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Sample records for pacific diabetes today

  1. Listening to the community: a first step in adapting Diabetes Today to the Pacific.

    Science.gov (United States)

    Braun, Kathryn L; Kuhaulua, Rie L; Ichiho, Henry M; Aitaoto, Nia T

    2002-09-01

    Diabetes is a growing problem among Pacific Islanders, but few community-based groups in the Pacific are actively working on diabetes prevention and control. The Pacific Diabetes Today Resource Center (PDTRC) was established in 1998 to adapt the Diabetes Today (DT) curriculum for Pacific Island communities in Hawai'i, American Samoa, and Micronesia. To gather data to guide the development of the Pacific Diabetes Today (PDT) curriculum, a year was spent listening to Pacific communities. First, data were gathered from health professionals on how the DT curriculum should be modified. Second, health and community leaders in 11 sites were trained and supported to conduct discussion groups with people affected by diabetes. Third, site coordinators evaluated the discussion group process. A Pacific-wide Advisory Council (AC) was established to guide the project, and the AC used findings from the first year to generate guidelines for staff to follow in adapting the DT curriculum to the Pacific. These guidelines directed staff to: a) realize that Pacific communities need to build awareness about diabetes; b) train and support local community leaders as co-facilitators in the PDT curriculum, using a learn-by-doing approach, with the goal of developing them as independent trainers; c) encourage the involvement of a broad range of community members in PDT training, including the involvement of local physicians to counter medical misconceptions about diabetes; d) give the PDT curriculum a Pacific "look" and "feel;" and e) keep the training logistically flexible to accommodate differences in communities across the region. Other programs and agencies that want to develop training programs in the Pacific may find these listening strategies and guidelines helpful.

  2. Diabetic Retinopathy in the Asia-Pacific.

    Science.gov (United States)

    Chua, Jacqueline; Lim, Claire Xin Ying; Wong, Tien Yin; Sabanayagam, Charumathi

    2018-01-01

    Diabetic retinopathy (DR), the most common complication of diabetes mellitus, is the leading cause of new cases of blindness in middle-aged and elderly in the Asia-Pacific. It has been estimated that 51% of all those with blindness due to DR globally (n = 424,400) and 56% of those with visual impairment due to DR (2.1 million) come from the Asia-Pacific. Prevalence of DR among those with diabetes ranged from 10% in India to 43% in Indonesia within the Asia-Pacific. Awareness of DR among persons with diabetes ranged from 28% to 84%. Most common modifiable risk factors for DR in the Asia-Pacific were hyperglycemia, blood pressure, dyslipidemia, and obesity. Implementation of systematic screening programs for DR and advancement in telemedicine screening methods have increased patient coverage and cost-effectiveness, though there are still numerous factors impeding screening uptake in the low-middle income regions of the Asia-Pacific. Management and treatment of DR in the Asia-Pacific is mainly limited to traditional laser retinopexy, but it is suboptimal despite new clinical approaches such as use of intravitreal anti.vascular endothelial growth factor and steroids due to limited resources. Further research and data are required to structure a more cost-effective public healthcare program and more awareness-building initiatives to increase the effectiveness of DR screening programs. Copyright 2017 Asia-Pacific Academy of Ophthalmology.

  3. Pregnancy outcomes in youth with type 2 diabetes: The TODAY Study experience

    Science.gov (United States)

    We evaluated pregnancy outcomes, maternal and fetal/neonatal, during the Treatment Options for type 2 Diabetes in Adolescents and Youth (TODAY) study. The TODAY study was a randomized controlled trial comparing three treatment options for youth with type 2 diabetes. Informed consent included the req...

  4. Associations between Psychosocial and Physiological Factors and Diabetes Health Indicators in Asian and Pacific Islander Adults with Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Dongmei Li

    2013-01-01

    Full Text Available The associations between psychosocial and physiological factors and diabetes’ health indicators have not been widely investigated among Asians and Pacific Islanders. We hypothesize that health behaviour and depression are directly or indirectly associated with diabetes’ health indicators such as BMI, glycemic control, general health, and diabetes quality of life. Our hypothesis was tested through a structural equation modelling (SEM approach. Questionnaires that assessed health behaviour, depression, general health, diabetes quality of life, and haemoglobin A1c (HbA1c, along with patients’ demographic information, were obtained from 207 Asian and Pacific Islander adults with type 2 diabetes. IBM SPSS Amos 20 was used for the SEM analysis at 5% level of significance, and the goodness fit of the SEM model was also evaluated. The final SEM model showed that diet and exercise and foot care had positive associations, while depression had a negative association with diabetes’ health indicators. The results highlighted the importance of exercise and depression in diabetes patients’ BMI, glycemic control, general health, and quality of life, which provide evidence for the need to alleviate patients’ depression besides education and training in diet and exercise in future intervention studies among Asians and Pacific Islanders with type 2 diabetes.

  5. Comparing metabolic control and complications in type 2 diabetes in two Pacific Islands at baseline and following diabetes care intervention

    Directory of Open Access Journals (Sweden)

    Si Thu Win Tin

    2016-06-01

    Conclusions: This study indicates improved metabolic control but little change in diabetes complications 15 months after intervention. Efforts to improve and evaluate the ongoing quality and accessibility of diabetes care in Pacific Island settings need to be further strengthened.

  6. Retinopathy in youth with type 2 diabetes participating in the TODAY clinical trial

    Science.gov (United States)

    The objective of this study was to determine the prevalence of retinopathy in 517 youth with type 2 diabetes of 2–8 years duration enrolled in the TODAY study. Retinal photographs were graded centrally for retinopathy using established standards. Retinopathy was identified in 13.7% of subjects. Prev...

  7. Parental Characteristics Associated With Outcomes in Youth With Type 2 Diabetes: Results From the TODAY Clinical Trial.

    Science.gov (United States)

    Weinstock, Ruth S; Trief, Paula M; El Ghormli, Laure; Goland, Robin; McKay, Siripoom; Milaszewski, Kerry; Preske, Jeff; Willi, Steven; Yasuda, Patrice M

    2015-05-01

    This study examined parental factors associated with outcomes of youth in the Treatment Options for type 2 Diabetes in Adolescents and Youth (TODAY) clinical trial. Of 699 youth with type 2 diabetes in the TODAY cohort, 623 (89.1%) had a parent participate and provide data at baseline, including weight, HbA1c, blood pressure, symptoms of depression, binge eating (BE), and medical history. Youth were followed 2-6.5 years. Data were analyzed using regression models and survival curve methods. Parental diabetes (43.6% of parents) was associated with higher baseline HbA1c (P parent, P = 0.0002). Parental hypertension (40.6% of parents) was associated with hypertension in youth during TODAY (40.4% vs. 27.4% of youth with and without parental hypertension had hypertension, P = 0.0008) and with higher youth baseline BMI z scores (P = 0.0038). Parents had a mean baseline BMI of 33.6 kg/m(2). Parental obesity (BMI >30 kg/m(2)) was associated with higher baseline BMI z scores in the youth (P parents (20.6% of parents) were related to youth depressive symptoms at baseline only (P = 0.0430); subclinical BE in parents was related to the presence of subclinical BE (P = 0.0354) and depressive symptoms (P = 0.0326) in youth throughout the study period. Parental diabetes and hypertension were associated with lack of glycemic control, hypertension, and higher BMI z scores in youth. Further research is needed to better understand and address parental biological and behavioral factors to improve youth health outcomes. © 2015 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.

