the field of international taxation. Working from a normative and pragmatic view on international tax relations, he proposes a management-focused

  18. Residual myocardial ischaemia in first non-Q versus Q wave infarction: maximal exercise testing and ambulatory ST-segment monitoring

    DEFF Research Database (Denmark)

    Mickley, H; Pless, P; Nielsen, J R

    1993-01-01

    the infarction. The prevalence of exercise-induced ischaemic manifestations in the infarct types was similar: chest pain 14% vs 16% and ST-segment depression 54% vs 54%. The ischaemic threshold did not differ either (heart rate at 1 mm of ST-segment depression 120 +/- 27 vs 119 +/- 25 beats.min-1). During early...... in non-Q wave infarction (51%) as compared to Q wave infarction (31%) (P depression on ambulatory recording and exercise testing significantly predicted the development of future angina pectoris, whereas patients at increased risk for subsequent......In a prospective study of 123 consecutive survivors of a first myocardial infarction (43 non-Q wave, 80 Q wave), we determined the total residual ischaemic burden by use of pre-discharge maximal exercise testing and post-discharge 36 h ambulatory ST-segment monitoring initiated 11 +/- 5 days after...

  19. The importance and effects of BEPS multilateral convention in international tax law

    Directory of Open Access Journals (Sweden)

    Popović Dejan

    2017-01-01

    Full Text Available The Multilateral Convention to Implement Tax Treaty Related Measures to Prevent Base Erosion and Profit Shifting is a result of the BEPS project carried out by the OECD and G20. The object and purpose of the BEPS Multilateral Convention is swift and consistent implementation of the agreed solutions aimed at preventing tax evasion or avoidance via modifications of the existing bilateral tax treaties, while providing for a high level of flexibility in the implementation. Signed on 7 June 2017, the Convention encompasses provisions on hybrid mismatches, treaty abuse, avoidance of permanent establishment status, improving dispute resolution and arbitration. The first four groups of norms have a bilateral impact on the relations between contracting jurisdictions regulated by their covered tax agreements; the effect of the optional provisions on arbitration is multilateral. The Convention contains two minimum standards each party is required to include in its covered tax agreements in an offered manner. The first one refers to the prevention of treaty shopping arrangements, while the second one concerns improvements in the dispute resolution. The flexibility is assured by granting each party the right to specify the tax treaties to which the Convention applies, to opt out of a wide range of provisions (apart from the minimum standards set out in the Convention as eligible for reservations, as well as to select an offered alternative. Serbia's position vis-à-vis the given choices has been elaborated. Serbia specified all its tax treaties as the 'covered tax agreements' but Germany, Switzerland and Sweden did not do the same with their respective treaties with Serbia. Serbia opted out of five articles of the Convention. While not contesting its importance, one may conclude that the Convention does not represent an announcement of a new multilateral tax order but rather a multilateral agreement of a number of states motivated by practical considerations.

  20. Seismic aftershock monitoring for on-site inspection purposes. Experience from Integrated Field Exercise 2008.

    Science.gov (United States)

    Labak, P.; Arndt, R.; Villagran, M.

    2009-04-01

    One of the sub-goals of the Integrated Field Experiment in 2008 (IFE08) in Kazakhstan was testing the prototype elements of the Seismic aftershock monitoring system (SAMS) for on-site inspection purposes. The task of the SAMS is to collect the facts, which should help to clarify nature of the triggering event. Therefore the SAMS has to be capable to detect and identify events as small as magnitude -2 in the inspection area size up to 1000 km2. Equipment for 30 mini-arrays and 10 3-component stations represented the field equipment of the SAMS. Each mini-array consisted of a central 3-component seismometer and 3 vertical seismometers at the distance about 100 m from the central seismometer. The mini-arrays covered approximately 80% of surrogate inspection area (IA) on the territory of former Semipalatinsk test site. Most of the stations were installed during the first four days of field operations by the seismic sub-team, which consisted of 10 seismologists. SAMS data center comprised 2 IBM Blade centers and 8 working places for data archiving, detection list production and event analysis. A prototype of SAMS software was tested. Average daily amount of collected raw data was 15-30 GB and increased according to the amount of stations entering operation. Routine manual data screening and data analyses were performed by 2-6 subteam members. Automatic screening was used for selected time intervals. Screening was performed using the Sonoview program in frequency domain and using the Geotool and Hypolines programs for screening in time domain. The screening results were merged into the master event list. The master event list served as a basis of detailed analysis of unclear events and events identified to be potentially in the IA. Detailed analysis of events to be potentially in the IA was performed by the Hypoline and Geotool programs. In addition, the Hyposimplex and Hypocenter programs were also used for localization of events. The results of analysis were integrated

  1. The Use of Session RPE to Monitor the Intensity of Weight Training in Older Women: Acute Responses to Eccentric, Concentric, and Dynamic Exercises

    Directory of Open Access Journals (Sweden)

    Sandro S. Ferreira

    2014-01-01

    Full Text Available The rating of perceived exertion (RPE is ability to detect and interpret organic sensations while performing exercises. This method has been used to measure the level of effort that is felt during weight-training at a given intensity. The purpose of this investigation was to compare session RPE values with those of traditional RPE measurements for different weight-training muscle actions, performed together or separately. Fourteen women with no former weight-training experience were recruited for the investigation. All participants completed five sessions of exercise: familiarization, maximum force, concentric-only (CONC-only, eccentric-only (ECC-only, and dynamic (DYN = CONC + ECC. The traditional RPE method was measured after each series of exercises, and the session RPE was measured 30 min after the end of the training session. The statistical analyses used were the paired t-test, one-way analysis of variance, and repeated measures analysis of variance. Significant differences between traditional RPE and session RPE for DYN, CONC, and ECC exercises were not found. This investigation demonstrated that session RPE is similar to traditional RPE in terms of weight-training involving concentric, eccentric, or dynamic muscle exercises, and that it can be used to prescribe and monitor weight-training sessions in older subjects.

  2. Protocol for a feasibility randomised controlled trial of the use of Physical ACtivity monitors in an Exercise Referral Setting: the PACERS study.

    Science.gov (United States)

    Hawkins, Jemma; Edwards, Michelle; Charles, Joanna; Jago, Russell; Kelson, Mark; Morgan, Kelly; Murphy, Simon; Oliver, Emily; Simpson, Sharon; Edwards, Rhiannon Tudor; Moore, Graham

    2017-01-01

    Exercise referral schemes are recommended by the National Institute for Clinical Excellence (NICE) for physical activity promotion among inactive patients with health conditions or risk factors. Whilst there is evidence for the initial effectiveness and cost-effectiveness of such schemes for increasing physical activity, evidence of long-term effects is limited. Techniques such as goal setting, self-monitoring and personalised feedback may support motivation for physical activity. Technologies such as activity monitoring devices provide an opportunity to enhance delivery of motivational techniques. This paper describes the PACERS study protocol, which aims to assess the feasibility and acceptability of implementing an activity monitor within the existing Welsh National Exercise Referral Scheme (NERS) and proposed evaluation methodology for a full-scale randomised controlled trial. The PACERS study consists of a pilot randomised controlled trial, process evaluation and exploratory economic analyses. Participants will be recruited from the generic pathway of the Welsh NERS and will be randomly assigned to receive the intervention or usual practice. Usual practice is a 16-week structured exercise programme; the intervention consists of an accelerometry-based activity monitor (MyWellnessKey) and an associated web platform (MyWellnessCloud). The primary outcomes are predefined progression criteria assessing the acceptability and feasibility of the intervention and feasibility of the proposed evaluation methodology. Postal questionnaires will be completed at baseline (time 0: T0), 16 weeks after T0 (T1) and 12 months after T0 (T2). Routinely collected data will also be accessed at the same time points. A sub-sample of intervention participants and exercise referral staff will be interviewed following initiation of intervention delivery and at the end of the study. The PACERS study seeks to assess the feasibility of adding a novel motivational component to an existing

  3. Decrease in Ionized and Total Magnesium Blood Concentrations in Endurance Athletes Following an Exercise Bout Restores within Hours-Potential Consequences for Monitoring and Supplementation.

    Science.gov (United States)

    Terink, Rieneke; Balvers, Michiel G J; Hopman, Maria T; Witkamp, Renger F; Mensink, Marco; Gunnewiek, Jacqueline M T Klein

    2017-06-01

    Magnesium is essential for optimal sport performance, generating an interest to monitor its status in athletes. However, before measuring magnesium status in blood could become routine, more insight into its diurnal fluctuations and effects of exercise itself is necessary. Therefore, we measured the effect of an acute bout of exercise on ionized (iMg) and total plasma magnesium (tMg) in blood obtained from 18 healthy well-trained endurance athletes (age, 31.1 ± 8.1 yr.; VO 2max , 50.9 ± 7.5 ml/kg/min) at multiple time points, and compared this with a resting situation. At both days, 7 blood samples were taken at set time points (8:30 fasted, 11:00, 12:30, 13:30, 15:00, 16:00, 18:30). The control day was included to correct for a putative diurnal fluctuation of magnesium. During the exercise day, athletes performed a 90 min bicycle ergometer test (70% VO 2max ) between 11:00 and 12:30. Whole blood samples were analyzed for iMg and plasma for tMg concentrations. Both concentrations decreased significantly after exercise (0.52 ± 0.04-0.45 ± 0.03 mmol/L and 0.81 ± 0.07-0.73 ± 0.06 mmol/L, respectively, p exercise. These findings suggest that timing of blood sampling to analyze Mg status is important. Additional research is needed to establish the recovery time after different types of exercise to come to a general advice regarding the timing of magnesium status assessment in practice.

  4. Multilateral Development Banks and Their Role in Supporting European SMEs during the Current Financial Crisis

    Directory of Open Access Journals (Sweden)

    Sorin Gabriel Anton

    2013-12-01

    Full Text Available The impact of the ongoing financial crisis on the availability of finance to small and medium-sized enterprises (SMEs represents an important topic nowadays. The access to finance for SMEs is a major barrier for their growth, especially during severe conditions such as the global financial crisis. Financing the SMEs represents a priority for the most of the multilateral development banks. The aim of the paper is to analyze the activity of European multilateral development banks - European Investment Bank Group and European Bank for Reconstruction and Development - in the support of SMEs. We found that SMEs financing increased during the period 2008-2011 and the international financial institutions took several measures in order to improve the SMEs access to finance.

  5. The good multilateralists: Brazil and South Africa in the new area of multilateralism

    Directory of Open Access Journals (Sweden)

    Ioannis Mantzikos

    2010-05-01

    Full Text Available This article will examine two of the world’s emerging middle powers Brazil and South Africa, the rise and promulgation of their cooperative strategies to reform institutions such as the United Nations Security Council. The article tries to examine the instrumental nature of South African and Brazilian foreign policy within the framework of both countries’ commitment to multilateralism and if this has been rising as part of a new form of shallow multilateralism or a regenerated regionalism of the South. Moreover, with regards to recent crises in Honduras and Zimbabwe, we will try to offer a critical evaluation of both countries global standing and their effort to promote democratic values in regional and sub-regional levels.

  6. Impact of multilateral congestion management on the reliability of power transactions

    International Nuclear Information System (INIS)

    Rodrigues, A.B.; Da Silva, M.G.

    2003-01-01

    The restructuring of the electricity industry has caused an increase in the number of transactions in the energy market. These transactions are defined by market forces without considering operational constraints of the transmission system. Consequently, there are transactions that cause congestion in the transmission network. This paper has as objective to assess the impact of multilateral congestion management on the reliability of power transactions. This assessment is based on reliability indices such as expected power curtailments, curtailment probability, expected cost of congestion management and probability distributions of the total power curtailment. Tests results with IEEE RTS-1996 demonstrate that the multilateral management results in smaller curtailments and congestion costs than traditional bilateral management. (author)

  7. What is the appropriate counterfactual when estimating effects of multilateral trade policy reform?

    DEFF Research Database (Denmark)

    Anderson, Kym; Jensen, Hans Grinsted; Nelgen, Signe

    2016-01-01

    the counterfactual price distortions in 2030 are shown to be much larger in the case where agricultural protection grows endogenously than in the case assuming no policy changes over the projection period. This suggests the traditional way of estimating effects of a multilateral agricultural trade agreement may...... of the DDA’s possible effects thus requires first modelling the world economy to 2030 and, in that process, projecting what trade-related policies might be by then without a DDA. Typically, modelers assume the counterfactual policy regime to be a ‘business-as-usual’ projection assuming the status quo. Yet we...... by projecting the world economy to 2030 using the Global Trade Analysis Project (GTAP) model with those two alternative policy regimes and then simulating a move to global free trade (the maximum benefit from a multilateral trade reform) in each of those two cases. The welfare effects of removing...

  8. Improvements to enforcement of multilateral environmental agreements to control international shipments of chemicals and wastes.

    Science.gov (United States)

    Liu, Ning; Somboon, Vira; Wun'gaeo, Surichai; Middleton, Carl; Tingsabadh, Charit; Limjirakan, Sangchan

    2016-06-01

    Illegal trade in hazardous waste and harmful chemicals has caused severe damage on human health and the environment, and brought big challenges to countries to meet their commitments to related multilateral environmental agreements. Synergy-building, like organising law enforcement operations, is critical to address illegal trade in waste and chemicals, and further improve the effectiveness of environmental enforcement. This article discusses how and why law enforcement operations can help countries to implement chemical and waste-related multilateral environmental agreements in a more efficient and effective way. The research explores key barriers and factors for organising law enforcement operations, and recommends methods to improve law enforcement operations to address illegal trade in hazardous waste and harmful chemicals. © The Author(s) 2016.

  9. Multilateral Organization vs. Bilateral Negotiations: A Case of the Trade-Related Aspects of Intellectual Property Rights (TRIPs

    Directory of Open Access Journals (Sweden)

    Namhoon Kwon

    2001-12-01

    Full Text Available In the 1990s, the issue of intellectual property rights (IPR protection gained a prominent place on the international trade agenda, which led to the establishment of the trade-related aspects of intellectual property rights (TRIPs as a part of the WTO regime. Two questions are asked regarding this development: whether a multilateral organization such as the WTO performs better than bilateral negotiations in resolving IPR disputes, and what happened around the 1990s to create an environment favorable to the establishment of a multilateral organization. To deal with these issues, this paper takes the IPE (international political economy approach. Using a very simple game theory model, I derive the cases in which a multilateral organization has better performances. Then, it is used to show that political pressures due to the growth of the US trade deficit in the late 1980s could have been the reason that a multilateral organization became the institutional equilibrium.

  10. True Multilateral Indexes for International Comparisons of Purchasing Power and Real Income

    OpenAIRE

    J.P. Neary

    1997-01-01

    I consider the problem of choosing index numbers of purchasing power and real income for international comparisons. I show that the desirable properties of methods based on the Fisher "Ideal" index do not extend to multilateral comparisons, except when tastes are homothetic. By contrast, the Geary method, which underlies the Penn World Tables, provides an approximation to a set of "true" exchange rate indexes which have many desirable properties. In particular, if demands exhibit generalized ...

  11. Multilateral nuclear approaches (MNAs), factors and issues lessons from IAEA study to regional cooperation

    International Nuclear Information System (INIS)

    Hwang, Yong Soo

    2005-01-01

    In response to the increasing emphasis being placed on the importance of international cooperation as part of global efforts to cope with growing non proliferation, and security concerns in the nuclear field, the Director General of the International Atomic Energy Agency (IAEA), Mohammed Elbaradei, appointed an international group of experts to consider possible multilateral approaches to the nuclear fuel cycle. The mandate of the Expert Group was three fold: · To identify and provide an analysis of issues and options relevant to multilateral approaches to the front and back ends of the nuclear fuel cycle; · To provide an overview of the policy, legal, security, economic, institutional and technological incentives and disincentives for cooperation in multilateral arrangements for the front and back ends of the nuclear fuel cycle; and · To provide a brief review of the historical and current experiences and analyses relating to multilateral fuel cycle arrangements relevant to the work of the Expert Group. The overall purpose was to assess MNAs in the framework of a double objective: strengthening the international nuclear non proliferation regime and making the peaceful uses of nuclear energy more economical and attractive. The Group identifies options for MNAs - options in terms of policy, institutional and legal factors - for those parts of the nuclear fuel cycle of greatest sensitivity from the point of view of proliferation risk. It also reflects the Groups deliberations on the corresponding benefits and disadvantages (pros and cons) of the various options and approaches. Although the Expert Group was able to agree to forward the resulting report to the Director General, it is important to note that the report does not reflect agreement by all of the experts on any of the options, nor a consensus assessment of their respective value. It is intended only to present options for MNAs, and to reflect on the range of considerations which could impact on the

  12. Multilateral agricultural trade liberalization: The contrasting fortunes of developing countries in the Doha Round

    OpenAIRE

    Jean-Christophe Bureau; Antoine Bouet, Yvan Decreux, Sébastien Jean

    2005-01-01

    An applied general equilibrium model is used to assess the impact of multilateral trade liberalization in agriculture, with particular emphasis on developing countries. We use original data, and the model includes some specific features such as a dual labor market. Applied tariffs, including those under preferential regimes and regional agreements, are taken into account at the detailed product level, together with the corresponding bound tariffs on which countries negotiate. The various type...

  13. Suspension of the Doha Round of Multilateral Negotiations and the Need for Its Resuscitation

    OpenAIRE

    Das, Dilip K.

    2008-01-01

    The Doha Round of multilateral trade negotiations (MTNs) has proved to be egregiously problem-prone. Due to deep dissension among WTO members it had to be suspended, and efforts to revive it have so far not succeeded. Although the mercantilist mindset of the participants has been frequently blamed for the consistently tardy progress of negotiations, there is more to the situation than just a mindset. This article methodically analyzes the various steps taken since the launch of the Doha Round...

  14. Are Preferential Trade Agreements with Non-trade Objectives a Stumbling Block for Multilateral Liberalization?

    OpenAIRE

    Nuno Limão

    2007-01-01

    In many preferential trade agreements (PTAs), countries exchange not only reductions in trade barriers but also cooperation in non-trade issues such as labour and environmental standards, intellectual property, etc. We provide a model of PTAs motivated by cooperation in non-trade issues and analyse its implications for global free trade and welfare. We find that such PTAs increase the cost of multilateral tariff reductions and thus cause a stumbling block to global free trade. This occurs bec...

  15. Kegel Exercises

    Science.gov (United States)

    ... exercised my pelvic muscles ____ times. I spent ____ minutes exercising. At each exercise session, I squeezed my pelvic ... exercised my pelvic muscles ____ times. I spent ____ minutes exercising. At each exercise session, I squeezed my pelvic ...

  16. A multi-lateral trading model for coupled gas-heat-power energy networks

    International Nuclear Information System (INIS)

    Chen, Yue; Wei, Wei; Liu, Feng; Mei, Shengwei

    2017-01-01

    Highlights: •Optimal energy flows in the gas, heat, and power systems are modeled in detail. •A multi-lateral trading model for the coupled energy markets is proposed. •A two-phase algorithm for computing the market equilibrium. •Case studies demonstrate that market competition pilots reasonable energy prices. -- Abstract: The proliferation of cogeneration technology and the need for more resilient energy utilization inspire the emerging trend of integration of multi-resource energy systems, in which natural gas, heat, and electricity are produced, delivered, converted, and distributed more efficiently and flexibly. The increasing interactions and interdependencies across heterogenous physical networks impose remarkable challenges on the operation and market organization. This paper envisions the market trading scheme in the network-coupled natural gas system, district heating system, and power system. Based on the physical energy flow models of each system and their interdependency, a multi-lateral trading gas-heat-power (MLT-GHP) model is suggested, and a mixed-integer linear programming based two-phase algorithm is developed to find the market equilibrium. Case studies on two testing systems demonstrate the effectiveness of the proposed model and method, showing that the multi-lateral trading essentially results in market competition that orientates reasonable energy prices. Some prospects for future researches are also summarized.

  17. Multilateral approach to the back end of the nuclear fuel cycle in Asia-Pacific?

    International Nuclear Information System (INIS)

    Lim, Eunjung

    2016-01-01

    In spite of the nearly unprecedented scale of the Fukushima Daiichi Nuclear Accident which caused countries around the world to review their nuclear power systems and to rethink their nuclear power expansion plans, nuclear power capacity continues to grow, spearheaded by the Asia-Pacific region. The Asia-Pacific has become a major emerging market for nuclear energy industry, which indicates that the management of spent nuclear fuel is likely to be a nuisance for the countries in this region in the coming decades. By reviewing the history of discussions on multilateral approaches to the back end of the nuclear fuel cycle and examining relevant empirical cases, this article aims to explore the feasibility of a multilateral approach to the back end of the nuclear fuel cycle in this region and provide some policy suggestions to enhance nuclear governance in the Asia-Pacific. - Highlights: • The Asia-Pacific has become a huge emerging market for nuclear power industry. • Asian-Pacific countries operating reactors lack solution for spent nuclear fuel. • Multilateral approach is attractive, but hard to be realized. • The main obstacle is variations in policies for SNF management among the Asia-Pacific countries. • The country that should take its initiative in this field is the United States.

  18. State and multilateralism, a theoretical approach. Transformations in a globalized international society

    Directory of Open Access Journals (Sweden)

    Paloma González del Miño

    2013-11-01

    Full Text Available The State, classical international actor, has had to readaption to the new dynamics in the International Society and has given prominence to other actors. In this logic, it´s relevant to analyze the role in the international system after the Cold War to evaluare whether it is still an actor capable of responding to the functional needs of the society. For this, reaffirms its commitment to multilateralism as a response to the main issue on the international agenda. Namely, is reactivated as an ideal tool to manage structural changes, despite the different interpretations of United States, the European Union or the BRICS. The object of this analysis contribute to the academic debate and focuses on studying the transformations of the State in the globalized international society where multilateralism has become a concept discussed and a common practice in the international discourse, despite its complexity and the different visions and interpretations by different actors. Multilateralism granted the State a path of cooperation and understanding as a guiding principle and foreign policy legitimizing discourse.

  19. European Security through EU-Russian Relations: Towards a New Multilateral Order?

    Directory of Open Access Journals (Sweden)

    Sandra Fernandes

    2011-05-01

    Full Text Available Since the end of the Cold War, the EU and Russia have managed to create an original framework for institutionalised cooperation despite asymmetric characteristics. Yet, the way these two main security actors interact has an impact on the (non-resolution of security issues in Europe, ranging from ‘‘frozen conflicts’’ to the discussion of the security architecture. Since the second mandate of President Putin, the relation has been characterised by two paradoxical features. On the one hand, the methodology and the domains of cooperation have reached a high degree of achievement. On the other hand, the political quality of the relationship has deteriorated and it is not able to achieve the desired ‘‘strategic partnership’’ that should be based on a common set of values and principles. This article aims to define multilateralism as a paradigm applicable to EU-Russian relations. It examines their relationship in the security and defence realm and the Union’s reactions to a new security approach by Russia since the 2008 Medvedev proposal. The article questions how the EU-Russian political dialogue impacts on multilateralism in the security field. The conclusion considers EU-Russian relations as a peculiar multilateral playground addressing common security challenges, which still needs to be developed further in order to be instrumental in the search for collective and legitimate solutions.

  20. Calculating Production Rate of each Branch of a Multilateral Well Using Multi-Segment Well Model: Field Example

    Directory of Open Access Journals (Sweden)

    Mohammed S. Al-Jawad

    2017-11-01

    Full Text Available Multilateral wells require a sophisticated type of well model to be applied in reservoir simulators to represent them. The model must be able to determine the flow rate of each fluid and the pressure throughout the well. The production rate calculations are very important because they give an indication about some main issues associated with multi-lateral wells such as one branch may produce water or gas before others, no production rate from one branch, and selecting the best location of a new branch for development process easily. This paper states the way to calculate production rate of each branch of a multilateral well-using multi-segment well model. The pressure behaviour of each branch is simulated dependent on knowing its production rate. This model has divided a multi-lateral well into an arbitrary number of segments depending on the required degree of accuracy and run time of the simulator. The model implemented on a field example (multi-lateral well HF-65ML in Halfaya Oil Field/Mishrif formation. The production rate and pressure behaviour of each branch are simulated during the producing interval of the multilateral well. The conclusion is that production rate of the main branch is slightly larger than a lateral branch.

  1. Prevention: Exercise

    Medline Plus

    Full Text Available ... Core! Stretching/Flexibility Aerobic Exercise Cervical Exercise Strength Training for the Elderly ... Committee Exercise Committee Core Strengthening Many popular forms of exercise focus on ...

  2. ST-segment deviation during 24-hour ambulatory electrocardiographic monitoring and exercise stress test in healthy male subjects 51 to 75 years of age: the Copenhagen City Heart Study

    DEFF Research Database (Denmark)

    Vaage-Nilsen, M; Rasmussen, Verner; Sørum, C

    1999-01-01

    or descending ST-segment depression of >/=0.15 mV during Holter monitoring or at the exercise test, respectively. Furthermore, the specificity was 0.95 when a horizontal or downsloping ST-segment depression of 0.1 mV was displayed in both the Holter and exercise electrocardiographic recording system......BACKGROUND: Although ST-segment deviation has been evaluated and used during many years both on continuous electrocardiographic Holter monitoring and during exercise stress testing, considerable controversy still remains concerning the prevalence and diagnostic significance of fortuitously...... discovered ST-segment deviation in asymptomatic healthy persons. METHODS AND RESULTS: The occurrence of ST-segment deviation was studied in a population of 63 clinically healthy male subjects 51 to 75 years of age, with the use of 24-hour Holter monitoring and exercise stress testing. The subjects were...

  3. Accuracy of Continuous Glucose Monitoring (CGM during Continuous and High-Intensity Interval Exercise in Patients with Type 1 Diabetes Mellitus

    Directory of Open Access Journals (Sweden)

    Othmar Moser

    2016-08-01

    Full Text Available Continuous exercise (CON and high-intensity interval exercise (HIIE can be safely performed with type 1 diabetes mellitus (T1DM. Additionally, continuous glucose monitoring (CGM systems may serve as a tool to reduce the risk of exercise-induced hypoglycemia. It is unclear if CGM is accurate during CON and HIIE at different mean workloads. Seven T1DM patients performed CON and HIIE at 5% below (L and above (M the first lactate turn point (LTP1, and 5% below the second lactate turn point (LTP2 (H on a cycle ergometer. Glucose was measured via CGM and in capillary blood (BG. Differences were found in comparison of CGM vs. BG in three out of the six tests (p < 0.05. In CON, bias and levels of agreement for L, M, and H were found at: 0.85 (−3.44, 5.15 mmol·L−1, −0.45 (−3.95, 3.05 mmol·L−1, −0.31 (−8.83, 8.20 mmol·L−1 and at 1.17 (−2.06, 4.40 mmol·L−1, 0.11 (−5.79, 6.01 mmol·L−1, 1.48 (−2.60, 5.57 mmol·L−1 in HIIE for the same intensities. Clinically-acceptable results (except for CON H were found. CGM estimated BG to be clinically acceptable, except for CON H. Additionally, using CGM may increase avoidance of exercise-induced hypoglycemia, but usual BG control should be performed during intense exercise.

  4. The Borg scale as an important tool of self-monitoring and self-regulation of exercise prescription in heart failure patients during hydrotherapy. A randomized blinded controlled trial.

    Science.gov (United States)

    Carvalho, Vitor Oliveira; Bocchi, Edimar Alcides; Guimarães, Guilherme Veiga

    2009-10-01

    The Borg Scale may be a useful tool for heart failure patients to self-monitor and self-regulate exercise on land or in water (hydrotherapy) by maintaining the heart rate (HR) between the anaerobic threshold and respiratory compensation point. Patients performed a cardiopulmonary exercise test to determine their anaerobic threshold/respiratory compensation points. The percentage of the mean HR during the exercise session in relation to the anaerobic threshold HR (%EHR-AT), in relation to the respiratory compensation point (%EHR-RCP), in relation to the peak HR by the exercise test (%EHR-Peak) and in relation to the maximum predicted HR (%EHR-Predicted) was calculated. Next, patients were randomized into the land or water exercise group. One blinded investigator instructed the patients in each group to exercise at a level between "relatively easy and slightly tiring". The mean HR throughout the 30-min exercise session was recorded. The %EHR-AT and %EHR-predicted did not differ between the land and water exercise groups, but they differed in the %EHR-RCP (95 +/-7 to 86 +/-7, P<0.001) and in the %EHR-Peak (85 +/-8 to 78 +/-9, P=0.007). Exercise guided by the Borg scale maintains the patient's HR between the anaerobic threshold and respiratory compensation point (ie, in the exercise training zone).

  5. The Tensions between Internal and External Multilateralism in the Case Law of the Court of Justice of the European Union Concerning International Agreements

    DEFF Research Database (Denmark)

    Cebulak, Pola

    2016-01-01

    The European Union’s (EU) commitment to multilateralism is enshrined in Article 21(1) of the Treaty on the European Union (TEU), which proclaims that the EU “shall promote multilateral solutions to common problems”. It is also reflected in numerous documents and treaties produced within the frame......The European Union’s (EU) commitment to multilateralism is enshrined in Article 21(1) of the Treaty on the European Union (TEU), which proclaims that the EU “shall promote multilateral solutions to common problems”. It is also reflected in numerous documents and treaties produced within...... to multilateralism externally appears problematic. This chapter examines the articulation between this internal and external multilateralism of the EU in the case-law of the Court of Justice of the EU (CJEU). It asks the question whether the main tool of legal interpretation deployed by the Court – teleological...

  6. Designing and testing a web-based interface for self-monitoring of exercise and symptoms for older adults with chronic obstructive pulmonary disease.

    Science.gov (United States)

    Johnston, Sandra K; Nguyen, Huong Q; Wolpin, Seth

    2009-01-01

    The use of information and communication technologies to support collaborative management of chronic obstructive pulmonary disease and associated symptoms is particularly appealing since most people with chronic obstructive pulmonary disease continue to experience dyspnea despite optimal medical therapy and therefore must engage in the long-term tasks of self-management. Exercise is an effective therapy to reduce dyspnea in patients with chronic obstructive pulmonary disease. The purpose of this article was to describe our process of developing a set of integrated tools to support collaborative symptom and exercise monitoring for patients with chronic obstructive pulmonary disease. This process could be followed by other researchers and clinicians interested in developing collaborative management tools for other chronic conditions. User-centered design principles guided the 4-phase development process of a set of integrated tools for self-symptom management. The usability challenges uncovered during the field testing were mostly minor and were easily corrected. Patients had a strong preference for a calendar-like display of completed exercise coupled with simultaneous goal viewing. Field usability testing showed that the integrated set of tools was relatively easy to learn, efficient to use, and with minimal errors and has a high level of user satisfaction. An iterative, multimodal process is essential to successful development of acceptable Web-based tools for self-management in chronic obstructive pulmonary disease.

  7. [Assessment of control of cardiovascular risk factors in obese posmenopausal women after monitoring a structured dietary education and exercise program. (SÍSIFO Program)].

    Science.gov (United States)

    García Soto, Z M; Montoro García, S; Leal Hernández, M; Abellán Alemán, J

    2016-01-01

    Evaluate the influence of a specific program of physical exercise on cardiovascular risk, quality of life and eating habits of menopausal women. Prospective, intervention study previous-after without control group for three months. 66 menopausal women were included. The intervention consisted of a structured diet and exercise program. Biochemical, anthropometric, dietary and life quality parameters were determined before and three months after surgery. After the intervention a decrease in weight (4.4±2,3kg) and BMI (1.83±0.84kg/m(2)) (p<.05) occurs. A decrease in SBP (p<.05) was also observed. The fasting glucose went down 13.75±11.11mg/dl and HbA1c fell by 0.19±0,12%, both with p<.05. The lipid profile follows a similar behavior, highlighting a decline of 8± 6.2mg/dl in LDL cholesterol values (p<.05). The score on the measured cardiovascular risk by the Framingham tables decreases by 3% postoperatively (p<.05). Regarding the quality of life, it is significantly improved in all analyzed areas. The application of a structured exercise and diet program improves close monitoring parameters associated with cardiovascular risk of the women studied. It also improves the quality of life and dietary habits. Copyright © 2016 SEH-LELHA. Publicado por Elsevier España, S.L.U. All rights reserved.

  8. Monitoring cerebral hemodynamics with transcranial Doppler ultrasound during cognitive and exercise testing in adults following unilateral stroke.

    Science.gov (United States)

    Watt, Brian P; Burnfield, Judith M; Truemper, Edward J; Buster, Thad W; Bashford, Gregory R

    2012-01-01

    An observational study was performed as a preliminary investigation into the use of transcranial Doppler ultrasound (TCD) for recording cerebral hemodynamic changes during multiple tasks. TCD is a method of measuring cerebral blood flow (CBF) using ultrasound transducers in contact with the surface of the head. Using the maximum flow envelope of the Doppler spectrum returning from the middle cerebral artery (MCA), standard clinical flow indices can be calculated and displayed in real time providing information concerning perturbations in CBF and their potential cause. These indices as well as flow velocity measurements have been recognized as useful in measuring changes in responses to various stimulus that can be used to indicate cardiovascular health. For this study, the pulsatility index (PI) and resistivity index (RI) were chosen since they indicate composite changes indicative of vasoconstriction and vasodilatation which are normal hemodynamic responses under appropriate conditions. A total of eleven participants were recruited to take part in this study. Nine of these individuals had no known disability (Controls); two had experienced unilateral cerebrovascular accidents (Strokes) in the ipsilateral MCA distribution. Maximum velocity envelopes of the spectral Doppler data were recorded using a fixation device designed to stabilize two ultrasound probes (2 MHz) to sample the bilateral MCAs CBF. These measures were performed separately while the subject performed four activities: 1) rest, 2) cognitive challenge, 3) cardiovascular exercise, and 4) simultaneous exercise and cognitive challenge. Cardiovascular parameters were calculated from the data by extracting maximum (Vs) and minimum flow velocities (Vd), PI, RI, and time signatures for each cardiac cycle. The data for all participants shows significant changes in cardiovascular parameters between states of rest and exercise, as well as slight trends across time. Although the data are preliminary, they show

  9. A Hybrid Mechanism of Multilateral Economic Cooperationas a New Form of Foreign Policy of China

    Directory of Open Access Journals (Sweden)

    Mariia Gorbunova

    2016-11-01

    Full Text Available The authors analyze current trends in multilateral international cooperation determined by the global stagnation and the changing role of developing countries that reflects their growing political and economic potential compared to developed countries. China is one of the leading actors in the process of modernization of the multilateral cooperation. The authors examine the scale and potential influence of two China-led multilateral cooperation and development initiatives in Eurasia: the Silk Road Economic Belt and the Asian Infrastructure Investment Bank (AIIB. These initiatives imply a new kind of initiator different from the traditional participant in international multilateral initiatives. China’s growing global role has reached a qualitatively new stage related to the fact that the country has moved into first place among world economies and has accumulated significant financial resources, although per capita income remains relatively low. Furthermore, China’s internationalization model has required it to be more actively involved in the global governance system as a responsible super power. The awareness to address important issues of economic growth, sustainable development and the provision of global public goods forces China to go beyond the standard profit-seeking trade and investment models of internationalization.The explication of its enormous economic potential at the regional (African, Asian and Latin American and global levels directly or indirectly contradicts the interests of the leading developed and developing countries concerning foreign markets, mineral resources access and political influence in Eurasia. The authors offer an objective assessment of the potential impact of the Silk Road Economic Belt and AIIB on the associated national economies. The Silk Road Economic Belt is an integral part of the “One Belt and One Road” project and involves the construction of transport and logistics infrastructure from East to

  10. MULTILATERAL ENVIRONMENTAL AGREEMENTS AND THE TRADE MEASURES CONTAINED IN THESE AGREEMENTS

    Directory of Open Access Journals (Sweden)

    Margareta Timbur

    2012-06-01

    Full Text Available The environmental problems which the society is facing, ozone depletion, biodiversity loss, the spread of persistent organic pollutants, are a result of human activity with a worldwide impact, requiring immediate resolution. In this context, negotiation, signing and implementation of several multilateral environmental agreements (MEAs are one of the best solutions, affordable and reliable. The aim of this study is to analyze the commercial measures, which to some extent, ensure stability, security, and expansion of MEAs. The paper discusses, also, the efficiency, necessity and the influences of trade measures in MEAs and the WTO role in signing these agreements.

  11. Analysis of Location Ambiguity, GDOP and Station Layout of Threestation in Multilateration

    Directory of Open Access Journals (Sweden)

    Xu Zi Li

    2016-01-01

    Full Text Available In practice, the two-dimensional TDOA source location in the case of three stations would encounter the ambiguity problem of dual solutions. The relationship between distributions of location curve intersections, GDOP and receiving station layout is numerically analyzed, namely the distributions of location curve intersections and GDOP are determined by the receiving station layout, and the areas of two curve intersections are consistent with these of larger GDOP. These analysis results could serve as reference for avoiding or dealing with the ambiguity problem when multilateration is in application.

  12. Non proliferation and disarmament: chronology of the multilateral force (1960-1965) - Historical note

    International Nuclear Information System (INIS)

    Hautecouverture, Benjamin

    2007-06-01

    The Multilateral Force (MLF) is a US project of the mid 1950's for the development of NATO integrated strategic force. The author proposes a brief history of this project which emerged at the end of 1960, and was finally given up at the end of 1965 for various reasons. The author indicates the different events and facts related to this project or occurring at these moments. He distinguishes three main periods: a period of propositions (1960-1962), a political phase (1963-1964), and the abandonment phase of the project. In a last part, the author discusses the relationships between MLF, proliferation and disarmament

  13. Transfer of technology to developing countries: unilateral and multilateral policy options

    International Nuclear Information System (INIS)

    Hockman, B.M.; Maskus, K.E.; Saggi, K.

    2005-01-01

    This paper analyzes national and international policy options to encourage the international transfer of technology, distinguishing between four major channels of such transfer: trade in products, trade in knowledge and technology, foreign direct investment, and intranational and international movement of people. A typology of countries and appropriate policy rules of thumb are developed as a guide to both national policymakers and multilateral rule making in the WTO. We argue that the optimal policy mix varies across countries and that there is a need for differentiation in the design and application of rules in trade agreements as well as for a more explicit focus on evaluation of the impacts of policies. (author)

  14. Coordination of International Risk-Reduction Investigations by the Multilateral Human Research Panel for Exploration

    Science.gov (United States)

    Charles, John B.; Bogomolov, Valery V.

    2015-01-01

    Effective use of the unique capabilities of the International Space Station (ISS) for risk reduction on future deep space missions involves preliminary work in analog environments to identify and evaluate the most promising techniques, interventions and treatments. This entails a consolidated multinational approach to biomedical research both on ISS and in ground analogs. The Multilateral Human Research Panel for Exploration (MHRPE) was chartered by the five ISS partners to recommend the best combination of partner investigations on ISS for risk reduction in the relatively short time available for ISS utilization. MHRPE will also make recommendations to funding agencies for appropriate preparatory analog work. In 2011, NASA's Human Research Program (HRP) and the Institute of Biomedical Problems (IBMP) of the Russian Academy of Science, acting for MHRPE, developed a joint US-Russian biomedical program for the 2015 one-year ISS mission (1YM) of American and Russian crewmembers. This was to evaluate the possibilities for multilateral research on ISS. An overlapping list of 16 HRP, 9 IBMP, 3 Japanese, 3 European and 1 Canadian investigations were selected to address risk-reduction goals in 7 categories: Functional Performance, Behavioral Health, Visual Impairment, Metabolism, Physical Capacity, Microbial and Human Factors. MHRPE intends to build on this bilateral foundation to recommend more fully-integrated multilateral investigations on future ISS missions commencing after the 1YM. MHRPE has also endorsed an on-going program of coordinated research on 6-month, one-year and 6-week missions ISS expeditions that is now under consideration by ISS managers. Preparatory work for these missions will require coordinated and collaborative campaigns especially in the psychological and psychosocial areas using analog isolation facilities in Houston, Köln and Moscow, and possibly elsewhere. The multilateral Human Analogs research working group (HANA) is the focal point of those

  15. Transcending Rationalism and Constructivism: Chinese Leaders’ Operational Codes, Socialization Processes, and Multilateralism after the Cold War

    DEFF Research Database (Denmark)

    He, Kai; Feng, Huiyun

    2015-01-01

    ’ argument to explain China’s pro-multilateralist diplomacy after the Cold War. Using operational code analysis to examine belief changes across three generations of Chinese leadership and on different occasions, we argue that China’s pro-multilateralist behavior is a product of ‘superficial socialization......This paper challenges both rationalist and constructivist approaches in explaining China’s foreign policy behavior toward multilateral institutions after the Cold War. Borrowing insights from socialization theory and operational code analysis, this paper suggests a ‘superficial socialization...

  16. Multilateral agreements

    International Nuclear Information System (INIS)

    Anon.

    2012-01-01

    I. Status of conventions in the field of nuclear energy as of December 2012: Non-proliferation and nuclear security (Treaty on the Non-Proliferation of Nuclear Weapons, Convention on the Physical Protection of Nuclear Material, Amendment to the Convention on the Physical Protection of Nuclear Material, International Convention for the Suppression of Acts of Nuclear Terrorism, Comprehensive Nuclear-Test-Ban Treaty); Nuclear safety and emergency response (Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency, Convention on Early Notification of a Nuclear Accident, Convention on Nuclear Safety, Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management); Liability and compensation for nuclear damage (Paris Convention on Nuclear Third Party Liability, Brussels Supplementary Convention on Third Party Liability in the Field of Nuclear Energy, Protocol to Amend the Paris Convention on Nuclear Third Party Liability, Protocol to Amend the Brussels Convention Supplementary to the Paris Convention, Vienna Convention on Civil Liability for Nuclear Damage, Protocol to Amend the Vienna Convention on Civil Liability for Nuclear Damage, Joint Protocol relating to the Application of the Vienna Convention and the Paris Convention, Convention on Supplementary Compensation for Nuclear Damage). II. Status of conventions in the field of environmental protection/assessment which affect nuclear energy use as of December 2012: Convention on Access to Information, Public Participation in Decision-making and Access to Justice in Environmental Matters (Aarhus Convention), Convention on Environmental Impact Assessment in a Transboundary Context (Espoo Convention), Protocol on Strategic Environmental Assessment (Kiev Protocol), Convention for the Protection of the Marine Environment of the North-East Atlantic (OSPAR). III. OECD member country participation in the nuclear energy treaties/conventions and in the environmental protection/assessment conventions referred to above as of December 2012

  17. Multilateral agreements

    International Nuclear Information System (INIS)

    2013-01-01

    I. Status of treaties and conventions in the field of nuclear energy as of November 2013: Non-proliferation and nuclear security (Treaty on the Non-Proliferation of Nuclear Weapons, Convention on the Physical Protection of Nuclear Material, Amendment to the Convention on the Physical Protection of Nuclear Material, International Convention for the Suppression of Acts of Nuclear Terrorism, Comprehensive Nuclear-Test-Ban Treaty); Nuclear safety and emergency response (Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency, Convention on Early Notification of a Nuclear Accident, Convention on Nuclear Safety, Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management); Liability and compensation for nuclear damage (Paris Convention on Nuclear Third Party Liability, Brussels Supplementary Convention on Third Party Liability in the Field of Nuclear Energy, Protocol to Amend the Paris Convention on Nuclear Third Party Liability, Protocol to Amend the Brussels Convention Supplementary to the Paris Convention, Vienna Convention on Civil Liability for Nuclear Damage, Protocol to Amend the Vienna Convention on Civil Liability for Nuclear Damage, Joint Protocol relating to the Application of the Vienna Convention and the Paris Convention); Convention on Supplementary Compensation for Nuclear Damage; II. Status of conventions in the field of environmental protection/assessment which affect nuclear energy use as of December 2011: Convention on Access to Information, Public Participation in Decision-making and Access to Justice in Environmental Matters - Aarhus Convention (Convention on Environmental Impact Assessment in a Transboundary Context (Espoo Convention), Protocol on Strategic Environmental Assessment to the Espoo Convention (Kiev Protocol), Convention for the Protection of the Marine Environment of the North-East Atlantic (OSPAR)); III. Participation in the nuclear energy treaties/conventions and in the environmental protection/assessment conventions referred to above as of November 2013 by member countries of the OECD or the NEA (Australia, Austria, Belgium, Canada, Chile, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Japan, Korea (Republic of), Luxembourg, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Russian Federation, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey, UK, USA)

  18. Multilateral agreements

    International Nuclear Information System (INIS)

    Anon.

    2004-01-01

    The first review meeting of the joint convention on the safety of spent fuel management and on the safety of radioactive waste management resulted in the assembly of the most comprehensive information yet available on the status of these ones in the world. The review process has prompted improvements in others. The discussions in the two week meeting addressed all of the important issues confronting countries in managing spent fuel and radioactive waste safely. It revealed areas for improvement at both the national and international levels. he joint convention review process is designed principally for the review of the National reports of contracting parties. However, there are also global issues in the area of spent fuel and radioactive waste management and issues of special interest, to groups of countries to consider. The future development of the convention may therefore have to include suitable additional mechanisms to allow these aspects to be addressed. (N.C.)

  19. Reforming the Multilateral Decision-making Mechanism of the WTO: What is the Role of Emerging Economies?

    Directory of Open Access Journals (Sweden)

    Amos Saurombe

    2013-12-01

    Full Text Available The paper focuses on the future of global economic governance in the light of the current state of multilateral trade negotiations. The aim is to analyse identified key historical issues at the heart of the decision-making system of the World Trade Organization (WTO. The current and ongoing Doha Round of trade negotiations and the multilateral system reflect inequalities that still prevail in the global trade architecture. Is there a need for a paradigm shift? The paper will provide recommendations on how reform of the multilateral decision-making structures should focus on promoting the interests of developing countries that have historically been marginalised. Developing countries, like those making up BRICS, stand ready to contribute to the construction of a new international architecture, to bring the voices of the south together on global issues and to deepen their ties in various areas.

  20. Monitoring changes in body surface temperature associated with treadmill exercise in dogs by use of infrared methodology.

    Science.gov (United States)

    Rizzo, Maria; Arfuso, Francesca; Alberghina, Daniela; Giudice, Elisabetta; Gianesella, Matteo; Piccione, Giuseppe

    2017-10-01

    The aim of this study was to evaluate the influence of moderate treadmill exercise session on body surface and core temperature in dog measured by means of two infrared instruments. Ten Jack Russell Terrier/Miniature Pinscher mixed-breed dogs were subjected to 15min of walking, 10min of trotting and 10min of gallop. At every step, body surface temperature (T surface ) was measured on seven regions (neck, shoulder, ribs, flank, back, internal thigh and eye) using two different methods, a digital infrared camera (ThermaCam P25) and a non-contact infrared thermometer (Infrared Thermometer THM010-VT001). Rectal temperature (T rectal ) and blood samples were collected before (T0) and after exercise (T3). Blood samples were tested for red blood cell (RBC), hemoglobin concentration (Hb) and hematocrit (Hct). A significant effect of exercise in all body surface regions was found, as measured by both infrared methods. The temperature obtained in the eye and the thigh area were higher with respect to the other studied regions throughout the experimental period (Ptemperature values measured by infrared thermometer was found in neck, shoulder, ribs, flank, back regions respect to the values obtained by digital infrared camera (Ptemperatures are influenced by physical exercise probably due to muscle activity and changes in blood flow in dogs. Both infrared instruments used in this study have proven to be useful in detecting surface temperature variations of specific body regions, however factors including type and color of animal hair coat must be taken into account in the interpretation of data obtained by thermography methodology. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. Comparing Diet and Exercise Monitoring Using Smartphone App and Paper Diary: A Two-Phase Intervention Study

    OpenAIRE

    Jimoh, Florence; Lund, Elizabeth K; Harvey, Linda J; Frost, Catherine; Lay, W James; Roe, Mark A; Berry, Rachel; Finglas, Paul M

    2018-01-01

    Background: There is increasing recognition that personalized approaches may be more effective in helping people establish healthier eating patterns and exercise more, and that this approach may be particularly effective in adolescents. Objective: The objective of this study was to investigate the use of a smartphone app (FoodWiz2) in supporting healthy lifestyle choices in adolescence. Methods: Participants (N=34: 11 male, 23 female) aged 16-19 years in full- or part-time education were recr...

  2. Multi-lateral emission trading: lessons from inter-state NOx control in the United States

    International Nuclear Information System (INIS)

    Farrell, A.

    2001-01-01

    Marketable emission permit mechanisms are increasingly proposed as efficient means of managing environmental pollution problems such as greenhouse gas emissions. Existing examples of emissions trading in the literature have so far been limited to domestic efforts put in place through the action of a national legislature, which has no parallel in international politics. This paper examines two efforts to establish multi-lateral emissions trading for nitrogen oxides among various states with the US. One, the Ozone Transport Commission's NO x Budget program is a success. The other, the Ozone Transport Assessment Group and the federal government's subsequent NO x SIP Call has not resulted in a multi-lateral emissions control program, let alone an efficient, market-based one. Due to the relative similarities of the states (compared to highly heterogeneous nations of the world) these are ''best case'' examples, and explaining the vast differences in outcomes will help explain the potential and the challenges in developing an international emission trading program to control greenhouse gas emissions. (author)

  3. Multilateral simulation on various models for internationalization of nuclear fuel cycle

    International Nuclear Information System (INIS)

    Adachi, T.; Akiba, M.; Tazaki, M.; Kuno, Y.; Choi, J-S.; Tanaka, S.; Omoto, A.

    2011-01-01

    To construct suitable models for a reliable and sustainable international/regional framework in the fields of nuclear fuel cycle, it is essential to reflect recent political situations including such that 1) a certain number of emerging countries especially in south-east Asia want to introduce and develop nuclear power in the long-terms despite the accident of the Fukushima Daiichi NPP, and 2) exposition of nuclear proliferation threats provided by North Korea and Iran. It is also to be considered that Japan is an unique country having enrichment and reprocessing facilities on commercial base among non-nuclear weapon countries. Although many models presented for the internationalization have not been realized yet, studies at the University of Tokyo aim at multilateral nuclear approach (MNA) in Asian-Pacific countries balancing between nuclear non-proliferation and nuclear fuel supply/service and presenting specific examples such as prerequisites for participating countries, scope of cooperative activities, ownership of facilities and type of agreements/frameworks. We will present a model basic agreement and several bilateral and multi-lateral agreements for the combinations of industry or government led consortia including Japan and its neighboring countries and made a preliminary evaluation for the combination of processes/facilities based on the INFCIRC/640 report for MNA. (author)

  4. Organization and Management of the International Space Station (ISS) Multilateral Medical Operations

    Science.gov (United States)

    Duncan, J. M.; Bogomolov, V. V.; Castrucci, F.; Koike, Y.; Comtois, J. M.; Sargsyan, A. E.

    2007-01-01

    The goal of this work is to review the principles, design, and function of the ISS multilateral medical authority and the medical support system of the ISS Program. Multilateral boards and panels provide operational framework, direct, and supervise the ISS joint medical operational activities. The Integrated Medical Group (IMG) provides front-line medical support of the crews. Results of ongoing activities are reviewed weekly by physician managers. A broader status review is conducted monthly to project the state of crew health and medical support for the following month. All boards, panels, and groups function effectively and without interruptions. Consensus prevails as the primary nature of decisions made by all ISS medical groups, including the ISS medical certification board. The sustained efforts of all partners have resulted in favorable medical outcomes of the initial fourteen long-duration expeditions. The medical support system appears to be mature and ready for further expansion of the roles of all Partners, and for the anticipated increase in the size of ISS crews.

  5. Study of feasible and sustainable multilateral approach on nuclear fuel cycle

    International Nuclear Information System (INIS)

    Kuno, Y.; Tazaki, M.; Akiba, M.; Takashima, R.; Izumi, Y.; Tanaka, S.

    2013-01-01

    Despite the Fukushima accident it is undeniable that nuclear power remains one of the most important methods to handle global growth of economic/energy consumption and issues with greenhouse gases. If the demand for nuclear power increases, the demand for not only the generation of power but also for refining uranium (U), conversion, enrichment, re-conversion, and fuel manufacturing should increase. In addition, concerns for the proliferation of 'Sensitive Nuclear Technologies' (SNT) should also increase. We propose a demand-side approach, where nuclear fuel cycle (NFC) activities would be implemented among multiple states. With this approach, NFC services, in particular those using SNTs, are multilaterally executed and controlled, thereby preventing unnecessary proliferation of SNTs, and enabling safe and appropriate control of nuclear technologies and nuclear materials. This proposal would implement nuclear safety and security at an international level and solve transport issues for nuclear fuels. This proposal is based on 3 types of cooperation for each element of NFC: type A: cooperation for 3S only, services received; Type B: cooperation for 3S, MNA (Multilateral Nuclear Activities) without transfer of ownership to MNA; and Type C cooperation for 3S, MNA holding ownership rights. States involved in the 3 types of activity should be referred to as partner states, host states, and site states respectively. The feasibility of the proposal is discussed for the Asian region

  6. The weight of «tradition» in multilateral commercial negotiations. The argentinian case during the Doha Round

    Directory of Open Access Journals (Sweden)

    Julieta Zelicovich

    2014-05-01

    Full Text Available The article studies the impact of ‘tradition’ as a variable inside the analyses of foreign policy. For that end, it considers a particular case, the participation of Argentina in multilateral commercial negotiations. The central argument signals that, for Argentina, the negotiating tradition has had an important role as a guidance in foreign policy actions regarding multilateral commercial negotiations, especially in the moments of crisis. In addition, that, within this tradition, the main variable in the configuration of Argentinian options has been the development strategy.

  7. A Study on the cooperation policy in multilateral nuclear control regimes and the advancing of national export control system

    International Nuclear Information System (INIS)

    Lee, Byung Wook; Oh, K. B.; Yang, M. H.; Lee, H. M.; Lee, K. S.; Ko, H. S.; Ryu, J. S.; Kim, J. S.

    2004-08-01

    This study carried out the analysis of trends of the multilateral nuclear control in four aspects. First, this study analyzes the past trends of the international nuclear non-proliferation regime, which includes the NPT, the IAEA safeguards system, the international nuclear export control regime and the physical protection of nuclear materials. Second, this study establishes the multilateral cooperation strategies for the effective cooperation in the process of strengthening the nuclear control regimes. Third, this study reviews the major agenda of nuclear control regimes and establishes national positions on each agenda. Fourth, this study also analyzes outstanding issues in nuclear control regimes and derives some factors to reflect national nuclear control system

  8. Exercise of laboratory comparison for contamination monitor calibration between LNMRI/IRD and LCR/UERJ - 2016

    International Nuclear Information System (INIS)

    Cabral, T.S.; David, M.

    2016-01-01

    This work was motivated by the need to decide on the best methodology to be applied in the next contamination monitor calibration comparisons with the Brazilian network of calibration radiation monitors. The calibration factor was chosen as a response calibration performed in the four monitors used in this comparison because it does not require the detector area or probe thereby reducing an important variable. It was observed that the variation of the positioning system may have an influence up to 10% in calibration. The results obtained for the calibration factor showed a difference of up to 31.2%. (author)

  9. Communication dated 22 September 2008 received from the Permanent Mission of Germany to the Agency regarding the German proposal on a Multilateral Enrichment Sanctuary Project

    International Nuclear Information System (INIS)

    2008-01-01

    The Secretariat has received a communication dated 22 September 2008 from the Permanent Mission of Germany, forwarding a paper outlining the German proposal on 'the Multilateral Enrichment Sanctuary Project (MESP)'. As requested in the communication, the paper, entitled 'the Multilateral Enrichment Sanctuary Project (MESP) - a Fresh Look at Ensuring Nuclear Fuel Supply' is circulated herewith for the information of Member States

  10. Comparing Diet and Exercise Monitoring Using Smartphone App and Paper Diary: A Two-Phase Intervention Study.

    Science.gov (United States)

    Jimoh, Florence; Lund, Elizabeth K; Harvey, Linda J; Frost, Catherine; Lay, W James; Roe, Mark A; Berry, Rachel; Finglas, Paul M

    2018-01-15

    There is increasing recognition that personalized approaches may be more effective in helping people establish healthier eating patterns and exercise more, and that this approach may be particularly effective in adolescents. The objective of this study was to investigate the use of a smartphone app (FoodWiz2) in supporting healthy lifestyle choices in adolescence. Participants (N=34: 11 male, 23 female) aged 16-19 years in full- or part-time education were recruited from sixth form colleges, schools, and other further education establishments in Norfolk and Suffolk, United Kingdom, between February and May 2015. Participants recorded food intake and exercise using a paper diary for 4-5 weeks and then used the app for the same duration. Initial nutrition education and general support were provided during the paper diary use, but the app included personalized messages sent in response to app activity. At the end of each study phase, participants completed an online questionnaire to describe their experience of using the paper diary and app. Record completion declined throughout the study, possibly affected by examination pressure. Food intake data showed increased fruit consumption and significantly reduced consumption of chocolate snacks (P=.01) and fizzy drinks (P=.002) among participants using the app. Questionnaire responses indicated that the app was generally preferred to the paper diary, in particular, the app was seen as less boring to use (P=.03) and more acceptable in social settings (P<.001). This app-based approach has shown the potential for a more effective approach to improving adolescent diet and exercise levels. ©Florence Jimoh, Elizabeth K Lund, Linda J Harvey, Catherine Frost, W James Lay, Mark A Roe, Rachel Berry, Paul M Finglas. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 15.01.2018.

  11. Left ventricular end-diastolic volume is decreased at maximal exercise in athletes with marked repolarisation abnormalities: a continuous radionuclide monitoring study

    International Nuclear Information System (INIS)

    Flotats, Albert; Camacho, Valle; Mena, Esther; Estorch, Montserrat; Tembl, Ana; Fuertes, Jordi; Carrio, Ignasi; Serra-Grima, Ricard; Borras, Xavier; Cinca, Juan

    2005-01-01

    Although marked repolarisation abnormalities (MRAs) are considered innocuous in trained athletes, their functional significance awaits clarification. The aim of this study was to further evaluate the pathophysiological implications of such MRAs. We compared left ventricular (LV) functional response to exhausting exercise in 39 male athletes with (n=22) or without (n=17) MRAs and with no structural cardiac abnormalities, by means of a portable radionuclide monitoring system (Vest, Capintec, Inc., Ramsey, NJ). MRAs were defined by the presence of negative T waves ≥2 mm in three or more rest ECG leads. The Vest data were averaged for 30 s and analysed at baseline and at different heart rate (HR) values (50%, 75%, 85%, 95% and 100% of peak HR), as well as at 2, 5 and 10 min of recovery. There were no significant differences in the effect of exhausting exercise between athletes with and athletes without MRAs. However, there was a significant difference in the trend in end-diastolic volume (EDV) during exercise depending upon the group of athletes considered (p=0.05). EDV differed significantly between the two groups of athletes at peak HR (p=0.031). EDV in athletes with MRAs was lower than that in athletes without MRAs (102%±7% vs 107%±8%, p=0.034). EDV is decreased at peak HR in athletes with MRAs. Such high HR values are infrequently achieved or maintained during sporting activities; therefore, in the absence of structural heart disease, MRAs should not preclude physical training and competitive availability. (orig.)

  12. Nuclear fuel cycle. Which way forward for multilateral approaches? An international expert group examines options

    International Nuclear Information System (INIS)

    Pellaud, Bruno

    2005-01-01

    For several years now, the debate on the proliferation of nuclear weapons has been dominated by individuals and countries that violate rules of good behaviour - as sellers or acquirers of clandestine nuclear technology. As a result, the 1968 Treaty on the Non-Proliferation of Nuclear Weapons (NPT) has been declared to be 'inadequate' by some, 'full of loopholes' by others. Two basic approaches have been put forward to tighten up the NPT; both seek to ensure that the nuclear non-proliferation regime maintains its authority and credibility in the face of these very real challenges. One calls for non-nuclear weapon States to accept a partial denial of technology through a reinterpretation of the NPT's provisions governing the rights of access to nuclear technologies. The unwillingness of most non-nuclear-weapon States to accept additional restrictions under the NPT makes this approach difficult. The other approach would apply multinational alternatives to the national operation of uranium-enrichment and plutonium-separation technologies, and to the disposal of spent nuclear fuel. In this perspective, IAEA Director General Mohamed ElBaradei proposed in 2003 to revisit the concept of multilateral nuclear approaches (MNA) that was intensively discussed several decades ago. Several such approaches were adopted at that time in Europe, which became the true homeland of MNAs. Nonetheless, MNAs have failed so far to materialise outside Europe due to different political and economic perceptions. In June 2004, the Director General appointed an international group of experts to consider possible multilateral approaches to the nuclear fuel cycle. The overall purpose was to assess MNAs in the framework of a double objective: strengthening the international nuclear non-proliferation regime and making the peaceful uses of nuclear energy more economical and attractive. In the report submitted to the Director General in February 2005, the Group identified a number of options - options

  13. Monitorização ambulatorial da pressão arterial em indivíduos normotensos submetidos a duas sessões únicas de exercícios: resistido e aeróbio Ambulatory blood pressure monitoring in normotensive individuals undergoing two single exercise sessions: resistive exercise training and aerobic exercise training

    Directory of Open Access Journals (Sweden)

    Ambrosina Maria Lignani de Miranda Bermudes

    2004-01-01

    Full Text Available OBJETIVO: Investigar a influência de duas sessões únicas de exercício resistido (circuito com pesos e aeróbio sobre as alterações pressóricas, em indivíduos sedentários e normotensos. MÉTODOS: Foram avaliados pela monitorização numa situação controle, sem realização de exercícios (MAPA 1 25 indivíduos, após exercício resistido (MAPA 2 e após exercício aeróbio (MAPA 3. Os exercícios resistidos foram realizados sob forma de circuito com pesos, com intensidade de 40% da força máxima individual e os exercícios aeróbicos em cicloergômetro, com intensidade entre 60% e 70% da freqüência cardíaca (FC máxima alcançada no teste ergométrico. RESULTADOS: A pressão arterial sistólica (PAS de 24h e sub-períodos vigília e sono não apresentaram variações estatisticamente significantes quando comparada à MAPA2 e MAPA3 e MAPA2 e MAPA3 entre si. A pressão arterial diastólica (PAD de 24h e diurna apresentaram reduções significantes (POBJECTIVE: To assess the influence of 2 single exercise sessions on blood pressure in sedentary normotensive individuals: one of resistive exercise training (circuit weight training and the other of aerobic exercise training. METHODS: Using ambulatory blood pressure monitoring, this study assessed 25 individuals as follows: in a controlled situation at rest (ABPM 1; after resistive exercise training (ABPM 2; and after aerobic exercise training (ABPM 3. Resistive exercise training was performed as circuit weight training with an intensity of 40% of each individual's maximum strength. The aerobic exercise training was performed on a cycloergometer with intensity between 60% and 70% of the maximum heart rate (HR reached during previous exercise testing. RESULTS: Systolic blood pressure (SBP values during 24 hours and during subperiods of wakefulness and sleep showed no statistically significant variations when the results obtained at rest were compared with those of ABPM2 and ABPM3, and when

  14. ITRAP - International laboratory and field test site exercise for radiation detection instruments and monitoring systems at border crossings

    International Nuclear Information System (INIS)

    Beck, P.; Schmitzer, C.; Duftschmid, K.E.; Arlt, R.

    2001-01-01

    Illicit trafficking in nuclear materials has become more and more a problem, due to the circulation of a high number of radioactive sources and the big amount of nuclear material. The IAEA database counts at present more than 300 verified cases. The endangering cased thereby ranges from possible health defect for the publication to terrorists activities and production of nuclear weapons. In addition to the primary criminal reasons the illegal disposal of radioactive sources as salvage, scrap and others show a further problem, which has lead to severe accidents and lethal effects in the past (e.g. Goiana, Mexico). Some countries have already under taken countermeasures (e.g. Monitoring at the Finnish-Russian and German- Polish border, border monitoring in Italy). The International Atomic Energy Agency (IAEA) has reacted on this actual problem by setting up a new program to fight against nuclear criminality and has suggested a pilot study for the practical test of border monitoring systems. Co-ordinated by the Federal Ministry of Economy and Labour the Austrian Government financed the pilot study ITRAP (Illicit Trafficking Radiation Detection Assessment Program) carried out by the Austrian Research Centers Seibersdorf (ARCS). Aim of the study was to work out the technical requirements and the practicability of an useful monitoring system at border crossings. The results of the study will be offered by the IAEA to the member states as international recommendations for border monitoring systems

  15. Joint responsibility between the EU and Member States for non-performance of obligations under multilateral environmental agreements

    NARCIS (Netherlands)

    Nollkaemper, A.; Morgera, E.

    2012-01-01

    This chapter explores the basis and manifestations of joint responsibility between the European Union (EU) and its Member States for non-performance of obligations contained in multilateral environmental agreements (MEAs). Joint responsibility has often been advanced as an attractive solution where

  16. Joint Responsibility between the EU and Member States for Non-Performance of Obligations under Multilateral Environmental Agreements

    NARCIS (Netherlands)

    Nollkaemper, A.

    2011-01-01

    This chapter explores the basis and manifestations of joint responsibility between the European Union (EU) and its Member States for non-performance of obligations contained in multilateral environmental agreements (MEAs). Joint responsibility has often been advanced as an attractive solution where

  17. Multilateral approaches to the nuclear fuel cycle. Expert group report to the Director General of the IAEA

    International Nuclear Information System (INIS)

    2005-04-01

    An international expert group has been appointed to consider options for possible multilateral approaches to the nuclear fuel cycle. The terms of reference for the Expert Group were to: 1)Identify and provide an analysis of issues and options relevant to multilateral approaches to the front and back ends of the nuclear fuel cycle; 2)Provide an overview of the policy, legal, security, economic and technological incentives and disincentives for cooperation in multilateral arrangements for the front and back ends of the nuclear fuel cycle; and 3)Provide a brief review of the historical and current experience in this area, and of the various analyses relating to multilateral fuel cycle arrangements relevant to the work of the Expert Group. The Group examined the nuclear fuel cycle and multinational approaches at meetings convened over a seven month period. Their report, presented in the paper, was released on 22 February 2005, and circulated for discussion among the IAEA Member States, as well as others, as an IAEA Information Circular (INFCIRC/640)

  18. The Collapse of the Democratic People’s Republic of Korea: A Multilateral Approach to Northeast Asia

    Science.gov (United States)

    2009-04-01

    Chiang Mai Initiative.12 A slow move toward regional economic integration has continued since; however, there have been very few broad multilateral...treaty was signed at the Presidio, and was shortly followed by the U.S.-Japan Mutual Security Treaty. 11 Ibid, 24. 12 Ibid, 32-34. The Chiang Mai agreement

  19. Proposing a sequential comparative analysis for assessing multilateral health agency transformation and sustainable capacity: exploring the advantages of institutional theory.

    Science.gov (United States)

    Gómez, Eduardo J

    2014-05-20

    This article proposes an approach to comparing and assessing the adaptive capacity of multilateral health agencies in meeting country and individual healthcare needs. Most studies comparing multilateral health agencies have failed to clearly propose a method for conducting agency comparisons. This study conducted a qualitative case study methodological approach, such that secondary and primary case study literature was used to conduct case study comparisons of multilateral health agencies. Through the proposed Sequential Comparative Analysis (SCA), the author found a more effective way to justify the selection of cases, compare and assess organizational transformative capacity, and to learn from agency success in policy sustainability processes. To more affectively understand and explain why some multilateral health agencies are more capable of adapting to country and individual healthcare needs, SCA provides a methodological approach that may help to better understand why these agencies are so different and what we can learn from successful reform processes. As funding challenges continue to hamper these agencies' adaptive capacity, learning from each other will become increasingly important.

  20. Investigation into the accuracy of a proposed laser diode based multilateration machine tool calibration system

    International Nuclear Information System (INIS)

    Fletcher, S; Longstaff, A P; Myers, A

    2005-01-01

    Geometric and thermal calibration of CNC machine tools is required in modern machine shops with volumetric accuracy assessment becoming the standard machine tool qualification in many industries. Laser interferometry is a popular method of measuring the errors but this, and other alternatives, tend to be expensive, time consuming or both. This paper investigates the feasibility of using a laser diode based system that capitalises on the low cost nature of the diode to provide multiple laser sources for fast error measurement using multilateration. Laser diode module technology enables improved wavelength stability and spectral linewidth which are important factors for laser interferometry. With more than three laser sources, the set-up process can be greatly simplified while providing flexibility in the location of the laser sources improving the accuracy of the system

  1. Practitioners’ Views Promoting Infrastructure Investment: The G20 and the Multilateral Development Banks

    Directory of Open Access Journals (Sweden)

    Hannah Wurf

    2017-12-01

    Full Text Available The G20 is committed to promoting infrastructure investment and has called on multilateral development banks (MDBs to increase their infrastructure lending to help boost global growth. Alongside long-standing MDBs such as the World Bank and Asian Development Bank (ADB, new MDBs such as the Asian Infrastructure and Investment Bank (AIIB and the New Development Bank have been established, and G20 members would like both old and new multilateral banks to scale up their infrastructure investment by developing a pipeline of bankable projects. Even with all the MDBs investing more, they will not be able to satisfy the global need for infrastructure. What they can do, however, is start to fill the infrastructure gap by catalyzing private investment and cooperating on standards and regional infrastructure. Concerns have been raised about the geo-political implications of the new MDBs which underscore the need for MDB cooperation. There are challenges to and opportunities for this cooperation. The G20 needs to be clear about the role it can play in encouraging MDB cooperation and infrastructure investment, and must also be aware of the limitations on its role given that each MDB has its own mandate. Specifically, the G20 can downplay the perceived trade-off between efficiency and standards in the MDBs, encourage cooperation on new standards for sustainable or green infrastructure, invest in the Global Connectivity Alliance as a coordinating body for the MDBs and help align the G20 work on infrastructure with the United Nations Sustainable Development Agenda

  2. A Multi-Channel Opto-Electronic Sensor to Accurately Monitor Heart Rate against Motion Artefact during Exercise

    Directory of Open Access Journals (Sweden)

    Abdullah Alzahrani

    2015-10-01

    Full Text Available This study presents the use of a multi-channel opto-electronic sensor (OEPS to effectively monitor critical physiological parameters whilst preventing motion artefact as increasingly demanded by personal healthcare. The aim of this work was to study how to capture the heart rate (HR efficiently through a well-constructed OEPS and a 3-axis accelerometer with wireless communication. A protocol was designed to incorporate sitting, standing, walking, running and cycling. The datasets collected from these activities were processed to elaborate sport physiological effects. t-test, Bland-Altman Agreement (BAA, and correlation to evaluate the performance of the OEPS were used against Polar and Mio-Alpha HR monitors. No differences in the HR were found between OEPS, and either Polar or Mio-Alpha (both p > 0.05; a strong correlation was found between Polar and OEPS (r: 0.96, p < 0.001; the bias of BAA 0.85 bpm, the standard deviation (SD 9.20 bpm, and the limits of agreement (LOA from −17.18 bpm to +18.88 bpm. For the Mio-Alpha and OEPS, a strong correlation was found (r: 0.96, p < 0.001; the bias of BAA 1.63 bpm, SD 8.62 bpm, LOA from −15.27 bpm to +18.58 bpm. These results demonstrate the OEPS to be capable of carrying out real time and remote monitoring of heart rate.

  3. Prevention: Exercise

    Medline Plus

    Full Text Available ... A SPECIALIST Prevention Strengthening Exercise Committee Exercise Committee Core Strengthening Many popular forms of exercise focus on ... acute pain, you should stop doing it. Transverse Core Strengthening This strengthens the muscles that cross from ...

  4. Prevention: Exercise

    Medline Plus

    Full Text Available ... Smoking Weight Patient Safety Exercise Strengthening Strengthen Your Core! Stretching/Flexibility Aerobic Exercise Cervical Exercise Strength Training for the Elderly Other Back Pack Safety Pregnancy ...

  5. Corporations and the Uses of Law: International Investment Arbitration as a “Multilateral Legal Order

    Directory of Open Access Journals (Sweden)

    Peter Muchlinski

    2011-05-01

    Full Text Available This paper seeks to examine the claim, made by certain legal scholars, that international investment law, though based mainly on Bilateral Investment Treaties (BITs is in fact a multilateral order that introduces principles of an emergent “global administrative law” into the regulation of state conduct in relation to foreign investors and their investments. Such scholars argue that this order develops through the decisions of investor-State arbitral tribunals which are creating a harmonised understanding of the meaning of BIT provisions and an institutional system of adjudication that furthers the development of global administrative principles. Through a critical examination of this approach the paper argues that this field is not a multilateral order but an unstructured process of privatised legal entrepreneurship which seeks to further a professional interest in developing an extensive, investor friendly, regime of BITs. Furthermore, that process fails as a means of providing effective or legitimate legal review of administrative action.  The argument is made both on a theoretical level and by a review of a specific issue in international investment law, namely, the development of  wider types of claims and the rise of so-called “treaty shopping” by means of corporate group structuring.  In particular the multi-jurisdictional location of various affiliates in a multinational enterprise creates a network of potential claimants in investor state disputes, giving rise to the risk of multiple claims, while the possibility of setting up affiliates in various jurisdictions creates opportunities for “treaty shopping”. “Treaty shopping” involves the enterprise locating an affiliate in a jurisdiction that has signed an investment protection treaty with the host country, allowing various affiliates and/or the parent in a group enterprise to benefit from treaty protection even though they possess the nationality of a state that has no

  6. Multilateral approaches to the Nuclear Fuel Cycle: Expert Group Report submitted to the Director General of the International Atomic Energy Agency

    International Nuclear Information System (INIS)

    2005-01-01

    The text of the report of the independent Expert Group on Multilateral Approaches to the Nuclear Fuel Cycle, commissioned by the Director General, is reproduced in this document for the information of Member States

  7. Bilateral and multilateral agreements and other arrangements in Europe and North America on the protection and use of transboundary waters

    International Nuclear Information System (INIS)

    1993-01-01

    The present document presents in a chronological order existing bilateral and multilateral legally binding agreements and other arrangements in Europe and North America on the protection and use of transboundary waters, which had been concluded by may 1992. These include agreements, treaties, conventions, protocols, orders and exchanges of notes. For each agreement the following information is given: title of the agreement, field of application, river basin, area of application, contracting parties, date of agreement and place of signature, joint body, and reference

  8. Unilateral vs. Multilateral Engagement: A Scenario-Based Approach to Guiding America’s Future Foreign Policy

    Science.gov (United States)

    2009-04-01

    neglecting global issues , by 2025 most nations of the world had become fully integrated into regional associations such as the European Union...that could prevent international conflicts while confronting global issues , policymakers embraced multilateralism with two initiatives. The first...effective framework for addressing many critical global issues . Noting the insufficient empowerment of the UN, the US aimed to replace it with a new

  9. Multilateral trade liberalization and public goods provision in a North-South trade model with nonhomothetic preferences

    OpenAIRE

    Stibora, J.J.; Vaal, A. de

    2012-01-01

    Under nonhomothetic preferences developing countries are less likely to gain from multilateral trade liberalization than developed countries. This paper shows that this relative disadvantage for developing countries changes when the effects on public good provision are taken into account. The impact it has depends on the strength of their comparative advantage in export markets. We show that a strong (weak) comparative advantage in export markets mitigates (reinforces) the relative disadvanta...

  10. Enhancement of absorption and resistance of motion utilizing a multi-channel opto-electronic sensor to effectively monitor physiological signs during sport exercise

    Science.gov (United States)

    Alzahrani, Abdullah; Hu, Sijung; Azorin-Peris, Vicente; Barrett, Laura; Esliger, Dale; Hayes, Matthew; Akbare, Shafique; Achart, Jérôme; Kuoch, Sylvain

    2015-03-01

    This study presents an effective engineering approach for human vital signs monitoring as increasingly demanded by personal healthcare. The aim of this work is to study how to capture critical physiological parameters efficiently through a well-constructed electronic system and a robust multi-channel opto-electronic patch sensor (OEPS), together with a wireless communication. A unique design comprising multi-wavelength illumination sources and a rapid response photo sensor with a 3-axis accelerometer enables to recover pulsatile features, compensate motion and increase signal-to-noise ratio. An approved protocol with designated tests was implemented at Loughborough University a UK leader in sport and exercise assessment. The results of sport physiological effects were extracted from the datasets of physical movements, i.e. sitting, standing, waking, running and cycling. t-test, Bland-Altman and correlation analysis were applied to evaluate the performance of the OEPS system against Acti-Graph and Mio-Alpha.There was no difference in heart rate measured using OEPS and both Acti-Graph and Mio-Alpha (both p<0.05). Strong correlations were observed between HR measured from the OEPS and both the Acti-graph and Mio-Alpha (r = 0.96, p<0.001). Bland-Altman analysis for the Acti-Graph and OEPS found the bias 0.85 bpm, the standard deviation 9.20 bpm, and the limits of agreement (LOA) -17.18 bpm to +18.88 bpm for lower and upper limits of agreement respectively, for the Mio-Alpha and OEPS the bias is 1.63 bpm, standard deviation SD8.62 bpm, lower and upper limits of agreement, - 15.27 bpm and +18.58 bpm respectively. The OEPS demonstrates a real time, robust and remote monitoring of cardiovascular function.

  11. Glycemic load, exercise, and monitoring blood glucose (GEM): A paradigm shift in the treatment of type 2 diabetes mellitus.

    Science.gov (United States)

    Cox, Daniel J; Taylor, Ann G; Singh, Harsimran; Moncrief, Matthew; Diamond, Anne; Yancy, William S; Hegde, Shefali; McCall, Anthony L

    2016-01-01

    This preliminary RCT investigated whether an integrated lifestyle modification program that focuses on reducing postprandial blood glucose through replacing high with low glycemic load foods and increasing routine physical activities guided by systematic self-monitoring of blood glucose (GEM) could improve metabolic control of adults with type 2 diabetes mellitus, without compromising other physiological parameters. Forty-seven adults (mean age 55.3 years) who were diagnosed with type 2 diabetes mellitus for less than 5 years (mean 2.1 years), had HbA1c ≥ 7% (mean 8.4%) and were not taking blood glucose lowering medications, were randomized to routine care or five 1-h instructional sessions of GEM. Assessments at baseline and 6 months included a physical exam, metabolic and lipid panels, and psychological questionnaires. The GEM intervention led to significant improvements in HbA1c (decreasing from 8.4 to 7.4% [69-57 mmol/mol] compared with 8.3 to 8.3% [68-68 mmol/mol] for routine care; Interaction ptype 2 diabetes mellitus. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  12. The relationship between ST segment deviation projected to the front of the chest during exercise and simultaneous Holter monitoring

    DEFF Research Database (Denmark)

    Egstrup, K

    1988-01-01

    were placed to correspond to CM5 and an aVF-like lead. In 36 patients, ST segment changes were found with both Holter and the 12-lead precordial electrocardiogram, while in 12 patients no ischaemic changes were detected by either method. Thus the results of the two methods concurred in 48 of 50 patient...... (96%). The magnitude of the ischaemic change was similar in 24 of 36 patients (67%), while the Holter system underestimated the ischaemic change by 0.5-2.0 mm in 12 patients. When the maximal ST segment deviation in V5 was compared with CM5, the deviations with both systems were identical in all...... but one patient in whom a difference of 0.5 mm was found. The use of a Holter lead resembling a VF identified maximal ST segment change on only one occasion, and in only four patients was an ST segment change of 1 mm noted. In conclusion, ambulatory monitoring utilizing only CM5 seems to detect most...

  13. Multilateral haptics-based immersive teleoperation for improvised explosive device disposal

    Science.gov (United States)

    Erickson, David; Lacheray, Hervé; Daly, John

    2013-05-01

    Of great interest to police and military organizations is the development of effective improvised explosive device (IED) disposal (IEDD) technology to aid in activities such as mine field clearing, and bomb disposal. At the same time minimizing risk to personnel. This paper presents new results in the research and development of a next generation mobile immersive teleoperated explosive ordnance disposal system. This system incorporates elements of 3D vision, multilateral teleoperation for high transparency haptic feedback, immersive augmented reality operator control interfaces, and a realistic hardware-in-the-loop (HIL) 3D simulation environment incorporating vehicle and manipulator dynamics for both operator training and algorithm development. In the past year, new algorithms have been developed to facilitate incorporating commercial off-the-shelf (COTS) robotic hardware into the teleoperation system. In particular, a real-time numerical inverse position kinematics algorithm that can be applied to a wide range of manipulators has been implemented, an inertial measurement unit (IMU) attitude stabilization system for manipulators has been developed and experimentally validated, and a voice­operated manipulator control system has been developed and integrated into the operator control station. The integration of these components into a vehicle simulation environment with half-car vehicle dynamics has also been successfully carried out. A physical half-car plant is currently being constructed for HIL integration with the simulation environment.

  14. A Nuclear Third Party Liability Regime of a Multilateral Nuclear Approaches Framework in the Asian Region

    Directory of Open Access Journals (Sweden)

    Makiko Tazaki

    2014-01-01

    Full Text Available There are two primary challenges for establishing nuclear third party liability (TPL regimes within multilateral nuclear approaches (MNA to nuclear fuel cycle facilities in the Asian region. The first challenge is to ensure secure and prompt compensation, especially for transboundary damages, which is also a challenge for a nation-based facility. One possible solution is that in order to share common nuclear TPL principles, all states in the region participate in the same international nuclear TPL convention, such as the Convention on Supplementary Compensation for Nuclear Damage (CSC, with a view to its entry into force in the future. One problem with this approach is that many states in the Asian region need to raise their amount of financial security in order to be able to participate in the CSC. The second challenge lies with the multiple MNA member states and encompasses the question of how decisions are to be made and responsabilities of an installation state are to be shared in case of a nuclear incident. Principally, a host state of the MNA facility takes on this responsibility. However, in certain situations and in agreement with all MNA member states, such responsibilities can be indirectly shared among all MNA member states. This can be done through internal arrangements within the MNA framework, such as reimbursement to a host state based on pre-agreed shares in accordance with investment and/or making deposits on such reimbursements in case of an incident.

  15. The impact of further tariff reduction on the EU sugar sector in the forthcoming multilateral round

    Directory of Open Access Journals (Sweden)

    E. HUAN-NIEMI

    2008-12-01

    Full Text Available This paper indicates the need for reform in the EU sugar sector due to the erosion of "border protection" in the view of further reduction in import tariffs for sugar. Three tariff reduction methods are assessed to project the "border protection" for EU sugar: Swiss formula proposed by the Cairns Group, "Harbinson" Proposal by the World Trade Organization and Uruguay Round formula proposed by the EU. In the assumed forthcoming multilateral round for agriculture, the EU would need to lower the support price for sugar by 67%, if the Cairns Group tariff reduction method is used. However, if the "Harbinson" method is used, the EU would need to lower the support price for sugar by at least 35%. On the contrary, the EU may avoid lowering the support price for sugar with three conditions occurring simultaneously: 1 the Uruguay Round formula is used as the reduction method in the assumed new WTO round and the EU can use the minimum reduction rate of 15% for sugar

  16. Participation in multilateral effort to develop high performance integrated CPC evacuated collectors

    Science.gov (United States)

    Winston, R.; Ogallagher, J. J.

    1992-05-01

    The University of Chicago Solar Energy Group has had a continuing program and commitment to develop an advanced evacuated solar collector integrating nonimaging concentration into its design. During the period from 1985-1987, some of our efforts were directed toward designing and prototyping a manufacturable version of an Integrated Compound Parabolic Concentrator (ICPC) evacuated collector tube as part of an international cooperative effort involving six organizations in four different countries. This 'multilateral' project made considerable progress towards a commercially practical collector. One of two basic designs considered employed a heat pipe and an internal metal reflector CPC. We fabricated and tested two large diameter (125 mm) borosilicate glass collector tubes to explore this concept. The other design also used a large diameter (125 mm) glass tube but with a specially configured internal shaped mirror CPC coupled to a U-tube absorber. Performance projections in a variety of systems applications using the computer design tools developed by the International Energy Agency (IEA) task on evacuated collectors were used to optimize the optical and thermal design. The long-term goal of this work continues to be the development of a high efficiency, low cost solar collector to supply solar thermal energy at temperatures up to 250 C. Some experience and perspectives based on our work are presented and reviewed. Despite substantial progress, the stability of research support and the market for commercial solar thermal collectors were such that the project could not be continued. A cooperative path involving university, government, and industrial collaboration remains the most attractive near term option for developing a commercial ICPC.

  17. Countering war or embracing peace? Dialogues between regionalism and multilateralism in Latin America (1945-1954

    Directory of Open Access Journals (Sweden)

    Moreli Rocha, Alexandre L.

    2015-06-01

    Full Text Available Still an open debate, definitions about the beginning of the Cold War were even more ambiguous to actors at the time concerned with development and exit strategies for the Second World War. That was precisely the scenario to several Latin American leaders who, far from the Iron Curtain, were debating the rise of the UN system and of parliamentary diplomacy. Focusing on a multilateral strategy of action for the post-war international order, our work tries to put together the Pan-Latin, Pan-American and UN policies of Latin Americans since the Chapultepec Conference of February 1945 until the 1954 Conferences of Caracas, which fashioned the Organization of American States’ Cold War status, and of Madrid, which failed to consolidate the Latin Union.Todavía un debate en abierto en la historiografía, la definición sobre los marcos del principio de la Guerra Fría fue aún más ambigua para los actores involucrados en el conflicto bélico precedente y preocupados con el desarrollo y las salidas estratégicas posibles de la Segunda Guerra Mundial. Esta fue la realidad para varios líderes latinoamericanos que, lejos de la Cortina de Hierro, quedaban mucho más preocupados con el surgimiento del sistema de las Naciones Unidas y la diplomacia parlamentaria. Centrándose sobre las estrategias multilaterales para la orden internacional de la posguerra, nuestro trabajo pretende analizar las políticas Pan-Latinas, Pan Americanas y para las Naciones Unidas de la América Latina desde la Conferencia de Chapultepec, en febrero de 1945, hasta las Conferencias de 1954 de Caracas, que consolidó la Organización de los Estados Americanos en un contexto de Guerra Fría, y de Madrid, que no logró consolidar la Unión Latina.