  8. Diabetes epidemic in the Asia Pacific region: has hemoglobin A1C finally earned its place as a diagnostic tool?

    Directory of Open Access Journals (Sweden)

    Alexandra Bagley

    2014-02-01

    Full Text Available Two-third of the world's population lives in the Asia Pacific region where prevalence of diabetes has reached epidemic proportion. With China and India being the most populous nations on the globe, it is believed that over 150 million diabetes reside in the region with more than 95% being of type 2 diabetes mellitus (T2DM. Furthermore, other Pacific islands in the region have high rates of T2DM including Tonga, Fiji, French Polynesia, and Nauru. The latter has the highest prevalence of T2DM per population in the world. Over the past two decades, in Australia and New Zealand, the prevalence of T2DM has more than doubled, mainly amongst the Aboriginal and Torres Strait Islander and Maori peoples respectively. With the increasing prevalence of diabetes in the Asia Pacific region coupled with the limited number of resources, use of a reliable and effective mode of diagnosis for T2DM is warranted. Yet to date, only New Zealand has adopted the American Diabetes Association recommendation of using hemoglobin A1C in the diagnosis of the disease. The aim of this review is to discuss the clinical usefulness of hemoglobin A1C and highlight its diagnostic role in the Asia Pacific region where T2DM is increasingly encountered.

  9. Diabetic dyslipidaemia in Asian populations in the Western Pacific Region: what we know and don't know.

    Science.gov (United States)

    Chan, Juliana C N; Chan, Siew Pheng; Deerochanawong, Chaicharn; Go, Ruby T; Lee, Kok-Onn; Ma, Ronald Ching-Wan; Pan, Chang-Yu; Sheu, Wayne H-H; Barter, Philip

    2011-10-01

    Approximately 77 million persons with diabetes reside in the Western Pacific Region. This number is estimated to rise to 113 million in 2030 with increasing burden of cardio-renal disease, affecting an increasingly young population. Randomized clinical trials have confirmed the benefits of using statins to reduce low-density lipoprotein cholesterol in preventing cardiovascular disease (CVD) in Caucasians, although similar data are lacking in Asia. Experts from the Western Pacific Region met and reviewed evidence regarding risk association of diabetic dyslipidaemia with cardio-renal disease, effects of lipid lowering, recommended guidelines and clinical practices in Asian populations. There is strong evidence supporting the role of diabetic dyslipidaemia in cardio-renal disease and the benefits of lipid lowering in these populations. The high rate of diabetic kidney disease, its close links with CVD, and the benefits of lipid lowering on renal function are particularly relevant to this population. While most national guidelines use criteria similar to the West in management of diabetic dyslipidaemia, there are consistently low rates of use of lipid-lowering drugs and attaining treatment goals in the region. The group recommends conducting randomized studies, strengthening of the health care system to promote early detection, and intervention of diabetic dyslipidaemia to prevent end organ damage. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  10. Social Ecology and Diabetes Self-Management among Pacific Islanders in Arkansas.

    Science.gov (United States)

    McElfish, Pearl Anna; Moore, Ramey; Woodring, David; Purvis, Rachel S; Maskarinec, Gregory G; Bing, Williamina Ioanna; Hudson, Jonell; Kohler, Peter O; Goulden, Peter A

    2016-01-01

    Chronic diseases disproportionately affect ethnic and racial minorities. Pacific Islanders, including the Marshallese, experience some of the highest documented rates of type 2 diabetes. Northwest Arkansas is home to the largest population of Marshallese outside of the Republic of the Marshall Islands, and many migrants are employed by the local poultry industry. This migrant population continues to increase because of climate change, limited health care and educational infrastructure in the Marshall Islands, and the ongoing health effects of US nuclear testing. The US nuclear weapons testing program had extensive social, economic, and ecological consequences for the Marshallese and many of the health disparities they face are related to the nuclear fallout. Beginning in 2013, researchers using a community-based participatory (CBPR) approach began working with the local Marshallese community to address diabetes through the development and implementation of culturally appropriate diabetes self-management education in a family setting. Preliminary research captured numerous and significant environmental barriers that constrain self-management behaviors. At the request of our CBPR stakeholders, researchers have documented the ecological barriers faced by the Marshallese living in Arkansas through a series of qualitative research projects. Using the Social Ecological Model as a framework, this research provides an analysis of Marshallese health that expands the traditional diabetes self-management perspective. Participants identified barriers at the organizational, community, and policy levels that constrain their efforts to achieve diabetes self-management. We offer practice and policy recommendations to address barriers at the community, organizational, and policy level.

  11. Menstrual Dysfunction in Girls from the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) Study.

    Science.gov (United States)

    Kelsey, Megan M; Braffett, Barbara H; Geffner, Mitchell E; Levitsky, Lynne L; Caprio, Sonia; McKay, Siripoom V; Shah, Rachana; Sprague, Jennifer E; Arslanian, Silva A

    2018-04-24

    Little is known about reproductive function in girls with youth-onset type 2 diabetes. To characterize girls with irregular menses, and effects of glycemic treatments on menses and sex steroids in the Treatment Options for Type 2 Diabetes in Youth (TODAY) study. Differences in demographic, metabolic, and hormonal characteristics between regular vs. irregular menses groups were tested; treatment group (metformin +/- rosiglitazone, metformin + lifestyle) effect on menses and sex steroids over time in the study was assessed. This is a secondary analysis of TODAY data. Multi-center study in an academic setting. TODAY girls not on hormonal contraception and those > 1-year post-menarche were included. Irregular menses was defined as irregular menses. Those with irregular vs. regular menses had higher body mass index (BMI) (p=0.001), AST (p=0.001), free androgen index (p=0.0003), total testosterone (p=0.01); and lower sex-hormone binding globulin (SHBG) (p=0.004) and estradiol (p=0.01). Differences remained after adjusting for BMI. There was no treatment group effect on menses or sex steroids at 12 or 24 months, and no association of sex steroids with measures of insulin sensitivity or secretion. Menstrual dysfunction is common in girls with recently diagnosed T2D and associated with alterations in sex steroids, SHBG, and AST, but not with alteration in insulin sensitivity or β-cell function, and did not improve with 2 years of anti-hyperglycemic treatment.

  12. Psychosocial and Clinical Outcomes of a Cognitive Behavioral Therapy for Asians and Pacific Islanders with Type 2 Diabetes: A Randomized Clinical Trial.

    Science.gov (United States)

    Inouye, Jillian; Li, Dongmei; Davis, James; Arakaki, Richard

    2015-11-01

    Asian Americans and Pacific Islanders are twice as likely to be diagnosed with type 2 diabetes compared to Caucasians. The objective was to determine the effect of cognitive behavioral therapy on quality of life, general health perceptions, depressive symptoms, and glycemia in Asians and Pacific Islanders with type 2 diabetes. The design was a randomized controlled clinical trial comparing cognitive behavioral therapy to diabetes education and support for six weekly sessions. Participants were recruited from two endocrinology practices; 207 were enrolled. The cognitive behavioral therapy group was provided self-management tools which included biofeedback, breathing exercises, and stress relievers, while the diabetes education and support group included diabetes education and group discussions. Assessments of psychosocial and clinical outcomes were obtained before and after sessions and 12 months PostSession. Differences between the two groups were examined using linear mixed-effects models with linear contrasts. The cognitive behavioral therapy group had improved depressive symptom scores from PreSession to EndSession compared to the diabetes education and support group (P < .03), but the improvement did not extend to 12 months PostSession. Similar results were observed with misguided support scores in the Multidimensional Diabetes Questionnaire (P < .03) and susceptibility in health beliefs (P < .01), but no significant differences in HbA1c improvement were found between the two groups. Both interventions improved outcomes from baseline but were not sustained for 1 year.