  18. Fulfilling environment related international commitments through implementation of multilateral environmental agreements (meas) in pakistan

    International Nuclear Information System (INIS)

    Hussain, A.; Gillani, Z.A

    2014-01-01

    Multilateral Environmental Agreements (MEAS) help addresses the environmental problem being faced by the international community as a whole. The ultimate goal of reaching MEAs is to realize sustainable development across the globe. According to World Bank (2006), Pakistan's economy loses Rs.365 billion annually to environmental hazards. A key mechanism available under international law for countries to work together on global environmental issues is through MEAs. Pakistan is signatory to several MEAs and has acceded to other non-legally binding instruments, such as Agenda-21, Rio Principles and Johannesburg Plan of Implementation aiming at sustainable development of natural resources. As a party to various Conventions and Protocols, Pakistan has participating in different Conferences of Parties (COPs), Meetings of Parties (MOPs), and international consultative and technical meetings regarding MEAs organized by the United Nations and other international forum. Pakistan has been actively participating in and keeping liaison with institutional elements of each of these MEAs, i.e. COPs, the secretariat, advisory bodies, subsidiary bodies, clearing-house mechanisms, for effective decision making regarding the overall implementation and development of programme of work and strategic plans, budget and the revision of annexes to the treaties. Priorities and objectives of MEAs vary significantly from one international instrument to another while the common aspects include the sustainable development and use of natural resources and the protection of the environment in such a way as to ensure its judicious use. Based on different stages of implementation of these MEAs, the spectrum in priorities of Pakistan has quite broad. Pakistan attaches greater emphasis to crosscutting themes for MEAs that are primarily of a functional nature, such as strengthening of the capacities to meet the country's obligations or responsibilities under these agreements; enhancing coordination

  19. Heads in the clouds, feet in the sand: Multilateral policy coordination in global environmental issues

    International Nuclear Information System (INIS)

    Harrison, N.E.

    1994-01-01

    This is a study of how issues that can only be solved through cooperation (such as commons issues) reach the international agenda and how states then form policy on those issues. Extensive primary data are used in analyzing (1) accession of stratospheric ozone depletion and global climate change to the international agenda and (2) the policy formation of ten states on these issues. This study shows that commons issues reach the international agenda through the actions of intergovernmental organizations in defining the problem, and the political activities of a leader state (such as the US on ozone) or a state acting as a policy entrepreneur. In the extensive literature on international cooperation most studies emphasize the importance of system level variables. Adapting the two-level games approach to multilateral issues, this study argues that, as commons issues do not directly threaten the security of most states, state policy on such issues primarily reflects domestic political necessities. In effect, foreign and domestic policy on such issues become unified. Through analysis of secondary and primary data, including more than 30 interviews with representatives of both developed states (the US, Canada, the UK, and Japan) and developing states (Brazil, India, Algeria, Mexico, and Thailand), and the Soviet Union, this study shows how domestic factors influenced foreign policy decisions and actions. The study shows that states seem to be less interested in absolute or relative gains in international negotiations that in maximizing domestic political rewards from its choice of foreign policy. Finally, through study of the accession of the global climate change issue it is appears that knowledge may be politically derived. States required a open-quotes consensusclose quotes among the technical experts before initiating the international negotiations. Politics seems to have played a large part in forming the technical consensus and in communicating it to states

  20. OECD/NEA multi-lateral cooperation in the area of structural integrity & aging management

    Energy Technology Data Exchange (ETDEWEB)

    Breest, A. [Nuclear Energy Agency, Issy-les-Moulineaux (France); Gott, K. [MATSAFE AB, Stockholm (Sweden); Lydell, B. [SIGMA-PHASE Inc., Vail, AZ (United States); Riznic, J. [Canadian Nuclear Safety Commission, Ottawa, ON (Canada)

    2014-07-01

    Several OECD Member Countries have agreed to establish the OECD/NEA 'Component Operational Experience, Degradation & Ageing Programme' (CODAP) to encourage multilateral co-operation in the collection and analysis of data relating to degradation and failure of metallic piping and non-piping metallic passive components in commercial nuclear power plants. The scope of the data collection includes service-induced wall thinning, part through-wall cracks, through-wall cracks with and without active leakage, and instances of significant degradation of metallic passive components, including piping pressure boundary integrity. The OECD/NEA Committee on the Safety of Nuclear Installations (CSNI) acts as an umbrella committee of the Project. CODAP is the continuation of the 2002-2011 'OECD/NEA Pipe Failure Data Exchange Project' (OPDE) and the Stress Corrosion Cracking Working Group of the 2006-2010 'OECD/NEA SCC and Cable Ageing project' (SCAP). OPDE was formally launched in May 2002. Upon completion of the 3rd Term (May 2011), the OPDE project was officially closed to be succeeded by CODAP. SCAP was enabled by a voluntary contribution from Japan. It was formally launched in June 2006 and officially closed with an international workshop held in Tokyo in May 2010. Majority of the Member Organizations of the two projects were the same, often being represented by the same person. In May 2011, thirteen countries signed the CODAP 1st Term agreement (Canada, Chinese Taipei, Czech Republic, Finland, France, Germany, Korea (Republic of), Japan, Slovak Republic, Spain, Sweden, Switzerland and United States of America). The 1st Term (2011-2014) work plan includes the preparation of Topical Reports to foster technical cooperation and to deepen the understanding of national differences in ageing management. The Topical Reports constitute CODAP Event Database and Knowledge Base insights reports and as such act as portals for future in-depth studies of

  1. Adherence to Commonly Prescribed, Home-Based Strength Training Exercises for the Lower Extremity Can Be Objectively Monitored Using the Bandcizer

    DEFF Research Database (Denmark)

    Rathleff, Michael S; Thorborg, Kristian; Rode, Line A

    2015-01-01

    The purpose of this study was to investigate the validity of automatically stored exercise data from the elastic band sensor compared with those of a gold-standard stretch sensor during exercises commonly used for rehabilitation of the hip and knee. The design was a concurrent validity study....... Participants performed 3 sets of 10 repetitions of 6 exercises with both sensors attached to the same elastic exercise band. These were knee extension, knee flexion, hip abduction and adduction, hip flexion, and hip external rotation. Agreement between methods was calculated for date, time of day, repetitions......, total and single repetition, and contraction phase-specific time under tension (TUT). Files from the elastic band sensor contained identical dates, time of day, and number of repetitions for each exercise set compared with those for the gold standard. Total TUT and total single repetition TUT were...

  2. Implementing the awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle into everyday care: opportunities, challenges, and lessons learned for implementing the ICU Pain, Agitation, and Delirium Guidelines.

    Science.gov (United States)

    Balas, Michele C; Burke, William J; Gannon, David; Cohen, Marlene Z; Colburn, Lois; Bevil, Catherine; Franz, Doug; Olsen, Keith M; Ely, E Wesley; Vasilevskis, Eduard E

    2013-09-01

    The awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle is an evidence-based interprofessional multicomponent strategy for minimizing sedative exposure, reducing duration of mechanical ventilation, and managing ICU-acquired delirium and weakness. The purpose of this study was to identify facilitators and barriers to awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle adoption and to evaluate the extent to which bundle implementation was effective, sustainable, and conducive to dissemination. Prospective, before-after, mixed-methods study. Five adult ICUs, one step-down unit, and a special care unit located in a 624-bed academic medical center : Interprofessional ICU team members at participating institution. In collaboration with the participating institution, we developed, implemented, and refined an awakening and breathing coordination, delirium monitoring/management, and early exercise/mobility bundle policy. Over the course of an 18-month period, all ICU team members were offered the opportunity to participate in numerous multimodal educational efforts. Three focus group sessions, three online surveys, and one educational evaluation were administered in an attempt to identify facilitators and barriers to bundle adoption. Factors believed to facilitate bundle implementation included: 1) the performance of daily, interdisciplinary, rounds; 2) engagement of key implementation leaders; 3) sustained and diverse educational efforts; and 4) the bundle's quality and strength. Barriers identified included: 1) intervention-related issues (e.g., timing of trials, fear of adverse events), 2) communication and care coordination challenges, 3) knowledge deficits, 4) workload concerns, and 5) documentation burden. Despite these challenges, participants believed implementation ultimately benefited patients, improved interdisciplinary communication, and empowered nurses and

  3. IDEAS/IAEA intercomparison exercise on internal dose assessment. Intercomparison exercise on Internal Dose Assessment performed jointly by the International Atomic Energy Agency and the IDEAS project (''General Guidelines for the Evaluation of Incorporation Monitoring Data'', carried out within the 5th EU Framework Programme)

    International Nuclear Information System (INIS)

    Hurtgen, C.; Andrasi, A.; Bailey, M.R.

    2005-10-01

    There were several intercomparison exercises organized already at national and international levels for the assessment of occupational exposure due to intakes of radionuclides. These intercomparison exercises revealed significant differences in the approaches, methods and assumptions, and consequently in the results. In the frame of the IDEAS project .General Guidelines for the Evaluation of Incorporation Monitoring Data., launched in the 5th EU Framework Programme, a new intercomparison exercise was performed. Originally it was planned to organise this intercomparison exercise on a European scale. Because of the relevance of the issue for the whole community of internal dosimetrists, however, it was decided to organise the exercise on a broader scale together with the IAEA. This new intercomparison exercise especially focuses on the effect of the guidelines for harmonisation of internal dosimetry. In addition it also consider the following aspects: - to provide possibilities for the participating laboratories to check the quality of their internal dose assessment methods in applying the recent ICRP recommendations (new respiratory tract model etc.); - to compare different approaches in interpretation of internal contamination monitoring data; - to quantify the differences in internal dose assessment based on the new guidelines or on other procedures, respectively; - to provide some figures of the influence of the input parameters on the monitoring results and - to provide a broad forum for information exchange. Several cases have been selected for the exercise with the aim to cover a wide range of practices in the nuclear fuel cycle and medical applications. The case were: 1. Acute intake of HTO; 2. Acute inhalation of fission products 137 Cs and 90 Sr; 3. Intake of 60 Co; 4. Repeated intakes of 131 I; 5. Intake of enriched uranium; 6. Single intake of Pu radionuclides and 241 Am. A web-based approach was being used for the presentation of the cases, collection of

  4. Prevention: Exercise

    Medline Plus

    Full Text Available ... body. Pilates, yoga and martial arts all provide well-rounded core strengthening programs. Simple exercises can be done at home as well. Some specific core strengthening exercises are described below. ...

  5. Compulsive Exercise

    Science.gov (United States)

    ... negative thinking and low self-esteem. Why Is Exercising Too Much a Bad Thing? We all know ... spent with friends. Warning Signs Someone may be exercising compulsively if he or she: won't skip ...

  6. Prevention: Exercise

    Medline Plus

    Full Text Available ... prescribe an exercise program that matches your abilities. Neck Press This is an isometric exercise to strengthen your neck. Press your palm against your forehead, then use ...

  7. Exercise Headaches

    Science.gov (United States)

    ... headaches may require emergency medical attention. Symptoms Primary exercise headaches These headaches: Are usually described as throbbing ... sides of the head in most cases Secondary exercise headaches These headaches may cause: The same symptoms ...

  8. Prevention: Exercise

    Medline Plus

    Full Text Available ... programs. Simple exercises can be done at home as well. Some specific core strengthening exercises are described ... times... Abdominal Crunch Draw abdominal wall inward, exhale as you lift chest area. This can be done ...

  9. Prevention: Exercise

    Medline Plus

    Full Text Available ... provide well-rounded core strengthening programs. Simple exercises can be done at home as well. Some specific ... benefit from this exercise... Sagittal Core Strengthening You can stretch and strengthen the low back muscles that ...

  10. Prevention: Exercise

    Medline Plus

    Full Text Available ... Disc Replacement (ADR) Bone Graft Alternatives Bone Morphogenetic Proteins (BMP) Cervical Disc Replacement Cervical Laminoplasty Lumbar (Open) ... Flexibility Aerobic Exercise Cervical Exercise Strength Training for the Elderly Other Back Pack Safety Pregnancy and Back ...

  11. Exercise Habit

    Science.gov (United States)

    ... chunks of time. Exercise has so many health benefits that any amount is better than none. Try exercising for 10 minutes at a time throughout your ... second hand. Most people will get the greatest benefit and lower their risks if ... rate when exercising. To figure out your maximum heart rate, subtract ...

  12. Determinants of Multilateral Official Development Assistance: Evidence from a Panel Study of Countries in Sub-Saharan Africa

    OpenAIRE

    Hlavac, Marek

    2007-01-01

    Countries in sub-Saharan Africa are some of the poorest and least developed in the world, with deplorable health and education levels. One way intended to promote better living standards in this region has been through development aid. This study examines the determinants of multilateral aid inflows to sub-Saharan Africa to determine whether it is directed to the least developed countries. I use panel data about 22 countries in sub-Saharan Africa from the 1995-2004 period to estimate a regres...

  13. Functional Changes in China’s Participation in the Multilateral Development Banks: from Borrower to Creditor Status

    Directory of Open Access Journals (Sweden)

    Leksyutina Y.

    2018-03-01

    Full Text Available Multilateral development banks (MDBs play an important role in world economic processes and global economic governance. Since the establishment of the first multilateral development bank – the International Bank for Reconstruction and Development (IBRD – MDBs have emerged in three waves, each time as a response to the major changes in the world arena. The creation of the New Development Bank (NDB and the Asian Infrastructure Investment Bank (AIIB represents the third and latest wave of MDBs. These new development banks have arisen as a consequence of an historic shift in global economic power from developed countries to emerging economies and more specifically the increase in China’s economic might. This article traces the evolution of China’s participation in MDBs, characterizes various forms of China’s engagement with MDBs in specific periods of history, and explains Beijing’s motivation in establishing new MDBs. During almost 40 years of interaction with the multilateral development banks, China has made a great leap forward from large-borrower to creditor status, from ordinary member to the initiator and creator of new MDBs under its auspices. This article identifies the scale, composition and dynamic of MDBs’ assistance to China. It points out that despite its eye-catching economic achievements, China remains one of the largest borrowers from MDBs. Yet, in the process of China’s participation in MDBs there have been two turning points: in 2004–2005 when China became a creditor, and during the 2008 global financial crisis when China set a course to promote the reform of global governance system and the creation of new China-dominated financial bodies. The creation of new financial institutions is evaluated in the article as indicating Beijing’s foreign policy ambitions to assume a leadership role in the global economic architecture, while the fact that China is acting both as a creditor and a borrower in MDBs reflects the

  14. Warfighter Physiological Status Monitoring (WPSM): Energy Balance and Thermal Status During a 10-Day Cold Weather U.S. Marine Corps Infantry Officer Course Field Exercise

    National Research Council Canada - National Science Library

    Hoyt, Reed

    2001-01-01

    ...) during a 10-day field exercise (FEX) at Quantico, VA. Question: Does intense physical activity, limited sleep, and restricted rations, combined with cold/damp weather, result in excessively negative energy balance and hypothermia? Methods...

  15. Effects of exercise rehabilitation on cardiac electrical instability assessed by T-wave alternans during ambulatory electrocardiogram monitoring in coronary artery disease patients without and with diabetes mellitus.

    Science.gov (United States)

    Kenttä, Tuomas; Tulppo, Mikko P; Nearing, Bruce D; Karjalainen, Jaana J; Hautala, Arto J; Kiviniemi, Antti M; Huikuri, Heikki V; Verrier, Richard L

    2014-09-15

    Effects of exercise rehabilitation on electrocardiographic markers of risk for sudden cardiac death have not been adequately studied. We examined effects of controlled exercise training on T-wave alternans (TWA) in 24-hour ambulatory electrocardiogram recordings in patients with stable coronary artery disease (CAD) without and with type 2 diabetes mellitus (DM). Consecutive patients with angiographically confirmed CAD were recruited to join the ARTEMIS (Innovation to Reduce Cardiovascular Complications of Diabetes at the Intersection) study. Exercise (n = 65) and control groups (n = 65) were matched on age, sex, DM, and previous myocardial infarction. Ambulatory electrocardiograms were recorded before and after a 2-year training period. TWA was assessed using time domain-modified moving average method by an investigator blinded to patients' clinical status. Average TWA values decreased in the rehabilitation group but not in control patients (rehabilitation [mean ± SEM]: 52.8 ± 1.7 μV vs 48.7 ± 1.5 μV, p exercise versus 10% (n = 2 of 20) of controls (p = 0.020). In CAD patients, 30% (n = 8 of 27) of positive TWA cases were converted with exercise versus 4% (n = 1 of 28) of controls (p = 0.012). In conclusion, this is the first report of the effectiveness of exercise rehabilitation to reduce TWA, a marker of sudden cardiac death risk, in patients with stable CAD. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. Exercise addiction

    DEFF Research Database (Denmark)

    Lichtenstein, Mia Beck; Christiansen, Erik; Elklit, Ask

    2014-01-01

    Exercise addiction is characterized by excessive exercise patterns with potential negative consequences such as overuse injuries. The aim of this study was to compare eating disorder symptoms, quality of life, personality traits and attachments styles in exercisers with and without indications...... of exercise addiction. A case-control study with 121 exercisers was conducted. The exercisers were categorized into an addiction group (n=41) or a control group (n=80) on the basis of their responses to the Exercise Addiction Inventory. The participants completed the Eating Disorder Inventory 2, the Short......-Form 36, the NEO Personality Inventory Revised and the Adult Attachment Scale. The addiction group scored higher on eating disorder symptoms, especially on perfectionism but not as high as eating disorder populations. The characteristic personality traits in the addiction group were high levels...

  17. Exercise addiction.

    Science.gov (United States)

    Landolfi, Emilio

    2013-02-01

    This article examines the nature of exercise addiction. It presents a broad, congruent and discerning narrative literature review with the aim of providing a deeper understanding of the condition 'exercise addiction', including symptoms and options for treatment. In addition, guidelines are provided with respect to 'healthy' levels of exercise. Criteria used for determining the eligibility of studies evaluated in the review included the provision of relevant information in studies identified using pertinent search terms. The review highlights some of the key distinctions between healthy levels of exercise and exercise addiction. The findings suggest that an individual who is addicted to exercise will continue exercising regardless of physical injury, personal inconvenience or disruption to other areas of life including marital strain, interference with work and lack of time for other activities. 'Addicted' exercisers are more likely to exercise for intrinsic rewards and experience disturbing deprivation sensations when unable to exercise. In contrast, 'committed' exercisers engage in physical activity for extrinsic rewards and do not suffer severe withdrawal symptoms when they cannot exercise. Exercisers must acquire a sense of life-balance while embracing an attitude conducive to sustainable long-term physical, psychological and social health outcomes. Implementation of recommendations by the Canadian Society for Exercise Physiology, which states that all apparently healthy adults between 18 and 64 years of age should accumulate at least 150 minutes of moderate (5 or 6 on a scale of 0-10) to vigorous (7 or 8 on a scale of 0-10) intensity aerobic physical activity per week in bouts of 10 minutes or more, also expressed as 30 minutes per day distributed over 5 days per week, would be a good start.

  18. The impact of the multilateral approach to the nuclear fuel cycle in Malaysia's nuclear fuel cycle policy

    International Nuclear Information System (INIS)

    Baharuddin, B.; Ferdinand, P.

    2014-01-01

    Since the Pakistan-India nuclear weapon race, the North Korean nuclear test and the September 11 attack revealed Abdul Qadeer Khan's clandestine nuclear black market and the fear that Iran's nuclear program may be used for nuclear weapon development, scrutiny of activities related to nuclear technologies, especially technology transfer has become more stringent. The nuclear supplier group has initiated a multilateral nuclear fuel cycle regime with the purpose of guaranteeing nuclear fuel supply and at the same time preventing the spread of nuclear proliferation. Malaysia wants to develop a programme for the peaceful use of nuclear energy and it needs to accommodate itself to this policy. When considering developing a nuclear fuel cycle policy, the key elements that Malaysia needs to consider are the extent of the fuel cycle technologies that it intends to acquire and the costs (financial and political) of acquiring them. Therefore, this paper will examine how the multilateral approach to the nuclear fuel cycle may influence Malaysia's nuclear fuel cycle policy, without jeopardising the country's rights and sovereignty as stipulated under the NPT. (authors)

  19. Exercise Dependence

    Directory of Open Access Journals (Sweden)

    Erdal Vardar

    2012-06-01

    Full Text Available Exercise dependence define a condition in which a person performs excessive exercise resulting in deterioration of his or her physical and mental health wellness. Despite many clinical research studies on exercise dependence, exact diagnostic criteria has not been developed yet. Clinical evidences concerning etiology, epidemiology, underlying mechanisms and treatment of exercise dependence are still not sufficient. Moreover, evaluation of this clinical disorder within dependency perspective is a fairly new concept. Recent studies have shown that exercise dependence has similar features like chemical substance dependence with regards to withdrawal and tolerance symptoms. The aim of this review was to briefly evaluate diagnostic and clinical features of exercise dependence. [Archives Medical Review Journal 2012; 21(3.000: 163-173

  20. Prevention: Exercise

    Medline Plus

    Full Text Available ... Steroid Injections Lumbar Zygapophysical (Facet) Joint Injections PREVENTION Lifestyle Choices 10 Tips for a Healthy Back Smoking Weight Patient Safety Exercise Strengthening Strengthen ...

  1. Multilateral wells drilling technology implementation in the Castilla Field - Colombia, to improve Guadalupe reservoirs drainage: Castilla 32, 33, and 34 ML wells cases study

    Energy Technology Data Exchange (ETDEWEB)

    Florez, Alberto; Mercado, Orlando; Rodriguez, Sandra; Rojas, Ricardo; Naranjo, Carlos A. [ECOPETROL, Bogota (Colombia); Velez, Jorge [Halliburton Latin-America, Santa Fe de Bogota (Colombia)

    2008-07-01

    National Colombian Petroleum Company - ECOPETROL, is in the process of evaluating different technologies to increase production and improve recovery factors in their mature oil and gas fields. As part of that process, a multidisciplinary team evaluated the feasibility of multilateral well technology implementation in some of their mature fields that are currently in the late-development phase. Castilla field, located in the eastern planes of Colombia, was selected as the first option for multilateral technology implementation based in reservoir features, type of oil, and field antecedents. This paper presents the process used to conceptualize the optimum multilateral well design for Castilla field, integrating all of the geological and engineering disciplines. Geology: geological model visualization, target zones definition, pay zones lateral continuity, petrophysical properties, and fluids distribution were evaluated to select the areas to drill with advanced architecture well design. Reservoir: basic reservoir performance simulation was performed to evaluate productivity with horizontal and multilateral wells, and the difference in final reserves recovery compared with current conventional directional wells. Water production and coning problems were identified as key factors to define the multilateral well implementation in this field. Drilling: trajectory design, multilateral junction depth definition and TAML level selection, casing point's definition, drilling time and AFE estimation were the technical aspects evaluated during the planning phase to determine if the technology would be feasible. A comparison with conventional pad design was conducted to validate economic value. Multilateral TAML level 4 system selection flow process is presented applying oil industry best practices. Completion: The optimum lateral completion and production assembly design were main concerns during the planning process. Slotted liners, screens, and open-hole completion

  2. Can fuel services supply be secured? Building trust in a multi-lateral approach to nuclear fuel cycles

    Energy Technology Data Exchange (ETDEWEB)

    Antoine, B. [Engineering Systems Division, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Room E40-261, Cambridge, MA 02139 (United States); Rodriguez-Vieitez, E. [Belfer Center for Science and International Affairs, Kennedy School of Government, Harvard University, One Brattle Sq., Room 503, Cambridge, MA 02138 (United States)

    2009-06-15

    Global climate change and concerns about energy supply security fuelling the nuclear desires of an increasing number of states, there is growing interest within the nonproliferation community to promote the establishment of an international system for the provision of nuclear fuel cycle services that would be 'equitable and accessible to all users of nuclear energy' (Rauf, 2008) while reducing proliferation risks. Although the idea was already voiced on the cradle of civilian use of nuclear energy (Baruch, 1946), the IAEA director's 2003 call for a group of international experts to examine the issue (ElBaradei, 2003) triggered renewed interest that resulted in up to twelve different proposals for multilateral nuclear fuel cycle arrangements (Rauf, 2008; Simpson, 2008). Nonproliferation experts have examined the conditions under which equitable and accessible access to enrichment, reprocessing and spent fuel disposal services can be granted to all users (Rauf, 2008; Braun 2006; Pellaud and al 2005). They suggested putting together multilateral nuclear approaches (MNA) that could consist in the establishment of mechanisms to assure fuel cycle services, or the shared ownership by recipient and host countries of fuel services facilities through either the creation of new multilateral centers or the conversion of existing national facilities into multinational enterprises. While countries that possess nuclear fuel facilities would benefit from the increased global security and strengthened non-proliferation situation that would result from the establishment of these MNAs, they would also be baited into participating by possible attraction of foreign investments as well as the opportunity to export high value services (Rushkin, 2006). Yet, what incentives would there be for a recipient non-nuclear state to participate in an arrangement that would intrinsically strip it of its sovereign right to ensure its fuel supply security? In addition to the economic

  3. Are multilateral malaria research and control programs the most successful? Lessons from the past 100 years in Africa.

    Science.gov (United States)

    Alilio, Martin S; Bygbjerg, Ib C; Breman, Joel G

    2004-08-01

    Multilateral malaria research and control programs in Africa have regained prominence recently as bilateral assistance has diminished. The transnational nature of the threat and the need for inspired leadership, good coordination, and new discoveries to decrease the impact of the disease has led to the founding of the Multilateral Initiative on Malaria, the Roll Back Malaria Project, Global Fund for HIV, Tuberculosis and Malaria (Global Fund), the Medicines for Malaria Venture, and the Malaria Vaccine Initiative, among other groups. Historically, the most striking feature of malaria control and elimination activities was the connectedness and balance between malaria research and control especially, from 1892 to 1949. A combination of scientific originality, perseverance in research, integrated approaches, and social concern were the keys for success. The elimination of Anopheles gambiae from Upper Egypt in 1942 using integrated vector control methods is a prime example of malaria control during the first half of the 20th century where those factors were brought together. After 1949, there were three decades of great optimism. Four notable landmarks characterized this period: the Kampala Conference in 1950; the Global Malaria Eradication Program beginning in 1955; the primary health care strategies adopted by most African States after attaining their political independence in the 1960s, and accelerating in the 1980s; and creation of the Special Program in Training and Research in Tropical Diseases at the World Health Organization in 1975. The initial highly encouraging operational results, largely obtained in temperate or subtropical areas where transmission was unstable, engendered undue expectations for the success of identical antimalarial measures elsewhere. Many were convinced that the eradication was in sight, such that support for malaria research virtually ceased. Young, bright scientists were discouraged from seeking a career in a discipline that appeared

  4. The Challenges for the Multilateral Trading System Raised by the Ongoing Structural Transformations in the Global Economy

    Directory of Open Access Journals (Sweden)

    Agnes Ghibuțiu

    2012-04-01

    Full Text Available Over the last decade, international trade has been growing faster than global production, steadily increasing interdependence among nations. Sustained trade growth has been accompanied by profound changes in the patterns of trade flows, reflecting new production structures emerging under the impact of rapid progress in the development of transport, communications and information technologies, major shifts in the patterns of demand, rapid expansion of global production networks, and increasing integration of developing countries into the world economy. While global trade relations experienced a dramatic transformation during the last decade, the multilateral trading system and the WTO – the venue for international trade cooperation – failed to keep pace with the rapidly changing trade environment. Consequently, the world trade rule-book that is currently guiding international trade relations as a result of the Uruguay Round (1986-1994 and the creation of the WTO (in 1995 is stuck in the requirements of 20st century trade. Improving and adjusting multilateral trade rules and disciplines ranked among the main objectives of the Doha Round launched in 2001. However, trade negotiations have been stalled since 2008. And with this impasse, the legislative function of the WTO responsible for the elaboration of new rules has been also blocked, hindering thus the process of adjustment. This paper addresses the main challenges confrunting the multilateral trading system both in the long and short-term in its endeavour to adjust to the new realities of 21st century trade. More specifically, it takes a look at the key problems arising for international cooperation in trade from: (1 the continually shifting weight of economic power and influence within the world economy; (2 the dynamic spread of global production networks operated by TNCs; and (3 the explosion of regionalism and preferential trade agreements. Finally, the paper highlights the vital

  5. Adherence to and effectiveness of an individually tailored home-based exercise program for frail older adults, driven by mobility monitoring : design of a prospective cohort study

    NARCIS (Netherlands)

    Geraedts, Hilde A. E.; Zijlstra, Wiebren; Zhang, Wei; Bulstra, Sjoerd; Stevens, Martin

    2014-01-01

    Background: With the number of older adults in society rising, frailty becomes an increasingly prevalent health condition. Regular physical activity can prevent functional decline and reduce frailty symptoms. In particular, home-based exercise programs can be beneficial in reducing frailty of older

  6. A Home-Based Exercise Program Driven by Tablet Application and Mobility Monitoring for Frail Older Adults : Feasibility and Practical Implications

    NARCIS (Netherlands)

    Geraedts, Hilde A. E.; Zijlstra, Wiebren; Zhang, Wei; Spoorenberg, Sophie L. W.; Baez, Marcos; Far, Iman Khaghani; Baldus, Heribert; Stevens, Martin

    2017-01-01

    INTRODUCTION: Stimulation of a physically active lifestyle among older adults is essential to health and well-being. The objective of this study was to evaluate the feasibility and user opinion of a home-based exercise program supported by a sensor and tablet application for frail older adults.

  7. A Home-Based Exercise Program Driven by Tablet Application and Mobility Monitoring for Frail Older Adults: Feasibility and Practical Implications.

    Science.gov (United States)

    Geraedts, Hilde A E; Zijlstra, Wiebren; Zhang, Wei; Spoorenberg, Sophie L W; Báez, Marcos; Far, Iman Khaghani; Baldus, Heribert; Stevens, Martin

    2017-02-02

    Stimulation of a physically active lifestyle among older adults is essential to health and well-being. The objective of this study was to evaluate the feasibility and user opinion of a home-based exercise program supported by a sensor and tablet application for frail older adults. Community-dwelling older adults (aged ≥70 y) living in The Netherlands were recruited in 2014. Participants exercised 3 months with and 3 months without supervision from a remote coach. Feasibility was operationalized as adherence to exercise (percentage of 5 exercise bouts per week completed) and to wearing the sensor (with 70% defined as sufficient adherence) and the number of problems reported. User opinion was measured with a questionnaire addressing ease of use of the technology and opinion on the program. Twenty-one of 40 enrolled participants completed the trial. Adherence overall was 60.9% (average of 3 bouts per week). Adherence among completers (69.2%) was significantly higher than adherence among dropouts (49.9%). Adherence was sufficient among completers during the 3 months of supervision (75.8%). Adherence to wearing the sensor was 66.7% and was significantly higher among completers than among dropouts (75.7% vs 54.2%). The rate of incidents was significantly lower among completers than among dropouts (0.4 vs 1.2 incidents per participant per week). Connectivity-related incidents were prominent. On a scale of 1 to 5, completers gave ratings of 4.3 (after 3 months) and 4.2 (after 6 months). A home-based exercise program using novel technology seems feasible when participants are given a stable internet connection. This program shows promise for stimulating physical activity among older frail adults, especially if it offers regular coaching.

  8. INEX 2000 exercise evaluation report

    International Nuclear Information System (INIS)

    2005-01-01

    The Nuclear Energy Agency has a long tradition of supporting its Member countries in improving efficiency and effectiveness in nuclear emergency preparedness and management. As an integral part of this tradition, the NEA has established an international nuclear emergency exercises culture through the organisation of the INEX series of international exercises. The INEX series of international exercises has proved successful in the testing and developing of arrangements for responding to nuclear emergencies. The first series, INEX 1 (table-top exercise) brought together participants from across the world to separately consider the issues raised by a fictitious emergency at a fictitious nuclear power plant and affecting fictitious countries. Follow-up workshops to the INEX 1 exercises were hosted by NEA and addressed common experiences and issues as well as identifying areas for future development work. The second series of exercises, INEX 2, built upon the foundations laid from INEX 1 and permitted a number of individual countries to host simulated nuclear incidents at nuclear power plants within their borders in order to test specific aspects of both the national and international arrangements. All of these exercises considered primarily the emergency phase issues (alert and notification) and immediate countermeasure strategies available to decision makers. The INEX 2 exercises could commonly be described as 'command post' or 'command and control' exercises. A major follow-up of the INEX 2 exercise series was the development of evolved Monitoring and Data Management Strategies for Nuclear Emergencies (OECD/NEA, Paris, 2000). In order to test the evolved communication and information technologies described in this NEA report, the NEA organised the INEX 2000 exercise hosted by France at the Gravelines NPP, 22-23 May 2001. This international nuclear emergency exercise was similar to the four INEX 2 exercises as a command-post real-time notification and communication

  9. The Multilateral Disarmament Process. Conference on the United Nations of the Next Decade (16th, Warwick, Bermuda, June 21-26, 1981).

    Science.gov (United States)

    Stanley Foundation, Muscatine, IA.

    This is a report of a conference held in Bermuda in 1981 to discuss a multilateral approach to disarmament. The conference was an informal, off-the-record exchange of ideas and opinions among 24 diplomats and scholars from 18 countries and two international agencies. Participants considered current disarmament concepts, assessed UN disarmament…

  10. Communication received from the Resident Representative of Germany to the IAEA with regard to the German proposal on the multilateralization of the nuclear fuel cycle

    International Nuclear Information System (INIS)

    2007-01-01

    The Agency has received a communication dated 26 April 2007 from the Resident Representative of Germany, attaching the German proposal on the Multilateralization of the Nuclear Fuel Cycle. As requested in that communication, the proposal is herewith circulated for the information of Member States

  11. Legal Forms of Negotiated Trade in Services Agreement (TiSA) Outcomes – Perspectives onTrade Integration and an Incrementalist Approach to Quasi-Multilateralization

    DEFF Research Database (Denmark)

    Thystrup, Amalie Giødesen

    2016-01-01

    This summer saw some of the key emerging economies change their position on services negotiations at the WTO and may prove instrumental in bringing services back to the WTO, via TiSA. While TiSA parties have discussed critical mass based multilateralization for a while, another approach may prove...

  12. Communication received from the Federal Minister for European and International Affairs of Austria with regard to the Austrian proposal on the multilateralization of the nuclear fuel cycle

    International Nuclear Information System (INIS)

    2007-01-01

    The Agency has received a communication dated 10 May 2007 from the Federal Minister for European and International Affairs of the Republic of Austria, attaching a paper on the Multilateralization of the Nuclear Fuel Cycle. As requested in that communication, the paper is herewith circulated for the information of Member States

  13. Emergence of multilateral proto-institutions in global health and new approaches to governance: analysis using path dependency and institutional theory.

    Science.gov (United States)

    Gómez, Eduardo J; Atun, Rifat

    2013-05-10

    The role of multilateral donor agencies in global health is a new area of research, with limited research on how these agencies differ in terms of their governance arrangements, especially in relation to transparency, inclusiveness, accountability, and responsiveness to civil society. We argue that historical analysis of the origins of these agencies and their coalition formation processes can help to explain these differences. We propose an analytical approach that links the theoretical literature discussing institutional origins to path dependency and institutional theory relating to proto institutions in order to illustrate the differences in coalition formation processes that shape governance within four multilateral agencies involved in global health. We find that two new multilateral donor agencies that were created by a diverse coalition of state and non-state actors, such as the Global Fund to Fight AIDS, Tuberculosis and Malaria and GAVI, what we call proto-institutions, were more adaptive in strengthening their governance processes. This contrasts with two well-established multilateral donor agencies, such as the World Bank and the Asian Development Bank, what we call Bretton Woods (BW) institutions, which were created by nation states alone; and hence, have different origins and consequently different path dependent processes.

  14. The Multilateral Convention to Implement Tax Treaty Related Measures to Prevent BEPS—Some Thoughts on Complexity and Uncertainty

    Directory of Open Access Journals (Sweden)

    Kleist David

    2018-04-01

    Full Text Available The Multilateral Convention to Implement Tax Treaty Related Measures to Prevent Base Erosion and Profit Shifting (MLI, which was signed in June 2017, raises a multitude of questions relating not only to the text of the treaty provisions but also to the way the MLI will interact with tax treaties, for instance, and what it will mean for the future development of tax treaty law and international cooperation in tax matters. This article focuses on two aspects of the MLI. First, it deals with the substance of the MLI by providing an overview of its background and content, including the many options available to the contracting states under the MLI. Second, some thoughts are presented on the effects of the MLI in terms of complexity and uncertainty.

  15. Exercise and Posture

    Science.gov (United States)

    ... About Spondylitis › Treatment Information › Exercise & Posture Print Page Exercise Exercise is an integral part of any spondylitis ... For First Responders For Chiropractors Research Article Archive Exercise Guidelines Having an exercise program that accomplishes your ...

  16. Crew Exercise

    Science.gov (United States)

    Rafalik, Kerrie K.

    2017-01-01

    Johnson Space Center (JSC) provides research, engineering, development, integration, and testing of hardware and software technologies for exercise systems applications in support of human spaceflight. This includes sustaining the current suite of on-orbit exercise devices by reducing maintenance, addressing obsolescence, and increasing reliability through creative engineering solutions. Advanced exercise systems technology development efforts focus on the sustainment of crew's physical condition beyond Low Earth Orbit for extended mission durations with significantly reduced mass, volume, and power consumption when compared to the ISS.

  17. Exercise KATRINE

    International Nuclear Information System (INIS)

    Clahane, Darren; Burgoyne, William

    1995-01-01

    Based on a hypothetical incident at the Scottish Nuclear Ltd Torness AGR nuclear power station, Exercise KATRINE was the 1994 national civil nuclear exercise and the biggest simulation of a nuclear accident to take place in Britain last year. The exercise, held on 17 and 18 November, was based on a series of postulated faults which resulted in an uncontrolled release of radioactivity. It commenced at 07.00 on Thursday and continued for about 33 hours, until around 15.30 on Friday. Activity focused on the Torness Off-site Centre (TOSC), in Cockenzie near Edinburgh, and the brand new Torness Media Briefing Centre (TMBC) located nearby. (author)

  18. Prevention: Exercise

    Medline Plus

    Full Text Available ... support for your body. Pilates, yoga and martial arts all provide well-rounded core strengthening programs. Simple ... use progressively heavier balls, you will experience more benefit from this exercise... Sagittal Core Strengthening You can ...

  19. Prevention: Exercise

    Medline Plus

    Full Text Available ... Tips for a Healthy Back Smoking Weight Patient Safety Exercise Strengthening Strengthen Your Core! Stretching/Flexibility Aerobic ... Strength Training for the Elderly Other Back Pack Safety Pregnancy and Back Pain Preventing Osteoporosis Back Pain ...

  20. Intercomparison exercises

    International Nuclear Information System (INIS)

    Arunachalam, J.

    2007-01-01

    Intercomparison exercises are vital to many a national programmes. These are only tools available with the laboratories to prove their competence to an international audience and also for the accrediting agencies to assess a laboratory

  1. Compulsive exercise

    DEFF Research Database (Denmark)

    Lichtenstein, Mia Beck; Hinze, Cecilie Juul; Emborg Jannsen, Bolette

    2017-01-01

    found that compulsive exercise is associated with eating disorder pathology, perfectionism, neuroticism, narcissism, and obsessive compulsive traits. The most prominent negative consequences were injuries, social impairment, and depression, but more research is needed to uncover the potential......Compulsive exercise is a condition described since 1970s. It is characterized by a craving for physical training, resulting in uncontrollable excessive exercise behavior with harmful consequences, such as injuries and impaired social relations. It has not been accepted as a mental disorder...... dysfunction resulting from compulsive exercise. As the condition is not recognized as a psychiatric disorder, studies on treatment interventions are sparse. Problems with compliance have been reported; therefore, motivational interviewing has been proposed as a treatment approach, in combination...

  2. Prevention: Exercise

    Medline Plus

    Full Text Available ... Physical Therapy Postural Training Traction Watchful Waiting and Education Injection Treatments for ... Core Strengthening Many popular forms of exercise focus on core strengthening, or building the muscles that provide ...

  3. Prevention: Exercise

    Medline Plus

    Full Text Available ... following suggested exercises increases your back pain after five repetitions, or causes acute pain, you should stop ... 10 seconds working towards 30 seconds. Repeat 1-5 times or to fatigue... Prone Bridge/Plank Prop ...

  4. Prevention: Exercise

    Medline Plus

    Full Text Available ... Lifestyle Choices 10 Tips for a Healthy Back Smoking Weight Patient Safety Exercise Strengthening Strengthen Your Core! ... in a straight line. Hold for 10 seconds working towards 30 seconds. Repeat 1-5 times or ...

  5. Prevention: Exercise

    Medline Plus

    Full Text Available ... Chronic Low Back Pain SI Joint Pain Other Scoliosis Back Pain and Emotional Distress Muscle Spasms Pinched ... DC Directional Exercises Electrothermal Modalities Ergonomic Changes Hydrotherapy Manual Therapy Physical Therapy Postural Training Traction Watchful Waiting and ...

  6. Prevention: Exercise

    Medline Plus

    Full Text Available ... weights (hand-held or training machines) or using isometric techniques. Common household items (like small canned goods) ... matches your abilities. Neck Press This is an isometric exercise to strengthen your neck. Press your palm ...

  7. Prevention: Exercise

    Medline Plus

    Full Text Available ... 10 Tips for a Healthy Back Smoking Weight Patient Safety Exercise Strengthening Strengthen Your Core! Stretching/Flexibility ... Pain Preventing Osteoporosis Back Pain Basics Book RESOURCES Patient Information Feature Articles Patient Q&A Success Stories ...

  8. Prevention: Exercise

    Medline Plus

    Full Text Available ... slow full movements. Repeat 10-15 times, to fatigue... Abdominal Exercise Lay on your back with both ... Return leg and extend other leg. Repeat to fatigue, about 10-15 repetitions at a slow and ...

  9. Prevention: Exercise

    Medline Plus

    Full Text Available ... 15 repetitions at a slow and controlled pace... Resistance Training Resistance training is exercise done against something providing resistance. It can be done with weights (hand-held ...

  10. Prevention: Exercise

    Medline Plus

    Full Text Available ... legs to touch the wall, keeping hips and knees bent. Use your hips to push your body ... Abdominal Exercise Lay on your back with both knees bent. Draw abdominal wall in. Maintaining abdominal wall ...

  11. Exercise echocardiography in asymptomatic survivors of childhood cancer treated with anthracyclines

    DEFF Research Database (Denmark)

    Sieswerda, Elske; Kremer, Leontien C M; Vidmar, Suzanna

    2010-01-01

    BACKGROUND: Exercise echocardiography reveals abnormalities in asymptomatic childhood cancer survivors who previously have been treated with anthracyclines. We determined the added value of monitoring childhood cancer survivors with exercise echocardiography compared to monitoring with resting ec...

  12. A Theory-Based Exercise App to Enhance Exercise Adherence: A Pilot Study.

    Science.gov (United States)

    Voth, Elizabeth C; Oelke, Nelly D; Jung, Mary E

    2016-06-15

    Use of mobile health (mHealth) technology is on an exponential rise. mHealth apps have the capability to reach a large number of individuals, but until now have lacked the integration of evidence-based theoretical constructs to increase exercise behavior in users. The purpose of this study was to assess the effectiveness of a theory-based, self-monitoring app on exercise and self-monitoring behavior over 8 weeks. A total of 56 adults (mean age 40 years, SD 13) were randomly assigned to either receive the mHealth app (experimental; n=28) or not to receive the app (control; n=28). All participants engaged in an exercise goal-setting session at baseline. Experimental condition participants received weekly short message service (SMS) text messages grounded in social cognitive theory and were encouraged to self-monitor exercise bouts on the app on a daily basis. Exercise behavior, frequency of self-monitoring exercise behavior, self-efficacy to self-monitor, and self-management of exercise behavior were collected at baseline and at postintervention. Engagement in exercise bouts was greater in the experimental condition (mean 7.24, SD 3.40) as compared to the control condition (mean 4.74, SD 3.70, P=.03, d=0.70) at week 8 postintervention. Frequency of self-monitoring increased significantly over the 8-week investigation between the experimental and control conditions (Pcomparison to those in the control condition (mean 1.95, SD 2.58, Psocial cognitive theory into an mHealth exercise self-monitoring app provides support for future research to feasibly integrate theoretical constructs into existing exercise apps. In addition, findings provide preliminary support for theory-based apps to increase self-monitoring and exercise behavior in comparison to a control, no-app condition.

  13. Authentication of data for monitoring a comprehensive test ban treaty

    International Nuclear Information System (INIS)

    Craft, R.L.; Draelos, T.J.

    1996-05-01

    The important issue of data integrity in the CTBT International Monitoring System (IMS) is discussed and a brief tutorial on data authentication techniques is offered. The utilization of data authentication as a solution to the data integrity problem is evaluated. Public key data authentication is recommended for multilateral monitoring regimes such as the CTBT. The ramifications and system considerations of applying data authentication at various locations in the IMS, or not at all, are reviewed in a data surety context. The paper concludes with a recommendation of authenticating data at all critical monitoring stations

  14. Monitorização ambulatorial da pressão arterial em indivíduos com resposta exagerada dos níveis pressóricos em esforço. Influência do condicionamento físico Ambulatory blood pressure monitoring in individuals with exaggerated blood pressure response to exercise, influence of exercise training

    Directory of Open Access Journals (Sweden)

    Eliudem Galvão Lima

    1998-04-01

    Full Text Available OBJETIVO: Avaliar em indivíduos hiper-reatores ao teste ergométrico (TE, a influência de um programa regular de exercícios sobre os parâmetros ergométricos e da MAPA. MÉTODOS: Estudaram-se 22 indivíduos (44±1 anos, sedentários, assintomáticos, normotensos e que apresentavam elevação exagerada da pressão sistólica (PAS >220mmHg durante o TE, divididos, através de amostragem casual simples, em dois grupos: grupo hiper-reator sedentário (GHS e grupo hiper-reator condicionado (GHC. Os indivíduos do GHS foram orientados a não realizar qualquer tipo de exercício físico regular durante o período de 4 meses e o GHC composto de 10 indivíduos submetidos a programa de condicionamento físico aeróbico durante o mesmo período. RESULTADOS: Um programa de exercícios aeróbicos de moderada intensidade não promove redução significativa dos níveis pressóricos durante a monitorização (P>0,05; mas, durante a realização do TE nesses indivíduos, verificamos redução (pPURPOSE: To evaluate the effects of exercise training on ergometric test and Ambulatory Blood Pressure Monitoring (ABPM in normotensive individuals with exaggerated blood pressure response to exercise. METHODS: We studied 22 sedentary and normotensive subjects (mean 44±1 years old showing an exaggerated systolic blood pressure response (SBP>220mmHg during a cycloergometric test. These individuals were divided in two groups: sedentary hyperreactive group (SHG and trained hyperreactive group (THG. The THG was submitted to a 4 month aerobic exercise training program. RESULTS: A program of moderate aerobic exercise did not reduce (P>0.05 ABPM blood pressure levels. However, in the submaximal loads of dynamic exercise we observed a significant fall in the SBP and heart rate (P<0.05. CONCLUSION: Normotensive individuals with exaggerated blood pressure response to dynamical exercise submitted to physical training presented a reduction in their systolic blood pressure and

  15. Communication dated 9 July 2009 received from the Permanent Mission of Germany regarding the German proposal on a Multilateral Enrichment Sanctuary Project

    International Nuclear Information System (INIS)

    2009-01-01

    The Director General received a letter dated 9 July 2009 from the Resident Representative of Germany to the IAEA, transmitting the text of two draft model agreements, which are necessary to implement a Multilateral Enrichment Sanctuary Project (MESP). One model agreement, to be concluded between the Agency and interested States, provides for the establishment of a Group of Interested States and, by them, of a market-oriented Enrichment Company. The other model agreement, to be concluded between the Agency and a host state, provides for the establishment of a Multilateral Enrichment Sanctuary (MES) on a territory to be administered by the Agency, in which the Enrichment Company would be located. The letter, and as requested therein, the above mentioned draft model agreements attached thereto are herewith circulated for the information of all Member States

  16. Multilateral development banks and socially responsible investments--the case of tobacco.

    Science.gov (United States)

    Lal, Pranay

    2012-12-01

    Globally, tobacco kills more people than HIV-related conditions or AIDS, tuberculosis and malaria combined. In 1991, The World Bank, the world's largest lender, pledged that it would no longer support tobacco-related projects. It was expected that other financial investors would follow, but most did not respond to this call. As a result, several financial institutions continue to invest in tobacco and fuel an epidemic to an unprecedented scale. Using tobacco as a case in point, this review highlights the continuing investments among financial institutions which do not conform to 'socially responsible investments' and calls for monitoring and reporting such unethical practices. The paper also underscores the need to harmonise the numerous criteria, principles and voluntary codes that govern socially responsible investing and ensure that financial institutions comply with them.

  17. The International Politics of Legal Reforms: Hard Bilateralism, Soft Multilateralism and the World Bank’s “Doing Business” Indicators

    Directory of Open Access Journals (Sweden)

    Yi Shin Tang

    2017-10-01

    Full Text Available Abstract The Law and Development literature still debates on the role of international institutions in promoting legal reforms as a means of inducing economic growth. This article takes one step further by arguing that incremental circumstances compelled such institutions to change from bilaterally-binding pressures to soft-based multilateral strategies, by analyzing the gradual rise of the World Bank’s “Doing Business” initiative.

  18. The International Politics of Legal Reforms: Hard Bilateralism, Soft Multilateralism and the World Bank’s “Doing Business” Indicators

    OpenAIRE

    Tang, Yi Shin

    2017-01-01

    Abstract The Law and Development literature still debates on the role of international institutions in promoting legal reforms as a means of inducing economic growth. This article takes one step further by arguing that incremental circumstances compelled such institutions to change from bilaterally-binding pressures to soft-based multilateral strategies, by analyzing the gradual rise of the World Bank’s “Doing Business” initiative.

  19. Caffeine and exercise.

    Science.gov (United States)

    Paluska, Scott A

    2003-08-01

    Caffeine is the most commonly consumed drug in the world, and athletes frequently use it as an ergogenic aid. It improves performance and endurance during prolonged, exhaustive exercise. To a lesser degree it also enhances short-term, high-intensity athletic performance. Caffeine improves concentration, reduces fatigue, and enhances alertness. Habitual intake does not diminish caffeine's ergogenic properties. Several mechanisms have been proposed to explain the physiologic effects of caffeine, but adenosine receptor antagonism most likely accounts for the primary mode of action. It is relatively safe and has no known negative performance effects, nor does it cause significant dehydration or electrolyte imbalance during exercise. Routine caffeine consumption may cause tolerance or dependence, and abrupt discontinuation produces irritability, mood shifts, headache, drowsiness, or fatigue. Major sport governing bodies ban excessive use of caffeine, but current monitoring techniques are inadequate, and ethical dilemmas persist regarding caffeine intake by athletes.

  20. Ground Receiving Station Reference Pair Selection Technique for a Minimum Configuration 3D Emitter Position Estimation Multilateration System

    Directory of Open Access Journals (Sweden)

    Abdulmalik Shehu Yaro

    2017-01-01

    Full Text Available Multilateration estimates aircraft position using the Time Difference Of Arrival (TDOA with a lateration algorithm. The Position Estimation (PE accuracy of the lateration algorithm depends on several factors which are the TDOA estimation error, the lateration algorithm approach, the number of deployed GRSs and the selection of the GRS reference used for the PE process. Using the minimum number of GRSs for 3D emitter PE, a technique based on the condition number calculation is proposed to select the suitable GRS reference pair for improving the accuracy of the PE using the lateration algorithm. Validation of the proposed technique was performed with the GRSs in the square and triangular GRS configuration. For the selected emitter positions, the result shows that the proposed technique can be used to select the suitable GRS reference pair for the PE process. A unity condition number is achieved for GRS pair most suitable for the PE process. Monte Carlo simulation result, in comparison with the fixed GRS reference pair lateration algorithm, shows a reduction in PE error of at least 70% for both GRS in the square and triangular configuration.

  1. Development and validation of a multilateral index to determine economic status in developing countries: the Patient Financial Eligibility Tool (PFET).

    Science.gov (United States)

    Saba, Joseph; Audureau, Etienne; Bizé, Marion; Koloshuk, Barbara; Ladner, Joël

    2013-04-01

    The objective was to develop and validate a multilateral index to determine patient ability to pay for medication in low- and middle-income countries. Primary data were collected in 2009 from 117 cancer patients in China, India, Thailand, and Malaysia. The initial tool included income, expenditures, and assets-based items using ad hoc determined brackets. Principal components analysis was performed to determine final weights. Agreement (Kappa) was measured between results from the final tool and from an Impact Survey (IS) conducted after beginning drug therapy to quantify a patient's actual ability to pay in terms of number of drug cycles per year. The authors present the step-by-step methodology employed to develop the tool on a country-by-country basis. Overall Cronbach value was 0.84. Agreement between the Patient Financial Eligibility Tool (PFET) and IS was perfect (equal number of drug cycles) for 58.1% of patients, fair (1 cycle difference) for 29.1%, and poor (>1 cycle) for 12.8%. Overall Kappa was 0.76 (Ptool for determining an individual's ability to pay for medication. Combined with tiered models for patient participation in the cost of medication, it could help to increase access to high-priced products in developing countries.

  2. Six decades of educational multilateralism in a globalising world: The history of the UNESCO Institute in Hamburg

    Science.gov (United States)

    Elfert, Maren

    2013-07-01

    Created in 1945 as a specialised agency of the United Nations (UN), the United Nations Educational, Scientific and Cultural Organization (UNESCO) was given, among other mandates, the task of reconstructing education systems devastated during the Second World War. UNESCO, in turn, and after some debate about an engagement in Germany, founded the UNESCO Institute for Education (UIE) in Hamburg in 1952. This paper traces the development of an institute which was founded to contribute to social renewal in war-torn Germany and Europe, functioned as a mediator between Western and Eastern countries during the Cold War and later shifted its geographical focus to developing countries. The institute was instrumental in conceptualising lifelong learning as a global educational paradigm, as well as in shaping the shift from education to learning and the concept of literacy as a "continuum". The author is particularly interested in the nature of the institute's niche which secured its survival in the uncertain domain of educational multilateralism in the past six decades.

  3. Energy related Strategic Environmental Assessment applied by Multilateral Development Agencies — An analysis based on good practice criteria

    Energy Technology Data Exchange (ETDEWEB)

    Tshibangu, Ghislain Mwamba, E-mail: minduim@sc.usp.br [University of Sao Paulo (Brazil); Av. Trabalhador Sancarlense, 400, Sao Carlos, SP 13566-590 (Brazil); Montaño, Marcelo, E-mail: ghistshibangu@hotmail.com [Department of Hydraulics and Sanitation, Sao Carlos School of Engineering, University of Sao Paulo (Brazil); Av. Trabalhador Sancarlense, 400, Sao Carlos, SP 13566-590 (Brazil)

    2016-11-15

    Multilateral Development Agencies (MDAs) have been emerging as responsible for the widespread of Strategic Environmental Assessment (SEA) application in low and middle income countries. However, the effectiveness of SEA, as practiced by MDAs, has received limited attention in literature so far. This paper aims to analyse the use of SEA by MDAs in the context of loan agreements established between these countries. Based on documentation gathered in public databases, six energy related cases were reviewed in relation to the moment that SEA started, the strategic dimensions of proposed actions, compliance with key aspects of SEA, and also to the quality of SEA reports. Results indicate a number of aspects that should be improved in order to increase SEA effectiveness: SEA is starting after relevant decisions, is applied to actions without clear definition of strategic dimensions and lacks a systematic assessment of alternatives. Regarding the quality of SEA reports, the outcomes reveal a poor quality in baseline description, development and assessment of alternatives and public participation. - Highlights: • MDAs are fostering the use of SEA in developing countries. • SEA is applied late by MDAs and needs to enhance its strategic dimensions. • ToRs and SEA reports needs to better comply with key aspects of SEA • We've found no evidences that SEA applied by MDAs is contributing to better decisions.

  4. Three-point method for measuring the geometric error components of linear and rotary axes based on sequential multilateration

    International Nuclear Information System (INIS)

    Zhang, Zhenjiu; Hu, Hong

    2013-01-01

    The linear and rotary axes are fundamental parts of multi-axis machine tools. The geometric error components of the axes must be measured for motion error compensation to improve the accuracy of the machine tools. In this paper, a simple method named the three point method is proposed to measure the geometric error of the linear and rotary axes of the machine tools using a laser tracker. A sequential multilateration method, where uncertainty is verified through simulation, is applied to measure the 3D coordinates. Three noncollinear points fixed on the stage of each axis are selected. The coordinates of these points are simultaneously measured using a laser tracker to obtain their volumetric errors by comparing these coordinates with ideal values. Numerous equations can be established using the geometric error models of each axis. The geometric error components can be obtained by solving these equations. The validity of the proposed method is verified through a series of experiments. The results indicate that the proposed method can measure the geometric error of the axes to compensate for the errors in multi-axis machine tools.

  5. Report on the Intercomparison Exercises 1993

    DEFF Research Database (Denmark)

    Aminot, A.; Boer, J. de; Cofino, W.

    This report covers the intercomparison exercises - 1993 of the project Quasimeme - Quality Assurance of Information for Marine Environmental Monitoring in Europe. The report is prepared under contract for the measurement and testing programme (BCR) of the European Community....

  6. Exercise at Home

    Science.gov (United States)

    ... Home Health Insights Exercise & Weight Exercise at Home Exercise at Home Make an Appointment Ask a Question ... with the movement and contact your provider. Posture Exercises Better posture means better breathing and movement. Axial ...

  7. Near infrared spectroscopy and exercise

    International Nuclear Information System (INIS)

    Angus, Caroline

    2002-01-01

    Near infrared spectroscopy (NIRS) provides a non-invasive method for the continuous monitoring of changes in tissue oxygenation and blood volume during aerobic exercise. During incremental exercise in adult subjects there was a positive correlation between lactate threshold (measured by blood sampling) and changes in the rate of muscle deoxygenation (measured by NIRS). However, the 7% failure rate for the NIRS test mitigated against the general use of this method. NIRS did not provide a valid method for LT determination in an adolescent population. NIRS was then used to examine whether haemodynamic changes could be a contributing factor to the mechanism underlying the cross-transfer effect. During a one-legged incremental aerobic exercise test the muscle was more deoxygenated in the exercising leg than in the non-exercising leg, consistent with oxygen consumption outstripping blood flow to the exercising limb. However, muscle blood volume increased equally in both legs. This suggests that blood flow may be raised to similar levels in both the legs; although local factors may signal an increase in blood volume, this effect is expressed in both legs. Muscle blood flow and changes in muscle blood volume were then measured directly by NIRS during an incremental one-arm aerobic exercise test. There was no significant difference in either blood volume or blood flow in the two arms at the end of the test. In the non-exercising arm changes in blood flow and blood volume were measured throughout the protocol. At higher exercise intensities, blood volume continued to rise as muscle blood flow plateaued, indicating that blood volume changes become independent of changes in blood flow. Finally, the effect of different training regimes on changes in muscle blood volume was examined. Subjects were assigned to a training group; two-arm training, one-arm training or a control group. Training did not affect blood volume changes during two-arm exercise. However, during one

  8. Prevention: Exercise

    Medline Plus

    Full Text Available ... abdominal wall inward, exhale as you lift chest area. This can be done with quick short movements, or slow full movements. Repeat 10-15 times, to fatigue... Abdominal Exercise Lay on your back with both knees ... © 2018 North ...

  9. Prevention: Exercise

    Medline Plus

    Full Text Available ... 10 Tips for a Healthy Back Smoking Weight Patient Safety Exercise Strengthening Strengthen Your Core! Stretching/Flexibility Aerobic ... Strength Training for the Elderly Other Back Pack Safety Pregnancy and Back ... Patient Information Feature Articles Patient Q&A Success Stories ...

  10. Evacuation exercise

    CERN Multimedia

    AUTHOR|(CDS)2094367

    2017-01-01

    In the event of an emergency, it is important that staff and visitors are evacuated safely and efficiently. Hence CERN organises regularly emergency response and evacuation exercise (also known as an ‘evacuation drill’) in different buildings across the sites.

  11. Compulsive Exercise

    Science.gov (United States)

    ... compulsive habit when it is done for the wrong reasons. Some people start exercising with weight loss as their main ... developing normally. This is especially true if the person also has an eating disorder. Girls who overexercise and restrict their eating ...

  12. Prevention: Exercise

    Medline Plus

    Full Text Available ... Information Feature Articles Patient Q&A Success Stories Definitions Anatomy of the Spine Definitions A-Z Spine Specialists Videos 9 for Spine Epidural Steroid Injections Exercise: The Backbone of Spine Treatment Spondylolisthesis BLOG FIND A SPECIALIST Prevention ...

  13. Why Exercise?

    Science.gov (United States)

    ... strength, boosts energy, and can help you reduce stress. It can also help you maintain a healthy body weight and curb ... well-being and help treat depression. Help relieve stress and anxiety. Increase ... Can anyone exercise? Everyone can benefit from physical activity. ...

  14. Prevention: Exercise

    Medline Plus

    Full Text Available ... Feature Articles Patient Q&A Success Stories Definitions Anatomy of the Spine Definitions A-Z Spine ... Strengthening Many popular forms of exercise focus on core strengthening, or building the muscles that provide support for your body. Pilates, yoga ...

  15. Exercise Hypertension.

    Science.gov (United States)

    Schultz, Martin G; Sharman, James E

    2014-05-01

    Irrespective of apparent 'normal' resting blood pressure (BP), some individuals may experience an excessive elevation in BP with exercise (i.e. systolic BP ≥210 mm Hg in men or ≥190 mm Hg in women or diastolic BP ≥110 mm Hg in men or women), a condition termed exercise hypertension or a 'hypertensive response to exercise' (HRE). An HRE is a relatively common condition that is identified during standard exercise stress testing; however, due to a lack of information with respect to the clinical ramifications of an HRE, little value is usually placed on such a finding. In this review, we discuss both the clinical importance and underlying physiological contributors of exercise hypertension. Indeed, an HRE is associated with an increased propensity for target organ damage and also predicts the future development of hypertension, cardiovascular events and mortality, independent of resting BP. Moreover, recent work has highlighted that some of the elevated cardiovascular risks associated with an HRE may be related to high-normal resting BP (pre-hypertension) or ambulatory 'masked' hypertension and that an HRE may be an early warning signal of abnormal BP control that is otherwise undetected with clinic BP. Whilst an HRE may be amenable to treatment via pharmacological and lifestyle interventions, the exact physiological mechanism of an HRE remains elusive, but it is likely a manifestation of multiple factors including large artery stiffness, increased peripheral resistance, neural circulatory control and metabolic irregularity. Future research focus may be directed towards determining threshold values to denote the increased risk associated with an HRE and further resolution of the underlying physiological factors involved in the pathogenesis of an HRE.

  16. A multilateral enrichment facility in Iran as a solution to the nuclear crisis

    International Nuclear Information System (INIS)

    Forden, G.; Thomson, J.

    2006-01-01

    A little known report issued in early 2005 by a group of experts might contain the seeds for solving the current Iranian crisis. The group, convened by the International Atomic Energy Agency (IAEA), examined the technical aspects of a number of options for multinationalizing the nuclear fuel cycle as a way of assuring all countries in good standing with the Nonproliferation Treaty access to peaceful nuclear technology. One option examined in general by the IAEA experts group could be used to guarantee Iran's future nuclearfuel supply and prevent its abuse for military purposes. We examine this option in detail for the case of Iran. It could be used to solve the Iranian crisis by constructing an enrichment facility on Iranian soil jointly owned and operated by Iran and Western governments. As a condition for this plant being built, Iran would pledge--and undertake additional safeguard requirements to verify--that it is not engaging in enrichment activities anywhere else; a pledge other countries have made under similar circumstances when they joined URENCO, a European enrichment consortium. Furthermore, the very nature of the joint venture would guarantee that Iran could not covertly divert any of the LEU or the plant's enrichment capabilities for military purposes. Western technicians would be present at, and in fact jointly operate, the facility 24-hours per day, seven days per week; Western accountants would be monitoring all the business activities of the venture; and Western managers would be involved in all operating decisions. (authors)

  17. Scenarios for exercising technical approaches to verified nuclear reductions

    International Nuclear Information System (INIS)

    Doyle, James

    2010-01-01

    Presidents Obama and Medvedev in April 2009 committed to a continuing process of step-by-step nuclear arms reductions beyond the new START treaty that was signed April 8, 2010 and to the eventual goal of a world free of nuclear weapons. In addition, the US Nuclear Posture review released April 6, 2010 commits the US to initiate a comprehensive national research and development program to support continued progress toward a world free of nuclear weapons, including expanded work on verification technologies and the development of transparency measures. It is impossible to predict the specific directions that US-RU nuclear arms reductions will take over the 5-10 years. Additional bilateral treaties could be reached requiring effective verification as indicated by statements made by the Obama administration. There could also be transparency agreements or other initiatives (unilateral, bilateral or multilateral) that require monitoring with a standard of verification lower than formal arms control, but still needing to establish confidence to domestic, bilateral and multilateral audiences that declared actions are implemented. The US Nuclear Posture Review and other statements give some indication of the kinds of actions and declarations that may need to be confirmed in a bilateral or multilateral setting. Several new elements of the nuclear arsenals could be directly limited. For example, it is likely that both strategic and nonstrategic nuclear warheads (deployed and in storage), warhead components, and aggregate stocks of such items could be accountable under a future treaty or transparency agreement. In addition, new initiatives or agreements may require the verified dismantlement of a certain number of nuclear warheads over a specified time period. Eventually procedures for confirming the elimination of nuclear warheads, components and fissile materials from military stocks will need to be established. This paper is intended to provide useful background information

  18. Global health diplomacy in Iraq: international relations outcomes of multilateral tuberculosis programmes.

    Science.gov (United States)

    Kevany, Sebastian; Jaf, Payman; Workneh, Nibretie Gobezie; Abu Dalod, Mohammad; Tabena, Mohammed; Rashid, Sara; Al Hilfi, Thamer Kadum Yousif

    2014-01-01

    -keeping efforts. Global health programmes may frequently produce a wider range of 'collateral benefits' that conventional monitoring and evaluation systems should be expanded to assess, in keeping with contemporary efforts to leverage development programmes from a 'global health diplomacy' perspective.

  19. Eccentric exercise

    DEFF Research Database (Denmark)

    Kjaer, Michael; Heinemeier, Katja Maria

    2014-01-01

    to differences in type and/or amount of mechanical stimulus with regard to expression of collagen, regulatory factors for collagen, and cross-link regulators. In overused (tendinopathic) human tendon, eccentric exercise training has a beneficial effect, but the mechanism by which this is elicited is unknown......Eccentric exercise can influence tendon mechanical properties and matrix protein synthesis. mRNA for collagen and regulatory factors thereof are upregulated in animal tendons, independent of muscular contraction type, supporting the view that tendon, compared with skeletal muscle, is less sensitive......, and slow concentric loading appears to have similar beneficial effects. It may be that tendinopathic regions, as long as they are subjected to a certain magnitude of load at a slow speed, independent of whether this is eccentric or concentric in nature, can reestablish their normal tendon fibril alignment...

  20. The importance for Bulgaria of multilateral approaches to the back-end of the nuclear fuel cycle

    International Nuclear Information System (INIS)

    Necheva, Ch.; McCombie, Ch.

    2005-01-01

    Bulgaria has a comparatively small nuclear program, but this provides a significant contribution of about 45% to the total electricity production in the country. There are 4 WWER units in operation at Kozloduy NPP and the national energy policy foresees construction of a further plant, Belene NPP. Further development of the nuclear option is dependent on the assurance of both fresh nuclear fuel supply and long-term management of spent fuel and high level waste. Because of the technical and economic challenges involved, international co-operation (bilateral and multilateral) in the back-end of the nuclear fuel cycle is a strategic issue of prime importance. This approach is very politically and socially sensitive at home and abroad and requires international consensus on the legal framework. For Bulgaria, as a producer of nuclear energy which relies on imported fresh nuclear fuel, an option of major interest is to seek a final solution for dealing with spent fuel in co-operation with the supplier of fresh fuel, i.e. Russia at present. But Bulgaria does not address only this option. In parallel, Kozloduy NPP is an organizational member of the international association ARIUS, established in 2002 in Baden, Switzerland. Thus the country also directly supports the mission of Arius, namely the promotion of concepts for safe, secure, economic and politically and socially acceptable regional and international storage and disposal of spent fuel and HLW. Bulgaria also participates directly in the SAPIERR project that was initiated by Arius under the 6 Framework Programme of the European Commission in order to study the concept of regional repositories to be shared by European partners. The range of Bulgarian waste management activities - including practical issues at the power plants, national studies on waste treatment, and involvement in the bilateral and multinational approaches described above - ensures that the country continues to maintain the necessary technical

  1. Harmonization between a Framework of Multilateral Approaches to Nuclear Fuel Cycle Facilities and Bilateral Nuclear Cooperation Agreements

    Directory of Open Access Journals (Sweden)

    Makiko Tazaki

    2013-09-01

    Full Text Available One of primary challenges for ensuring effective and efficient functions of the multilateral nuclear approaches (MNA to nuclear fuel cycle facilities is harmonization between a MNA framework and existing nuclear cooperation agreements (NCA. A method to achieve such harmonization is to construct a MNA framework with robust non-proliferation characteristics, in order to obtain supplier states’, especially the US’s prior consents for non-supplier states’ certain activities including spent fuel reprocessing, plutonium storages and retransfers of plutonium originated in NCAs. Such robust characteristics can be accomplished by MNA member states’ compliances with International Atomic Energy Agency (IAEA Safeguards, regional safeguards agreements, international conventions, guidelines and recommendations on nuclear non-proliferation, nuclear security, safety, and export control. Those provisions are to be incorporated into an MNA founding agreement, as requirements to be MNA members in relation to NCAs. Furthermore, if an MNA facility is, (1 owned and operated jointly by all MNA member states, (2 able to conclude bilateral NCAs with non-MNA/supplier states as a single legal entity representing its all member states like an international organization, and (3 able to obtain necessary prior consents, stable, smooth, and timely supplies of nuclear fuel and services can be assured among MNA member states. In this paper, the authors will set out a general MNA framework and then apply it to a specific example of Europe Atomic Energy Community (EURATOM and then consider its applicability to the Asian region, where an establishment of an MNA framework is expected to be explored.

  2. Grimsel colloid exercise

    International Nuclear Information System (INIS)

    Degueldre, C.; Longworth, G.; Vilks, P.

    1989-11-01

    The Grimsel Colloid Exercise was an intercomparison exercise which consisted of an in situ sampling phase followed by a colloid characterisation step. The goal of this benchmark exercise, which involved 12 laboratories, was to evaluate both sampling and characterisation techniques with emphasis on the colloid specific size distribution. The sampling phase took place at the Grimsel Test Site between February 1 and 13, 1988 and the participating groups produced colloid samples using the following methods: 1. Cross-flow ultrafiltration with production of membranes loaded with colloids. 2. Tangential diaultrafiltration and production of colloid concentrates. 3. Filtrates produced by each group. 4. Unfiltered water was also collected by PSI in glass bottles, under controlled anaerobic conditions, and by the other sampling groups in various plastic bottles. In addition, on-line monitoring of pH, χ, [O-2] and T of the water and of [O-2] in the atmosphere of the sampling units was carried out routinely. All samples were shipped according to the CoCo Club scheme for characterisation, with emphasis on the size distribution. The exercise differentiates the colloid samples produced on site from those obtained after transfer of the fluid samples to the laboratories. The colloid concentration and size distribution can be determined by scanning electron microscopy (SEM), gravimetry (GRAV), chemical analysis of fluid samples after micro/ultrafiltration (MF/UF) and by transmission single particle counting (PC). The colloid concentration can also be evaluated by transmission electron microscopy (TEM), static and dynamic light scattering (SLS,DLS) and by laser-induced photoacoustic spectroscopy (LPAS). The results are discussed on the basis of the detection limit, lateral resolution and counting conditions of the technique (precision) as well as sample preparation, artefact production and measurement optimisation (accuracy). A good agreement between size distribution results was

  3. Key technology for treating slack coal blockage in CBM recovery: A case study from multi-lateral horizontal wells in the Qinshui Basin

    Directory of Open Access Journals (Sweden)

    Yong Yang

    2016-01-01

    Full Text Available Due to the nature of coal bed, slack coal production is inevitable in gas recovery sby water drainage. When coalbed methane (CBM wells are reentered after low energy exploitation and shut-in, the negative effect of slack coal production on productivity of CBM is irreversible. In this paper, the CBM occurrence characteristics and multi-lateral horizontal well trajectory in the Qinshui Basin, Shanxi Province, were analyzed. In the multi-lateral horizontal wells, the expected gas production rate could not be reached and the production rate after shut-in maintenance could not restore to the level before shut-in. The reason for these issues is that migration pathways in the reservoirs are blocked by slack coal deposits, while formation water and slack coal deposit accumulated at the troughs of horizontal sections enlarge the resistance for gas to flow into the bottom hole. Furthermore, three key technologies to deal with slack coal blockage were proposed. Firstly, CBM horizontal well trajectory should follow the principle of keeping the wellbores smooth and updip instead of being “wavy”, on the premise of guaranteeing CBM drilling rate. Secondly, the cavities of production wells, as an important part of multi-lateral horizontal wells, are capable of settling sand, and can be used for gas–liquid–solid separation. And thirdly, a tree-like horizontal well with its main hole set on stable seam top or floor, provides a stable well flushing passage for coal powder. This research provides a useful attempt in solving the problem of slack coal production in gas recovery by water drainage.

  4. Bilateral and multilateral agreements and other arrangements in Europe and North America on the protection and use of transboundary waters. Addendum. 1994 Update

    International Nuclear Information System (INIS)

    1995-01-01

    The present document is issued pursuant to the decision taken by the Committee on Environmental Policy at its first session (ECE/CEP/1) to revise and update annually the 1993 list of Bilateral and Multilateral Agreements and Other Arrangements in Europe and North America on the Protection and Use of Transboundary Waters (ECE/ENVWA/32) and to publish a completely revised and updated version of the consolidated list of agreements at three-yearly intervals. By 31 December 1994, additions and amendments to this document had been submitted by the delegations of Austria, Croatia, Netherlands, Russian Federation and Slovakia. These have been incorporated into the present document

  5. Glucose response to exercise in the post-prandial period is independent of exercise intensity.

    Science.gov (United States)

    Shambrook, P; Kingsley, M I; Wundersitz, D W; Xanthos, P D; Wyckelsma, V L; Gordon, B A

    2018-03-01

    This study investigated the acute glucose response to low-intensity, moderate-intensity, and high-intensity interval exercise compared to no-exercise in healthy insufficiently active males using a four-arm, randomized, crossover design. Ten males (age: 37.3 ± 7.3 years, BMI: 29.3 ± 6.5 kg·m -2 ) completed four 30-minute interventions at weekly intervals comprising low-intensity exercise (LIE) at ~35% V˙O 2 R, moderate-intensity exercise (MIE) at ~50% V˙O 2 R, high-intensity interval exercise (HIIE) at ~80% V˙O 2 R, and a no-exercise control. Participants performed cycle ergometer exercise 30 minutes after finishing breakfast. Glucose response was assessed using a continuous glucose monitor under free-living conditions with dietary intake replicated. A significant effect for intensity on energy expenditure was identified (P exercise trial. Glucose response was not different between exercise intensities (P > .05). Twenty-four-hour AUC was not affected by exercise intensity (P = .75). There was a significant effect for exercise enjoyment (P = .02), with LIE (69 ± 4) preferred less than HIIE (mean ± SD: 84 ± 14; P = .02), MIE (73 ± 5; P = .03), and no-exercise (75 ± 4; P = .03). Exercise at any intensity 30 minutes after a meal affects glycemic regulation equally in insufficiently active males. Moderate to vigorous exercise intensities were preferred, and therefore, the exercise guidelines appear appropriate for the prevention of cardiometabolic disease. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  6. Special nuclear materials cutoff exercise: Issues and lessons learned. Volume 1: Summary of exercise

    International Nuclear Information System (INIS)

    Libby, R.A.; Davis, C.; Segal, J.E.; Stanbro, W.D.

    1995-08-01

    In a September 1993 address to the United Nations General Assembly, President Clinton announced a new nonproliferation and export control policy that established a framework for US efforts to prevent the proliferation of weapons of mass destruction. The new policy proposed that the US undertake a comprehensive approach to the growing accumulation of fissile material. One of the key elements was for the US to support a special nuclear materials (SNM) multilateral convention prohibiting the production of highly enriched uranium (HEU) or plutonium for nuclear explosives purposes or outside of international safeguards. This policy is often referred to as the President's Cutoff Initiative or the Fissile Material Cutoff Treaty (FMCT). Because both the US Department of Energy (DOE) and foreign reprocessing facilities similar to PUREX will likely to be inspected under a FMCT, the DOE Office of Arms Control and Nonproliferation, Negotiations and Analysis Division (DOE/NN-41) tasked Pacific Northwest Laboratory (PNL) to perform an information gathering exercise, the PUREX Exercise, using the Plutonium-Uranium Extraction (PUREX) Plant located on the Hanford Site in Washington State. PUREX is a former production reactor fuel reprocessing plant currently undergoing a transition to a ''decontamination and decommissioning (D ampersand D) ready'' mode. The PUREX Exercise was conducted March 29--30, 1994, to examine aspects of the imposition of several possible cutoff regimes and to study verification of non-production of SNM for nuclear weapons purposes or outside of safeguards. A follow-up activity to further examine various additional verification regimes was held at Los Alamos National Laboratory (LANL) on May 10, 1994

  7. Exercise and immunity

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007165.htm Exercise and immunity To use the sharing features on ... take a daily walk or follow a simple exercise routine a few times a week. Exercise helps ...

  8. Multilateral Cooperation on Nonproliferation

    Science.gov (United States)

    2012-10-01

    Nathan E . Busch and Daniel H. Joyner, eds., Combating Weapons of Mass Destruction: The Future of International Nonproliferation Policy (Athens, GA...or the World Bank . These organizations receive contributions from member states but have their own...Opening Reception Jack’s Lounge , Portola Hotel Friday, March 30, 2010 Timeline Content Delivery 7:30-8:30 Breakfast and Registration Cottonwood

  9. Exercise Equipment: Neutral Buoyancy

    Science.gov (United States)

    Shackelford, Linda; Valle, Paul

    2016-01-01

    Load Bearing Equipment for Neutral Buoyancy (LBE-NB) is an exercise frame that holds two exercising subjects in position as they apply counter forces to each other for lower extremity and spine loading resistance exercises. Resistance exercise prevents bone loss on ISS, but the ISS equipment is too massive for use in exploration craft. Integrating the human into the load directing, load generating, and motion control functions of the exercise equipment generates safe exercise loads with less equipment mass and volume.

  10. Hypotensive Response Magnitude and Duration in Hypertensives: Continuous and Interval Exercise

    Directory of Open Access Journals (Sweden)

    Raphael Santos Teodoro de Carvalho

    2015-03-01

    Full Text Available Background: Although exercise training is known to promote post-exercise hypotension, there is currently no consistent argument about the effects of manipulating its various components (intensity, duration, rest periods, types of exercise, training methods on the magnitude and duration of hypotensive response. Objective: To compare the effect of continuous and interval exercises on hypotensive response magnitude and duration in hypertensive patients by using ambulatory blood pressure monitoring (ABPM. Methods: The sample consisted of 20 elderly hypertensives. Each participant underwent three ABPM sessions: one control ABPM, without exercise; one ABPM after continuous exercise; and one ABPM after interval exercise. Systolic blood pressure (SBP, diastolic blood pressure (DBP, mean arterial pressure (MAP, heart rate (HR and double product (DP were monitored to check post-exercise hypotension and for comparison between each ABPM. Results: ABPM after continuous exercise and after interval exercise showed post-exercise hypotension and a significant reduction (p < 0.05 in SBP, DBP, MAP and DP for 20 hours as compared with control ABPM. Comparing ABPM after continuous and ABPM after interval exercise, a significant reduction (p < 0.05 in SBP, DBP, MAP and DP was observed in the latter. Conclusion: Continuous and interval exercise trainings promote post-exercise hypotension with reduction in SBP, DBP, MAP and DP in the 20 hours following exercise. Interval exercise training causes greater post-exercise hypotension and lower cardiovascular overload as compared with continuous exercise.

  11. Hypotensive response magnitude and duration in hypertensives: continuous and interval exercise.

    Science.gov (United States)

    Carvalho, Raphael Santos Teodoro de; Pires, Cássio Mascarenhas Robert; Junqueira, Gustavo Cardoso; Freitas, Dayana; Marchi-Alves, Leila Maria

    2015-03-01

    Although exercise training is known to promote post-exercise hypotension, there is currently no consistent argument about the effects of manipulating its various components (intensity, duration, rest periods, types of exercise, training methods) on the magnitude and duration of hypotensive response. To compare the effect of continuous and interval exercises on hypotensive response magnitude and duration in hypertensive patients by using ambulatory blood pressure monitoring (ABPM). The sample consisted of 20 elderly hypertensives. Each participant underwent three ABPM sessions: one control ABPM, without exercise; one ABPM after continuous exercise; and one ABPM after interval exercise. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR) and double product (DP) were monitored to check post-exercise hypotension and for comparison between each ABPM. ABPM after continuous exercise and after interval exercise showed post-exercise hypotension and a significant reduction (p ABPM. Comparing ABPM after continuous and ABPM after interval exercise, a significant reduction (p < 0.05) in SBP, DBP, MAP and DP was observed in the latter. Continuous and interval exercise trainings promote post-exercise hypotension with reduction in SBP, DBP, MAP and DP in the 20 hours following exercise. Interval exercise training causes greater post-exercise hypotension and lower cardiovascular overload as compared with continuous exercise.

  12. The role of exercise in migraine treatment.

    Science.gov (United States)

    Koseoglu, E; Yetkin, M F; Ugur, F; Bilgen, M

    2015-09-01

    This review aims to provide a comprehensive overview of the literature on the use of exercise for migraine treatment with regard to its efficacy, mechanism of action and role in practice. Many randomized studies have reported the efficacy of prophylactic treatment of migrane with medications such as beta blockers or antiepileptic drugs. Studies on alternative approaches, like aerobic exercise and biofeedback, are however limited but also considered to be effective. Scientific databases were searched with keywords "exercise" and "migraine". The resulting publications were gathered, examined and discussed throughly. Past studies had limitations and were few in number, but more recent randomized controlled studies have concretely provided level of evidence about the effectiveness of exercise in prophylactic treatment of migraine. Core properties of exercise like intensity, duration, frequency, type and warming up period are required to be monitored while treating migraine to increase the beneficial effects and, also to prevent injuries and side effects which may include exertional headache. Isometric neck exercise is helpful when the migraine is accompanied by neck pain. Patient population with low beta endorphin level in blood, high physical fitness and high motivation receives significant benefits from the exercise treatment. The action of exercise on migraine is in general related to neurochemical factors, psychological states and increase in cardivascular and cerebrovascular fitness. Considering its effectiveness and minimal side effects, migraine patients should often be encouraged to practice physical exercise with intensity, frequency and duration that should be carefully instituted to achieve the most beneficial outcome while preventing potential injuries and side effects.

  13. Can exercise mimetics substitute for exercise?

    DEFF Research Database (Denmark)

    Richter, Erik; Kiens, Bente; Wojtaszewski, Jørgen

    2008-01-01

    Exercise leads to changes in muscle phenotype with important implications for exercise performance and health. A recent paper in Cell by Narkar et al. (2008) shows that many of the adaptations in muscle phenotype elicited by exercise can be mimicked by genetic manipulation and drug treatment...

  14. Retrospective Analysis of Inflight Exercise Loading and Physiological Outcomes

    Science.gov (United States)

    Ploutz-Snyder, L. L.; Buxton, R. E.; De Witt, J. K.; Guilliams, M. E.; Hanson, A. M.; Peters, B. T.; Pandorf, M. M. Scott; Sibonga, J. D.