  13. Mangroves of the Pacific Islands: research opportunities

    Science.gov (United States)

    Ariel E. Lugo

    1990-01-01

    The perception of mangroves by people in the Pacific islands and throughout all the world has changed in the past decades. Today, the economic, social, ecologic, and esthetic values of mangroves are well recognized. Past research on these ecosystems is responsible for the change in perception. However, a review of eleven subjects relevant to the management of Pacific...

  14. Central obesity and risk for type 2 diabetes in Maori, Pacific and European young men in New Zealand. Highlights and achievements

    International Nuclear Information System (INIS)

    Rush, E.

    2002-01-01

    Weight gain is associated with the incidence of Type 2 diabetes. Maori and Pacific people in New Zealand have a greater prevalence of obesity and Type 2 diabetes compared to NZ European people. We hypothesised that this difference is related to metabolic and fat distribution differences as previously demonstrated in a study of Polynesian and European women. Thirty healthy male volunteers between the ages of 18 and 27 years were selected for a wide range of fatness. Equal numbers, 10 in each group, self-identified as belonging to either the Maori, Pacific or European ethnic groups. Specific measurements undertaken included resting metabolic rate by indirect calorimetry; total energy expenditure over 14 days by the doubly-labelled water technique; total and regional body fat from dual-energy x-ray absorptiometry; anthropornetry (body mass index, skinfold thicknesses and girths); fat and carbohydrate utilisation from respiratory quotients and from carbon-13 analysis of expired breath; and dietary intake of macronutrients. Glucose tolerance, insulin, glycosylated haemoglobin, thyroid hormone, leptin and blood lipid determinations were also performed and HOMA and ISIO-120 indices calculated

  15. Social disparities in the prevalence of diabetes in Australia and in the development of end stage renal disease due to diabetes for Aboriginal and Torres Strait Islanders in Australia and Maori and Pacific Islanders in New Zealand

    Directory of Open Access Journals (Sweden)

    Kathleen Hill

    2017-10-01

    Full Text Available Abstract Background Disparities in health status occur between people with differing socioeconomic status and disadvantaged groups usually have the highest risk exposure and the worst health outcome. We sought to examine the social disparities in the population prevalence of diabetes and in the development of treated end stage renal disease due to type 1 diabetes which has not previously been studied in Australia and New Zealand in isolation from type 2 diabetes. Methods This observational study examined the population prevalence of diabetes in a sample of the Australian population (7,434,492 using data from the National Diabetes Services Scheme and of treated end stage renal disease due to diabetes using data from the Australian and New Zealand Dialysis and Transplant Registry. The data were then correlated with the Australian Bureau of Statistics Socioeconomic Indexes for Areas for an examination of socioeconomic disparities. Results There is a social gradient in the prevalence of diabetes in Australia with disease incidence decreasing incrementally with increasing affluence (Spearman’s rho = .765 p < 0.001. There is a higher risk of developing end stage renal disease due to type 1 diabetes for males with low socioeconomic status (RR 1.20; CI 1.002–1.459 in comparison to females with low socioeconomic status. In Australia and New Zealand Aboriginal and Torres Strait Islanders, Maori and Pacific Islanders appear to have a low risk of end stage renal disease due to type 1 diabetes but continue to carry a vastly disproportionate burden of end stage renal disease due to type 2 diabetes (RR 6.57 CI 6.04–7.14 & 6.48 CI 6.02–6.97 respectively p < 0.001 in comparison to other Australian and New Zealanders. Conclusion Whilst low socioeconomic status is associated with a higher prevalence of diabetes the inverse social gradient seen in this study has not previously been reported. The social disparity seen in relation to treated end stage

  16. Social disparities in the prevalence of diabetes in Australia and in the development of end stage renal disease due to diabetes for Aboriginal and Torres Strait Islanders in Australia and Maori and Pacific Islanders in New Zealand.

    Science.gov (United States)

    Hill, Kathleen; Ward, Paul; Grace, Blair S; Gleadle, Jonathan

    2017-10-11

    Disparities in health status occur between people with differing socioeconomic status and disadvantaged groups usually have the highest risk exposure and the worst health outcome. We sought to examine the social disparities in the population prevalence of diabetes and in the development of treated end stage renal disease due to type 1 diabetes which has not previously been studied in Australia and New Zealand in isolation from type 2 diabetes. This observational study examined the population prevalence of diabetes in a sample of the Australian population (7,434,492) using data from the National Diabetes Services Scheme and of treated end stage renal disease due to diabetes using data from the Australian and New Zealand Dialysis and Transplant Registry. The data were then correlated with the Australian Bureau of Statistics Socioeconomic Indexes for Areas for an examination of socioeconomic disparities. There is a social gradient in the prevalence of diabetes in Australia with disease incidence decreasing incrementally with increasing affluence (Spearman's rho = .765 p < 0.001). There is a higher risk of developing end stage renal disease due to type 1 diabetes for males with low socioeconomic status (RR 1.20; CI 1.002-1.459) in comparison to females with low socioeconomic status. In Australia and New Zealand Aboriginal and Torres Strait Islanders, Maori and Pacific Islanders appear to have a low risk of end stage renal disease due to type 1 diabetes but continue to carry a vastly disproportionate burden of end stage renal disease due to type 2 diabetes (RR 6.57 CI 6.04-7.14 & 6.48 CI 6.02-6.97 respectively p < 0.001) in comparison to other Australian and New Zealanders. Whilst low socioeconomic status is associated with a higher prevalence of diabetes the inverse social gradient seen in this study has not previously been reported. The social disparity seen in relation to treated end stage renal disease due to type 2 diabetes for Aboriginal and Torres Strait

  17. Ancient Genomics and the Peopling of the Southwest Pacific

    Science.gov (United States)

    Skoglund, Pontus; Posth, Cosimo; Sirak, Kendra; Spriggs, Matthew; Valentin, Frederique; Bedford, Stuart; Clark, Geoffrey; Reepmeyer, Christian; Petchey, Fiona; Fernandes, Daniel; Fu, Qiaomei; Harney, Eadaoin; Lipson, Mark; Mallick, Swapan; Novak, Mario; Rohland, Nadin; Stewardson, Kristin; Abdullah, Syafiq; Cox, Murray P.; Friedlaender, Françoise R.; Friedlaender, Jonathan S.; Kivisild, Toomas; Koki, George; Kusuma, Pradiptajati; Merriwether, D. Andrew; Ricaut, Francois-X.; Wee, Joseph T. S.; Patterson, Nick; Krause, Johannes; Pinhasi, Ron; Reich, David

    2017-01-01

    The appearance of people associated with the Lapita culture in the South Pacific ~3,000 years ago1 marked the beginning of the last major human dispersal to unpopulated lands. However, the relationship of these pioneers to the long established Papuans of the New Guinea region is unclear. We report genome-wide ancient DNA data from four individuals from Vanuatu (~3100-2700 years before present) and Tonga (~2700-2300 years before present), and co-analyze them with 778 present-day East Asians and Oceanians. Today, indigenous peoples of the South Pacific harbor a mixture of ancestry from Papuans and a population of East Asian origin that does not exist in unmixed form today, but is a match to the ancient individuals. Most analyses have interpreted the minimum of twenty-five percent Papuan ancestry in the region today as evidence that the first humans to reach Remote Oceania, including Polynesia, were derived from population mixtures near New Guinea, prior to the further expansion into Remote Oceania2–5. However, our finding that the ancient individuals had little to no Papuan ancestry implies later human population movements that spread Papuan ancestry through the South Pacific after the islands’ first peopling. PMID:27698418

  18. The effects of diabetes on the risks of major cardiovascular diseases and death in the Asia-Pacific region.

    Science.gov (United States)