    2014-01-01

    Astronauts perform exercise throughout their missions to counter the health declines that occur as a result of long-term exposure to weightlessness. Although all astronauts perform exercise during their missions, the specific prescriptions, and thus the mechanical loading, differs among individuals. For example, inflight ground reaction force data indicate that subject-specific differences exist in foot forces created when exercising on the second-generation treadmill (T2) [1]. The current exercise devices allow astronauts to complete prescriptions at higher intensities, resulting in greater benefits with increased efficiency. Although physiological outcomes have improved, the specific factors related to the increased benefits are unknown. In-flight exercise hardware collect data that allows for exploratory analyses to determine if specific performance factors relate to physiological outcomes. These analyses are vital for understanding which components of exercise are most critical for optimal human health and performance. The relationship between exercise performance variables and physiological changes during flight has yet to be fully investigated. Identifying the critical performance variables that relate to improved physiological outcomes is vital for creating current and future exercise prescriptions to optimize astronaut health. The specific aims of this project are: 1) To quantify the exercise-related mechanical loading experienced by crewmembers on T2 and ARED during their mission on ISS; 2) To explore relationships between exercise loading variables, bone, and muscle health changes during the mission; 3) To determine if specific mechanical loading variables are more critical than others in protecting physiology; 4) To develop methodology for operational use in monitoring accumulated training loads during crew exercise programs. This retrospective analysis, which is currently in progress, is being conducted using data from astronauts that have flown long

  15. Evaluation of oxidative stress in hunting dogs during exercise.

    Science.gov (United States)

    Pasquini, A; Luchetti, E; Cardini, G

    2010-08-01

    Exercise has been shown to increase the production of reactive oxygen species (ROS) to a point that can exceed antioxidant defenses, to cause oxidative stress. The aim of our trials was to evaluate oxidative stress and recovery times in trained dogs during two different hunting exercises, with reactive oxygen metabolites-derivatives (d-ROMs) and biological antioxidant potential (BAP) tests. A group of nine privately owned Italian hounds were included. A 20-min aerobic exercise and a 4-h aerobic exercise, after 30 days of rest, were performed by the dogs. Our results show an oxidative stress after exercise due to both the high concentration of oxidants (d-ROMs) and the low level of antioxidant power (BAP). Besides, the recovery time is faster after the 4-h aerobic exercise than the 20-min aerobic exercise. Oxidative stress monitoring during dogs exercise could become an interesting aid to establish ideal adaptation to training. Copyright 2010 Elsevier Ltd. All rights reserved.

  16. Decree no. 2005-18 from January 5, 2005, providing publication of the framework-agreement for a multilateral environmental program in the nuclear domain in the Russian Federations, made at Stockholm on May 21, 2003

    International Nuclear Information System (INIS)

    2005-01-01

    This decree announces the official participation of France in a multilateral program of environmental cooperation with the Russian Federations for the management of spent fuels and nuclear wastes in Russia. The agreement of cooperation is attached to the decree. It defines the conditions of this cooperation, the creation of an organization committee, the multilateral financing, the specific commitments and legal procedures, the tax exemption of the assistance works, the control of the book-keeping, the intellectual property aspects, the personnel status, the settlement of disputes, the assignment of markets, the changes and amendments to the agreement, its ratification, duration, withdrawal and termination. (J.S.)

  17. Multilateral financing sources for photovoltaic projects in the rural areas of developing countries; Fuentes multilaterales de financiacion de proyectos con tecnologia fotovoltaica en el medio rural de los paises en desarrollo

    Energy Technology Data Exchange (ETDEWEB)

    Vazquez, I.; Vazquez, M.

    2004-07-01

    The massive introduction of the photovoltaic energy in the rural areas of the developing countries can only be achieved with wide and generous aid programmes. The multilateral financing sources are leaded and supported by the World Bank. These are: the Global Environment Facility (GEF); the Multilateral Development Banks (MDB); the International Development Association (IDA) and the International Finance Corporation (IFC). This last has created the specific funds: Photovoltaic Market Transformation Initiative (PVMTI), Small and Medium-Scale Enterprise (SME) and Solar Development Group (SDG). In addition, there are two specialized programmes on energy of the World Bank: Energy Sector Management Assistance Program (ESMAP) and Asia Alternative Energy Program (ASTAE). (Author)

  18. Effect of exercise intensity on exercise and post exercise energy ...

    African Journals Online (AJOL)

    The aim of this study was to determine if exercise and post exercise energy expenditure are affected by the intensity of exercise during a set distance of 4km walking and/or jogging. Subjects for this study were 12 moderately obese females with mean fat percentage of 31.7±6.3% and mean age of 38.2±4.6 years. For the low ...

  19. Emergency exercise scenario tools

    International Nuclear Information System (INIS)

    Sjoeblom, K.

    1998-03-01

    Nuclear power plant emergency exercises require a realistically presented accident situation which includes various aspects: plant process, radioactivity, radiation, weather and people. Experiences from nuclear power plant emergency exercises show that preparing accident scenarios even for relatively short exercises is tedious. In the future modern computer technology and past experience could be used for making exercise planning more effective. (au)

  20. Exercise and Fatigue

    NARCIS (Netherlands)

    Ament, Wim; Verkerke, Gijsbertus J.

    2009-01-01

    Physical exercise affects the equilibrium of the internal environment. During exercise the contracting muscles generate force or power and heat. So physical exercise is in fact a form of mechanical energy. This generated energy will deplete the energy stocks within the body. During exercise,

  1. Exercise-Induced Asthma

    Science.gov (United States)

    ... Videos for Educators Search English Español Exercise-Induced Asthma KidsHealth / For Parents / Exercise-Induced Asthma What's in ... Exercise-Induced Asthma Print What Is Exercise-Induced Asthma? Most kids and teens with asthma have symptoms ...

  2. Exercise for Adolescents with Depressive Disorders: A Feasibility Study

    Directory of Open Access Journals (Sweden)

    Richard R. Dopp

    2012-01-01

    Full Text Available Objectives. Adolescence is associated with increased depressive symptoms and decreased aerobic exercise, yet the relationship between exercise and clinical depression among adolescents requires further examination. This study assessed the feasibility of a 12-week intervention designed to increase exercise for adolescents with depressive disorders: Will a teenager with depression exercise? Methods. Participants were 13 adolescents with depression reporting low levels of aerobic exercise. They completed a 12-week intervention (15 supervised exercise sessions and 21 independent sessions. Exercise was measured through the aerobic exercise Questionnaire, actigraphy, and heart-rate monitoring. Depression was measured with the Children’s Depression Rating Scale, Revised, and Quick Inventory of Depressive Symptomatology, Self-Report. Results. All participants who started the intervention completed the protocol, attending all supervised exercise sessions. Actigraphy verified 81% adherence to the protocol’s independent sessions. Analysis of secondary outcomes showed a significant increase in exercise levels and a significant decrease in depression severity. Initially, ten participants were overweight or obese, and three were healthy weight. After 12 weeks of exercise, the number of participants in the healthy-weight category doubled. Conclusions. Adolescents suffering from depression can complete a rigorous protocol requiring structured increases in aerobic exercise. Participants showed significant increases in exercise, and significant decreases in depressive symptoms.

  3. Decree no. 2005-18 from January 5, 2005, providing publication of the framework-agreement for a multilateral environmental program in the nuclear domain in the Russian Federations, made at Stockholm on May 21, 2003; Decret n. 2005-18 du 5 janvier 2005 portant publication de l'accord-cadre pour un programme multilateral environnemental dans le domaine nucleaire en Federation de Russie, fait a Stockholm le 21 mai 2003

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    This decree announces the official participation of France in a multilateral program of environmental cooperation with the Russian Federations for the management of spent fuels and nuclear wastes in Russia. The agreement of cooperation is attached to the decree. It defines the conditions of this cooperation, the creation of an organization committee, the multilateral financing, the specific commitments and legal procedures, the tax exemption of the assistance works, the control of the book-keeping, the intellectual property aspects, the personnel status, the settlement of disputes, the assignment of markets, the changes and amendments to the agreement, its ratification, duration, withdrawal and termination. (J.S.)

  4. Examining physiotherapist use of structured aerobic exercise testing to decrease barriers to aerobic exercise.

    Science.gov (United States)

    Foster B Sc, Evan; Fraser, Julia E; Inness PhD, Elizabeth L; Munce, Sarah; Biasin, Louis; Poon, Vivien; Bayley, Mark

    2018-04-03

    To determine the frequency of physiotherapist-administered aerobic exercise testing/training, the proportion of physiotherapists who administer this testing/training, and the barriers that currently exist across different practice environments. A secondary objective is to identify the learning needs of physiotherapists for the development of an education curriculum in aerobic exercise testing and training with electrocardiograph (ECG) administration and interpretation. National, cross-sectional survey. Registered physiotherapists practicing in Canada. Out of 137 participants, most (75%) physiotherapists prescribed aerobic exercise on a regular basis (weekly); however, 65% had never conducted an aerobic exercise test. There were no significant differences in frequency of aerobic exercise testing across different practice environments or across years of physiotherapy experience. Physiotherapists perceived the main barriers to aerobic exercise testing as being a lack of equipment/space (78%), time (65%), and knowledge (56%). Although most (82%) were uncomfortable administering 12-lead ECG-monitored aerobic exercise tests, 60% stated they would be interested in learning more about ECG interpretation. This study found that physiotherapists are regularly implementing aerobic exercise. This exercise was infrequently guided by formal aerobic exercise testing, which could increase access to safe and effective exercise within the optimal aerobic training zone. As well, this could facilitate training in patients with cardiovascular diagnoses that require additional testing for medical clearance. Increased ECG training and access to equipment for physiotherapists may augment pre-screening aerobic exercise testing. This training should include learning the key arrhythmias for aerobic exercise test termination as defined by the American College of Sports Medicine.

  5. The efficacy of a multimodal physical activity intervention with supervised exercises, health coaching and an activity monitor on physical activity levels of patients with chronic, nonspecific low back pain (Physical Activity for Back Pain (PAyBACK) trial): study protocol for a randomised controlled trial.

    Science.gov (United States)

    Oliveira, Crystian B; Franco, Márcia R; Maher, Chris G; Tiedemann, Anne; Silva, Fernanda G; Damato, Tatiana M; Nicholas, Michael K; Christofaro, Diego G D; Pinto, Rafael Z

    2018-01-15

    Physical activity plays an important role in the management of chronic low back pain (LBP). Engaging in an active lifestyle is associated with a better prognosis. Nevertheless, there is evidence to suggest that patients with chronic LBP are less likely to meet recommended physical activity levels. Furthermore, while exercise therapy has been endorsed by recent clinical practice guidelines, evidence from systematic reviews suggests that its effect on pain and disability are at best moderate and not sustained over time. A limitation of current exercises programmes for chronic LBP is that these programmes are not designed to change patients' behaviour toward an active lifestyle. Therefore, we will investigate the short- and long-term efficacy of a multimodal intervention, consisting of supervised exercises, health coaching and use of an activity monitor (i.e. Fitbit Flex) compared to supervised exercises plus sham coaching and a sham activity monitor on physical activity levels, pain intensity and disability, in patients with chronic, nonspecific LBP. This study will be a two-group, single-blind, randomised controlled trial. One hundred and sixty adults with chronic, nonspecific LBP will be recruited. Participants allocated to both groups will receive a group exercise programme. In addition, the intervention group will receive health coaching sessions (i.e. assisting the participants to achieve their physical activity goals) and an activity monitor (i.e. Fitbit Flex). The participants allocated to the control group will receive sham health coaching (i.e. encouraged to talk about their LBP or other problems, but without any therapeutic advice from the physiotherapist) and a sham activity monitor. Outcome measures will be assessed at baseline and at 3, 6 and 12 months post randomisation. The primary outcomes will be physical activity, measured objectively with an accelerometer, as well as pain intensity and disability at 3 months post randomisation. Secondary outcomes

  6. Efficacy of live feedback to improve objectively monitored compliance to prescribed, home-based, exercise therapy-dosage in 15 to 19 year old adolescents with patellofemoral pain

    DEFF Research Database (Denmark)

    Riel, Henrik; Matthews, Mark; Vicenzino, Bill

    2016-01-01

    BACKGROUND: Patellofemoral pain is one of the most frequent knee conditions among adolescents with a prevalence of 7 %. Evidence-based treatment consists of patient education combined with hip and quadriceps strengthening. Recent evidence suggests that a large proportion of adolescents does...... not follow their exercise prescription, performing too few repetitions or too fast below the prescribed time under tension. Live feedback, such as a metronome or exercise games, has previously shown promising results in improving the quality of exercises. The aim of this study is to investigate if live...... feedback from a sensor (BandCizer™) and an iPad will improve the ability of adolescents with PFP to perform exercises as prescribed. METHODS: This study is a randomized, controlled, participant-blinded, superiority trial with a 2-group parallel design. Forty 15 to 19 year old adolescents...

  7. Communication of 8 June 2009 received from the Permanent Mission of the Republic of Korea concerning a non-paper 'The Republic of Korea's suggestion on possible criteria for multilateral approaches to the nuclear fuel cycle'

    International Nuclear Information System (INIS)

    2009-01-01

    The Secretariat has received a communication dated 8 June 2009 from the Permanent Mission of the Republic of Korea, transmitting the text of a non-paper entitled 'The Republic of Korea's Suggestion on Possible Criteria for Multilateral Approaches to the Nuclear Fuel Cycle'. As requested in that communication, the abovementioned non-paper is herewith circulated for the information of all Member States

  8. Communication dated 30 May 2008 received from the Permanent Mission of the Federal Republic of Germany to the Agency with regard to the German proposal for a Multilateral Enrichment Sanctuary Project

    International Nuclear Information System (INIS)

    2008-01-01

    The Secretariat has received a communication dated 30 May 2008 from the Permanent Mission of the Federal Republic of Germany, attaching a document entitled 'Ensuring Access to Nuclear Fuel and Enrichment Services Multilateral Enrichment Sanctuary Project (MESP)'. As requested in that communication, the document is herewith circulated for the information of Member States

  9. Communication received from the Resident Representatives of Germany, the Netherlands and the United Kingdom to the Agency concerning multilateral cooperation on energy security in support of Article IV of the Treaty on the Non-Proliferation of Nuclear Weapons

    International Nuclear Information System (INIS)

    2007-01-01

    The Director General has received a letter dated 13 September 2007 from the Resident Representatives of Germany, the Netherlands and the United Kingdom, attaching a declaration concerning multilateral cooperation on energy security in support of Article IV of the Treaty on the Non-Proliferation of Nuclear Weapons. The letter and, as requested therein, the declaration, are herewith circulated for information

  10. Exercisers' identities and exercise dependence: the mediating effect of exercise commitment.

    Science.gov (United States)

    Lu, Frank Jing-Horng; Hsu, Eva Ya-Wen; Wang, Junn-Ming; Huang, Mei-Yao; Chang, Jo-Ning; Wang, Chien-Hsin

    2012-10-01

    The purpose of this study was to examine the associations of exercise identity, exercise commitment, exercise dependence, and, particularly, the mediating effects of exercise commitment on the relationship between exercise identity and exercise dependence. 253 Taiwanese regular exercisers completed measures, including the Exercise Dependence Scale-Revised, the Exercise Identity Scale, the Exercise Commitment Scale, and the Godin Leisure Time Exercise Questionnaire. Results showed that exercise identity, exercise dependence, and two types of exercise commitment were moderately to highly correlated. Furthermore, structural equation modelling indicated that a "have to" commitment partially mediated the relationship between exercise identity and exercise dependence. Based on the mediating role of a "have to" commitment, the findings are particularly informative to exercise instructors and for exercise program managers.

  11. Exercise in Pregnancy.

    Science.gov (United States)

    Gregg, Vanessa H; Ferguson, James E

    2017-10-01

    Routine exercise should be recommended to healthy pregnant women after consultation with an obstetric provider. Even pregnant women who have not been exercising regularly can gradually increase their exercise during pregnancy. Regular exercise during pregnancy promotes overall wellness and helps maintain appropriate gestational weight gain and appropriate fetal weight gain. Exercise in pregnancy may also reduce hypertensive disorders of pregnancy and gestational diabetes, and may be associated with shorter first stage of labor and decreased risk for cesarean section. Exercise in pregnancy is safe for pregnant women and their fetuses and can have multiple health benefits. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. American College of Sports Medicine position stand. Exercise and hypertension.

    Science.gov (United States)

    Pescatello, Linda S; Franklin, Barry A; Fagard, Robert; Farquhar, William B; Kelley, George A; Ray, Chester A

    2004-03-01

    Hypertension (HTN), one of the most common medical disorders, is associated with an increased incidence of all-cause and cardiovascular disease (CVD) mortality. Lifestyle modifications are advocated for the prevention, treatment, and control of HTN, with exercise being an integral component. Exercise programs that primarily involve endurance activities prevent the development of HTN and lower blood pressure (BP) in adults with normal BP and those with HTN. The BP lowering effects of exercise are most pronounced in people with HTN who engage in endurance exercise with BP decreasing approximately 5-7 mm HG after an isolated exercise session (acute) or following exercise training (chronic). Moreover, BP is reduced for up to 22 h after an endurance exercise bout (e.g.postexercise hypotension), with greatest decreases among those with highest baseline BP. The proposed mechanisms for the BP lowering effects of exercise include neurohumoral, vascular, and structural adaptations. Decreases in catecholamines and total peripheral resistance, improved insulin sensitivity, and alterations in vasodilators and vasoconstrictors are some of the postulated explanations for the antihypertensive effects of exercise. Emerging data suggest genetic links to the BP reductions associated with acute and chronic exercise. Nonetheless, definitive conclusions regarding the mechanisms for the BP reductions following endurance exercise cannot be made at this time. Individuals with controlled HTN and no CVD or renal complications may participated in an exercise program or competitive athletics, but should be evaluated, treated and monitored closely. Preliminary peak or symptom-limited exercise testing may be warranted, especially for men over 45 and women over 55 yr planning a vigorous exercise program (i.e. > or = 60% VO2R, oxygen uptake reserve). In the interim, while formal evaluation and management are taking place, it is reasonable for the majority of patients to begin moderate intensity

  13. A ordem econômico-comercial internacional: uma análise da evolução do sistema multilateral de comércio e da participação da diplomacia econômica brasileira no cenário mundial The international economic-commercial order: an analysis of the evolution of the multilateral trading system and of the involvement of the brazilian economic diplomacy in the global scenario

    Directory of Open Access Journals (Sweden)

    Ivan Tiago Machado Oliveira

    2007-12-01

    Full Text Available O trabalho traça uma análise histórica do Sistema Multilateral de Comércio (SMC, tendo como foco a sua importância para a conformação da ordem econômica internacional do pós-Segunda Guerra Mundial. A partir de uma perspectiva analítico-evolutiva, faz-se uma apresentação do contexto internacional no qual o sistema multilateral foi gerado e identificam-se as interações entre as transformações históricas mundiais, tanto no plano político quanto no econômico, e a estruturação do Sistema Multilateral de Comércio, desde o Acordo Geral sobre Tarifas e Comércio (em inglês, General Agreement on Tariffs and Trade (GATT até a Organização Mundial do Comércio (OMC. Ademais, o papel desempenhado pela diplomacia econômica brasileira na construção e transformação do SMC será discutido ao longo do presente trabalho. Também são feitas considerações sobre a atual Rodada de negociações multilaterais, a Rodada Doha, e a sua relevância na ótica dos países em desenvolvimento.This work brings a historical analysis of the multilateral trading system, focusing on its importance to the building up of the international economic order, after the Second World War. From an evolutionary perspective, the international context in which the multilateral trading system was created is presented. Moreover, the interactions between world historical transformations and the development of the multilateral trading system, from GATT to WTO, are analyzed, both in political and economic points of view. Furthermore, the role played by the Brazilian economic diplomacy in building and transforming the multilateral trading system is analyzed. Some considerations are also made on the Doha Round of trade talks and its importance to the developing countries.

  14. International NMR-based Environmental Metabolomics Intercomparison Exercise

    Science.gov (United States)

    Several fundamental requirements must be met so that NMR-based metabolomics and the related technique of metabonomics can be formally adopted into environmental monitoring and chemical risk assessment. Here we report an intercomparison exercise which has evaluated the effectivene...

  15. Exercise After Pregnancy

    Science.gov (United States)

    ... 2 days a week. When can I start exercising after pregnancy? If you had a healthy pregnancy ... some guidelines I can follow when I begin exercising after pregnancy? Aim to stay active for 20– ...

  16. Benefits of Exercise

    Science.gov (United States)

    ... activity into your life. To get the most benefit, you should try to get the recommended amount ... likely even live longer. What are the health benefits of exercise? Regular exercise and physical activity may ...

  17. Muscle glycogenolysis during exercise

    DEFF Research Database (Denmark)

    Richter, Erik; Ruderman, N B; Gavras, H

    1982-01-01

    glycogenolysis during exercise: contractions principally stimulate glycogenolysis early in exercise, and a direct effect of epinephrine on muscle is needed for continued glycogenolysis. In addition, epinephrine increased oxygen consumption and glucose uptake in both resting and electrically stimulated...

  18. Fight Cravings with Exercise

    Science.gov (United States)

    ... run up and down the stairs. Fact: Exercise boosts your endorphins, gives you time to clear your ... I find gardening really helps me keep my mind off smoking. It’s relaxing and good exercise, too!" - ...

  19. Eating and Exercise

    Science.gov (United States)

    ... recovery smoothie Turkey on whole-grain bread with vegetables Don't forget to drink fluids. You need adequate fluids before, during and after exercise to help prevent dehydration. To stay well-hydrated for exercise, the American ...

  20. Exercise during Pregnancy

    Science.gov (United States)

    ... wear loose-fitting clothing, and exercise in a temperature-controlled room. Do not exercise outside when it ... breathing. There are even prenatal yoga and Pilates classes designed for pregnant women. These classes often teach ...

  1. Aerobic exercise (image)

    Science.gov (United States)

    Aerobic exercise gets the heart working to pump blood through the heart more quickly and with more ... must be oxygenated more quickly, which quickens respiration. Aerobic exercise strengthens the heart and boosts healthy cholesterol ...

  2. Isometric exercise (image)

    Science.gov (United States)

    Isometric exercise works muscles and strengthens bone. Increased muscle mass elevates metabolism, which in turn burns fat. Strength training is also called anaerobic exercise, as opposed to aerobic, because increased oxygen production is not ...

  3. Exercise and Asthma

    Science.gov (United States)

    ... Español Text Size Email Print Share Exercise and Asthma Page Content Article Body Almost every child (and ... of Pediatrics about asthma and exercise. What is asthma Asthma is the most common chronic medical problem ...

  4. Clinical Applications for Exercise.

    Science.gov (United States)

    Goldstein, David

    1989-01-01

    Patients with chronic conditions such as coronary artery disease, hypertension, diabetes, and obesity might benefit from prescribed exercise. Although exercise does not reverse pathologic changes, it may play a role in disease management. (JD)

  5. PHYSIOTHERAPY EXERCISES DURING ANTENATAL AND POSTNATAL

    Directory of Open Access Journals (Sweden)

    Hannah Rajsekhar

    2015-10-01

    Full Text Available Background: It’s a well-known fact that exercise is good for the mind and body making it beneficial for expectant and new mothers. The challenge of pregnancy, labor and looking after a new born is not an easy task. So the fitter you are the better you will cope with this life changing event. Method: Aerobic and strengthening exercises help in adjusting to the increasing weight and posture changes to cope effectively with the labor and the postnatal period. Although exercises in pregnancy are extremely beneficial, they can cause more harm than good if not done correctly. Medical screening for exercise should be done by the Doctor as well as the Physiotherapist to ensure that the patient underwent a basic screening, assessment or continued monitoring for the right exercise protocol for avoidance of any complications and to ensure the benefits of staying healthy and fit. Results: Evidence shows that exercise training programs designed and delivered by the Physiotherapists can relieve the prenatal post natal problems. Conclusion: Number of studies has shown the positive effects of aerobic and strengthening exercises on pregnant women. The physical changes to a pregnant woman’s body are multiple. There are center of mass changes, pressure on the organs and increased weight gain. In fact, over two thirds of pregnant women experience back pain, one fifth experience pelvic pain and over 40% experience urinary incontinence in their first pregnancy.

  6. Exercise Improves Mood State in Normobaric Hypoxia.

    Science.gov (United States)

    Seo, Yongsuk; Fennell, Curtis; Burns, Keith; Pollock, Brandon S; Gunstad, John; McDaniel, John; Glickman, Ellen

    2015-11-01

    The purpose of this study was to quantify the efficacy of using exercise to alleviate the impairments in mood state associated with hypoxic exposure. Nineteen young, healthy men completed Automated Neuropsychological Assessment Metrics-4(th) Edition (ANAM4) versions of the mood state test before hypoxia exposure, after 60 min of hypoxia exposure (12.5% O(2)), and during and after two intensities of cycling exercise (40% and 60% adjusted Vo(2max)) under the same hypoxic conditions. Peripheral oxygen saturation (Spo(2)) and regional cerebral oxygen saturation (rSo(2)) were continuously monitored. At rest in hypoxia, Total Mood Disturbance (TMD) was significantly increased compared to baseline in both the 40% and 60% groups. TMD was significantly decreased during exercise compared to rest in hypoxia. TMD was also significantly decreased during recovery compared to rest in hypoxia. Spo(2) significantly decreased at 60 min rest in hypoxia, during exercise, and recovery compared to baseline. Regional cerebral oxygen saturation was also reduced at 60 min rest in hypoxia, during exercise, and recovery compared to baseline. The current study demonstrated that exercise at 40% and 60% of adjusted Vo(2max) attenuated the adverse effects of hypoxia on mood. These findings may have significant applied value, as negative mood states are known to impair performance in hypoxia. Further studies are needed to replicate the current finding and to clarify the possible mechanisms associated with the potential benefits of exercise on mood state in normobaric hypoxia.

  7. Exercise-Induced Bronchoconstriction (EIB)

    Science.gov (United States)

    ... Conditions & Treatments ▸ Conditions Dictionary ▸ Exercise-Induced Bronchoconstriction Share | Exercise-Induced Bronchoconstriction (EIB) « Back to A to Z Listing Exercise-Induced Bronchoconstriction, (EIB), often known as exercise-induced ...

  8. Exercise in Pregnancy

    OpenAIRE

    Hinman, Sally K.; Smith, Kristy B.; Quillen, David M.; Smith, M. Seth

    2015-01-01

    Context: Health professionals who care for pregnant women should discuss potential health benefits and harms of exercise. Although most pregnant women do not meet minimal exercise recommendations, there are a growing number of physically active women who wish to continue training throughout pregnancy. Evidence Acquisition: A search of the Web of Science database of articles and reviews available in English through 2014. The search terms exercise pregnancy, strenuous exercise pregnancy, and vi...

  9. Exercise and cancer

    DEFF Research Database (Denmark)

    Idorn, Manja; thor Straten, Per

    2017-01-01

    Exercise improves functional capacity and patient-reported outcomes across a range of cancer diagnoses. The mechanisms behind this protection have been largely unknown, but exercise-mediated changes in body composition, sex hormone levels, systemic inflammation, and immune cell function have been...... hypothesize that this link between exercise and the immune system can be exploited in cancer therapy in particular in combination with immunotherapy. Thus, we believe that exercise may not just be “healthy” but may in fact be therapeutic....

  10. Exercise and Your Heart.

    Science.gov (United States)

    National Heart and Lung Inst. (DHHS/NIH), Bethesda, MD.

    This pamphlet presents information on the effects of physical activity on the heart and practical guidelines for starting and staying on an exercise program. The following topics are discussed: (1) the benefits of getting sufficient exercise; (2) possible risks in exercising compared to benefits; (3) when to seek doctor's advice and prevention of…

  11. WOMEN AND EXERCISE

    OpenAIRE

    Tarran, Leanne

    1995-01-01

    This paper examines the social attitudes and expectations that limit women's freedom to move in the world. The history of gendered attitudes to exercise, current gendered differences in patterns of exercise and issues of body image and ageing are discussed. The importance of these issues when considering exercise as a preventative health measure is emphasised.

  12. Sleep, Exercise, and Nutrition.

    Science.gov (United States)

    Harrelson, Orvis A.; And Others

    The first part of this booklet concerns why sleep and exercise are necessary. It includes a discussion of what occurs during sleep and what dreams are. It also deals with the benefits of exercise, fatigue, posture, and the correlation between exercise and personality. The second part concerns nutrition and the importance of food. This part covers…

  13. The utilisation of agenda-setting power in the multilateral trading system’s evolution from “negative” to “positive” integration / La utilización del poder de fijar la agenda en la evolución del sistema de comercio multilateral de la integración “negativa” a la “positiva”

    Directory of Open Access Journals (Sweden)

    Gerard Downes

    2011-10-01

    Full Text Available This paper contends that the construction of a globalised intellectual property rights regime (TRIPs within the World Trade Organization (WTO was emblematic of the shift from ‘negative’ to ‘positive’ integration, which necessitates that WTO Member states harmonise domestic regulations to conform to the precepts of multilateral trading system, and accounts for the relative institutional failure of the organisation since its inception in 1995. The paper examines this shift towards ‘positive’ integration by focussing on the campaign to formulate and construct the globalised intellectual property rights regime within the WTO. By examining the role of agenda-setting power in the creation of TRIPs this article intends to highlight the extent of the symbiosis between private commercial diplomacy and international trade law in campaign construction, and thereby demonstrate how private corporations have been able to formalise their specific interests within the WTO, while further exacerbating those asymmetries which ultimately have led to stasis in multilateral trade regulation.

  14. Managing Activity in Patients Who Have Diabetes. Practical Ways to Incorporate Exercise into Lifestyle.

    Science.gov (United States)

    Taunton, Jack E.; McCargar, Linda

    1995-01-01

    Diabetes control involves the appropriate balance of exercise, diet, and medication. Regular exercise has many benefits for people with diabetes. Physicians can educate patients about ways to regulate and monitor blood glucose before, during, and after workouts. Patients need to understand the effects of exercise and diet on insulin requirements.…

  15. Early Option Exercise

    DEFF Research Database (Denmark)

    Heje Pedersen, Lasse; Jensen, Mads Vestergaard

    A classic result by Merton (1973) is that, except just before expiration or dividend payments, one should never exercise a call option and never convert a convertible bond. We show theoretically that this result is overturned when investors face frictions. Early option exercise can be optimal when...... it reduces short-sale costs, transaction costs, or funding costs. We provide consistent empirical evidence, documenting billions of dollars of early exercise for options and convertible bonds using unique data on actual exercise decisions and frictions. Our model can explain as much as 98% of early exercises...

  16. Early Option Exercise

    DEFF Research Database (Denmark)

    Jensen, Mads Vestergaard; Heje Pedersen, Lasse

    2016-01-01

    A classic result by Merton (1973) is that, except just before expiration or dividend payments, one should never exercise a call option and never convert a convertible bond. We show theoretically that this result is overturned when investors face frictions. Early option exercise can be optimal when...... it reduces short-sale costs, transaction costs, or funding costs. We provide consistent empirical evidence, documenting billions of dollars of early exercise for options and convertible bonds using unique data on actual exercise decisions and frictions. Our model can explain as much as 98% of early exercises...

  17. Every exercise bout matters

    DEFF Research Database (Denmark)

    Dethlefsen, Christine; Pedersen, Katrine Seide; Hojman, Pernille

    2017-01-01

    Cumulative epidemiological evidence shows that regular exercise lowers the risk of developing breast cancer and decreases the risk of disease recurrence. The causality underlying this relation has not been fully established, and the exercise recommendations for breast cancer patients follow...... the general physical activity guidelines, prescribing 150 min of exercise per week. Thus, elucidations of the causal mechanisms are important to prescribe and implement the most optimal training regimen in breast cancer prevention and treatment. The prevailing hypothesis on the positive association within...... exercise oncology has focused on lowering of the basal systemic levels of cancer risk factors with exercise training. However, another rather overlooked systemic exercise response is the marked acute increases in several potential anti-cancer components during each acute exercise bout. Here, we review...

  18. Diabetes, insulin and exercise

    DEFF Research Database (Denmark)

    Richter, Erik; Galbo, H

    1986-01-01

    The metabolic and hormonal adaptations to single exercise sessions and to exercise training in normal man and in patients with insulin-dependent as well as non-insulin-dependent diabetes mellitus are reviewed. In insulin-dependent (type I) diabetes good metabolic control is best obtained...... by a regular pattern of life which will lead to a fairly constant demand for insulin from day to day. Exercise is by nature a perturbation that makes treatment of diabetes difficult: Muscle contractions per se tend to decrease the plasma glucose concentration whereas the exercise-induced response of the so......-called counter-regulatory hormones tend to increase plasma glucose by increasing hepatic glucose production and adipose tissue lipolysis. If the pre-exercise plasma insulin level is high, hypoglycaemia may develop during exercise whereas hyperglycaemia and ketosis may develop if pre-exercise plasma insulin...

  19. The 1987 Federal field exercise: The DOE experience

    International Nuclear Information System (INIS)

    Adler, M.V.; Gant, K.S.

    1989-06-01

    The second full-scale field exercise of the Federal Radiological Emergency Response Plan (FRERP) was held at the Zion Nuclear Power Station, Zion, Illinois, in June 1987. The exercise incorporated the annual compliance exercise for the Zion plant and involved the operating utility, Commonwealth Edison Company, the states of Illinois and Wisconsin, local governments, volunteer groups, and representatives from 12 federal agencies. The 3-day exercise was played from many locations in the Zion area; Springfield, Illinois; Madison, Wisconsin; and Washington, DC. Approximately 1000 people participated in the exercise, which used a scenario in which an accident at the plant resulted in the release of radioactive material outside the plant boundary. The US Department of Energy (DOE) had major responsibilities during the planning, playing, and critiquing of the exercise; these functions are outlined in the report. This document describes the DOE participation in the planning and response during the exercise. During a radiological emergency, the FRERP gives DOE the responsibility for coordinating the federal radiological monitoring and assessment activities in support of the states and the cognizant federal agency. At Zion, a self-sufficient Federal Radiological Monitoring and Assessment Center was established by DOE at a nearby fairground in which over 200 people from DOE, the two states, and other federal agencies participated. Before the field exercise, a tabletop exercise and a dry run were held for training purposes. 5 refs., 6 figs

  20. Demonstration exercise 'Cavtat 09'

    International Nuclear Information System (INIS)

    Trut, D.

    2009-01-01

    The demonstration exercise is to show a terrorist attack in urban area resulting in a certain number of injured people. On 7th April 2009 a terrorist group HAL 9000 is in Cavtat and set up an explosive devices with chemical reagents in several spots with intention to activate them and cause great number of victims. On the same day, in area of the Cavtat Croatia Hotel, which is hosting the world CBMTS Congress, Cavtat Police Station notice several masked persons, in escapement. Hotel personnel alerted the County 112 Center about noticed devices placed by chlorine dioxide tanks, for water conditioning. Intervention police came to block entrance to this area and evacuate hotel's guests and congress members. An explosion and fire occurs from where the position of water-conditioning plant and chlorine dioxide tank. The 112 Center alarms fire-fighters for fight fire and decontamination action and HAZMAT Civil Support Team from Georgia (participated the congress). In the meantime, guests have been instructed not to leave their rooms and to hermetically close doors and windows with available material to keep away potential toxic fume. Decision makers form the County Protection and Rescue Headquarters monitors the situation till the end of alert for the population in the area of Cavtat.(author)

  1. Exercise-induced rhabdomyolysis from stationary biking: a case report.

    Science.gov (United States)

    Inklebarger, J; Galanis, N; Kirkos, J; Kapetanos, G

    2010-10-01

    There are several reports concerning exercise and rabdomyolysis. There has been no report in the English literature of exercise induced rabdomyolisis from a stationary bike.A 63-year-old female recreational athlete presented to our hospital seeking treatment for lower back, leg pain and stiffness after exercising on a stationary bicycle one day prior. Blood work showed a raised CK of 38,120 U/L, a myoglobin of 5330 and an AST 495 U/L with normal urea and electrolytes. Urinalysis remained negative. She was admitted for oral and intravenous hydration and fluid balance monitoringThis is a very rare case of rhabdomyolysis due to exercise. This study highlights the difficulties faced by accident and emergency teams in distinguishing delayed onset muscle soreness (DOMS) from exercise-induced rhabdomyolysis, and reinforces the concept that rhabdomyolysis can occur at any level of exercise intensity.

  2. The effects of exercise under hypoxia on cognitive function.

    Directory of Open Access Journals (Sweden)

    Soichi Ando

    Full Text Available Increasing evidence suggests that cognitive function improves during a single bout of moderate exercise. In contrast, exercise under hypoxia may compromise the availability of oxygen. Given that brain function and tissue integrity are dependent on a continuous and sufficient oxygen supply, exercise under hypoxia may impair cognitive function. However, it remains unclear how exercise under hypoxia affects cognitive function. The purpose of this study was to examine the effects of exercise under different levels of hypoxia on cognitive function. Twelve participants performed a cognitive task at rest and during exercise at various fractions of inspired oxygen (FIO2: 0.209, 0.18, and 0.15. Exercise intensity corresponded to 60% of peak oxygen uptake under normoxia. The participants performed a Go/No-Go task requiring executive control. Cognitive function was evaluated using the speed of response (reaction time and response accuracy. We monitored pulse oximetric saturation (SpO2 and cerebral oxygenation to assess oxygen availability. SpO2 and cerebral oxygenation progressively decreased during exercise as the FIO2 level decreased. Nevertheless, the reaction time in the Go-trial significantly decreased during moderate exercise. Hypoxia did not affect reaction time. Neither exercise nor difference in FIO2 level affected response accuracy. An additional experiment indicated that cognitive function was not altered without exercise. These results suggest that the improvement in cognitive function is attributable to exercise, and that hypoxia has no effects on cognitive function at least under the present experimental condition. Exercise-cognition interaction should be further investigated under various environmental and exercise conditions.

  3. Gait Recognition and Walking Exercise Intensity Estimation

    Directory of Open Access Journals (Sweden)

    Bor-Shing Lin

    2014-04-01

    Full Text Available Cardiovascular patients consult doctors for advice regarding regular exercise, whereas obese patients must self-manage their weight. Because a system for permanently monitoring and tracking patients’ exercise intensities and workouts is necessary, a system for recognizing gait and estimating walking exercise intensity was proposed. For gait recognition analysis, αβ filters were used to improve the recognition of athletic attitude. Furthermore, empirical mode decomposition (EMD was used to filter the noise of patients’ attitude to acquire the Fourier transform energy spectrum. Linear discriminant analysis was then applied to this energy spectrum for training and recognition. When the gait or motion was recognized, the walking exercise intensity was estimated. In addition, this study addressed the correlation between inertia and exercise intensity by using the residual function of the EMD and quadratic approximation to filter the effect of the baseline drift integral of the acceleration sensor. The increase in the determination coefficient of the regression equation from 0.55 to 0.81 proved that the accuracy of the method for estimating walking exercise intensity proposed by Kurihara was improved in this study.

  4. How do you exercise with epilepsy? Insights into the barriers and adaptations to successfully exercise with epilepsy.

    Science.gov (United States)

    Collard, Sarah S; Ellis-Hill, Caroline

    2017-05-01

    Exercise has been shown to be a physiological and psychological benefit for people with epilepsy (PWE). However, barriers prevent many PWE from exercising safely and confidently. This research explored current perceived barriers to exercise and adaptation techniques used by PWE in order to maintain physical activity levels. Three focus groups (2-3 participants per group) and three semi-structured interviews were conducted (11 participants total). Constructive grounded theory was used to frame the study and analyse the findings, presenting new insight into the motivation, perceived barriers, and adaptation techniques used to exercise. The main motivator to maintain physical activity levels was the benefit of exercise on physical and mental health. This was shown in an increase in mood, higher social interaction, and perceived improvement in overall physical health as a result of exercise. Current barriers to exercise included a fear of injury, lack of social support, and exercise-induced seizures (e.g., through overheating and/or high exercise intensity level). Adaptation techniques used were self-monitoring through the use of technology, reducing exercise frequency and intensity level, and exercising at certain times of the day. The importance of social support was shown to provide increased confidence and positive encouragement to exercise, contrasting with family and friends worrying for his/her safety and medical professionals requesting termination of some physical activities. These findings provide new insight into current adaptation techniques that are used and developed by PWE to overcome common barriers to exercise. These new additions to the literature can lead to further development of such techniques as well as examine current medical professionals' knowledge of the benefits of exercise for PWE. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Dietary antioxidants and exercise.

    Science.gov (United States)

    Powers, Scott K; DeRuisseau, Keith C; Quindry, John; Hamilton, Karyn L

    2004-01-01

    Muscular exercise promotes the production of radicals and other reactive oxygen species in the working muscle. Growing evidence indicates that reactive oxygen species are responsible for exercise-induced protein oxidation and contribute to muscle fatigue. To protect against exercise-induced oxidative injury, muscle cells contain complex endogenous cellular defence mechanisms (enzymatic and non-enzymatic antioxidants) to eliminate reactive oxygen species. Furthermore, exogenous dietary antioxidants interact with endogenous antioxidants to form a cooperative network of cellular antioxidants. Knowledge that exercise-induced oxidant formation can contribute to muscle fatigue has resulted in numerous investigations examining the effects of antioxidant supplementation on human exercise performance. To date, there is limited evidence that dietary supplementation with antioxidants will improve human performance. Furthermore, it is currently unclear whether regular vigorous exercise increases the need for dietary intake of antioxidants. Clearly, additional research that analyses the antioxidant requirements of individual athletes is needed.

  6. Exercise therapy for fibromyalgia.

    Science.gov (United States)

    Busch, Angela J; Webber, Sandra C; Brachaniec, Mary; Bidonde, Julia; Bello-Haas, Vanina Dal; Danyliw, Adrienne D; Overend, Tom J; Richards, Rachel S; Sawant, Anuradha; Schachter, Candice L

    2011-10-01

    Fibromyalgia syndrome, a chronic condition typically characterized by widespread pain, nonrestorative sleep, fatigue, cognitive dysfunction, and other somatic symptoms, negatively impacts physical and emotional function and reduces quality of life. Exercise is commonly recommended in the management of people with fibromyalgia, and interest in examining exercise benefits for those with the syndrome has grown substantially over the past 25 years. Research supports aerobic and strength training to improve physical fitness and function, reduce fibromyalgia symptoms, and improve quality of life. However, other forms of exercise (e.g., tai chi, yoga, Nordic walking, vibration techniques) and lifestyle physical activity also have been investigated to determine their effects. This paper highlights findings from recent randomized controlled trials and reviews of exercise for people with fibromyalgia, and includes information regarding factors that influence response and adherence to exercise to assist clinicians with exercise and physical activity prescription decision-making to optimize health and well-being.

  7. DIABETES AND EXERCISE

    Directory of Open Access Journals (Sweden)

    Aydın BALCI

    2015-09-01

    Full Text Available Diabetes is a crucial health problem due to its incidence and serious complications. Physical inactivity is one of the risk factors associated with it. Therapeutic exercises are beneficial in the treatment and prevention of diabetes. There are several studies about the effects of exercise type and intensity on glycemic control. The exercise programs should be prepared individually after a comprehensive medical evaluation. There are some regulations to prevent acute complications before, after and during the exercises. The importance of regular exercise for public health should be pointed out and physical activity should be urged. The present review discusses issues concerning the prevention and treatment of diabetes through exercise, and the possible risks, in view of current literature.