    Woodward, M; Zhang, X; Barzi, F; Pan, W; Ueshima, H; Rodgers, A; MacMahon, S

    2003-02-01

    To provide reliable age- and region-specific estimates of the associations between diabetes and major cardiovascular diseases and death in populations from the Asia-Pacific region. Twenty-four cohort studies from Asia, Australia, and New Zealand (median follow-up, 5.4 years) provided individual participant data from 161,214 people (58% from Asia) of whom 4,873 had a history of diabetes at baseline. The associations of diabetes with the risks of coronary heart disease, stroke, and cause-specific mortality during follow-up were estimated using time-dependent Cox models, stratified by study cohort and sex and adjusted for age at risk. In all, 9,277 deaths occurred (3,635 from cardiovascular disease). The hazard ratio (95% CI) associated with diabetes was 1.97 (1.72-2.25) for fatal cardiovascular disease; there were similar hazard ratios for fatal coronary heart disease, fatal stroke, and composites of fatal and nonfatal outcomes. For all cardiovascular outcomes, hazard ratios were similar in Asian and non-Asian populations and in men and women, but were greater in younger than older individuals. For noncardiovascular death, the hazard ratio was 1.56 (1.38-1.77), with separately significant increases in the risks of death from renal disease, cancer, respiratory infections, and other infective causes. The hazard ratio for all-causes mortality was 1.68 (1.55-1.84), with similar ratios in Asian and non-Asian populations, but with significantly higher ratios in younger than older individuals. The relative effect of diabetes on the risks of cardiovascular disease and death in Asian populations is much the same as that in the largely Caucasian populations of Australia and New Zealand. Hazard ratios were severalfold greater in younger people than older people. The rapidly growing prevalence of diabetes in Asia heralds a large increase in the incidence of diabetes-related death in the coming decades.

  19. Central obesity and risk for type 2 diabetes in Maori, Pacific and European young men in New Zealand

    Energy Technology Data Exchange (ETDEWEB)

    Rush, E; Laulu, M S [Department of Applied Science, Auckland Institute of Technology, Auckland (New Zealand); Mitchelson, E [Department of Nursing, Unitec Institute of Technology, Auckland (New Zealand); Plank, L [Department of Surgery, School of Medicine, University of Auckland, Auckland (New Zealand)

    2002-07-01

    Thirty healthy male volunteers between the ages of 18 and 27 and of a wide range of fatness were recruited for this study. Equal numbers (10) self identified as belonging to each of the Maori Pacific and European ethnic groups. Originally it was intended that 90 men(30 in each group) should be measured but the cost and availability of the doubly-labelled water prevented this. Specific measurements undertaken included resting metabolic rate by indirect calorimetry, total energy expenditure over 14 days by the doubly-labelled water technique; total and regional body fat from dual-energy x-ray absorptiometry; anthropometry (body mass index, skinfold thicknesses and girths); fat and carbohydrate utilisation from respiratory quotients and from carbon-13 analysis of expired breath; and dietary intake of macronutrients. Glucose tolerance, insulin, thyroid hormone, leptin and blood lipid determinations were also performed. The groups did not differ significantly in BMI, height body mass or fat mass - but the European group had significantly lower subscapular to triceps skinfolds and fat free mass than the Maori and Pacific group. Resting metabolic rate adjusted for fat mass and fat free mass was not different among the groups. Carbon-13 in expired breath was positively correlated to the subscapular to triceps skinfold ratio and insulin. Reported intake of dietary fibre was negatively related to blood lipids and subscapular to triceps skinfold ratio. Central obesity showed strong associations with biochemical measures of Type 2 diabetes risk These findings emphasise the relationships between body composition and fat distribution with risk of diabetes independent of ethnicity. (author)

  20. Central obesity and risk for type 2 diabetes in Maori, Pacific and European young men in New Zealand

    International Nuclear Information System (INIS)

    Rush, E.; Laulu, M.S.; Mitchelson, E.; Plank, L.

    2002-01-01

    Thirty healthy male volunteers between the ages of 18 and 27 and of a wide range of fatness were recruited for this study. Equal numbers (10) self identified as belonging to each of the Maori Pacific and European ethnic groups. Originally it was intended that 90 men(30 in each group) should be measured but the cost and availability of the doubly-labelled water prevented this. Specific measurements undertaken included resting metabolic rate by indirect calorimetry, total energy expenditure over 14 days by the doubly-labelled water technique; total and regional body fat from dual-energy x-ray absorptiometry; anthropometry (body mass index, skinfold thicknesses and girths); fat and carbohydrate utilisation from respiratory quotients and from carbon-13 analysis of expired breath; and dietary intake of macronutrients. Glucose tolerance, insulin, thyroid hormone, leptin and blood lipid determinations were also performed. The groups did not differ significantly in BMI, height body mass or fat mass - but the European group had significantly lower subscapular to triceps skinfolds and fat free mass than the Maori and Pacific group. Resting metabolic rate adjusted for fat mass and fat free mass was not different among the groups. Carbon-13 in expired breath was positively correlated to the subscapular to triceps skinfold ratio and insulin. Reported intake of dietary fibre was negatively related to blood lipids and subscapular to triceps skinfold ratio. Central obesity showed strong associations with biochemical measures of Type 2 diabetes risk These findings emphasise the relationships between body composition and fat distribution with risk of diabetes independent of ethnicity. (author)

  1. Assessment of Gestational Diabetes and Associated Risk Factors and Outcomes in the Pacific Island Nation of Palau.

    Science.gov (United States)

    Sugiyama, Mindy S; Cash, Haley L; Roseveare, Christine; Reklai, Rumi; Basilius, Kliu; Madraisau, Sherilynn

    2017-10-01

    Objective Gestational diabetes mellitus (GDM) in Palau and across the Pacific Islands is a serious public health issue that is currently understudied. Methods This study was a retrospective cohort study that included 1730 women with a single live birth in Palau between January 2007 and December 2014. Results The overall prevalence of GDM among women in Palau was 5.5%. Women who were older (≥30 years) or obese (BMI ≥30) were more likely to have GDM than women who were younger (monitoring and treatment of women with GDM should be evaluated and strengthened in order to reduce neonatal mortality rates in Palau.

  2. The Ecological Impacts of Marine Plastic Debris in the South Pacific Region

    OpenAIRE

    Chowra, Isabella

    2013-01-01

    The population in the Pacific Islands region is vastly dependant on their oceanic resources, for food, protection and economic income. Today the Pacific Ocean faces many threats that could risk the living hood of its population. This study aims to map the extent of plastic pollution in the South Pacific and possible measurements against it. The study will also be focused on plastic shopping bags and try to assess the most environmentally friendly option. This will be achieved by literature re...

  3. Prevent Type 2 Diabetes in Kids

    Science.gov (United States)

    ... to a mom with gestational diabetes (diabetes while pregnant). Being African American, Hispanic/Latino, Native American/Alaska Native, Asian American, or Pacific Islander. Having one or more conditions related to insulin resistance. If your child is overweight and has any ...

  4. Pacific Northwest National Laboratory institutional plan FY 1997--2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    Pacific Northwest National Laboratory`s core mission is to deliver environmental science and technology in the service of the nation and humanity. Through basic research fundamental knowledge is created of natural, engineered, and social systems that is the basis for both effective environmental technology and sound public policy. Legacy environmental problems are solved by delivering technologies that remedy existing environmental hazards, today`s environmental needs are addressed with technologies that prevent pollution and minimize waste, and the technical foundation is being laid for tomorrow`s inherently clean energy and industrial processes. Pacific Northwest National Laboratory also applies its capabilities to meet selected national security, energy, and human health needs; strengthen the US economy; and support the education of future scientists and engineers. Brief summaries are given of the various tasks being carried out under these broad categories.