  8. Exercise for midlife women.

    Science.gov (United States)

    Shangold, M M; Sherman, C

    1998-12-01

    Exercise is good for everyone, but it's more important than ever when you reach midlife. While regular exercise may not eliminate symptoms like hot flushes, it can improve your general well-being and increase your strength and stamina in daily life. If you want to lose fat or maintain a healthy weight, exercise is far more effective than diet alone. A physically active lifestyle, along with good nutrition and estrogen therapy, will also help protect you against heart disease, overweight, and osteoporosis.

  9. Conflictividad y Gestión Multilateral de Crisis en América Latina: casos Venezuela (2002 y Honduras (2009

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Martínez Meucci

    2013-03-01

    Full Text Available En América Latina se evidencia una modificación importante de los patrones de conflicto que imperaban antes y después de la ola democratizadora de los años 80 y 90 del siglo XX. A su vez, durante las últimas dos décadas se ha pasado de la preeminencia del paradigma institucional / liberal a la irrupción de diversos gobiernos de legitimidad social / plebiscitaria. La lucha entre estas dos formas de entender y practicar la democracia ha alimentado en gran medida las crisis políticas de los últimos 15 años, hasta el punto de provocar diversas iniciativas de gestión multilaterales de crisis. El estudio comparado de tales iniciativas permite comprender mejor la evolución de los patrones de conflictividad desde los años 90 hasta nuestros días, tanto a nivel nacional como regional, y sopesar aciertos y desaciertos de las iniciativas de gestión multilateral. La comparación de los casos de Venezuela (2002 y Honduras (2009 permite constatar el avance del paradigma social / plebiscitario, el mayor peso de Brasil en la región y la insuficiencia de los procesos electorales para canalizar la conflictividad característica de las últimas dos décadas.

  10. Exercise-induced rhabdomyolysis.

    Science.gov (United States)

    Lee, George

    2014-11-03

    Exercise-induced rhabdomyolysis, or exertional rhabdomyolysis (ER), is a clinical entity typically considered when someone presents with muscle stiffness, swelling, and pain out of proportion to the expected fatigue post exercise. The diagnosis is confirmed by myoglobinuria, and an elevated serum Creatinine Phosphokinase (CPK) level, usually 10 times the normal range. However, an elevation in CPK is seen in most forms of strenuous exercise, up to 20 times the upper normal range. Therefore, there is no definitive pathologic CPK cut-off. Fortunately the dreaded complication of acute renal failure is rare compared to other forms rhabdomyolysis. We review the risks, diagnosis, clinical course and treatment for exercise- induced rhabdomyolysis.

  11. Individual variability in heart rate recovery after standardized submaximal exercise

    NARCIS (Netherlands)

    van der Does, Hendrike; Brink, Michel; Visscher, Chris; Lemmink, Koen

    2012-01-01

    To optimize performance, coaches and athletes are always looking for the right balance between training load and recovery. Therefore, closely monitoring of athletes is important. Heart rate recovery (HRR) after standardized sub maximal exercise has been proposed as a useful variable to monitor

  12. Feasibility of interactive biking exercise system for telemanagement in elderly.

    Science.gov (United States)

    Finkelstein, Joseph; Jeong, In Cheol

    2013-01-01

    Inexpensive cycling equipment is widely available for home exercise however its use is hampered by lack of tools supporting real-time monitoring of cycling exercise in elderly and coordination with a clinical care team. To address these barriers, we developed a low-cost mobile system aimed at facilitating safe and effective home-based cycling exercise. The system used a miniature wireless 3-axis accelerometer that transmitted the cycling acceleration data to a tablet PC that was integrated with a multi-component disease management system. An exercise dashboard was presented to a patient allowing real-time graphical visualization of exercise progress. The system was programmed to alert patients when exercise intensity exceeded the levels recommended by the patient care providers and to exchange information with a central server. The feasibility of the system was assessed by testing the accuracy of cycling speed monitoring and reliability of alerts generated by the system. Our results demonstrated high validity of the system both for upper and lower extremity exercise monitoring as well as reliable data transmission between home unit and central server.

  13. Exercising is like flogging a dead horse

    International Nuclear Information System (INIS)

    Molhoek, W.

    2003-01-01

    Full text: To explore the international aspects of nuclear accidents, the OECD Nuclear Energy Agency initiated and established an international nuclear emergency 'exercise culture', starting with the INEX 1 table-top exercise, the first international nuclear emergency exercise in 1993, followed by the series of real time command-post exercises INEX 2 and INEX 2000 (five exercises between 1996 - 2001). Deficiencies in the area of communication and information exchange were the most significant findings of the INEX 2 series and corrective actions represent a major step forward in nuclear emergency management. The development of a new communication and information exchange strategy, which is currently implemented by various countries as well as by the international community, has strengthened our preparedness and response to nuclear emergencies. In addition, one of these exercises explored for the first time third party liability procedures and compensation after a nuclear accident. Regarding the role of international organizations, the INEX 2 series contributed to a better clarification regarding the roles of relevant international organizations, their obligations and responsibilities, and how their response in the case of a nuclear emergency are co-ordinated and harmonized. On the national level, many countries participating in INEX 1 and INEX 2 exercises used the experiences and lessons learned to modify and improve national procedures for nuclear emergency preparedness and management. Countries also used the outcome of the exercises to update bilateral agreements and arrangements. As an important follow-up of the lessons learned, an OECD/NEA-working group established the report: monitoring and data management strategies for nuclear emergencies. To test the implementation of the features of the outcome of the report, e.g. the effectiveness of developed data matrix and the effectiveness of proposed communication strategies employing new technologies, the INEX-2000

  14. Women, 'madness' and exercise.

    Science.gov (United States)

    Hardes, Jennifer Jane

    2018-03-21

    The positive relationship between exercise and mental health is often taken for granted in today's society, despite the lack of academic literature evidencing this symbiosis. Gender is considered a significant determinant in a number of mental health diagnoses. Indeed, women are considered twice as likely as men to experience the most pervasive mental health condition, depression. Exercise for women's mental health is promoted through various macrolevel charity, as well as microlevel, campaigns that influence government healthcare policy and National Health Service guidelines. Indeed, 'exercise prescriptions' in the treatment of depression is not uncommon. Yet, this link between exercise as a treatment for women's mental health has not always been so pervasive. In fact, an examination of asylum reports and medical journals from the late 19th century highlights a significant shift in attitude towards the role of exercise in the treatment of women's emotional states and mental health. This paper specifically examines how this treatment of women's mental health through exercise has moved from what might be regarded as a focus on exercise as a 'cause' of women's mental ailments to exercise promoted as a 'cure'. Unpacking the changing medical attitudes towards exercise for women in line with larger sociopolitical and historic contexts reveals that while this shift towards exercise promotion might prima facie appear as a less essentialist view of women and their mental and physical states, it inevitably remains tied to larger policy and governance agendas. New modes of exercise 'treatment' for women's mental health are not politically neutral and, thus, what appear to emerge as forms of liberation are, in actuality, subtler forms of regulation. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  15. Exercises to Improve Gait Abnormalities

    Science.gov (United States)

    ... Articles Directories Videos Resources Contact Exercises to Improve Gait Abnormalities Home » Article Categories » Exercise and Fitness Font Size: A A A A Exercises to Improve Gait Abnormalities Next Page The manner of how a ...

  16. Exercise for Your Bone Health

    Science.gov (United States)

    ... FAQs Breadcrumb Home Exercise for Your Bone Health Exercise for Your Bone Health Vital at every age ... A Complete Osteoporosis Program For Your Information Why Exercise? Like muscle, bone is living tissue that responds ...

  17. Exercise through Menopause.

    Science.gov (United States)

    Stuhr, Robyn M.

    2002-01-01

    Menopause is associated with many different health effects and symptoms. This paper explains that regular exercise can play a critical role in protecting health and battling the increased risk of cardiovascular disease, osteoporosis, pelvic floor atrophy, and joint stiffness associated with menopause. Exercise programs for menopausal women should…

  18. EXERCISE-INDUCED ASTHMA

    African Journals Online (AJOL)

    Enrique

    to a repeat bout of intense exercise within 2 hours after an initial. EIA response. In this ... advantage of athletes, if the athlete then competes following a warm-up in this .... Diagnostic and therapeutic algorithm in the work-up of the athlete with EIA. .... Avoid exercise in excessively cold Reduced responsiveness of airways.

  19. Exercises in Computational Chemistry

    DEFF Research Database (Denmark)

    Spanget-Larsen, Jens

    2016-01-01

    A selection of HyperChem© PC-exercises in computational chemistry. Answers to most questions are appended (Roskilde University 2014-16).......A selection of HyperChem© PC-exercises in computational chemistry. Answers to most questions are appended (Roskilde University 2014-16)....

  20. Multiaxis, Lightweight, Computer-Controlled Exercise System

    Science.gov (United States)

    Haynes, Leonard; Bachrach, Benjamin; Harvey, William

    2006-01-01

    The multipurpose, multiaxial, isokinetic dynamometer (MMID) is a computer-controlled system of exercise machinery that can serve as a means for quantitatively assessing a subject s muscle coordination, range of motion, strength, and overall physical condition with respect to a wide variety of forces, motions, and exercise regimens. The MMID is easily reconfigurable and compactly stowable and, in comparison with prior computer-controlled exercise systems, it weighs less, costs less, and offers more capabilities. Whereas a typical prior isokinetic exercise machine is limited to operation in only one plane, the MMID can operate along any path. In addition, the MMID is not limited to the isokinetic (constant-speed) mode of operation. The MMID provides for control and/or measurement of position, force, and/or speed of exertion in as many as six degrees of freedom simultaneously; hence, it can accommodate more complex, more nearly natural combinations of motions and, in so doing, offers greater capabilities for physical conditioning and evaluation. The MMID (see figure) includes as many as eight active modules, each of which can be anchored to a floor, wall, ceiling, or other fixed object. A cable is payed out from a reel in each module to a bar or other suitable object that is gripped and manipulated by the subject. The reel is driven by a DC brushless motor or other suitable electric motor via a gear reduction unit. The motor can be made to function as either a driver or an electromagnetic brake, depending on the required nature of the interaction with the subject. The module includes a force and a displacement sensor for real-time monitoring of the tension in and displacement of the cable, respectively. In response to commands from a control computer, the motor can be operated to generate a required tension in the cable, to displace the cable a required distance, or to reel the cable in or out at a required speed. The computer can be programmed, either locally or via

  1. Fat utilization during exercise

    DEFF Research Database (Denmark)

    Helge, Jørn Wulff; Watt, Peter W.; Richter, Erik

    2001-01-01

    1. This study was carried out to test the hypothesis that the greater fat oxidation observed during exercise after adaptation to a high-fat diet is due to an increased uptake of fat originating from the bloodstream. 2. Of 13 male untrained subjects, seven consumed a fat-rich diet (62 % fat, 21...... % carbohydrate) and six consumed a carbohydrate-rich diet (20 % fat, 65 % carbohydrate). After 7 weeks of training and diet, 60 min of bicycle exercise was performed at 68 +/- 1 % of maximum oxygen uptake. During exercise [1-(13)C]palmitate was infused, arterial and venous femoral blood samples were collected......, and blood flow was determined by the thermodilution technique. Muscle biopsy samples were taken from the vastus lateralis muscle before and after exercise. 3. During exercise, the respiratory exchange ratio was significantly lower in subjects consuming the fat-rich diet (0.86 +/- 0.01, mean +/- S.E.M.) than...

  2. Compliance with physical exercise

    DEFF Research Database (Denmark)

    Gram, Anne Sofie; Bønnelycke, Julie; Rosenkilde Larsen, Mads

    2014-01-01

    Aims: Sixty-one healthy, sedentary, moderately overweight young men participated in a randomised controlled trial to examine the effects of two different doses of endurance exercise on health behaviour and exercise compliance. Methods: Participants were randomised to a sedentary control group......), a post hoc thematic analysis was conducted to connect qualitative and quantitative data in a joint analysis. Results: Of the subjects interviewed, exercise compliance expressed as 95% CI was [96.8; 103%] in the MOD group and [82.9; 99.6%] in the HIGH group. The different doses of daily exercise equally...... or quantitative methodology alone. The preconditions of the TBP were fulfilled, and it represents a methodological model to explain the high degree of compliance and motivation to exercise....

  3. Exercise and reproductive dysfunction.

    Science.gov (United States)

    Chen, E C; Brzyski, R G

    1999-01-01

    To provide an overview of our current understanding of exercise-induced reproductive dysfunction and an approach to its evaluation and management. A MEDLINE search was performed to review all articles with title words related to menstrual dysfunction, amenorrhea, oligomenorrhea, exercise, and athletic activities from 1966 to 1998. The pathophysiology, proposed mechanisms, clinical manifestations, evaluation, and management of exercise-associated reproductive dysfunction were compiled. Exercise-induced menstrual irregularity appears to be multifactorial in origin and remains a diagnosis of exclusion. The underlying mechanisms are mainly speculative. Clinical manifestations range from luteal phase deficiency to anovulation, amenorrhea, and even delayed menarche. Evaluation should include a thorough history and a complete physical plus pelvic examination. Most cases are reversible with dietary and exercise modifications. Hormonal replacement in cases of a prolonged hypoestrogenic state with evidence of increased bone loss is recommended, although the long-term consequences of prolonged hormonal deficiency are ill-defined.

  4. Galois theory through exercises

    CERN Document Server

    Brzeziński, Juliusz

    2018-01-01

    This textbook offers a unique introduction to classical Galois theory through many concrete examples and exercises of varying difficulty (including computer-assisted exercises). In addition to covering standard material, the book explores topics related to classical problems such as Galois’ theorem on solvable groups of polynomial equations of prime degrees, Nagell's proof of non-solvability by radicals of quintic equations, Tschirnhausen's transformations, lunes of Hippocrates, and Galois' resolvents. Topics related to open conjectures are also discussed, including exercises related to the inverse Galois problem and cyclotomic fields. The author presents proofs of theorems, historical comments and useful references alongside the exercises, providing readers with a well-rounded introduction to the subject and a gateway to further reading. A valuable reference and a rich source of exercises with sample solutions, this book will be useful to both students and lecturers. Its original concept makes it particula...

  5. Using implicit attitudes of exercise importance to predict explicit exercise dependence symptoms and exercise behaviors.

    Science.gov (United States)

    Forrest, Lauren N; Smith, April R; Fussner, Lauren M; Dodd, Dorian R; Clerkin, Elise M

    2016-01-01

    "Fast" (i.e., implicit) processing is relatively automatic; "slow" (i.e., explicit) processing is relatively controlled and can override automatic processing. These different processing types often produce different responses that uniquely predict behaviors. In the present study, we tested if explicit, self-reported symptoms of exercise dependence and an implicit association of exercise as important predicted exercise behaviors and change in problematic exercise attitudes. We assessed implicit attitudes of exercise importance and self-reported symptoms of exercise dependence at Time 1. Participants reported daily exercise behaviors for approximately one month, and then completed a Time 2 assessment of self-reported exercise dependence symptoms. Undergraduate males and females (Time 1, N = 93; Time 2, N = 74) tracked daily exercise behaviors for one month and completed an Implicit Association Test assessing implicit exercise importance and subscales of the Exercise Dependence Questionnaire (EDQ) assessing exercise dependence symptoms. Implicit attitudes of exercise importance and Time 1 EDQ scores predicted Time 2 EDQ scores. Further, implicit exercise importance and Time 1 EDQ scores predicted daily exercise intensity while Time 1 EDQ scores predicted the amount of days exercised. Implicit and explicit processing appear to uniquely predict exercise behaviors and attitudes. Given that different implicit and explicit processes may drive certain exercise factors (e.g., intensity and frequency, respectively), these behaviors may contribute to different aspects of exercise dependence.

  6. Physical activity level and exercise in patients with diabetes mellitus.

    Science.gov (United States)

    Duarte, Camila Kümmel; Almeida, Jussara Carnevale de; Merker, Aline Juliana Schneider; Brauer, Fabiane de Oliveira; Rodrigues, Ticiana da Costa

    2012-01-01

    To compare physical activity level (PAL) and care related to exercise in patients with diabetes mellitus (DM). DM outpatients (adult, insulin-user patients) were assessed for PAL (international questionnaire; moderate- and high-level activities, as well as walking, over a typical week) and questioned about formal exercise practice, self-care, and hypoglycemic episodes related to exercise or reasons for not exercising. Two hundred twenty five patients were assessed: 107 (47.6%) had type 2 diabetes mellitus (DM2) and 118 (52.4%) had type 1 diabetes mellitus (DM1), with a larger percentage of patients with DM2 being classified as poorly active [33 (30.7%) versus 12 (10.3%)] and a lower percentage being classified as highly active [9 (8.7%) versus 29 (25%)], compared with patients having DM1. Patients who do not exercise (n = 140) gave different reasons for not doing so: patients with DM2 claimed that they "felt uncomfortable", "presented medical restrictions", and "did not like it"; DM1 patients claimed that they "had no time to exercise", "were lazy", and "had hypoglycemic episodes". Only 85 patients exercised regularly, regardless of the PAL, and 38.8% performed self-care, such as eating, stretching, and capillary glucose monitoring. Patients with DM2 [5 (14.3%)] reported a lower number of hypoglycemic episodes related to exercise than those with DM1 [17 (34%)]. Patients with DM2 have different PAL and behavior related to exercise than those seen in DM1 patients.

  7. [Evaluation of exercise capacity in pulmonary arterial hypertension].

    Science.gov (United States)

    Demir, Rengin; Küçükoğlu, Mehmet Serdar

    2010-12-01

    Pulmonary arterial hypertension (PAH) is a life-threatening disease characterized by increased pulmonary vascular resistance that leads to right ventricular failure. The most common clinical features of PAH are dyspnea and exercise intolerance. Measurement of exercise capacity is of considerable importance for the assessment of disease severity as well as routine monitoring of disease. Maximal, symptom-limited, cardiopulmonary exercise test (CPET) is the gold standard for the evaluation of exercise capacity, whereby functions of several systems involved in exercise can be assessed, including cardiovascular, respiratory, and metabolic systems. However, in order to derive the most useful diagnostic information on physiologic limitations to exercise, CPET requires maximal effort of the patient, which can be difficult and risky for some severely ill patients. Moreover, it requires specific exercise equipment and measurement systems, and experienced and trained personnel. Thus, routine clinical use of CPET to assess exercise capacity in patients with PAH may not always be feasible. A practical and simple alternative to CPET to determine exercise capacity is the 6-minute walk test (6MWT). It is simple to perform, safe, and reproducible. In contrast to CPET, the 6MWT reflects a submaximal level of exertion that is more consistent with the effort required for daily physical activities. This review focuses on the role of CPET and 6MWT in patients with PAH.

  8. Exercise testing in Warmblood sport horses under field conditions.

    Science.gov (United States)

    Munsters, Carolien C B M; van Iwaarden, Alexandra; van Weeren, René; Sloet van Oldruitenborgh-Oosterbaan, Marianne M

    2014-10-01

    Regular exercise testing in Warmblood sport horses may, as in racing, potentially help to characterise fitness indices in different disciplines and at various competition levels and assist in understanding when a horse is 'fit to compete'. In this review an overview is given of the current state of the art of exercise testing in the Olympic disciplines of eventing, show jumping and dressage, and areas for further development are defined. In event horses, a simple four-step incremental exercise test measuring heart rate (HR), lactate concentration (LA) and velocity (V) is most often used. In dressage and riding horses, a wide variety of exercise tests have been developed, including incremental exercise tests, indoor riding tests and lunging tests. In show jumping, the use of a five-step incremental exercise test and exercise tests evaluating technical skills and fatigue of the horse has been reported. The velocity at a plasma LA of 4 mmol/L (VLA4) and HR recovery during submaximal exercise intensity have been shown to be the best parameters in event horses for predicting performance and impending injuries. In riding horses, the fitness level of horses is also an important determinant of injuries. Implementation of regular exercise testing and monitoring of training sessions may have important added value in the assessment of performance ability and potential future injuries in Warmblood sport horses. However, there is an urgent need to standardise methodologies and outcome parameters in order to make results comparable. Copyright © 2014 Elsevier Ltd. All rights reserved.

  9. Habitual exercise instigation (vs. execution) predicts healthy adults' exercise frequency.

    Science.gov (United States)

    Phillips, L Alison; Gardner, Benjamin

    2016-01-01

    Habit is thought to be conducive to health behavior maintenance, because habits prompt behavior with minimal cognitive resources. The precise role of habit in determining complex behavioral sequences, such as exercise, has been underresearched. It is possible that the habit process may initiate a behavioral sequence (instigation habit) or that, after instigation, movement through the sequence is automated (execution habit). We hypothesized that exercise instigation habit can be empirically distinguished from exercise execution habit and that instigation habit strength is most predictive of future exercise and reflective of longitudinal exercise behavior change. Further, we evaluated whether patterned exercise action-that is, engaging in the same exercise actions from session to session-can be distinct from exercise execution habit. Healthy adults (N = 123) rated their exercise instigation and execution habit strengths, patterned exercise actions, and exercise frequency in baseline and 1-month follow-up surveys. Participants reported exercise engagement via electronic daily diaries for 1 month. Hypotheses were tested with regression analyses and repeated-measures analyses of variance. Exercise instigation habit strength was the only unique predictor of exercise frequency. Frequency profiles (change from high to low or low to high, no change high, no change low) were associated with changes in instigation habit but not with execution habit or patterned exercise action. Results suggest that the separable components of exercise sessions may be more or less automatic, and they point to the importance of developing instigation habit for establishing frequent exercise. (c) 2015 APA, all rights reserved).

  10. Predictors of sudden death and death from pump failure in congestive heart failure are different. Analysis of 24 h Holter monitoring, clinical variables, blood chemistry, exercise test and radionuclide angiography

    DEFF Research Database (Denmark)

    Madsen, B K; Rasmussen, Verner; Hansen, J F

    1997-01-01

    Association class II and 44% in III. Total mortality after 1 year was 21%, after 2 years 32%. Of 60 deaths, 33% were sudden and 49% due to pump failure. Multivariate analyses identified totally different risk factors for sudden death: ventricular tachycardia, s-sodium ....6 mmol/l, s-potassium sudden death and for death from progressive pump failure........80 mmol/l, s-creatinine > 121 mumol/l, and maximal change in heart rate during exercise death from progressive pump failure: New York Heart Association class III + IV, delta heart rate over 24 h 7...

  11. Lunar Health Monitor (LHM)

    Science.gov (United States)

    Lisy, Frederick J.

    2015-01-01

    Orbital Research, Inc., has developed a low-profile, wearable sensor suite for monitoring astronaut health in both intravehicular and extravehicular activities. The Lunar Health Monitor measures respiration, body temperature, electrocardiogram (EKG) heart rate, and other cardiac functions. Orbital Research's dry recording electrode is central to the innovation and can be incorporated into garments, eliminating the need for conductive pastes, adhesives, or gels. The patented dry recording electrode has been approved by the U.S. Food and Drug Administration. The LHM is easily worn under flight gear or with civilian clothing, making the system completely versatile for applications where continuous physiological monitoring is needed. During Phase II, Orbital Research developed a second-generation LHM that allows sensor customization for specific monitoring applications and anatomical constraints. Evaluations included graded exercise tests, lunar mission task simulations, functional battery tests, and resting measures. The LHM represents the successful integration of sensors into a wearable platform to capture long-duration and ambulatory physiological markers.

  12. The Effectiveness of the Multilateral Coalition to Develop a Green Agricultural Products Market in China Based on a TU Cooperative Game Analysis

    Directory of Open Access Journals (Sweden)

    Mingjun Deng

    2018-05-01

    Full Text Available Green agriculture can improve biodiversity, increase farmers’ income, reduce agricultural non-point source pollution, solve food safety issues, and will be an important way to promote sustainable development in China. At present, the green transformation of China’s agriculture has encountered a bottleneck in the development of a green agricultural product market. How to develop a green agricultural product market has become an issue worthy of in-depth study in the academia. Previous studies have already given persuasive explanations for the inability to form a green agricultural product market, but few have explored its development path from the angle of cooperation. By employing the method of a Transferable Utilities (TU cooperative game, and based on theoretical analyses and hypothetical data, this thesis aims to prove the effectiveness of the multilateral coalition to develop the green agricultural product market in China. The results show the effectiveness of the developed model of the green agricultural product market in which producers, consumers, food safety inspection departments, and e-commerce platforms cooperate with each other. This model meets the objective needs of the times and that of the market economy. According to the marginal contribution value of participants in different coalition orders, this thesis finds 6 kinds of coalition orders. When producers and consumers of green agricultural products enter the coalition in the last place, the marginal contribution value is maximized, which reflects the importance of the supply side and demand side of green agricultural products. In other words, the development of the green agricultural product market is a dynamic process—determined by consumers and promoted by producers—in which both sides promote and restrict each other. Finally, this article presents two policy recommendations: at the national level, to clearly proposes a strategy to build a green agricultural product e

  13. Opportunity, risk, and success recognizing, addressing, and balancing multiple factors crucial to the success of a project management system deployed to support multi-lateral decommissioning programs

    International Nuclear Information System (INIS)

    Funk, Greg; Longsworth, Paul

    2007-01-01

    This paper addresses the factors involved in effectively implementing a world-class program/project management information system funded by multiple nations. Along with many other benefits, investing in and utilizing such systems improves delivery and drive accountability for major expenditures. However, there are an equally large number of impediments to developing and using such systems. To be successful, the process requires a dynamic combining of elements and strategic sequencing of initiatives. While program/project-management systems involve information technologies, software and hardware, they represent only one element of the overall system.. Technology, process, people and knowledge must all be integrated and working in concert with one another to assure a fully capable system. Major system implementations occur infrequently, and frequently miss established targets in relatively small organizations (with the risk increasing with greater complexity). The European Bank of Reconstruction (EBRD) is midway through just such an implementation. The EBRD is using funds from numerous donor countries to sponsor development of an overarching program management system. The system will provide the Russian Federation with the tools to effectively manage prioritizing, planning, and physically decommissioning assets i n northwest Russia to mitigate risks associated the Soviet era nuclear submarine program. Project-management delivery using world-class techniques supported by aligned systems has been proven to increase the probability of delivering on-time and on-budget, assuring those funding such programs optimum value for money. However, systems deployed to manage multi-laterally funded projects must be developed with appropriate levels of consideration given to unique aspects such as: accommodation of existing project management methods, consideration for differences is management structures and organizational behaviors, incorporation of unique strengths, and subtle

  14. Exercise during pregnancy and its association with gestational weight gain.

    Science.gov (United States)

    Harris, Shericka T; Liu, Jihong; Wilcox, Sara; Moran, Robert; Gallagher, Alexa

    2015-03-01

    We examined the association between exercise during pregnancy and meeting gestational weight gain recommendations. Data came from the 2009 South Carolina Pregnancy Risk Assessment Monitoring System (n = 856). Women reported their participation in exercise/sports activities before and during pregnancy, including the number of months and types of exercise. We developed an exercise index (EI), the product of the number of months spent in exercise and average metabolic equivalents for specific exercise. The 2009 Institute of Medicine's guideline was used to categorize gestational weight gain into three classes: inadequate, adequate, and excessive. Multinomial logistic regression models were used to adjust for confounders. Over 46 % of women exceeded the recommended weight gain during pregnancy. Nearly one third (31.9 %) of women reported exercising ≥3 times a week at any time during pregnancy. Compared to women who did not report this level of exercise during pregnancy, exercising women were more likely to meet gestational weight gain recommendations (32.7 vs. 18.7 %) and had a lower odds of excessive gestational weight gain [adjusted odds ratio (AOR) 0.43, 95 % confidence interval 0.24-0.78]. Women with an EI above the median value of those women who exercised or women who exercised ≥3 times a week for 6-9 months during pregnancy had lower odds of excessive gestational weight gain (AOR for EI 0.20, 0.08-0.49; AOR for months 0.26, 0.12-0.56, respectively). Our findings support the need to promote or increase exercise during pregnancy to reduce the high proportion of women who are gaining excessive weight.

  15. Sugars, exercise and health.

    Science.gov (United States)

    Codella, Roberto; Terruzzi, Ileana; Luzi, Livio

    2017-12-15

    There is a direct link between a variety of addictions and mood states to which exercise could be relieving. Sugar addiction has been recently counted as another binge/compulsive/addictive eating behavior, differently induced, leading to a high-significant health problem. Regularly exercising at moderate intensity has been shown to efficiently and positively impact upon physiological imbalances caused by several morbid conditions, including affective disorders. Even in a wider set of physchiatric diseases, physical exercise has been prescribed as a complementary therapeutic strategy. A comprehensive literature search was carried out in the Cochrane Library and MEDLINE databases (search terms: sugar addiction, food craving, exercise therapy, training, physical fitness, physical activity, rehabilitation and aerobic). Seeking high-sugar diets, also in a reward- or craving-addiction fashion, can generate drastic metabolic derangements, often interpolated with affective disorders, for which exercise may represent a valuable, universal, non-pharmachological barrier. More research in humans is needed to confirm potential exercise-mechanisms that may break the bond between sugar over-consumption and affective disorders. The purpose of this review is to address the importance of physical exercise in reversing the gloomy scenario of unhealthy diets and sedentary lifestyles in our modern society. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. EXERCISE DURING PREGNANCY

    Directory of Open Access Journals (Sweden)

    Zrna Agačević

    2011-03-01

    Full Text Available Exercise has become a vital part of many women's lives. However, theoretic concerns have been raised about the safety of some forms of exercise during pregnancy. Because of the physiologic changes associated with pregnancy, as well as the hemodynamic response to exercise, some precautions should be observed. The physician should screen for any contraindications to exercise and encourage patients to avoid overly vigorous activity, especially in the third trimester, when most pregnant women have a decreased tolerance for weight-bearing exercise. Adequate hydration and appropriate ventilation are important in preventing the possible teratogenic effects of overheating. Pregnant women should avoid exercise that involves the risk of abdominal trauma, falls or excessive joint stress, as in contact sports and vigorous racquet sports. In the absence of any obstetric or medical complications, most women can maintain a regular exercise regimen during pregnancy. Some studies have found a greater sense of well-being, shorter labor and fewer obstetric interventions in physically wellconditioned women as compared with other women.

  17. [Hypertension and exercise. Sports methods for the hypertensive patient].

    Science.gov (United States)

    Thiele, Holger; Pohlink, Carla; Schuler, Gerhard

    2004-06-01

    Physical exercise is of paramount therapeutic importance in nonpharmacological interventions of arterial hypertension. The extent and the effects of exercise on blood pressure lowering are analyzed according to the actual literature. Suitable and nonsuitable activities are considered. Dynamic isotonic endurance training is more effective than static isometric exercise. A rather low or moderate extent of endurance training lowers the systolic and diastolic blood pressure by approximately 5-11 mmHg and 3-8 mmHg, respectively. This effect of exercise can be achieved besides the favorable effects on other cardiovascular risk factors. Intensity of exercise should be monitored by the heart rate. The mean intensity should not exceed 70% of the maximal heart rate. An initial ergometry might be suitable for the planning of training recommendations.

  18. Personalized exercise for adolescents with diabetes or obesity.

    Science.gov (United States)

    Faulkner, Melissa Spezia; Michaliszyn, Sara Fleet; Hepworth, Joseph T; Wheeler, Mark D

    2014-01-01

    This study examined adherence to a personalized, community-based exercise intervention by sedentary adolescents with type 1 or type 2 diabetes or those with obesity. We conducted a pretest-posttest investigation to explore the application of an individualized exercise prescription based upon current fitness level for 39 adolescents (20 with type 1 diabetes, 9 with type 2 diabetes, and 10 obese) over 16 weeks in community settings. Subjects were recruited from a university-based pediatric endocrinology clinic in the southwestern United States. Adherence to the exercise prescription was monitored using accelerometers over the entire intervention period. Moderate-to-vigorous physical activity (MVPA) levels significantly increased over sedentary baseline values (p exercise is challenging. Personalized approaches that include adolescent choices with family support and ongoing motivation can improve individual exercise adherence and a sense of personal health.

  19. Lessons learned during the development and conduct of exercise Fermont

    International Nuclear Information System (INIS)

    Faulk, S.M.

    1995-04-01

    On September 22--23, 1993, the DOE, Richland Operations Office (RL) in Richland, Washington conducted a major field exercise named Fremont. This exercise tested the ability of the Site emergency organization and the State and local emergency organizations in both Washington and Oregon to take the appropriate actions to mitigate a major emergency and to protect the citizens of the region. The exercise involved initial emergency activities as well as intermediate and late phase actions including relocation and ingestion activities. A major element of the exercise was the participation of the Federal Radiological Monitoring and Assessment Center (FRMAC). This was the first major exercise that a DOE site requested a full FRMAC participation in a nonclassified environment

  20. Myocardial performance and perfusion during exercise in patients with coronary artery disease caused by Kawasaki disease

    International Nuclear Information System (INIS)

    Paridon, S.M.; Ross, R.D.; Kuhns, L.R.; Pinsky, W.W.

    1990-01-01

    For a study of the natural history of coronary artery lesions after Kawasaki disease and their effect on myocardial blood flow reserve with exercise, five such patients underwent exercise testing on a bicycle. Oxygen consumption, carbon dioxide production, minute ventilation, and electrocardiograms were monitored continuously. Thallium-201 scintigraphy was performed for all patients. One patient stopped exercise before exhaustion of cardiovascular reserve but had no evidence of myocardial perfusion abnormalities. Four patients terminated exercise because of exhaustion of cardiovascular reserve; one had normal cardiovascular reserve and thallium scintiscans, but the remaining patients had diminished cardiovascular reserve. Thallium scintigrams showed myocardial ischemia in two and infarction in one. No patient had exercise-induced electrocardiographic changes. These results indicate that patients with residual coronary artery lesions after Kawasaki disease frequently have reduced cardiovascular reserve during exercise. The addition of thallium scintigraphy and metabolic measurements to exercise testing improved the detection of exercise-induced abnormalities of myocardial perfusion

  1. "It's exercise or nothing": a qualitative analysis of exercise dependence

    Science.gov (United States)

    Bamber, D; Cockerill, I; Rodgers, S; Carroll, D

    2000-01-01

    Objectives—To explore, using qualitative methods, the concept of exercise dependence. Semistructured interviews were undertaken with subjects screened for exercise dependence and eating disorders. Methods—Female exercisers, four in each case, were allocated a priori to four groups: primary exercise dependent; secondary exercise dependent, where there was a coincidence of exercise dependence and an eating disorder; eating disordered; control, where there was no evidence of either exercise dependence or eating disorder. They were asked about their exercise and eating attitudes and behaviour, as well as about any history of psychological distress. Their narratives were taped, transcribed, and analysed from a social constructionist perspective using QSR NUD*IST. Results—Participants classified as primary exercise dependent either showed no evidence of exercise dependent attitudes and behaviour or, if they exhibited features of exercise dependence, displayed symptoms of an eating disorder. Only the latter reported a history of psychological distress, similar to that exhibited by women classified as secondary exercise dependent or eating disordered. For secondary exercise dependent and eating disordered women, as well as for controls, the narratives largely confirmed the a priori classification. Conclusions—Where exercise dependence was manifest, it was always in the context of an eating disorder, and it was this co-morbidity, in addition to eating disorders per se, that was associated with psychological distress. As such, these qualitative data support the concept of secondary, but not primary, exercise dependence. Key Words: exercise dependence; eating disorders; psychological distress; anorexia; bulimia PMID:11131229

  2. Exercise as medicine

    DEFF Research Database (Denmark)

    Pedersen, Bente Klarlund; Saltin, Bengt

    2015-01-01

    disease, asthma, cystic fibrosis); musculo-skeletal disorders (osteoarthritis, osteoporosis, back pain, rheumatoid arthritis); and cancer. The effect of exercise therapy on disease pathogenesis and symptoms are given and the possible mechanisms of action are discussed. We have interpreted the scientific......This review provides the reader with the up-to-date evidence-based basis for prescribing exercise as medicine in the treatment of 26 different diseases: psychiatric diseases (depression, anxiety, stress, schizophrenia); neurological diseases (dementia, Parkinson's disease, multiple sclerosis...... literature and for each disease, we provide the reader with our best advice regarding the optimal type and dose for prescription of exercise....

  3. Exercise-Induced Oxidative Stress Responses in the Pediatric Population

    Directory of Open Access Journals (Sweden)

    Alexandra Avloniti

    2017-01-01

    Full Text Available Adults demonstrate an upregulation of their pro- and anti-oxidant mechanisms in response to acute exercise while systematic exercise training enhances their antioxidant capacity, thereby leading to a reduced generation of free radicals both at rest and in response to exercise stress. However, less information exists regarding oxidative stress responses and the underlying mechanisms in the pediatric population. Evidence suggests that exercise-induced redox perturbations may be valuable in order to monitor exercise-induced inflammatory responses and as such training overload in children and adolescents as well as monitor optimal growth and development. The purpose of this review was to provide an update on oxidative stress responses to acute and chronic exercise in youth. It has been documented that acute exercise induces age-specific transient alterations in both oxidant and antioxidant markers in children and adolescents. However, these responses seem to be affected by factors such as training phase, training load, fitness level, mode of exercise etc. In relation to chronic adaptation, the role of training on oxidative stress adaptation has not been adequately investigated. The two studies performed so far indicate that children and adolescents exhibit positive adaptations of their antioxidant system, as adults do. More studies are needed in order to shed light on oxidative stress and antioxidant responses, following acute exercise and training adaptations in youth. Available evidence suggests that small amounts of oxidative stress may be necessary for growth whereas the transition to adolescence from childhood may promote maturation of pro- and anti-oxidant mechanisms. Available evidence also suggests that obesity may negatively affect basal and exercise-related antioxidant responses in the peripubertal period during pre- and early-puberty.

  4. Does exercise motivation predict engagement in objectively assessed bouts of moderate-intensity exercise? A self-determination theory perspective.

    Science.gov (United States)

    Standage, Martyn; Sebire, Simon J; Loney, Tom

    2008-08-01

    This study examined the utility of motivation as advanced by self-determination theory (Deci & Ryan, 2000) in predicting objectively assessed bouts of moderate intensity exercise behavior. Participants provided data pertaining to their exercise motivation. One week later, participants wore a combined accelerometer and heart rate monitor (Actiheart; Cambridge Neurotechnology Ltd) and 24-hr energy expenditure was estimated for 7 days. After controlling for gender and a combined marker of BMI and waist circumference, results showed autonomous motivation to positively predict moderate-intensity exercise bouts of >or=10 min, or=20 min, and an accumulation needed to meet public health recommendations for moderate intensity activity (i.e., ACSM/AHA guidelines). The present findings add bouts of objectively assessed exercise behavior to the growing body of literature that documents the adaptive consequences of engaging in exercise for autonomous reasons. Implications for practice and future work are discussed.

  5. Results of the Monte Carlo 'simple case' benchmark exercise

    International Nuclear Information System (INIS)

    2003-11-01

    A new 'simple case' benchmark intercomparison exercise was launched, intended to study the importance of the fundamental nuclear data constants, physics treatments and geometry model approximations, employed by Monte Carlo codes in common use. The exercise was also directed at determining the level of agreement which can be expected between measured and calculated quantities, using current state or the art modelling codes and techniques. To this end, measurements and Monte Carlo calculations of the total (or gross) neutron count rates have been performed using a simple moderated 3 He cylindrical proportional counter array or 'slab monitor' counting geometry, deciding to select a very simple geometry for this exercise

  6. Personal customizing exercise with a wearable measurement and control unit.

    Science.gov (United States)

    Wang, Zhihui; Kiryu, Tohru; Tamura, Naoki

    2005-06-28

    Recently, wearable technology has been used in various health-related fields to develop advanced monitoring solutions. However, the monitoring function alone cannot meet all the requirements of customizing machine-based exercise on an individual basis by relying on biosignal-based controls. We propose a new wearable unit design equipped with measurement and control functions to support the customization process. The wearable unit can measure the heart rate and electromyogram signals during exercise performance and output workload control commands to the exercise machines. The workload is continuously tracked with exercise programs set according to personally customized workload patterns and estimation results from the measured biosignals by a fuzzy control method. Exercise programs are adapted by relying on a computer workstation, which communicates with the wearable unit via wireless connections. A prototype of the wearable unit was tested together with an Internet-based cycle ergometer system to demonstrate that it is possible to customize exercise on an individual basis. We tested the wearable unit in nine people to assess its suitability to control cycle ergometer exercise. The results confirmed that the unit could successfully control the ergometer workload and continuously support gradual changes in physical activities. The design of wearable units equipped with measurement and control functions is an important step towards establishing a convenient and continuously supported wellness environment.

  7. Personal customizing exercise with a wearable measurement and control unit

    Directory of Open Access Journals (Sweden)

    Tamura Naoki

    2005-06-01

    Full Text Available Abstract Background Recently, wearable technology has been used in various health-related fields to develop advanced monitoring solutions. However, the monitoring function alone cannot meet all the requirements of customizing machine-based exercise on an individual basis by relying on biosignal-based controls. We propose a new wearable unit design equipped with measurement and control functions to support the customization process. Methods The wearable unit can measure the heart rate and electromyogram signals during exercise performance and output workload control commands to the exercise machines. The workload is continuously tracked with exercise programs set according to personally customized workload patterns and estimation results from the measured biosignals by a fuzzy control method. Exercise programs are adapted by relying on a computer workstation, which communicates with the wearable unit via wireless connections. A prototype of the wearable unit was tested together with an Internet-based cycle ergometer system to demonstrate that it is possible to customize exercise on an individual basis. Results We tested the wearable unit in nine people to assess its suitability to control cycle ergometer exercise. The results confirmed that the unit could successfully control the ergometer workload and continuously support gradual changes in physical activities. Conclusion The design of wearable units equipped with measurement and control functions is an important step towards establishing a convenient and continuously supported wellness environment.

  8. A disaster relief exercise

    Science.gov (United States)

    Quagliotti, Fulvia; Novaro Mascarello, Laura

    2016-04-01

    The Remotely Piloted Aircraft Systems (RPAS) is an effective tool for military applications, both for properly military operations, such as research missions and road surveillance, and for civilian support after natural disasters, like landslides, floods, and earthquakes, when reaching victims is often hard or it would take too much time for their survival. Information are needed without hazarding the life of the military troops. When roads, bridges and other communication ways are usually not available, the unmanned platform is the only easy and fast way to contact people. It can be launched directly from the operation site and it could take crucial information or carry medication, necessaries and everything that could help rescue teams. The unmanned platform can also be used for the first aid in an emergency situation when the use of a helicopter is too dangerous and other troops could be involved in heavy fighting. The RPAS has some advantages. First is the reduced cost, compared to traditional aircraft, that could enable the user to have several operating units. Secondly, pilots are not on board and therefore, if needed, the crew' rotation and rest do not imply the need to stop operations. The third fact is that, depending on the type of delivery that is used, the operations may take place on a twenty-four hours' base. The main benefit achieved with these three facts is that continuous operation may take place and eventually make up the capacity difference. To sum up, the main motivation behind this employment of UAS is to replace human lives on the cockpits and to assure the execution of Dangerous, Dull and Dirty missions. In May 2015, the ERIDANO Exercise was performed in Moncalieri city, near Turin (Italy) and it was a joint exercise between the Italian Army, National Emergency Service and Politecnico of Turin. The aim was the control and management of emergency situations due to natural disasters. In particular, a flood was simulated. A multicopter was used

  9. Emergency exercise ''Mosel 90''

    International Nuclear Information System (INIS)

    Miska, H.H.