  5. For Men, Ignoring Diabetes Can Be Deadly

    Science.gov (United States)

    ... blood pressure, depression, sexual dysfunction, and diabetes. Historically, men have not been forthcoming about their health, particularly conditions like diabetes, depression, or sexual dysfunction. But today, many men are ...

  6. Epidemiology of diabetes in New Zealand: revisit to a changing landscape.

    Science.gov (United States)

    Joshy, Grace; Simmons, David

    2006-06-02

    The aim of this review is to describe the evolution of the burden of diabetes, its risk factors and complications in New Zealand, and the current national strategies underway to tackle a condition likely to impact on the national ability to afford other health services. The MEDLINE database from 1990 was searched for New Zealand-specific diabetes studies. The Australia and New Zealand Dialysis and Transplant Registry (ANZDATA) Reports from 1990-2004 and Ministry of Health (MoH) publications and reports were also reviewed. Key contact people working in the field of diabetes care in every district health board (DHB) were contacted, and information on current initiatives for diabetes control and prevention were collected. The prevalence of diabetes (known and undiagnosed), impaired glucose tolerance (IGT)/impaired fasting glucose (IFG) and gestational diabetes are tabulated by ethnic group. The latest New Zealand Health Survey (NZHS) result of known diabetes: European 2.9%, Maori 8%, Pacific 10.1%, Asian 8.4%. Diabetes risk factors have been examined and the reported rates have been compiled. Maori and Pacific people have a particularly high prevalence of diabetes risk factors (e.g. obesity, physical inactivity, insulin resistance, metabolic syndrome) compared with Europeans. The profile of diabetic patients in New Zealand has been summarised using publications on their clinical characteristics. The latest available data on ethnic specific clinical characteristics are a decade old. With the suboptimal participation in the Get Checked program: 63% Europeans/Others, 27% Maori, 92% Pacific (possibly overestimated) people in 2004, the results may not be representative. The burden of diabetes complications and diabetes related mortality has been reviewed. A high proportion of Maori and Pacific dialysis patients and new renal disease patients from the ANZDATA registry have diabetes comorbidity. The inadequacy of official statistics in New Zealand and the scarcity of indepth

  7. Diabetes and Native Hawaiians/Pacific Islanders

    Science.gov (United States)

    ... Data and Issue Briefs BRFSS Health Survey NHPI NHIS Data Hep B & C Phase 2 Study Justice ... Diagnosed Cases of Diabetes: National Health Interview Survey, NHIS Age-adjusted percentage of persons 18 years of ...

  8. Diabetes and Asians and Pacific Islanders

    Science.gov (United States)

    ... Data and Issue Briefs BRFSS Health Survey NHPI NHIS Data Hep B & C Phase 2 Study Justice ... Diagnosed Cases of Diabetes: National Health Interview Survey, NHIS Age-adjusted percentages of persons 18 years of ...

  9. 78 FR 55062 - Western Pacific Fishery Management Council; Public Meetings

    Science.gov (United States)

    2013-09-09

    ... addressed may change. The meetings will run as late as necessary to complete scheduled business. Schedule...-commercial fisheries in the Western Pacific a. Historical overview b. Recreational fishing today 5. Data... 15. Other Business 16. Public Comment 17. Discussion and Recommendations from Day 2 Although non...

  10. Visualisation and globalisation in the Asia-Pacific region: the Taipei Biennial 1996-2008

    OpenAIRE

    Turner, Ming

    2009-01-01

    Whilst globalisation, urbanisation and explosive expansion of urban spaces are the most dynamic and challenging issues in the Asia-Pacific region today, modernisation and cultural re-interpretation are also taking place at a rapid speed. Asia-Pacific metropolises, combining most of their nations’ population and resources, are at the centre of its globalisation process and intend to create their own characters whilst information and fashion have been moving between territories. Taipei, being t...

  11. Central Equatorial Pacific Experiment (CEPEX)

    Energy Technology Data Exchange (ETDEWEB)

    1993-01-01

    The Earth's climate has varied significantly in the past, yet climate records reveal that in the tropics, sea surface temperatures seem to have been remarkably stable, varying by less than a few degrees Celsius over geologic time. Today, the large warm pool of the western Pacific shows similar characteristics. Its surface temperature always exceeds 27[degree]C, but never 31[degree]C. Heightened interest in this observation has been stimulated by questions of global climate change and the exploration of stabilizing climate feedback processes. Efforts to understand the observed weak sensitivity of tropical sea surface temperatures to climate forcing has led to a number of competing ideas about the nature of this apparent thermostat. Although there remains disagreement on the processes that regulate tropical sea surface temperature, most agree that further progress in resolving these differences requires comprehensive field observations of three-dimensional water vapor concentrations, solar and infrared radiative fluxes, surface fluxes of heat and water vapor, and cloud microphysical properties. This document describes the Central Equatorial Pacific Experiment (CEPEX) plan to collect such observations over the central equatorial Pacific Ocean during March of 1993.

  12. The search for forest facts: a history of the Pacific Southwest Forest and Range Experiment Station, 1926–2000

    Science.gov (United States)

    Anthony. Godfrey

    2013-01-01

    In 1926, the California Forest Experiment Station, which later became the Pacific Southwest (PSW) Research Station, was established at the University of California, Berkeley. Today, the PSW Research Station represents the research and development branch of the USDA Forest Service in California and Hawaii and the U.S.-affiliated Pacific Islands. The PSW Research Station...

  13. Ideas and Inspirations: Good News about Diabetes Prevention and Management in Indian Country

    Medline Plus

    Full Text Available ... be a favorite to share with friends and family. Order yours today! Find Tools for Diabetes Educators! See what the IHS Division of Diabetes has to offer for those who provide diabetes education. Find Guides for Diabetes Programs, Diabetes Prevention Program ...

  14. Type 2 diabetes mellitus in children and adolescents

    OpenAIRE

    Reinehr, Thomas

    2013-01-01

    Type 2 diabetes mellitus is emerging as a new clinical problem within pediatric practice. Recent reports indicate an increasing prevalence of type 2 diabetes mellitus in children and adolescents around the world in all ethnicities, even if the prevalence of obesity is not increasing any more. The majority of young people diagnosed with type 2 diabetes mellitus was found in specific ethnic subgroups such as African-American, Hispanic, Asian/Pacific Islanders and American Indians. Clinicians sh...

  15. Energy expenditure and metabolism in Maori, Pacific Island and New Zealand European men

    International Nuclear Information System (INIS)

    Rush, E.; Laulu, M.S.; Mitchelson, E.; Plank, L.

    1999-01-01

    Obesity is an important risk factor for many diseases that contribute to premature death and illness. Particularly for Maori and Pacific Island people in New Zealand, death rates from diabetes, stroke and coronary heart disease are much higher than those of other New Zealanders. We hypothesise that the greater prevalence of obesity in Pacific Island and Maori groups compared to NZ European is related to metabolic differences. We have already shown significant differences in body composition and metabolism in young NZ European and Polynesian women. The goal of the proposed study is to determine whether such differences are also present among young NZ European, Pacific Island and Maori males. (author)

  16. Diabetes and Hypertension in Marshallese Adults: Results from Faith-Based Health Screenings.

    Science.gov (United States)

    McElfish, Pearl Anna; Rowland, Brett; Long, Christopher R; Hudson, Jonell; Piel, Michelle; Buron, Bill; Riklon, Sheldon; Bing, Williamina Ioanna; Warmack, T Scott

    2017-12-01

    The Pacific Islander population in the USA is growing rapidly. However, research on Pacific Islanders in the USA is limited, or sometimes misleading due to aggregation with Asian Americans. This project seeks to add to the dearth of health literature by conducting a health assessment of Marshallese in northwest Arkansas. Using a community-based participatory research approach, nine health screening events were conducted at local Marshallese churches. Participants completed the Behavioral Risk Factors Surveillance Survey core questionnaire and diabetes module if applicable. Biometric data, including Hemoglobin A1c, blood pressure, and body mass index, were gathered by an interprofessional team. Four hundred one participants completed health screenings. High proportions of diabetes, obesity, and hypertension were found. A high percentage of participants were uninsured, and multiple barriers to health care were found within the sample. This project represents one of the first broad health assessments of Pacific Islanders in the USA. Proportions of diabetes, hypertension, obesity, and uninsured found in the sample are much higher than national proportions.