    1993-01-01

    An emergency exercise for the environs of the nuclear power plant CPN de Cattenom was performed from April, 5th to 7th, 1990. Administration and operational personnel from Luxembourg, Saarland, and Rhineland-Palatinate (RP) participated in the combined staff and field exercise; the competent French authority, la Prefecture de Metz, played the role of the licencee. While each responsible authority tested its alarm -and response plan and trained its personnel, a major aim of the off-site exercise was to investigate and improve the methods of communication in this border region location; the outer planning zone (radius 25 km) of the French reactors encompasses parts of Luxembourg and of the two German states mentioned above. Preparation and scenario of the exercise will be explained and lessons learned will be discussed

  10. Parkinson's Disease: Exercise

    Science.gov (United States)

    ... physical activity can improve many PD symptoms. These benefits are supported by research. The Parkinson’s Outcomes Project shows that people with PD who start exercising earlier and a minimum of 2.5 hours ...

  11. 'Exercise is Medicine'?

    African Journals Online (AJOL)

    exercise in the treatment of obesity, type 2 diabetes and hyperlipidaemia. Conclusion. .... Arthritis. 109 (45). 89 (37). 34 (14). 12 (5). Rheumatoid arthritis. 86 (36). 83 (35) .... PA is free and consequently a viable alternative to pharmaceuticals.

  12. Cardiovascular control during exercise

    DEFF Research Database (Denmark)

    Dela, Flemming; Mohr, Thomas; Jensen, Christina M R

    2003-01-01

    We studied the role of the central nervous system, neural feedback from contracting skeletal muscles, and sympathetic activity to the heart in the control of heart rate and blood pressure during 2 levels of dynamic exercise....

  13. Exercise and activity - children

    Science.gov (United States)

    ... Group sports are another option, such as soccer, football, basketball, karate, or tennis. Choose an exercise that ... herein should not be used during any medical emergency or for the diagnosis or treatment of any ...

  14. Why Exercise Is Wise

    Science.gov (United States)

    ... dancing, in-line skating, tennis , cross-country skiing, hiking, and walking quickly. Strength Training The heart isn't the only muscle to benefit from regular exercise. The other muscles in your ...

  15. Exercise and Asthma

    Science.gov (United States)

    ... bursts of energy are also recommended. These include: • Hiking • Baseball • Golf • Walking • Leisure biking Because cold, dry ... plan. Exercise is important and provides many health benefits, especially for people with asthma. So don’t ...

  16. Kids and Exercise

    Science.gov (United States)

    ... a better outlook on life Besides enjoying the health benefits of regular exercise, fit kids sleep better. They' ... Can I Get My Kids to Be Active Outdoors? Strength Training What If I Don't Like ...

  17. Heart-Healthy Exercise

    Science.gov (United States)

    ... also important to perform stretches, resistance training, and balance exercises on a regular basis; these will help to improve flexibility, increase strength, and reduce fall risk ( Table ). View this table: View inline View popup ...

  18. Exercise clothing and shoes

    Science.gov (United States)

    ... form-fitting, stretchy clothing for activities like: Running Biking Advanced yoga/Pilates Swimming You may be able ... A.D.A.M. Editorial team. Related MedlinePlus Health Topics Exercise and Physical Fitness Browse the Encyclopedia ...

  19. Rethinking exercise identity

    DEFF Research Database (Denmark)

    Adamsen, Lis; Andersen, Christina; Lillelund, Christian

    2017-01-01

    Objective: To explore physically inactive breast and colon cancer patients’ prediagnosis exercise history and attitudes to physical activity (PA) and experiences in initiating PA while undergoing adjuvant chemotherapy. Design: An explorative qualitative study guided the interpretive analysis...... age 49 years: 25 patients with breast cancer and 8 with colon cancer, 72% with a low cardiac respiratory fitness level and the majority with a high level of education. Patients received adjuvant chemotherapy, oncologist’s PA recommendation and exercise, cancer nurse specialist’s counselling prior...... to allocation to PA interventions or waitlist control group. Results: Prediagnosis exercise had been excluded from patients’ daily lives due to perceptions of exercise as boring, lack of discipline and stressful work conditions for both genders. Recommendations from oncologists and nurses inspired the patients...

  20. [Exercise in arterial hypertension].

    Science.gov (United States)

    Predel, Hans-Georg; Schramm, Thomas

    2006-09-01

    Regular endurance training has established itself as a major therapeutic principle in the specter of nonpharmacological measures in arterial hypertension. An initial medical check as well as an adequate technique, dosage and intensity of the prescribed exercise training are mandatory. With respect to the concomitant pharmacological treatment, it should be considered that the beneficial effects of lifestyle modification will not be counteracted by the chosen antihypertensive drug but, ideally, synergistically supported. Based on the individual clinical situation, principally all antihypertensive drugs recommended by the current European guidelines, may be prescribed as mono- or combination therapy.beta-receptor blockers are especially capable of controlling excessive exercise-induced blood pressure increase; however, they have metabolic and exercise physiological limitations. The neutrality concerning metabolic and exercise physiological parameters as well as the positive profile of side effects favor ACE inhibitors, long-acting calcium channel blockers and especially AT(1) antagonists in physically active hypertensive patients with concomitant metabolic syndrome.

  1. Exercise Equipment: Neutral Buoyancy

    Data.gov (United States)

    National Aeronautics and Space Administration — Axial skeletal loads coupled with muscle forces maintain bone in the spine and lower extremities during International Space Station (ISS) missions. Current exercise...

  2. Learn to love exercise

    Science.gov (United States)

    ... well, such as tickets to a concert or movie. Alternative Names Prevention - learn to love exercise; Wellness - ... 23630089 www.ncbi.nlm.nih.gov/pubmed/23630089 . Review Date 5/21/2016 Updated by: Linda J. ...

  3. [Lumbar stabilization exercises].

    Science.gov (United States)

    Vásquez-Ríos, Jorge Rodrigo; Nava-Bringas, Tania Inés

    2014-01-01

    Exercise is the intervention with the highest level of evidence on efficacy for treatment of chronic low back pain, with a higher benefit in terms of pain and function compared to any other intervention. A wide variety of exercises programs have been designed; however, "lumbar stabilization exercises" have become increasingly popular among clinicians who are in contact with spine diseases. However, there is controversy regarding the adequate prescription and there are multiple protocols. The aim of this literature review is to analyze the information about these exercises to promote better decision-making among clinicians and design the best program for each patient. We found the program an essential tool in the treatment of low back pain in both therapeutic and preventive phases.

  4. Why Exercise Is Cool

    Science.gov (United States)

    ... these: swimming basketball hockey running or walking skating soccer cross-country skiing riding your bike jumping rope ... My Body? Can Kids With Asthma Play Sports? Nutrition & Fitness Center Sports, Exercise, and Diabetes Getting Muscles ...

  5. Getting Exercise in College

    Science.gov (United States)

    ... in college? What Does My Body Need? The importance of exercise is nothing new. Thomas Jefferson once ... commitment to regular activity. According to the 2008 Physical activity guidelines, kids and teens should do 60 minutes ...

  6. "It's exercise or nothing": a qualitative analysis of exercise dependence.

    Science.gov (United States)

    Bamber, D; Cockerill, I M; Rodgers, S; Carroll, D

    2000-12-01

    To explore, using qualitative methods, the concept of exercise dependence. Semistructured interviews were undertaken with subjects screened for exercise dependence and eating disorders. Female exercisers, four in each case, were allocated a priori to four groups: primary exercise dependent; secondary exercise dependent, where there was a coincidence of exercise dependence and an eating disorder; eating disordered; control, where there was no evidence of either exercise dependence or eating disorder. They were asked about their exercise and eating attitudes and behaviour, as well as about any history of psychological distress. Their narratives were taped, transcribed, and analysed from a social constructionist perspective using QSR NUD*IST. Participants classified as primary exercise dependent either showed no evidence of exercise dependent attitudes and behaviour or, if they exhibited features of exercise dependence, displayed symptoms of an eating disorder. Only the latter reported a history of psychological distress, similar to that exhibited by women classified as secondary exercise dependent or eating disordered. For secondary exercise dependent and eating disordered women, as well as for controls, the narratives largely confirmed the a priori classification. Where exercise dependence was manifest, it was always in the context of an eating disorder, and it was this comorbidity, in addition to eating disorders per se, that was associated with psychological distress. As such, these qualitative data support the concept of secondary, but not primary, exercise dependence.

  7. Physiotherapy exercise programmes: are instructional exercise sheets effective?

    Science.gov (United States)

    Smith, Jo; Lewis, Jeremy; Prichard, Diana

    2005-01-01

    Effective compliance with physiotherapy exercises is only possible if patients remember the exercises accurately. The purpose of this study was to assess how well elderly in-patients remembered simple physiotherapy exercises, by comparing the ability to accurately reproduce a set of exercises in a group of patients that had received a written exercise sheet, with a group that had not. The study also aimed to investigate the relationship between memory for exercises and cognition. Sixty-four in-patients in an acute hospital were taught 3 exercises. Half of the subjects were randomised to receive exercise sheets to reinforce the teaching (Group 1). The rest of the subjects did not receive this memory aid (Group 2). Two to three days later subjects were asked to demonstrate their exercises. The accurate recall of the exercises was scored using a new assessment scale with a maximum score of 24. The mean exercise score was 17.19 for group 1 (SD = 5.91) and 16.24 for Group 2 (SD = 6.01). There was no significant difference in exercise score between groups (Mann Whitney U test p = 0.44). There was a statistically significant small positive correlation between exercise score and cognition (tau = 0.263). The study showed that older adult in-patients do not remember physiotherapy exercises effectively after a single teaching session and that their memory is not significantly improved by provision of an exercise sheet.

  8. Exercise Therapy for Fibromyalgia

    OpenAIRE

    Busch, Angela J.; Webber, Sandra C.; Brachaniec, Mary; Bidonde, Julia; Bello-Haas, Vanina Dal; Danyliw, Adrienne D.; Overend, Tom J.; Richards, Rachel S.; Sawant, Anuradha; Schachter, Candice L.

    2011-01-01

    Fibromyalgia syndrome, a chronic condition typically characterized by widespread pain, nonrestorative sleep, fatigue, cognitive dysfunction, and other somatic symptoms, negatively impacts physical and emotional function and reduces quality of life. Exercise is commonly recommended in the management of people with fibromyalgia, and interest in examining exercise benefits for those with the syndrome has grown substantially over the past 25 years. Research supports aerobic and strength training ...

  9. Soil conservation measures: exercises

    OpenAIRE

    Figueiredo, Tomás de; Fonseca, Felícia

    2009-01-01

    Exercises proposed under the topic of Soil Conservation Measures addresses to the design of structural measure, namely waterways in the context of a soil conservation plan. However, to get a better insight on the actual meaning of soil loss as a resource loss, a prior exercise is proposed to students. It concerns calculations of soil loss due to sheet (interrill) erosion and to gully erosion, and allows the perception through realistic number of the impact of these mechanism...

  10. Troponin and exercise.

    Science.gov (United States)

    Gresslien, T; Agewall, S

    2016-10-15

    Cardiac troponins are the preferred biomarkers in diagnostic of myocardial infarction, but these markers also can rise in response to exercise. Multiple studies have assessed troponins post-exercise, but the results have varied and there have been disagreements about the mechanism of troponin release. The aim of this paper was to review the literature, and to consider factors and mechanisms regarding exercise-induced increase of troponin. 145 studies were found after a search in pubmed and inclusion of additional articles found in the reference list of the first articles. Results showed that troponin rises in 0-100% of subjects after prolonged heavy exercise like marathon, but also after short-term and intermittent exercise like 30min of running and basketball. The variation can be due to factors like intensity, age, training experience, variation in sample size, blood sample timing and troponin assay. The pattern of troponin level post-exercise corresponds to release from the cytosolic compartment of cardiomyocytes. Increased membrane permeability might be caused by production of reactive oxygen species or alterations in calcium, pH, glucose/fat metabolism or in communication between integrins. Other suggested mechanisms are increased cardiovascular stress, inflammation, vasculitis, release of troponin degradation products in "blebs", dehydration, impaired renal clearance and expression of cardiac troponin in skeletal muscle. It can be concluded that both heavy and light exercise may cause elevated troponin, which have to be considered when patient are suspected to have a myocardial infarction. Several factors probably influence post-exercise levels of troponin, but the mechanism of release is most likely physiologic. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. De ‘Trabalhador Migrante’ a ‘Cidadão Sul-Americano’: uma análise da política migratória multilateral

    Directory of Open Access Journals (Sweden)

    Jacques Ramírez Gallegos

    2017-04-01

    Full Text Available Resumo O presente artigo examina o tratamento dos assuntos migratórios na América do Sul de uma perspectiva multilateral. A tese central do texto é que tanto a CAN como o Mercosul tiveram uma visão unidimensional do assunto, na qual prevalecem os enfoques econômico-comerciais e veem os migrantes como “mão de obra”. Ao contrário dessa visão esta a UNASUL, que vem pensando o tema de maneira integral, superando a histórica divisão entre “migrantes desejáveis” e “não desejáveis” e recuperando a categoria de cidadania sul-americana como  um elemento central para a integração regional. Palavras-chaves: migração, multilateralismo,  integração, cidadania sul-americana.   De ‘Trabajador Migrante’ a ‘Ciudadano Suramericano’: un análisis de la política migratoria multilateral Resumen El presente artículo examina el tratamiento de los asuntos migratorios en América del Sur desde una perspectiva multilateral. La tesis central del texto es que tanto la CAN (Comunidad Andina de Naciones como MERCOSUR (Mercado Común del Sur han tenido una mirada unidimensional donde prevalecen los enfoques económico comerciales y ven a los migrantes como ‘mano de obra’. Por el contrario, desde la UNASUR (Unión de Naciones Suramericanas se ha pensando el tema de manera integral superando la histíricoa división entre ‘migrantes deseables’ y ‘no deseables’ y recuperando la categoría de ciudadanía suramericana como un elemento central para la integración regional. Palabras Claves: migración, multilateralismo, integración, ciudadania suramericana   From 'Migrant Worker' to 'South American Citizen': an analysis of multilateral migration policy Summary This article examines the treatment of migratory issues in South America from a multilateral perspective. The central argument holds that both the CAN (the Community of Andean Nations, and the MERCOSUR have a vision of migratory issues that is largely dictated by the

  12. Off-site emergency exercises

    International Nuclear Information System (INIS)

    Miska, H.

    1999-01-01

    Because of the rareness of nuclear emergencies, the response to such an event has to be exercised regularly. The main objectives of such exercises, examination of plans, test of equipment, and education of the personnel, will be dealt with. Different types of exercises are presented, and good practices for exercises explained. Finally, a critical assessment of exercise experience and an outlook is presented. (orig.) [de

  13. Effects of acute exercise on gene expression in exercising and non-exercising human skeletal muscle

    NARCIS (Netherlands)

    Catoire, Milene; Mensink, Marco; Boekschoten, Mark; Hangelbroek, Roland; Muller, Michael; Schrauwen, Patricht; Kersten, Sander

    2012-01-01

    Background: Exercising is know to have an effect on exercising skeletal muscle, but unkown is the effect on non-exercising skeletal muscle. Gene expression changes in the non-exercising skeletal muscle would point to a signalling role of skeletal muscle

  14. Physical exercise as therapy for type 2 diabetes mellitus.

    Science.gov (United States)

    Balducci, Stefano; Sacchetti, Massimo; Haxhi, Jonida; Orlando, Giorgio; D'Errico, Valeria; Fallucca, Sara; Menini, Stefano; Pugliese, Giuseppe

    2014-03-01

    Many studies have highlighted the importance of physical activity (PA) for health, and recent evidence now points to the positive improvements associated with exercise in type 2 diabetes mellitus (T2DM). However, few physicians are willing to prescribe exercise as a therapy for diabetic patients. In addition, there is a lack of information on how to implement exercise therapy especially in long-term exercise regimens. The purpose of this manuscript is to summarize standards of exercise therapy for patients with T2DM, both in terms of prescribing and monitoring, according to the American College of Sports Medicine and the American Diabetes Association guidelines. We present details of the exercise therapies used in long-term studies, describing how the parameters for exercise prescription were applied in clinical practice. These parameters are described in terms of frequency, intensity, duration, mode and rate of progression in long-term therapeutic prescriptions. Individual responses to exercise dose are discussed, and critical issues to be considered in patients with underlying disease and in T2DM patients are highlighted. Copyright © 2013 John Wiley & Sons, Ltd.

  15. Self-determined to exercise? Leisure-time exercise behavior, exercise motivation, and exercise dependence in youth.

    Science.gov (United States)

    Symons Downs, Danielle; Savage, Jennifer S; DiNallo, Jennifer M

    2013-02-01

    Scant research has examined the determinants of primary exercise dependence symptoms in youth. Study purposes were to examine sex differences across leisure-time exercise behavior, motivation, and primary exercise dependence symptoms in youth and the extent to which exercise behavior and motivation predicted exercise dependence within the Self-Determination Theory framework. Adolescents (N = 805; mean age = 15 years; 46% girls) completed measures of exercise behavior, motivation, and exercise dependence in health/PE classes. One-way ANOVA revealed boys scored higher than girls on leisure-time exercise behavior, exercise dependence symptoms, and most of the exercise motivation subscales. Hierarchical regression analyses indicated a) sex, exercise behavior, motivation, and their interaction terms explained 39% of the variance in primary exercise dependence; b) Integrated Regulation and Introjected Regulation were important determinants of exercise dependence; and c) sex moderated the contributions of External Regulation for predicting exercise dependence such that boys in the high and low external regulation groups had higher symptoms than girls in the high and low external regulation groups. These preliminary findings support the controlled dimensions of Integrated Regulation (boys, girls), Introjected Regulation (boys, girls), and External Regulation (boys only) are important determinants of primary exercise dependence symptoms.

  16. Communication of 12 June 2009 received from the Permanent Missions of Germany and the Russian Federation with regard to a working paper 'Principles of fuel supply guarantees and the multilateralization of fuel cycle activities'

    International Nuclear Information System (INIS)

    2009-01-01

    The Secretariat has received a communication dated 12 June 2009 from the Permanent Missions of Germany and the Russian Federation, transmitting the text of the working paper 'Principles of fuel supply guarantees and the multilateralization of fuel cycle activities' submitted by Germany and the Russian Federation to the Preparatory Committee for the 2010 Review Conference of the Parties to the Treaty on the Non-Proliferation of Nuclear Weapons. As requested in that communication, the abovementioned paper is herewith circulated for the information of all Member States

  17. Ambulatory ST segment monitoring after myocardial infarction

    DEFF Research Database (Denmark)

    Mickley, H

    1994-01-01

    as important reasons for the inconsistent findings. The precise role of ambulatory ST segment monitoring in clinical practice has yet to be established. Direct comparisons with exercise stress testing may not be appropriate for two reasons. Firstly, the main advantage of ambulatory monitoring may...

  18. Do supervised weekly exercise programs maintain functional exercise capacity and quality of life, twelve months after pulmonary rehabilitation in COPD?

    Directory of Open Access Journals (Sweden)

    Alison Jennifer A

    2007-05-01

    Full Text Available Abstract Background Pulmonary rehabilitation programs have been shown to increase functional exercise capacity and quality of life in COPD patients. However, following the completion of pulmonary rehabilitation the benefits begin to decline unless the program is of longer duration or ongoing maintenance exercise is followed. Therefore, the aim of this study is to determine if supervised, weekly, hospital-based exercise compared to home exercise will maintain the benefits gained from an eight-week pulmonary rehabilitation program in COPD subjects to twelve months. Methods Following completion of an eight-week pulmonary rehabilitation program, COPD subjects will be recruited and randomised (using concealed allocation in numbered envelopes into either the maintenance exercise group (supervised, weekly, hospital-based exercise or the control group (unsupervised home exercise and followed for twelve months. Measurements will be taken at baseline (post an eight-week pulmonary rehabilitation program, three, six and twelve months. The exercise measurements will include two six-minute walk tests, two incremental shuttle walk tests, and two endurance shuttle walk tests. Oxygen saturation, heart rate and dyspnoea will be monitored during all these tests. Quality of life will be measured using the St George's Respiratory Questionnaire and the Hospital Anxiety and Depression Scale. Participants will be excluded if they require supplemental oxygen or have neurological or musculoskeletal co-morbidities that will prevent them from exercising independently. Discussion Pulmonary rehabilitation plays an important part in the management of COPD and the results from this study will help determine if supervised, weekly, hospital-based exercise can successfully maintain functional exercise capacity and quality of life following an eight-week pulmonary rehabilitation program in COPD subjects in Australia.

  19. Claims Handling Co-operation between Nuclear Insurance Pools in a Case of Transboundary Damage - Multilateral and Bilateral Agreements in Progress

    International Nuclear Information System (INIS)

    Zaruba, P.

    2008-01-01

    The paper is a short progress report on matters concerning the core reason for insurance of nuclear third party liability - registration, handling, organizing and settling of claims in case of a major nuclear incident, underlining claims handling co-operation between national nuclear insurance pools when damage to health or property becomes international. The contents of this paper is in close relation to information provided on this subject during the 6th International Conference in 2006. Commercial insurance companies have gained extensive experience with handling large scale claims (e.g. after floods and other natural disasters) and are capable in gathering and organizing a high number of professional loss surveyors and adjusters in a very short period of time. In case of nuclear insurance pools co-operation between members (commercial insurance companies) is an added value and can be used practically all over the country bringing into action the network of branches and offices of all the pool members. This advantage is also used in case of cross border claims when it is necessary to gather information and claims advises from a large number of subjects and from many countries, sometimes very far apart. The international network of nuclear insurance pools is an ideal tool for this task and can be mobilized practically at once. Operators of nuclear installations, especially nuclear power plants, do not have the possibility to put aside hundreds of workers to handle claims and are also usually not sufficiently equipped with the necessary know-how. The same goes for governments and government agencies which in many countries guarantee the payments of claims to victims. National nuclear insurance pools are on the other hand well equipped for this task which usually has to be in place for many years after a nuclear incident. Multilateral and bilateral agreements between national nuclear insurance pools and other institutions should be prepared and signed before any

  20. What about the multilateral banks?

    International Nuclear Information System (INIS)

    Planas Alexandra

    1998-02-01

    The role the World Bank and the Inter-American Development Bank are regarding the climate change problem is, in the same way as the international negotiations, pretty weak compared to the magnitude of the problem. The contradictions within these organizations concerning project financing and policies and strategies to support their clients in a sustainable energy path constitute a clear example of the ambiguities that still surrounds the position of the different countries in respect to the human induced global warming problem. Finally, we can see how the different countries and the new market conditions determine the role these organizations can play regarding the climate change problem

  1. The role of cardiopulmonary exercise test for individualized exercise training recommendation in young obese subjects

    Directory of Open Access Journals (Sweden)

    Lucian Hoble

    2010-06-01

    Full Text Available Obesity is affecting a growing segment of the population and should be considered a serious health problem which will lead to medical complications and decreased life span. Lifestyle changes by adopting healthy food and increase energy consumption through physical activity is the most important treatment for obesity. Cardiopulmonary exercise test (CPET is considered the gold standard for exercise capacity assessment. Purpose: This study is aiming to demonstrate that individualized exercise training programs, designed using CPET results, leads to increase of physical fitness, aerobic capacity, ventilatory and cardiac exercise performance in young obese subjects.Material and method:We performed a prospective research study of 6 months. 43 sedentary subjects without contraindications to exercise, 21.3±3.1 years old, 93% female were included in the study. Assessments were made at baseline and after six months of intervention and consists of cardiopulmonary exercise test on bicycle ergometer. After we recorded oxygen uptake at aerobic threshold (AT, anaerobic threshold (in the range of respiratory compensation point – RCP and maximal oxygen uptake (VO2max we designed the training program according to these parameters and individualized heart rate training zones of each subject. Exercise training (60 minutes/session, 3 sessions/week was performed taking in consideration the training zones and using a circuit on cardio devices. Each subject was supervised by a physiotherapist and using heart rate monitors. The number of subjects evaluated at the end of the study was 27 (dropout rate 37%.Results:After six months of intervention we noticed an improvement of maximum oxygen uptake (VO2max (from 22.7±3.69 to 27.44±5.55, aerobic threshold (VO2_AT (from 15.48±2.66 to 20.07±4.64 ml/min/kg, p<0.0001 and anaerobic threshold (VO2_RCP (from 20.3±3.66 to 25.11±5.84 ml/min/kg, p<0.0001, cardiac performance during exercise evaluated trough maximal oxygen

  2. Human Research Program Advanced Exercise Concepts (AEC) Overview

    Science.gov (United States)

    Perusek, Gail; Lewandowski, Beth; Nall, Marsha; Norsk, Peter; Linnehan, Rick; Baumann, David

    2015-01-01

    Exercise countermeasures provide benefits that are crucial for successful human spaceflight, to mitigate the spaceflight physiological deconditioning which occurs during exposure to microgravity. The NASA Human Research Program (HRP) within the Human Exploration and Operations Mission Directorate (HEOMD) is managing next generation Advanced Exercise Concepts (AEC) requirements development and candidate technology maturation to Technology Readiness Level (TRL) 7 (ground prototyping and flight demonstration) for all exploration mission profiles from Multi Purpose Crew Vehicle (MPCV) Exploration Missions (up to 21 day duration) to Mars Transit (up to 1000 day duration) missions. These validated and optimized exercise countermeasures systems will be provided to the ISS Program and MPCV Program for subsequent flight development and operations. The International Space Station (ISS) currently has three major pieces of operational exercise countermeasures hardware: the Advanced Resistive Exercise Device (ARED), the second-generation (T2) treadmill, and the cycle ergometer with vibration isolation system (CEVIS). This suite of exercise countermeasures hardware serves as a benchmark and is a vast improvement over previous generations of countermeasures hardware, providing both aerobic and resistive exercise for the crew. However, vehicle and resource constraints for future exploration missions beyond low Earth orbit will require that the exercise countermeasures hardware mass, volume, and power be minimized, while preserving the current ISS capabilities or even enhancing these exercise capabilities directed at mission specific physiological functional performance and medical standards requirements. Further, mission-specific considerations such as preservation of sensorimotor function, autonomous and adaptable operation, integration with medical data systems, rehabilitation, and in-flight monitoring and feedback are being developed for integration with the exercise

  3. The invisible benefits of exercise.

    Science.gov (United States)

    Ruby, Matthew B; Dunn, Elizabeth W; Perrino, Andrea; Gillis, Randall; Viel, Sasha

    2011-01-01

    To examine whether--and why--people underestimate how much they enjoy exercise. Across four studies, 279 adults predicted how much they would enjoy exercising, or reported their actual feelings after exercising. Main outcome measures were predicted and actual enjoyment ratings of exercise routines, as well as intention to exercise. Participants significantly underestimated how much they would enjoy exercising; this affective forecasting bias emerged consistently for group and individual exercise, and moderate and challenging workouts spanning a wide range of forms, from yoga and Pilates to aerobic exercise and weight training (Studies 1 and 2). We argue that this bias stems largely from forecasting myopia, whereby people place disproportionate weight on the beginning of a workout, which is typically unpleasant. We demonstrate that forecasting myopia can be harnessed (Study 3) or overcome (Study 4), thereby increasing expected enjoyment of exercise. Finally, Study 4 provides evidence for a mediational model, in which improving people's expected enjoyment of exercise leads to increased intention to exercise. People underestimate how much they enjoy exercise because of a myopic focus on the unpleasant beginning of exercise, but this tendency can be harnessed or overcome, potentially increasing intention to exercise. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

  4. SPORT AND EXERCISE PSYCHOLOGY

    Directory of Open Access Journals (Sweden)

    Andy Lane

    2008-09-01

    Full Text Available DESCRIPTION The book introduces the undergraduate psychology student to both academic and professional aspects of Sport and Exercise Psychology. It uses up to date research evidence, established theory and a variety of activities that help the student consider and understand academic and professional aspects of this particular academic discipline. PURPOSE The book aims to provide the undergraduate psychology student with a structured introduction to the subject area and an insight into the theoretical evidence and practical suggestions that underpin what a Sport and Exercise psychologist does. The book also aims to support one term or one semester courses in Sport and Exercise Psychology. It is also appropriate for Masters level courses. FEATURES The book begins with a chapter on applied sports psychology to give the reader an insight into the domain of sport psychology, providing an overview of the techniques that could be used. The next three chapters focus on mood, anxiety and self confidence, which influence performance. This leads on to four chapters that focus on managing psychological states. There is also a chapter on leadership which interestingly includes leadership development in coaches and in athletes. Two chapters focus on the effects of exercise on psychological states, providing a balance between the benefits and potential drawbacks. The final chapter examines the issue of placebo effects. Throughout each chapter there are useful activities than can help the reader's understanding of practical and theoretical issues. These also have practical implications for the work of a Sport and Exercise Psychologist. Key ethical issues are raised on a regular basis throughout the text. The book offers an excellent blend of theory and practical suggestions which are critically discussed thus giving valuable insights regarding the research process and applied practice which is often lacking in the more well known standard textbooks for Sport

  5. Crisis exercises at AREVA

    International Nuclear Information System (INIS)

    Chanson, D.

    2016-01-01

    AREVA being an operator of nuclear facilities has to organize crisis exercises regularly. About 100 crisis exercises are performed each year in AREVA installations. These exercises allow the training of the staff, the assessing of material and humane means and the checking of the quality of the interfaces between all the participants (other AREVA teams or Nuclear Safety Authority or...). The management of nuclear crisis is based on anticipation and relies on 3 pillars: a referential gathering all the useful documents (emergency plans, procedures,...), the training and practice of AREVA staff in specific domains to cope with emergency situations, and various crisis exercises to keep fit all the teams. The basis emergency exercise lasts 2 hours and is organized into modules. First module: detecting abnormal conditions, alerting, rescuing and limiting the consequences; second module: launching the emergency plan; third module: understanding the situation and limiting the consequences; fourth module: communicating with other actors that intervene in a nuclear crisis (nuclear safety authority, state or local officials, the media...); and fifth module: anticipating the end of the emergency phase to prepare post-accidental management. (A.C.)

  6. Cardiovascular benefits of exercise

    Directory of Open Access Journals (Sweden)

    Agarwal SK

    2012-06-01

    Full Text Available Shashi K AgarwalMedical Director, Agarwal Health Center, NJ, USAAbstract: Regular physical activity during leisure time has been shown to be associated with better health outcomes. The American Heart Association, the Centers for Disease Control and Prevention and the American College of Sports Medicine all recommend regular physical activity of moderate intensity for the prevention and complementary treatment of several diseases. The therapeutic role of exercise in maintaining good health and treating diseases is not new. The benefits of physical activity date back to Susruta, a 600 BC physician in India, who prescribed exercise to patients. Hippocrates (460–377 BC wrote “in order to remain healthy, the entire day should be devoted exclusively to ways and means of increasing one's strength and staying healthy, and the best way to do so is through physical exercise.” Plato (427–347 BC referred to medicine as a sister art to physical exercise while the noted ancient Greek physician Galen (129–217 AD penned several essays on aerobic fitness and strengthening muscles. This article briefly reviews the beneficial effects of physical activity on cardiovascular diseases.Keywords: exercise, cardiovascular disease, lifestyle changes, physical activity, good health

  7. Exercise and longevity.

    Science.gov (United States)

    Gremeaux, Vincent; Gayda, Mathieu; Lepers, Romuald; Sosner, Philippe; Juneau, Martin; Nigam, Anil

    2012-12-01

    Aging is a natural and complex physiological process influenced by many factors, some of which are modifiable. As the number of older individuals continues to increase, it is important to develop interventions that can be easily implemented and contribute to "successful aging". In addition to a healthy diet and psychosocial well-being, the benefits of regular exercise on mortality, and the prevention and control of chronic disease affecting both life expectancy and quality of life are well established. We summarize the benefits of regular exercise on longevity, present the current knowledge regarding potential mechanisms, and outline the main recommendations. Exercise can partially reverse the effects of the aging process on physiological functions and preserve functional reserve in the elderly. Numerous studies have shown that maintaining a minimum quantity and quality of exercise decreases the risk of death, prevents the development of certain cancers, lowers the risk of osteoporosis and increases longevity. Training programs should include exercises aimed at improving cardiorespiratory fitness and muscle function, as well as flexibility and balance. Though the benefits of physical activity appear to be directly linked to the notion of training volume and intensity, further research is required in the elderly, in order to develop more precise recommendations, bearing in mind that the main aim is to foster long-term adherence to physical activity in this growing population. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  8. Exercise and Sarcopenia.

    Science.gov (United States)

    Phu, Steven; Boersma, Derek; Duque, Gustavo

    2015-01-01

    Sarcopenia is a major component of the frailty syndrome and is also a strong predictor of disability, morbidity, and mortality in older persons. Without any available pharmacological intervention to sarcopenia, non-pharmacological interventions are the only option to prevent these poor outcomes in sarcopenic patients. Among those interventions, physical activity with or without protein supplementation has demonstrated to be effective in improving muscle mass and function and in preventing disability and frailty in older persons. Additionally, to the beneficial effect of physical activity on metabolic and cardiovascular diseases, a regular exercise program (3 times/wk) that includes resistance and endurance exercise training would have a major positive effect on sarcopenic muscle through improving muscle mass, strength, and function. In this review, we looked at the effect of exercise on sarcopenic frail older persons from the biological aspects of the response of the muscle to exercise to some practical aspects of exercise prescription in this high-risk population. We conclude that, although challenging, older persons should be encouraged to participate in this type of programs, which would improve not only their function and independence but also their quality of life. Copyright © 2015 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

  9. Exercise for laboratory comparison of calibration coefficient in 137Cs beam, radiation protection - 2013/2014

    International Nuclear Information System (INIS)

    Cabral, T.S.; Potiens, M.P.A.; Soares, C.M.A.; Silveira, R.R.; Khoury, H.; Borges, J.C.

    2015-01-01

    This work deals with the preliminary results of the second exercise of comparing the radiation monitors calibration laboratories in Brazil. The exercise involved eight laboratories and the measured quantity is the air kerma in a beam of 137 Cs for radioprotection. The exercise was conducted by the LNMRI/IRD, in a star shaped arrangement from October 2013 to July 2015. The largest deviation was 2% of the calibration coefficient that is acceptable for applications in radioprotection. (author)

  10. ARN results in interlaboratory comparison exercises

    International Nuclear Information System (INIS)

    Equillor, Hugo; Lewis, Cecilia; Fernandez, Jorge; Canoba, Analia; Gavini, Ricardo; Grinman, Ana; Palacios, Miguel; Sartori, Francisco; Giustina, Daniel; Gnoni, Gabriela; Czerniczyniec, Mariela; Cialella, Hugo; Acosta, Soledad; Diodati, Jorge; Bonino, Nestor; Campos, Juan; Mondini, Julia; Franco, Graciela

    2008-01-01

    For years, the Nuclear Regulatory Authority (ARN) has been involved in several laboratory intercomparison programmes. The objective of participating in these exercises is to assure the quality of the determinations that the radiochemical laboratories of ARN carries out as part of its regulatory activity. Most of these determinations are related to its environmental monitoring program in the vicinity of nuclear and radioactive facilities existing in the country, in operation or not. Other determinations are related with effluent samples and monitoring activities performed inside the facilities. On the other hand, these intercomparisons are part of the requirements for the laboratories under ISO 17025. ARN laboratories are in process to obtain or maintain ISO 17025 accreditation as a priority objective. During the development of the intercomparisons, different samples have been tested in several matrices containing alpha, beta and gamma emitters. These exercises were organized by different laboratories as the IAEA, the EML and NIST from United States, the NPL and the NRPB from England, the BFS from Germany, and so on. The results were very satisfactory not only in direct measurements (gamma spectrometry) but also in those that require a previous intensive laboratory processing (alpha spectrometry and liquid scintillation), resulting in many cases better than the general average. This paper provides a summary of the results obtained in these exercises and the results are compared with the overall average of the participating laboratories. (author)

  11. Response exercise 2005 in the Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    De Hoog Van Beynen, C.; Aldenkamp, F. [National Institute for Public Health and the Environment, Bilthoven (Netherlands)

    2006-07-01

    Full text of publication follows: On May, 25 a large scale nuclear exercise was held in The Netherlands. In total 1100 participants from 60 organizations ranging from the local fire department, located near the Borssele Nuclear Power Plant (NPP), up to the Ministerial level, organized in an Inter-departmental Policy Team focused on several aspects of the nuclear off-site emergency management. The scenario was considered challenging by an international observer from the IAEA. In the early morning the exercise started with a simulated small emission of the NPP. Conditions deteriorated and from around 12:00 hours a large emission threatened the southwest of the Netherlands, Belgium and France. Information was exchanged with Belgium, E.U.R.D.E.P. and the IAEA. At 17:00 hours there was simulated a significant release and at 20:00 the exercise ended. In the Netherlands national off-site emergency management is organized in the Unit Planning and Advice (in Dutch: Epan). The National Institute for Public Health and the Environment (R.I.V.M.) plays a comprehensive role in the information structure of Epan. R.I.V.M. runs the Back Office for Radiological Information (B.O.R.I.), one of three back-offices of Epan. B.O.R.I gathers and analyses radiological information and processes it into a situation report containing diagnostic and prognosticated situation overviews. B.O.R.I. combines several knowledge institutes into one organization: the National Weather Service, the Institute of Food Safety, the Food and Consumer Product Safety Authority, the Institute for Inland Water Management and Wastewater Treatment, the National Institute for Coastal and Marine Management, the Nuclear Safety Authority, a Defence Department and R.I.V.M.. The B.O.R.I. activities also include an extensive environmental radiological monitoring program in several matrices. For all these organizations and measurement networks realistic technical data was generated. This added considerably to the realism of

  12. Response exercise 2005 in the Netherlands

    International Nuclear Information System (INIS)

    De Hoog Van Beynen, C.; Aldenkamp, F.

    2006-01-01

    Full text of publication follows: On May, 25 a large scale nuclear exercise was held in The Netherlands. In total 1100 participants from 60 organizations ranging from the local fire department, located near the Borssele Nuclear Power Plant (NPP), up to the Ministerial level, organized in an Inter-departmental Policy Team focused on several aspects of the nuclear off-site emergency management. The scenario was considered challenging by an international observer from the IAEA. In the early morning the exercise started with a simulated small emission of the NPP. Conditions deteriorated and from around 12:00 hours a large emission threatened the southwest of the Netherlands, Belgium and France. Information was exchanged with Belgium, E.U.R.D.E.P. and the IAEA. At 17:00 hours there was simulated a significant release and at 20:00 the exercise ended. In the Netherlands national off-site emergency management is organized in the Unit Planning and Advice (in Dutch: Epan). The National Institute for Public Health and the Environment (R.I.V.M.) plays a comprehensive role in the information structure of Epan. R.I.V.M. runs the Back Office for Radiological Information (B.O.R.I.), one of three back-offices of Epan. B.O.R.I gathers and analyses radiological information and processes it into a situation report containing diagnostic and prognosticated situation overviews. B.O.R.I. combines several knowledge institutes into one organization: the National Weather Service, the Institute of Food Safety, the Food and Consumer Product Safety Authority, the Institute for Inland Water Management and Wastewater Treatment, the National Institute for Coastal and Marine Management, the Nuclear Safety Authority, a Defence Department and R.I.V.M.. The B.O.R.I. activities also include an extensive environmental radiological monitoring program in several matrices. For all these organizations and measurement networks realistic technical data was generated. This added considerably to the realism of

  13. SPORT AND EXERCISE PHYSIOLOGY TESTING Volume one: Sport Testing Volume two: Exercise and Clinical Testing

    Directory of Open Access Journals (Sweden)

    Edward M. Winter

    2007-03-01

    Full Text Available DESCRIPTION The objective of the book is to discuss the theoretical and practical aspects of physiological testing in exercise and sports which is essential to evaluate and monitor developing exercise performance for athletes and public health, and improving quality of life for patients.A board of leading sport and exercise physiologists and scientists are gathered to discuss physiological assessments that have proven validity and reliability, both in sport and health relevant issues. Incidentally, it updates the reader about the current subjects of physiological exertion testing in both research and clinical procedures. Both volumes individually cover the increasing number of available research and review publications, and theoretical explanations are supported by practical examples. A step-by-step and/or checklist method is used in appropriate sections which make the guides more user-friendly than most. PURPOSE The first volume is designed to help readers develop an understanding of the essential concepts of sport specific testing whereas the second volume aims at making the exercise and clinical specific testing comprehensible, dealing with both technical terms and the theories underlying the importance of these tests. AUDIENCE As Guidelines books of the British Association of Sport and Exercise Sciences, it will be of interest to a wide range of students, researchers and practitioners in the sport and exercise disciplines whether they work in the laboratory or in the field. FEATURES The first volume features immediate practical requirements particularly in sport testing. It is composed of five parts with detailed sub-sections in all of them. The topics of the parts are: i general principles, ii methodological issues, iii general procedures, iv sport specific procedures, v special populations.The second volume is also presented in five parts, again with sub-sections in all of them, but considering the requirements in clinical and exercise

  14. National exercise 'INEX 5'

    International Nuclear Information System (INIS)

    Sokolikova, A.

    2017-01-01

    National INEX suicide took place on 3 and 4 December 2015 and was attended by 21 state administration bodies, the SE, and. with. and 2 organizations as observers. Totally, 75 exercisers, moderators and evaluators and 3 observers took part in the exercise. The purpose of the exercise was to check: (1) decision-making on alert strategies after the occurrence of an extraordinary event, subsequent crisis communication, including possible problems, optimization of the notification system with regard to technical, economic and social factors as well as international communication and coordination; (2) Public information and communication with the public - Coordination review at all levels of governance; (3) National and international support (humanitarian aid, personnel, equipment, etc.) (authors)

  15. Physical exercise and fibromyalgia

    Directory of Open Access Journals (Sweden)

    Roberta Chiden Bueno

    2012-09-01

    Full Text Available Fibromyalgic syndrome is a non-inflammatory rheumatic disease which affects primarily Caucasianwomen. Fibromyalgic syndrome can be classified as primary, when there is no other associated pathology; orsecondary, when it is diagnosed related to some other pathology. The fibromyalgic patient needs to receivemultidisciplinary treatment and different areas should work together to promote the improvement of symptoms.The most common classical symptom of this disease is the chronic and diffuse pain. The specialized literaturepresents several works that point out the effects and benefits of physical exercise as a non-pharmacologicaltreatment for patients with fibromyalgic syndrome. Aerobic activity, stretching and strength training are amongthe physical exercises. Thus, this review aimed to highlight the several ways physical exercise can be useful tothe fibromyalgic patient, especially concerning the improvement of symptoms.