  17. Empowered Diabetes Management: Life Coaching and Pharmacist Counseling for Employed Adults with Diabetes

    Science.gov (United States)

    Nishita, Christy; Cardazone, Gina; Uehara, Denise Lea; Tom, Tammy

    2013-01-01

    The Hawai'i Demonstration to Maintain Independence and Employment was a randomized controlled trial examining the effect of a participant-driven, multicomponent intervention on 190 employed adults with diabetes, 36% of whom were Asian and 35% of whom were Native Hawaiian or Pacific Islander. A no treatment concurrent control group was used, and…

  18. Central Equatorial Pacific Experiment (CEPEX). Design document

    Energy Technology Data Exchange (ETDEWEB)

    1993-04-01

    The Earth`s climate has varied significantly in the past, yet climate records reveal that in the tropics, sea surface temperatures seem to have been remarkably stable, varying by less than a few degrees Celsius over geologic time. Today, the large warm pool of the western Pacific shows similar characteristics. Its surface temperature always exceeds 27{degree}C, but never 31{degree}C. Heightened interest in this observation has been stimulated by questions of global climate change and the exploration of stabilizing climate feedback processes. Efforts to understand the observed weak sensitivity of tropical sea surface temperatures to climate forcing has led to a number of competing ideas about the nature of this apparent thermostat. Although there remains disagreement on the processes that regulate tropical sea surface temperature, most agree that further progress in resolving these differences requires comprehensive field observations of three-dimensional water vapor concentrations, solar and infrared radiative fluxes, surface fluxes of heat and water vapor, and cloud microphysical properties. This document describes the Central Equatorial Pacific Experiment (CEPEX) plan to collect such observations over the central equatorial Pacific Ocean during March of 1993.

  19. Commissioning specialist diabetes services for adults with diabetes: summary of a Diabetes UK Task and Finish group report.

    Science.gov (United States)

    Goenka, N; Turner, B; Vora, J

    2011-12-01

    The increasing prevalence of diabetes, the drive to develop community services for diabetes and the Quality and Outcomes Framework for diabetes have led to improvements in the management of diabetes in primary care settings, with services traditionally provided only in specialist care now provided for many patients with diabetes by non-specialists. Consequently, there is a need to redefine roles, responsibilities and components of a specialist diabetes service to provide for the needs of patients in the National Health Service (NHS) today. The delivery of diabetes care is complex and touches on almost every aspect of the health service. It is the responsibility of those working within commissioning and specialist provider roles to work together with people with diabetes to develop, organize and deliver a full range of integrated diabetes care services. The local delivery model agreed within the local diabetes network, comprising specialist teams, primary care teams, commissioners and people with diabetes, should determine how the diabetes specialist services are organizsed. It should identify the roles and responsibilities of provider organizations to ensure that the right person provides the right care, at the right time, and in the right place. We summarize a report entitled 'Commissioning Diabetes Specialist Services for Adults with Diabetes', which has been produced, as a 'Task and Finish' group activity within Diabetes UK, to assist managers, commissioners and healthcare professionals to provide advice on the structure, roles and components of specialist diabetes services for adults. © 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK.

  20. The Interplay of Diabetes, and Health Self Efficacy, Cognition and ...

    African Journals Online (AJOL)

    Globesity has partially been responsible for an outbreak of diabetes which affects 340 million people in the world today1. Severe diabetes, which would have killed a patient fifty years ago, can now be managed for decades longer. So the number of diabetics is increasing both among the obese young and the elderly who ...

  1. Epidemiological bases and molecular mechanisms linking obesity, diabetes, and cancer.

    Science.gov (United States)

    Gutiérrez-Salmerón, María; Chocarro-Calvo, Ana; García-Martínez, José Manuel; de la Vieja, Antonio; García-Jiménez, Custodia

    2017-02-01

    The association between diabetes and cancer was hypothesized almost one century ago. Today, a vast number of epidemiological studies support that obese and diabetic populations are more likely to experience tissue-specific cancers, but the underlying molecular mechanisms remain unknown. Obesity, diabetes, and cancer share many hormonal, immune, and metabolic changes that may account for the relationship between diabetes and cancer. In addition, antidiabetic treatments may have an impact on the occurrence and course of some cancers. Moreover, some anticancer treatments may induce diabetes. These observations aroused a great controversy because of the ethical implications and the associated commercial interests. We report an epidemiological update from a mechanistic perspective that suggests the existence of many common and differential individual mechanisms linking obesity and type 1 and 2 diabetes mellitus to certain cancers. The challenge today is to identify the molecular links responsible for this association. Classification of cancers by their molecular signatures may facilitate future mechanistic and epidemiological studies. Copyright © 2016 SEEN. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. Ideas and Inspirations: Good News about Diabetes Prevention and Management in Indian Country

    Medline Plus

    Full Text Available ... addition of new diabetes-related topics. New SDPI Fact Sheet Infographic! [PDF – 776 KB] See how SDPI has helped changed the course of diabetes over the past 20 years by reducing diabetes and its costly complications. Share with others today! 2017 Diabetes in Indian Country Conference Exit ...

  3. Evaluation of anti-diabetic effects of hydroalcoholic extract of green tea and cinnamon on streptozotocin-induced diabetic rats

    OpenAIRE

    Ghasem Shokri; Hamed Fathi; Majid Jafari Sabet; Nafiseh Nasri Nasrabadi; Ramin Ataee

    2015-01-01

    Today diabetes is one of the most common diseases in the world that affects half of the world population. The use of medicinal herbs especially green tea and cinnamon has been taken into consideration for relieving the symptoms of diabetes, but there were some different ideas about their effectiveness. So, this study was conducted to evaluate the effect of cinnamon and green tea extract, individually and in combination, on blood glucose and weight loss in diabetic mice with Streptozotocin (ST...

  4. Year in diabetes 2012: The diabetes tsunami.

    Science.gov (United States)

    Sherwin, R; Jastreboff, A M

    2012-12-01

    Diabetes affects more than 300 million individuals globally, contributing to significant morbidity and mortality worldwide. As the incidence and prevalence of diabetes continue to escalate with the force of an approaching tsunami, it is imperative that we better define the biological mechanisms causing both obesity and diabetes and identify optimal prevention and treatment strategies that will enable a healthier environment and calmer waters. New guidelines from the American Diabetes Association/European Association of the Study of Diabetes and The Endocrine Society encourage individualized care for each patient with diabetes, both in the outpatient and inpatient setting. Recent data suggest that restoration of normal glucose metabolism in people with prediabetes may delay progression to type 2 diabetes (T2DM). However, several large clinical trials have underscored the limitations of current treatment options once T2DM has developed, particularly in obese children with the disease. Prospects for reversing new-onset type 1 diabetes also appear limited, although recent clinical trials indicate that immunotherapy can delay the loss of β-cell function, suggesting potential benefits if treatment is initiated earlier. Research demonstrating a role for the central nervous system in the development of obesity and T2DM, the identification of a new hormone that simulates some of the benefits of exercise, and the development of new β-cell imaging techniques may provide novel therapeutic targets and biomarkers of early diabetes detection for optimization of interventions. Today's message is that a diabetes tsunami is imminent, and the only way to minimize the damage is to create an early warning system and improve interventions to protect those in its path.

  5. Johnson & Johnson Asia Pacific Supply Chain: A Value(less) Chain?

    OpenAIRE

    Wong, Wennie

    2008-01-01

    An increasing number of companies claim to pursue International supply chain management (ISCM), but the empirical evidence of successful implementation programs is still scarce. This project aims to contribute in this area by presenting an review of goals, barriers, and enablers on the road towards effective ISCM by Johnson and Johnson Asia Pacific. In today's highly competitive globalized environment, organizations must seek to develop collaborative partnerships and more effective informatio...

  6. Women in engineering conference: capitalizing on today`s challenges

    Energy Technology Data Exchange (ETDEWEB)

    Metz, S.S.; Martins, S.M. [eds.

    1996-06-01

    This document contains the conference proceedings of the Women in Engineering Conference: Capitalizing on Today`s Challenges, held June 1-4, 1996 in Denver, Colorado. Topics included engineering and science education, career paths, workplace issues, and affirmative action.

  7. Pacific Northwest National Laboratory institutional plan FY 1998--2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-01

    Pacific Northwest National Laboratory`s core mission is to deliver environmental science and technology in the service of the nation and humanity. Through basic research the lab creates fundamental knowledge of natural, engineered, and social systems that is the basis for both effective environmental technology and sound public policy. They solve legacy environmental problems by delivering technologies that remedy existing environmental hazards, they address today`s environmental needs with technologies that prevent pollution and minimize waste, and they are laying the technical foundation for tomorrow`s inherently clean energy and industrial processes. The lab also applies their capabilities to meet selected national security, energy, and human health needs; strengthen the US economy; and support the education of future scientists and engineers. The paper summarizes individual research activities under each of these areas.

  8. Sight-threatening diabetic retinopathy at presentation to screening services in Fiji.

    Science.gov (United States)

    Damato, Erika M; Murray, Neil; Szetu, John; Sikivou, Biu Telaite; Emma, Stephanie; McGhee, Charles N J

    2014-10-01

    To report the spectrum of retinopathy at first presentation to photoscreening services, to determine the proportion of patients that present with sight-threatening diabetic retinopathy (STDR), and to raise awareness of the burden of diabetic eye disease in Fiji. This retrospective observational cohort study used data from the initial visit of all new patients presenting to the diabetes retinal screening service at the Pacific Eye Institute in Fiji over the 3-month period between July and September 2012. Patients were assessed using a detailed questionnaire regarding diabetes type, duration of disease, medications, complications and co-morbidities, and blood sugar control. Patients subsequently underwent non-mydriatic fundus photography according to Pacific diabetes retinal screening guidelines. Images were graded at the time of acquisition, and data were entered onto a computerized database. For the purposes of this study, information regarding retinopathy grading, visual acuity and patient demographics was used. A total of 522 new patients were screened over the 3-month period. STDR was observed in 27% of patients, with 15% observed to have bilateral STDR. Diabetes control was generally poor. Blindness and visual impairment were observed in 2.7% and 6.7% of the cohort, respectively. Severe and advanced diabetic retinopathy was present in this population presenting to screening. This was observed 4 years after the formal expansion of the screening services and reflects the high prevalence of diabetes in the population. The need for increased public awareness and greater resource allocation into diabetes and its complications is emphasized.

  9. Gas export potential of Russia's East: Will it match Asia-Pacific markets?

    International Nuclear Information System (INIS)

    Khartukov, E.; Starostina, E.

    2002-01-01

    Russia's Far East and East Siberia are emerging as new major sources of gas supplies for East Asian energy markets. Thanks to ongoing and earmarked resource and infrastructure developments in Sakhalin, Yakutia (Sakha) and Irkutsk, by around 2020 these poorly developed but naturally endowed areas of the country's East can provide between 50 and 70 Bcm/yr (5-7 Bcfd) of natural gas, including up to 10 Mt/yr of LNG, available for exports to neighbouring Pacific countries (primarily to the PRC, Japan, South Korea as well as to Taiwan and the U.S. West Coast). This can noticeably reshape today's matrix of the Asia-Pacific energy flows and even destabilize the regional gas market. (author)

  10. Cohort profile: Pacific Islands Families (PIF) growth study, Auckland, New Zealand.

    Science.gov (United States)

    Rush, E; Oliver, M; Plank, L D; Taylor, S; Iusitini, L; Jalili-Moghaddam, S; Savila, F; Paterson, J; Tautolo, E

    2016-11-02

    This article profiles a birth cohort of Pacific children participating in an observational prospective study and describes the study protocol used at ages 14-15 years to investigate how food and activity patterns, metabolic risk and family and built environment are related to rates of physical growth of Pacific children. From 2000 to 2015, the Pacific Islands Families Study has followed, from birth, the growth and development of over 1000 Pacific children born in Auckland, New Zealand. In 2014, 931 (66%) of the original cohort had field measures of body composition, blood pressure and glycated haemoglobin. A nested subsample (n=204) was drawn by randomly selecting 10 males and 10 females from each decile of body weight. These participants had measurement of body composition by dual-energy X-ray absorptiometry, food frequency, 6 min walk test and accelerometer-determined physical activity and sedentary behaviours, and blood biomarkers for metabolic disease such as diabetes. Built environment variables were generated from individual addresses. Compared to the Centres for Disease Control and Prevention (CDC) reference population with mean SD scores (SDS) of 0, this cohort of 931 14-year-olds was taller, weighed more and had a higher body mass index (BMI) (mean SDS height >0.6, weight >1.6 and BMI >1.4). 7 of 10 youth were overweight or obese. The nested-sampling frame achieved an even distribution by body weight. Cross-sectional relationships between body size, fatness and growth rate, food patterns, activity patterns, pubertal development, risks for diabetes and hypertension and the family and wider environment will be examined. In addition, analyses will investigate relationships with data collected earlier in the life course and measures of the cohort in the future. Understanding past and present influences on child growth and health will inform timely interventions to optimise future health and reduce inequalities for Pacific people. Published by the BMJ

  11. Cohort profile: Pacific Islands Families (PIF) growth study, Auckland, New Zealand

    Science.gov (United States)

    Rush, E; Oliver, M; Plank, L D; Taylor, S; Iusitini, L; Jalili-Moghaddam, S; Savila, F; Paterson, J; Tautolo, E

    2016-01-01

    Purpose This article profiles a birth cohort of Pacific children participating in an observational prospective study and describes the study protocol used at ages 14–15 years to investigate how food and activity patterns, metabolic risk and family and built environment are related to rates of physical growth of Pacific children. Participants From 2000 to 2015, the Pacific Islands Families Study has followed, from birth, the growth and development of over 1000 Pacific children born in Auckland, New Zealand. In 2014, 931 (66%) of the original cohort had field measures of body composition, blood pressure and glycated haemoglobin. A nested subsample (n=204) was drawn by randomly selecting 10 males and 10 females from each decile of body weight. These participants had measurement of body composition by dual-energy X-ray absorptiometry, food frequency, 6 min walk test and accelerometer-determined physical activity and sedentary behaviours, and blood biomarkers for metabolic disease such as diabetes. Built environment variables were generated from individual addresses. Findings to date Compared to the Centres for Disease Control and Prevention (CDC) reference population with mean SD scores (SDS) of 0, this cohort of 931 14-year-olds was taller, weighed more and had a higher body mass index (BMI) (mean SDS height >0.6, weight >1.6 and BMI >1.4). 7 of 10 youth were overweight or obese. The nested-sampling frame achieved an even distribution by body weight. Future plans Cross-sectional relationships between body size, fatness and growth rate, food patterns, activity patterns, pubertal development, risks for diabetes and hypertension and the family and wider environment will be examined. In addition, analyses will investigate relationships with data collected earlier in the life course and measures of the cohort in the future. Understanding past and present influences on child growth and health will inform timely interventions to optimise future health and reduce

  12. Herbal option for diabetes: an overview

    Directory of Open Access Journals (Sweden)

    Amreen Fatima

    2012-05-01

    Full Text Available The most spreading disease nowadays is diabetes. In a fast changing world, a number of means to treat diabetes naturally are explored by experts and clinicians today. Long-term use of insulin and other oral hypoglycemic agent will create unwanted side effects, resulting uncontrolled increase in blood sugar as well as complications with heart diseases also diabetics are highly prone to different types of microorganism and it will affect immune system of body. To avoid such problems herbal medications has greater advantages. Instead of using these types of allopathic formulations, it is beneficial to use Ayurvedic formulations for better management of diabetes mellitus. In this review, around a hundred of herbal plants were showing hypoglycemic activity and still they are using as home remedies for the effective treatment for diabetes mellitus.