  16. Diabetes and exercise

    DEFF Research Database (Denmark)

    Richter, Erik; Ruderman, N B; Schneider, S H

    1981-01-01

    This review describes (1) the metabolic and hormonal response to exercise in normal and diabetic man, and (2) the potential benefits of physical training in diabetes. Whereas in normal man plasma glucose varies little during exercise, the insulin-dependent diabetic subject may experience...... its site of injection. The response to exercise of noninsulin-dependent diabetic subjects and of diabetic subjects with autonomic neuropathy is also described. Physical training improves glucose tolerance in some noninsulin-dependent diabetic subjects and in insulin-dependent patients, it may diminish...... insulin requirements. It may also have a role in retarding the development of cardiovascular complications. Physical training is not totally innocuous, however, and in many patients with diabetes special precautions are required....

  17. Exercise and NSAIDs

    DEFF Research Database (Denmark)

    Petersen, Susanne Germann; Miller, Ben F; Hansen, Mette

    2011-01-01

    The purpose of this study was to determine muscle and tendon protein fractional synthesis rates (FSR) at rest and after a one-legged kicking exercise in patients with knee osteoarthritis (OA) receiving either placebo or nonsteroidal anti-inflammatory drugs (NSAIDs).......The purpose of this study was to determine muscle and tendon protein fractional synthesis rates (FSR) at rest and after a one-legged kicking exercise in patients with knee osteoarthritis (OA) receiving either placebo or nonsteroidal anti-inflammatory drugs (NSAIDs)....

  18. Combinatorial problems and exercises

    CERN Document Server

    Lovász, László

    2007-01-01

    The main purpose of this book is to provide help in learning existing techniques in combinatorics. The most effective way of learning such techniques is to solve exercises and problems. This book presents all the material in the form of problems and series of problems (apart from some general comments at the beginning of each chapter). In the second part, a hint is given for each exercise, which contains the main idea necessary for the solution, but allows the reader to practice the techniques by completing the proof. In the third part, a full solution is provided for each problem. This book w

  19. Maternal-fetal acute responses to two moderate-intensity exercise types: a randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Jousilene de Sales Tavares

    2018-03-01

    Full Text Available Objective:  This study aims to compare maternal and fetal responses during two physical exercise types. Design:  A randomized clinical trial compared 120 pregnant women, gestational age of 35-37 weeks, 56 exercising on a stationary bicycle (Group A and 64 on a treadmill (Group B. Methods: Participants were monitored for three 20-minute phases: resting, exercise and recovery.  Fetal heart rate (FHR and maternal heart rate (MHR were monitored.  Glucose and lactate levels were evaluated at rest and during exercise. Results:  After the beginning of exercise, maximum lactate (L levels were reached at 20 minutes and never exceeded 4 mmol/l.  FHR decreased by 22 bpm during exercise in relation to resting values, irrespective of the exercise type (p0.05, increasing at 20’ to 32% and 40.6%, respectively, (p>0.05.  The FHR decrease during exercise was accompanied by a simultaneous increase in its variability (p<0.001, nevertheless a rapid return to resting values was observed shortly after exercise end.  Glucose decreased in both groups irrespective of the exercise type (85 mg/dl at rest; 79 mg/dl during exercise and 81 mg/dl during recovery; p<0.001. There were no hypoglycemia cases. Conclusions: FHR variability increase and the rapid return to resting values after exercise suggests that the FHR fall and the presence of bradycardia during exercise is the fetal physiologic response to blood flow redistribution, with maintenance of fetal well-being. Key-words: Exercise; fetal heart rate; glucose; maternal heart rate; pregnancy Clinical Trial Registration: ClinicalTrials.gov, www.clinicaltrials.gov, NCT01383889.

  20. Intercomparison Measurements Exercises of Mobile Radiological Laboratories (invited paper)

    International Nuclear Information System (INIS)

    Martincic, R.

    2000-01-01

    After the reactor accident in Chernobyl, the importance of mobile radiological laboratories became evident and in situ gamma spectrometry became a common method for the rapid detection of gamma emitters in the environment. Since then different institutions in European countries have organised periodic intercomparison exercises of mobile radiological laboratories to improve the measurement methods and the preparedness of emergency monitoring teams. The general objectives of these workshops are to promote the knowledge and to exchange the experiences of emergency monitoring teams that use mobile radiological laboratories, as well as to foster the international harmonisation of emergency monitoring procedures and cooperation among teams. Finally, the results of intercomparison measurements have shown that such exercises are mandatory for rapid, efficient and correct environmental monitoring in nuclear or radiological emergencies. An overview of these intercomparison measurements is given, results from the 1999 intercomparison workshop are presented and lessons learned are discussed. (author)

  1. Occupational stress, relaxation therapies, exercise and biofeedback.

    Science.gov (United States)

    Stein, Franklin

    2001-01-01

    Occupational stress is a widespread occurrence in the United States. It is a contributing factor to absenteeism, disease, injury and lowered productivity. In general stress management programs in the work place that include relaxation therapies, exercise, and biofeedback have been shown to reduce the physiological symptoms such as hypertension, and increase job satisfaction and job performance. Strategies to implement a successful stress management program include incorporating the coping activities into one's daily schedule, monitoring one's symptoms and stressors, and being realistic in setting up a schedule that is relevant and attainable. A short form of meditation, daily exercise program and the use of heart rate or thermal biofeedback can be helpful to a worker experiencing occupational stress.

  2. Radiation monitoring

    International Nuclear Information System (INIS)

    Larsson, L.Eh.; B'yuli, D.K.; Karmikel, Dzh.Kh.E.

    1985-01-01

    Recommendations on radiation monitoring of personnel, used medical ionizing radiation source, are given. The necessity to carry out radiation monitoring of situation at medical personnel's positions and personnel dosimetry is marked. It is convenient to subdivide radiation monitoring into 3 types: usual, surgical and special. Usual monitoring is connected with current work; surgical monitoring is carried out to receive information during a concrete operation; special monitoring is used to detect possible deviation from standard conditions of work or when suspecting them

  3. Attitudes and barriers to exercise in adults with a recent diagnosis of type 1 diabetes: a qualitative study of participants in the Exercise for Type 1 Diabetes (EXTOD) study.

    Science.gov (United States)

    Kennedy, Amy; Narendran, Parth; Andrews, Robert C; Daley, Amanda; Greenfield, Sheila M

    2018-01-24

    To explore attitudes and barriers to exercise in adults with new-onset type 1 diabetes mellitus (T1DM). Qualitative methodology using focus group (n=1), individual face-to-face (n=4) and telephone interviews (n=8). Thematic analysis using the Framework Method. Nineteen UK hospital sites. Fifteen participants in the Exercise for Type 1 Diabetes study. We explored current and past levels of exercise, understanding of exercise and exercise guidelines, barriers to increasing exercise levels and preferences for monitoring of activity in a trial. Five main themes were identified: existing attitudes to exercise, feelings about diagnosis, perceptions about exercise consequences, barriers to increasing exercise and confidence in managing blood glucose. An important finding was that around half the participants reported a reduction in activity levels around diagnosis. Although exercise was felt to positively impact on health, some participants were not sure about the benefits or concerned about potential harms such as hypoglycaemia. Some participants reported being advised by healthcare practitioners (HCPs) not to exercise. Exercise should be encouraged (not discouraged) from diagnosis, as patients may be more amenable to lifestyle change. Standard advice on exercise and T1DM needs to be made available to HCPs and patients with T1DM to improve patients' confidence in managing their diabetes around exercise. ISRCTN91388505; Results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  4. Exercise identity as a risk factor for exercise dependence.

    Science.gov (United States)

    Murray, Aja L; McKenzie, Karen; Newman, Emily; Brown, Erin

    2013-05-01

    The aim of the study was to explore the relationship between exercise identity and exercise dependence. We hypothesized that stronger exercise identities would be associated with greater odds of experiencing exercise dependence symptoms. Logistic regression was used to assess the extent of association between exercise identity and the risk of experiencing exercise dependence symptoms. Participants (101) were recruited online via sports clubs and social networking sites and were asked to complete online measures of exercise identity and exercise dependence. The overall model fit was a significant improvement on the baseline model, but only the exercise beliefs factor was significantly associated with the odds of dependence symptoms, with higher scores on the belief scale predicting greater odds of experiencing dependence symptoms. Exercise role identity, in contrast, was not significantly associated with odds of experiencing dependence symptoms. Per cent correct classification was 55.9% for asymptomatic and 88.2% for symptomatic individuals and the overall per cent correct classification was 77.5%. The relation between identity and dependence could represent both a fruitful research avenue and a potential therapeutic target for those experiencing dependence symptoms; although our findings only showed a relationship between one of the two factors of the exercise identity measure and dependence. Longitudinal research is required to examine the relationship between identity and dependence in the context of other variables to better understand why some individuals become exercise dependent whereas others do not. What is already known on this subject? Exercise identity has been identified as an important determinant of exercise behaviour and studies within the exercise identity framework have proven elucidative with respect to the psychological processes that may underpin commitment to exercise. It has separately been established that some individuals may become

  5. Standard exercise report format (SERF)

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    This talk summarizes the reasons for the development of draft SERF the Standard Exercise Report Format used for reporting the results of emergency preparedness exercises, and gives a summary of the format and rational behind it

  6. Exercise, lifestyle, and your bones

    Science.gov (United States)

    ... they are good for your heart, swimming and biking DO NOT increase bone density. Other Lifestyle Changes ... A.D.A.M. Editorial team. Related MedlinePlus Health Topics Benefits of Exercise Exercise and Physical Fitness ...

  7. Bone-building exercise (image)

    Science.gov (United States)

    Exercise plays an important role in the retention of bone density in the aging person. Studies show that exercises requiring muscles to pull on bones cause the bones to retain and possibly gain density.

  8. Energy availability discriminates clinical menstrual status in exercising women.

    Science.gov (United States)

    Reed, Jennifer L; De Souza, Mary Jane; Mallinson, Rebecca J; Scheid, Jennifer L; Williams, Nancy I

    2015-01-01

    Conditions of low energy availability (EA) (exercise energy expenditure (EEE) in a controlled laboratory setting. The purpose of this study was to examine if EA, defined as EA = (EI-EEE)/kgLBM, is associated with disruptions in ovarian function in exercising women. Menstrual status was confirmed with daily measures of urinary reproductive metabolites across 1-3 menstrual cycles or 28-day monitoring periods. EA was calculated for exercise days using EI from 3-day diet logs, EEE from heart-rate monitors and/or exercise logs for a 7-day period, and body composition from DXA. Resting energy expenditure (REE) was measured by indirect calorimetry. Total triiodothyronine (TT3) was measured from a fasting blood sample. 91 exercising women (23.1 ± 0.5 years) were categorized clinically as either exercising amenorrheic (ExAmen, n = 30), exercising oligomenorrheic (ExOligo, n = 20) or exercising eumenorrheic (ExEumen, n = 41). The eumenorrheic group was further divided into more specific subclinical groups as either exercising ovulatory (ExOv, n = 20), exercising inconsistent (ExIncon, n = 13), or exercising anovulatory (ExAnov, n = 8). An EA threshold of 30 kcal/kgLBM did not distinguish subclinical menstrual status (χ (2) = 0.557, p = 0.46) nor did EA differ across subclinical disturbance groups (p > 0.05). EA was lower in the ExAmen vs. ExEumen (30.9 ± 2.4 vs. 36.9 ± 1.7 kcal/kgLBM, p = 0.04). The ratio of REE/predicted REE was lower in the ExAmen vs. ExEumen (0.85 ± 0.02 vs. 0.92 ± 0.01, p = 0.001) as was TT3 (79.6 ± 4.1 vs. 95.3 ± 2.9 ng/mL, p = 0.002). EA did not differ among subclinical forms of menstrual disturbances in a large sample of exercising women, but EA did discriminate clinical menstrual status, i.e., amenorrhea from eumenorrhea.

  9. Feasibility of exercising adults with asthma: a randomized pilot study

    Directory of Open Access Journals (Sweden)

    Boyd Amy

    2012-08-01

    Full Text Available Abstract Background Aerobic exercise appears to have clinical benefits for many asthmatics, yet a complete understanding of the mechanisms underlying these benefits has not been elucidated at this time. Purpose The objective of this study was to determine feasibility for a larger, future study that will define the effect of aerobic exercise on cellular, molecular, and functional measures in adults with mild-moderate asthma. Design Recruited subjects were randomized into usual care (sedentary or usual care with moderate intensity aerobic exercise treatment groups. Setting / Participants Nineteen adults with mild-moderate asthma but without a recent history of exercise were recruited at the UAB Lung Health Center, Birmingham, AL. Intervention The exercise group underwent a 12 week walking program exercising at 60 – 75% of maximum heart rate (HRmax. Subjects self-monitored HRmax levels using heart rate monitors; exercise diaries and recreation center sign-in logs were also used. Main outcome measures Functional measures, including lung function and asthma control scores, were evaluated for all subjects at pre- and post-study time-points; fitness measures were also assessed for subjects in the exercise group. Peripheral blood and nasal lavage fluid were collected from all subjects at pre- and post-study visits in order to evaluate cellular and molecular measures, including cell differentials and eosinophilic cationic protein (ECP. Results Sixteen subjects completed the prescribed protocol. Results show that subjects randomized to the exercise group adhered well (80% to the exercise prescription and exhibited a trend toward improved fitness levels upon study completion. Both groups exhibited improvements in ACQ scores. No changes were observed in lung function (FEV1, FEV1/FVC, cell differentials, or ECP between groups. Conclusions Results indicate that a moderate intensity aerobic exercise training program may improve asthma control and fitness

  10. Therapeutic Exercise and Hypertension

    African Journals Online (AJOL)

    Nekky Umera

    patients but may not reduce the BP of normotensive individual. Exercise function ... and mortality in all age groups; it also creates major social, personal and financial ... drug therapy by as symptomatic hypertensive and high cost of drugs particularly in a ..... Events in hypertensive patients randomized to doxagosin versus.

  11. Humanoid assessing rehabilitative exercises.

    Science.gov (United States)

    Simonov, M; Delconte, G

    2015-01-01

    This article is part of the Focus Theme of Methods of Information in Medicine on "New Methodologies for Patients Rehabilitation". The article presents the approach in which the rehabilitative exercise prepared by healthcare professional is encoded as formal knowledge and used by humanoid robot to assist patients without involving other care actors. The main objective is the use of humanoids in rehabilitative care. An example is pulmonary rehabilitation in COPD patients. Another goal is the automated judgment functionality to determine how the rehabilitation exercise matches the pre-programmed correct sequence. We use the Aldebaran Robotics' NAO humanoid to set up artificial cognitive application. Pre-programmed NAO induces elderly patient to undertake humanoid-driven rehabilitation exercise, but needs to evaluate the human actions against the correct template. Patient is observed using NAO's eyes. We use the Microsoft Kinect SDK to extract motion path from the humanoid's recorded video. We compare human- and humanoid-operated process sequences by using the Dynamic Time Warping (DTW) and test the prototype. This artificial cognitive software showcases the use of DTW algorithm to enable humanoids to judge in near real-time about the correctness of rehabilitative exercises performed by patients following the robot's indications. One could enable better sustainable rehabilitative care services in remote residential settings by combining intelligent applications piloting humanoids with the DTW pattern matching algorithm applied at run time to compare humanoid- and human-operated process sequences. In turn, it will lower the need of human care.

  12. An exercise in safety

    CERN Multimedia

    CERN Bulletin

    2014-01-01

    On 14 October, a large-scale evacuation exercise took place. Ten buildings (1-2-3-4-50-51-52-53-58-304), with a total capacity of almost 1900 people, were successfully evacuated.   The exercise, which for the first time involved all of the central buildings on the Meyrin site, was organised by the PH Department in collaboration with the HSE Unit, the GS Department and the safety officers of all the various departments involved. On the day, around 400 people were evacuated in just a few minutes.  “It took us three months to prepare for the exercise,” explains Niels Dupont, safety officer for the PH Department, who organised the exercise. “Around 100 people: safety officers, firefighters, emergency guides, observers, representatives from the control centre, etc. attended four preparatory meetings and five training sessions. We also purchased equipment such as evacuation chairs, high-visibility vests and signs to mark the evacuation route.” The dec...

  13. Exercise and age

    Science.gov (United States)

    ... minutes a day is enough to improve your health. An effective exercise program needs to be fun and helps to keep you motivated. It helps to have a goal. Your goal might be to: Manage a health condition Reduce stress Improve your stamina Be able ...

  14. Exercises in Urban Reconnaissance

    Directory of Open Access Journals (Sweden)

    Lorenzo Tripodi

    2016-03-01

    Full Text Available Exercises in Urban Reconnaissance is a toolbox to examine and disentangle urban complexities. Not the city, not the urban territory, not the urbanization process but the irreducible condition produced by the dialectical relation and the semantic stratification resulting from these factors.

  15. Exercise-induced amenorrhea.

    Science.gov (United States)

    Olson, B R

    1989-02-01

    Strenuous exercise may cause menstrual abnormalities, including amenorrhea. The hypoestrogenemia that accompanies amenorrhea has been associated with a low bone mineral content and an increased incidence of stress fractures. With the resumption of menses, which usually occurs soon after female athletes decrease the intensity of their training or increase their body weight, bone mineral content increases and the incidence of stress fractures decreases.

  16. Computer Exercises in Meteorology.

    Science.gov (United States)

    Trapasso, L. Michael; Conner, Glen; Stallins, Keith

    Beginning with Western Kentucky University's (Bowling Green) fall 1999 semester, exercises required for the geography and meteorology course used computers for learning. This course enrolls about 250 students per year, most of whom choose it to fulfill a general education requirement. Of the 185 geography majors, it is required for those who…

  17. Nuclear Chemistry, exercises

    International Nuclear Information System (INIS)

    Savio, E.; Saucedo, E.

    2002-01-01

    Those exercises have as objective to introduce the student in the basic concepts of nuclear chemistry: a) way of decline b) balances of mass used in nuclear reactions c) how to calculate activities, activity concentrations and specific activity d) radiotracers use in biomedical sciences pharmaceutical

  18. RENEB accident simulation exercise.

    Science.gov (United States)

    Brzozowska, Beata; Ainsbury, Elizabeth; Baert, Annelot; Beaton-Green, Lindsay; Barrios, Leonardo; Barquinero, Joan Francesc; Bassinet, Celine; Beinke, Christina; Benedek, Anett; Beukes, Philip; Bortolin, Emanuela; Buraczewska, Iwona; Burbidge, Christopher; De Amicis, Andrea; De Angelis, Cinzia; Della Monaca, Sara; Depuydt, Julie; De Sanctis, Stefania; Dobos, Katalin; Domene, Mercedes Moreno; Domínguez, Inmaculada; Facco, Eva; Fattibene, Paola; Frenzel, Monika; Monteiro Gil, Octávia; Gonon, Géraldine; Gregoire, Eric; Gruel, Gaëtan; Hadjidekova, Valeria; Hatzi, Vasiliki I; Hristova, Rositsa; Jaworska, Alicja; Kis, Enikő; Kowalska, Maria; Kulka, Ulrike; Lista, Florigio; Lumniczky, Katalin; Martínez-López, Wilner; Meschini, Roberta; Moertl, Simone; Moquet, Jayne; Noditi, Mihaela; Oestreicher, Ursula; Orta Vázquez, Manuel Luis; Palma, Valentina; Pantelias, Gabriel; Montoro Pastor, Alegria; Patrono, Clarice; Piqueret-Stephan, Laure; Quattrini, Maria Cristina; Regalbuto, Elisa; Ricoul, Michelle; Roch-Lefevre, Sandrine; Roy, Laurence; Sabatier, Laure; Sarchiapone, Lucia; Sebastià, Natividad; Sommer, Sylwester; Sun, Mingzhu; Suto, Yumiko; Terzoudi, Georgia; Trompier, Francois; Vral, Anne; Wilkins, Ruth; Zafiropoulos, Demetre; Wieser, Albrecht; Woda, Clemens; Wojcik, Andrzej

    2017-01-01

    The RENEB accident exercise was carried out in order to train the RENEB participants in coordinating and managing potentially large data sets that would be generated in case of a major radiological event. Each participant was offered the possibility to activate the network by sending an alerting email about a simulated radiation emergency. The same participant had to collect, compile and report capacity, triage categorization and exposure scenario results obtained from all other participants. The exercise was performed over 27 weeks and involved the network consisting of 28 institutes: 21 RENEB members, four candidates and three non-RENEB partners. The duration of a single exercise never exceeded 10 days, while the response from the assisting laboratories never came later than within half a day. During each week of the exercise, around 4500 samples were reported by all service laboratories (SL) to be examined and 54 scenarios were coherently estimated by all laboratories (the standard deviation from the mean of all SL answers for a given scenario category and a set of data was not larger than 3 patient codes). Each participant received training in both the role of a reference laboratory (activating the network) and of a service laboratory (responding to an activation request). The procedures in the case of radiological event were successfully established and tested.

  19. exercise and epilepsy

    OpenAIRE

    UK, Epilepsy Society

    2018-01-01

    Exercise improves fitness, energy and mood and relieves stress. Improving overall health and wellbeing in this way can help reduce seizures and the impact of epilepsy for some people. It can also help people feel more in control of their health.

  20. Exercise 5+6 - Introduction to Control and Lab Exercises

    DEFF Research Database (Denmark)

    Kramer, Morten Mejlhede

    2015-01-01

    Exercises for the 2nd AAU and ECN EWTEC affiliated PhD course. The laboratory exercises are including both numerical and experimental work. A simulink model is provided to make realtime control on the laboratory setups. The groups are welcome to modify the program during the exercises. The groups...... are expected to make their own programs for numerical simulations on the device. Hydrodynamic parameters found using WAMIT are provided, but the groups are of course welcome to calculate their own parameters (e.g. using Nemoh). Exercise 5: Simple control and regular wave Exercise 6: Advanced control...

  1. Drugs and the Elderly: Implications for Exercise Indulgence.

    Science.gov (United States)

    Piscopo, John

    Many age-related biologic and physiologic changes can have important influences on drug pharmacology in elderly persons. Successful management depends upon good communications among health care providers, fitness instructors, and the medication user. Each exerciser should be monitored and reviewed at regular intervals. Medications may be a…

  2. The Role of Macronutrients in Exercise.

    Science.gov (United States)

    Arterberry, Christopher M.

    2002-01-01

    Explores the role of macronutrients in exercise, examining research pertaining to exercise intensity, exercise duration, macronutrient intake, and mode of exercise as they pertain to both athletes and recreational exercisers. The paper explains that coaches and trainers must interpret and apply research findings to individual exercisers,…

  3. Does Motivation for Exercise Influence Post-Exercise Snacking Behavior?

    Science.gov (United States)

    Dimmock, James A.; Guelfi, Kym J.; West, Jessica S.; Masih, Tasmiah; Jackson, Ben

    2015-01-01

    It is well established that regular exercise plays an important role in achieving a number of health and wellbeing outcomes. However, certain post-exercise behaviors, including the consumption of unhealthy high-calorie foods, can counteract some of the benefits of physical activity. There are at least three overlapping pathways through which exercise may increase the likelihood of consuming pleasurable but unhealthy foods: through impulsive cognitive processes, reflective cognitive processes, and/or physiological responses. It is argued in this paper that motivation toward exercise can influence each of these pathways. Drawing from literature from various domains, we postulate that controlled exercise motivation, as opposed to autonomous exercise motivation, is more likely to influence each of these pathways in a manner that leaves individuals susceptible to the post-exercise consumption of pleasurable but unhealthy foods. PMID:26083114

  4. Does Motivation for Exercise Influence Post-Exercise Snacking Behavior?

    Science.gov (United States)

    Dimmock, James A; Guelfi, Kym J; West, Jessica S; Masih, Tasmiah; Jackson, Ben

    2015-06-15

    It is well established that regular exercise plays an important role in achieving a number of health and wellbeing outcomes. However, certain post-exercise behaviors, including the consumption of unhealthy high-calorie foods, can counteract some of the benefits of physical activity. There are at least three overlapping pathways through which exercise may increase the likelihood of consuming pleasurable but unhealthy foods: through impulsive cognitive processes, reflective cognitive processes, and/or physiological responses. It is argued in this paper that motivation toward exercise can influence each of these pathways. Drawing from literature from various domains, we postulate that controlled exercise motivation, as opposed to autonomous exercise motivation, is more likely to influence each of these pathways in a manner that leaves individuals susceptible to the post-exercise consumption of pleasurable but unhealthy foods.

  5. Does Motivation for Exercise Influence Post-Exercise Snacking Behavior?

    Directory of Open Access Journals (Sweden)

    James A. Dimmock

    2015-06-01

    Full Text Available It is well established that regular exercise plays an important role in achieving a number of health and wellbeing outcomes. However, certain post-exercise behaviors, including the consumption of unhealthy high-calorie foods, can counteract some of the benefits of physical activity. There are at least three overlapping pathways through which exercise may increase the likelihood of consuming pleasurable but unhealthy foods: through impulsive cognitive processes, reflective cognitive processes, and/or physiological responses. It is argued in this paper that motivation toward exercise can influence each of these pathways. Drawing from literature from various domains, we postulate that controlled exercise motivation, as opposed to autonomous exercise motivation, is more likely to influence each of these pathways in a manner that leaves individuals susceptible to the post-exercise consumption of pleasurable but unhealthy foods.

  6. Nuclear Explosion Monitoring History and Research and Development

    Science.gov (United States)

    Hawkins, W. L.; Zucca, J. J.

    2008-12-01

    Within a year after the nuclear detonations over Hiroshima and Nagasaki the Baruch Plan was presented to the newly formed United Nations Atomic Energy Commission (June 14, 1946) to establish nuclear disarmament and international control over all nuclear activities. These controls would allow only the peaceful use of atomic energy. The plan was rejected through a Security Council veto primarily because of the resistance to unlimited inspections. Since that time there have been many multilateral, and bilateral agreements, and unilateral declarations to limit or eliminate nuclear detonations. Almost all of theses agreements (i.e. treaties) call for some type of monitoring. We will review a timeline showing the history of nuclear testing and the more important treaties. We will also describe testing operations, containment, phenomenology, and observations. The Comprehensive Nuclear Test Ban Treaty (CTBT) which has been signed by 179 countries (ratified by 144) established the International Monitoring System global verification regime which employs seismic, infrasound, hydroacoustic and radionuclide monitoring techniques. The CTBT also includes on-site inspection to clarify whether a nuclear explosion has been carried out in violation of the Treaty. The US Department of Energy (DOE) through its National Nuclear Security Agency's Ground-Based Nuclear Explosion Monitoring R&D Program supports research by US National Laboratories, and universities and industry internationally to detect, locate, and identify nuclear detonations. This research program builds on the broad base of monitoring expertise developed over several decades. Annually the DOE and the US Department of Defense jointly solicit monitoring research proposals. Areas of research include: seismic regional characterization and wave propagation, seismic event detection and location, seismic identification and source characterization, hydroacoustic monitoring, radionuclide monitoring, infrasound monitoring, and

  7. The Limits of Exercise Physiology

    DEFF Research Database (Denmark)

    Gabriel, Brendan M; Zierath, Juleen R

    2017-01-01

    Many of the established positive health benefits of exercise have been documented by historical discoveries in the field of exercise physiology. These investigations often assess limits: the limits of performance, or the limits of exercise-induced health benefits. Indeed, several key findings have...... been informed by studying highly trained athletes, in addition to healthy or unhealthy people. Recent progress has been made in regard to skeletal muscle metabolism and personalized exercise regimes. In this perspective, we review some of the historical milestones of exercise physiology, discuss how...

  8. Validity and Reliability of the Apple Watch for Measuring\\ud Heart Rate During Exercise

    OpenAIRE

    Khushhal, Alaa; Nichols, Simon; Evans, Will; Gleadall-Siddall, Damien; Page, Richard; O'Doherty, Alasdair; Carroll, Sean; Ingle, Lee; Abt, Grant

    2017-01-01

    We examined the validity and reliability of the Apple Watch heart rate sensor during and in recovery from exercise. Twentyone males completed treadmill exercise while wearing two Apple Watches (left and right wrists) and a Polar S810i monitor (criterion). Exercise involved 5-min bouts of walking, jogging, and running at speeds of 4 km.h − 1, 7 km.h − 1, and 10 km.h − 1, followed by 11 min of rest between bouts. At all exercise intensities the mean bias was trivial. There were very good correl...

  9. Adherence to an Aerobic Exercise Intervention after an Implantable Cardioverter Defibrillator (ICD).

    Science.gov (United States)

    Dougherty, Cynthia M; Luttrell, Matilda N; Burr, Robert L; Kim, Misun; Haskell, William L

    2016-02-01

    Exercise adherence is an important element in achieving important exercise outcomes. The purpose of this study was to describe adherence in a home-based aerobic exercise program following an implantable cardioverter defibrillator (ICD), determine effects of adherence on peakVO2 , and outline reasons for nonadherence. A single-blind randomized control trial of home walking compared to usual care in 160 patients with an ICD for primary or secondary prevention was conducted. This report is on adherence in the exercise arm (N = 84). Home walking exercise consisted of 8 weeks of aerobic conditioning (60 minutes/day, 5 days/week) followed by 16 weeks of aerobic maintenance (150 minutes/week, 30 minutes/session) at 60-80% of heart rate reserve. Adherence was tracked using Polar heart rate (HR) monitors, pedometers, home exercise logs, and telephone follow-up. Adherence was defined as performing at least 80% of prescribed exercise. For aerobic conditioning, there was a mean frequency of 3.81 walks/week, duration of 1,873 minutes walked, and 17.5% of exercise was in the target HR (THR) zone. For aerobic maintenance, there was a mean frequency of 2.4 walks/week, duration of 1,872 minutes/walked, and 8.7% of exercise was in the THR zone. Those who were 80% adherent achieved a 3.4 mL/kg/min (P = 0.03) improvement in peakVO2 over those who were exercise ranged from scheduling issues to viral illness and fatigue. Adherence to aerobic exercise frequency and duration was high with few dropouts, resulting in higher peakVO2 . Exercise monitoring equipment encouraged adherence and conferred a sense of safety to exercise. ©2015 Wiley Periodicals, Inc.

  10. Relationship between exercise capacity and left ventricular function at rest in patients with heart failure. An ambulatory left ventricular monitoring study; Relazione tra capacita' di esercizio e funzione ventricolare sinistra a riposo nei pazienti con insufficienza cardiaca. Studio mediante monitoraggio continuo radionuclidico della funzione ventricolare sinistra

    Energy Technology Data Exchange (ETDEWEB)

    Pace, L.; Cuocolo, A.; Salvatore, M. [Naples Univ. Federico 2., Naples (Italy). Medicina Nucleare; Centro di Medicina Nucleare, Naples (Italy); Nappi, A.; Imbriaco, M; Varrone, A. [Naples Univ. Federico 2., Naples (Italy). Medicina Nucleare; Romano, M.; Trimarco, B. [Naples Univ., Federico 2., Naples (Italy). Medicina Interna

    2000-09-01

    Purpose of this work is to evaluate the relationship of systolic and diastolic function at rest to exercise capacity. Seventeen patients with ischemic heart failure were included in the study. Ambulatory left ventricular monitoring at rest and during upright exercise with combined analysis of pulmonary gas exchange was performed. Ejection fraction, end-diastolic volume, end-systolic volume, stroke volume, cardiac output, and peak filling rate were measured. Significant positive correlations were found between rest ejection fraction and peak oxygen consumption (r=.60, p<.01), peak cardiac output (r=.67, p<.005). On the other hand, peak filling rate at rest showed a significant inverse correlation with peak end-diastolic (r=.48, p<.05) and end-systolic (r=-.66, p<.005) volumes. The patients were then sub grouped into two groups according to their rest ejection fraction (lower or higher than 40%). In the group with ejection fraction less than 40% a significant correlation was observed between rest ejection fraction and both peak stroke volume (r=-.66, p<.05) and peak ejection fraction (r=.69, p<.05). In the same group of patients an inverse correlation was found between peak filling rate and both end-diastolic (r=.65, p<.05) and end-systolic (r=.82, p<.005) volumes. The results of the present study suggest that exercise capacity is related to left ventricular function at rest and that rest diastolic function might be a determinant of left ventricular function during exercise in patients with heart failure. [Italian] Scopo di questo studio e' valutare se la capacita' di esercizio, determinata mediante il consumo di ossigeno e la funzione ventricolare sinistra, sia correlata alla funzione ventricolare sinistra a riposo nei pazienti con insufficienza cardiaca. Sono stati studiati 17 pazienti con insufficienza cardiaca di origine ischemica. Tutti sono stati sottoposti a monitoraggio radionuclidico continuo della funzione ventricolare sinistra in combinazione con

  11. Planning for Crew Exercise for Future Deep Space Mission Scenarios

    Science.gov (United States)

    Moore, Cherice; Ryder, Jeff

    2015-01-01

    Providing the necessary exercise capability to protect crew health for deep space missions will bring new sets of engineering and research challenges. Exercise has been found to be a necessary mitigation for maintaining crew health on-orbit and preparing the crew for return to earth's gravity. Health and exercise data from Apollo, Space Lab, Shuttle, and International Space Station missions have provided insight into crew deconditioning and the types of activities that can minimize the impacts of microgravity on the physiological systems. The hardware systems required to implement exercise can be challenging to incorporate into spaceflight vehicles. Exercise system design requires encompassing the hardware required to provide mission specific anthropometrical movement ranges, desired loads, and frequencies of desired movements as well as the supporting control and monitoring systems, crew and vehicle interfaces, and vibration isolation and stabilization subsystems. The number of crew and operational constraints also contribute to defining the what exercise systems will be needed. All of these features require flight vehicle mass and volume integrated with multiple vehicle systems. The International Space Station exercise hardware requires over 1,800 kg of equipment and over 24 m3 of volume for hardware and crew operational space. Improvements towards providing equivalent or better capabilities with a smaller vehicle impact will facilitate future deep space missions. Deep space missions will require more understanding of the physiological responses to microgravity, understanding appropriate mitigations, designing the exercise systems to provide needed mitigations, and integrating effectively into vehicle design with a focus to support planned mission scenarios. Recognizing and addressing the constraints and challenges can facilitate improved vehicle design and exercise system incorporation.

  12. Can exercise prevent cognitive decline?

    Science.gov (United States)

    Behrman, Sophie; Ebmeier, Klaus P

    2014-01-01

    As the tolerability of pharmacological agents decreases with age, exercise may be particularly helpful as a possible treatment or stabiliser of mood and cognitive function in older age. Exercise has been most commonly evaluated for the treatment of depression. Exercise interventions designed primarily for treatment of physical conditions in the elderly do appear to confer psychological benefits as well, with reduction in depressive symptoms over the course of treatment. The effects of exercise on reducing depressive symptoms are not dissimilar to the effects of antidepressant drugs and cognitive behaviour therapy. Exercise may be a useful low-tech intervention for people with mild to moderate depression. In particular, exercise may be helpful in the elderly and in patients who have had insufficient response to, or are intolerant of, pharmacotherapy. Mastery of a new skill and positive feedback from others may increase feelings of self-esteem and improve mood. Exercise may distract participants from persistent negative thoughts. Exercise has been shown to improve executive function acutely in adults of all ages. It is possible that dance routines or other exercise regimens requiring some cognitive input may confer additional benefit to cognitive function. Exercise has a moderate effect on the ability of people with dementia to perform activities of daily living and may improve cognitive function. Midlife exercise may also have an impact on later cognitive function.

  13. Exercise and Congenital Heart Disease.

    Science.gov (United States)

    Wang, Junnan; Liu, Bin

    2017-01-01

    Exercise is an essential part of the physical and mental health. However, many doctors and patients have a conservative attitude to participate in exercise in patients with congenital heart disease (CHD). Exercise in patients with CHD is a relatively new and controversial field. Taking into account the involvement of exercise in patients with CHD is likely to induce acute cardiovascular events and even sudden death; many doctors have a conservative attitude to participate in exercise in patients with CHD, leading to the occurrence of excessive self-protection. CHD has been transformed from the original fatal diseases into chronic diseases, medical treatment will also transform from the improvement of the survival rate to the improvement of the quality of life. It is still a problem that whether patients with CHD should participate in exercise and which kind of CHD should take part in exercise to improve the quality of life.

  14. Design of hydrotherapy exercise pools.

    Science.gov (United States)

    Edlich, R F; Abidin, M R; Becker, D G; Pavlovich, L J; Dang, M T

    1988-01-01

    Several hydrotherapy pools have been designed specifically for a variety of aquatic exercise. Aqua-Ark positions the exerciser in the center of the pool for deep-water exercise. Aqua-Trex is a shallow underwater treadmill system for water walking or jogging. Swim-Ex generates an adjustable laminar flow that permits swimming without turning. Musculoskeletal conditioning can be accomplished in the above-ground Arjo shallow-water exercise pool. A hydrotherapy pool also can be custom designed for musculoskeletal conditioning in its shallow part and cardiovascular conditioning in a deeper portion of the pool. Regardless of the type of exercise, there is general agreement that the specific exercise conducted in water requires significantly more energy expenditure than when the same exercise is performed on land.

  15. Blood Pressure Home Monitoring in Hypertensive Patients Attending ...

    African Journals Online (AJOL)

    Blood Pressure Home Monitoring in Hypertensive Patients Attending a Tertiary ... Sixty percent of the patients were aged 50 - 69 years. ... Patients with high BP readings reported that they exercise more and reduced their daily salt intake.

  16. Sleep monitoring : A comparison between three wearable instruments

    NARCIS (Netherlands)

    Wouwe, N.C. van; Valk, P.J.L.; Veenstra, B.J.

    2011-01-01

    During military operations soldiers often encounter extreme environmental circumstances like heat, cold, prolonged physical exercise, and disturbed sleep, which hamper their performance. Monitoring changes in physiological parameters may assist with adequate interventions to prevent the negative

  17. Automatic evaluations and exercise setting preference in frequent exercisers.

    Science.gov (United States)

    Antoniewicz, Franziska; Brand, Ralf

    2014-12-01

    The goals of this study were to test whether exercise-related stimuli can elicit automatic evaluative responses and whether automatic evaluations reflect exercise setting preference in highly active exercisers. An adapted version of the Affect Misattribution Procedure was employed. Seventy-two highly active exercisers (26 years ± 9.03; 43% female) were subliminally primed (7 ms) with pictures depicting typical fitness center scenarios or gray rectangles (control primes). After each prime, participants consciously evaluated the "pleasantness" of a Chinese symbol. Controlled evaluations were measured with a questionnaire and were more positive in participants who regularly visited fitness centers than in those who reported avoiding this exercise setting. Only center exercisers gave automatic positive evaluations of the fitness center setting (partial eta squared = .08). It is proposed that a subliminal Affect Misattribution Procedure paradigm can elicit automatic evaluations to exercising and that, in highly active exercisers, these evaluations play a role in decisions about the exercise setting rather than the amounts of physical exercise. Findings are interpreted in terms of a dual systems theory of social information processing and behavior.

  18. Endorphins, Exercise, and Addictions: A Review of Exercise Dependence

    Directory of Open Access Journals (Sweden)

    Andrea Leuenberger

    2006-01-01

    Full Text Available Endorphins are endogenous opioids released from the pituitary gland that are believed to mediate analgesia, induce euphoria, and play a role in the reward system in the brain. It has been suggested that endorphins are responsible for creating the relaxed psychological state known as runners high. Studies examining the relationship between vigorous exercise and blood plasma endorphin levels have produced conflicting results. Some indicate a significant increase of endorphins during or after exercise while others do not. Inconsistent methods and experimental techniques have made it difficult to determine a relationship between exercise and endorphin elevations. Research has shown that opioidergic activity plays a role in addictions by mediating the development of reinforcing qualities of certain activities and substances. A newly-established condition known as exercise dependence defines exercise as an addiction, characterized by a compulsion to exercise excessively even when the consequences are harmful to an individuals health, family relationships, and personal wealth (Griffiths, 1997; Hausenblas and Downs, 2002; Loumidis and Wells, 1998. Various surveys and questionnaires have been validated for determining the level of an individuals dependence on and need for exercise. As researchers define a clear relationship between vigorous exercise and increased endorphin levels, causes of exercise dependence can be more concretely determined. Exercise dependence is not currently recognized by the DSM-IV, but its presence in certain human behaviors (similar to those of alcoholics and drug addicts indicate that it should be precisely defined.

  19. Exhaled nitric oxide predicts exercise-induced bronchoconstriction in asthmatic school children

    DEFF Research Database (Denmark)

    Buchvald, Frederik; Hermansen, Mette N; Nielsen, Kim G

    2005-01-01

    BACKGROUND: Exercise-induced bronchoconstriction (EIB) is of particular importance in children with asthma. It is an important measure of asthma control and should be monitored by exercise testing. However, exercise testing puts a large demand on health-care resources and is therefore not widely...... used in routine monitoring of pediatric asthma control. The fractional concentration of exhaled nitric oxide (FeNO) also reflects uncontrolled asthma. We hypothesized that FeNO may be used for prescreening of asthmatic children to exclude those with good asthma control unlikely to have EIB, thereby...... reducing the need for exercise testing. OBJECTIVE: The aim of this study was to estimate the value of FeNO as a predictor of EIB in asthmatic children. METHODS: Stable outpatient asthmatic school children performed standard exercise challenge tests and measurement of FeNO. RESULTS: FeNO and response...

  20. Telemetric measurement of body core temperature in exercising unconditioned Labrador retrievers.

    Science.gov (United States)

    Angle, T Craig; Gillette, Robert L

    2011-04-01

    This project evaluated the use of an ingestible temperature sensor to measure body core temperature (Tc) in exercising dogs. Twenty-five healthy, unconditioned Labrador retrievers participated in an outdoor 3.5-km run, completed in 20 min on a level, 400-m grass track. Core temperature was measured continuously with a telemetric monitoring system before, during, and after the run. Data were successfully collected with no missing data points during the exercise. Core temperature elevated in the dogs from 38.7 ± 0.3°C at pre-exercise to 40.4 ± 0.6°C post-exercise. While rectal temperatures are still the standard of measurement, telemetric core temperature monitors may offer an easier and more comfortable means of sampling core temperature with minimal human and mechanical interference with the exercising dog.