  13. Pacific Basin Heavy Oil Refining Capacity

    Directory of Open Access Journals (Sweden)

    David Hackett

    2013-02-01

    Full Text Available The United States today is Canada’s largest customer for oil and refined oil products. However, this relationship may be strained due to physical, economic and political influences. Pipeline capacity is approaching its limits; Canadian oil is selling at substantive discounts to world market prices; and U.S. demand for crude oil and finished products (such as gasoline, has begun to flatten significantly relative to historical rates. Lower demand, combined with increased shale oil production, means U.S. demand for Canadian oil is expected to continue to decline. Under these circumstances, gaining access to new markets such as those in the Asia-Pacific region is becoming more and more important for the Canadian economy. However, expanding pipeline capacity to the Pacific via the proposed Northern Gateway pipeline and the planned Trans Mountain pipeline expansion is only feasible when there is sufficient demand and processing capacity to support Canadian crude blends. Canadian heavy oil requires more refining and produces less valuable end products than other lighter and sweeter blends. Canadian producers must compete with lighter, sweeter oils from the Middle East, and elsewhere, for a place in the Pacific Basin refineries built to handle heavy crude blends. Canadian oil sands producers are currently expanding production capacity. Once complete, the Northern Gateway pipeline and the Trans Mountain expansion are expected to deliver an additional 500,000 to 1.1 million barrels a day to tankers on the Pacific coast. Through this survey of the capacity of Pacific Basin refineries, including existing and proposed facilities, we have concluded that there is sufficient technical capacity in the Pacific Basin to refine the additional Canadian volume; however, there may be some modifications required to certain refineries to allow them to process Western Canadian crude. Any additional capacity for Canadian oil would require refinery modifications or

  14. Health status of Asians and Pacific Islanders.

    Science.gov (United States)

    Lum, O M

    1995-02-01

    The elder Asian or Pacific-Island American presents a dynamic, interactive paradigm of forces beyond medical practice that includes religious, societal, and historical factors of delivering health care. The cultural characteristics of family and function, perception of time and healing, and the anthropologic factors of health beliefs on health behaviors can add to understanding our medical patients. Some important trends of environmental factors on expression of genetic predisposition to certain illnesses, such as diabetes and gout, can be used in health prevention. The significance of diet on certain cancers can be better understood using nativity factors. Many of the mental illnesses borne by immigrants can be recognized and treated. Significant clinical research directions imply an ability of American medicine to target at-risk Asians and Pacific Islanders for specific prevention and early diagnoses. The base knowledge of differential physiologic changes for aging and disease due to genetic predisposition and the correlates of social, cultural, and behavioral factors of diseases can then be improved.

  15. Prevalence of diabetes mellitus and impaired glucose tolerance in a New Zealand multiracial workforce.

    Science.gov (United States)

    Scragg, R; Baker, J; Metcalf, P; Dryson, E

    1991-09-25

    A cross sectional survey was carried out among a multiracial workforce of 5677 staff aged 40 to 64 years at worksites in Auckland and Tokoroa to determine the prevalence of diabetes mellitus and impaired glucose tolerance (IGT). The prevalences of diabetes mellitus and IGT were both similar for men and women, but increased with age. The relative risks for diabetes mellitus and for IGT were both inversely associated with gross annual household income, independent of age and ethnicity, being 1.61 (95% Cl = 1.10, 2.37) and 1.80 (95% Cl = 1.21, 2.67) respectively, in the lowest income group (less than $30,000) compared with the highest (greater than $40,000). Compared with Europeans, the relative risk of diabetes mellitus was significantly increased among Maori (3.63; 95% Cl = 2.48, 5.32), Pacific Islanders (2.34; 95% Cl = 1.50, 3.66) and Asians (5.97; 95% Cl = 2.61, 13.65), after controlling for age, income and body mass index. The increased prevalence of diabetes mellitus among Maori and Pacific Islanders, but not in Asians, could be partly attributed to their increased levels of obesity compared with Europeans. However, other factors, in addition to obesity, explain the increased diabetes prevalence in nonEuropean groups.

  16. Predictors of low diabetes risk perception in a multi-ethnic cohort of women with gestational diabetes mellitus.

    Science.gov (United States)

    Mukerji, G; Kainth, S; Pendrith, C; Lowe, J; Feig, D S; Banerjee, A T; Wu, W; Lipscombe, L L

    2016-10-01

    To determine what proportion of women with gestational diabetes underestimate their diabetes risk and identify factors associated with low diabetes risk perception. Participants included pregnant adult women with gestational diabetes between 2009 and 2012 across seven diabetes clinics in Ontario, Canada. Data were collected through chart review and a survey that included a diabetes risk perception question. Of the 614 of 902 women (68% response rate) with gestational diabetes, 89% correctly responded that gestational diabetes increases the risk for developing diabetes. However, 47.1% of women perceived themselves to be at low risk for developing diabetes within 10 years. On multivariable analysis, BMI gestational diabetes history, absent diabetes family history and absent insulin use were appropriately associated with low diabetes risk perception. However, compared with Caucasian ethnicity, high-risk ethnicity (Aboriginal, Latin American, West Indian, South Asian, Middle Eastern, Filipino, Black, Pacific Islander) [odds ratio (OR) 2.07; 95% CI 1.30-3.31] and East and South East Asian ethnicity (OR 2.01; 1.10-3.67) were associated with low diabetes risk perception. After further adjustment for immigration, only high-risk ethnicity remained a predictor of low diabetes risk perception (OR 1.86; 1.09-3.19), whereas East and South East Asian ethnicity did not (OR 1.67; 0.86-3.22). Although the majority of women recognized gestational diabetes as a risk factor for diabetes, almost half underestimated their personal high diabetes risk despite prenatal care. Furthermore, women from high-risk ethnic groups were more likely to underestimate their risk, even after adjusting for immigration. Interventions tailored to these groups are necessary to enhance perceived diabetes risk. © 2015 Diabetes UK.

  17. Indo-Pacific echinoids in the tropical eastern Pacific

    Science.gov (United States)

    Lessios, H. A.; Kessing, B. D.; Wellington, G. M.; Graybeal, A.

    1996-06-01

    The existing literature reports that only one species of Indo-Pacific echinoid ( Echinometra oblonga), occurs in the eastern Pacific. In this study we confirm the presence of this species at Islas Revillagigedo and also report the presence of two species of Echinothrix (a genus hitherto unknown outside the Indo-Pacific) at Isla del Coco and at Clipperton Island. We also present evidence from isozymes and from mitochondrial DNA sequences indicating that at least one individual of Diadema at Clipperton may belong to a maternal lineage characteristic of the west Pacific species D. savignyi. These data are consistent with the hypothesis that the observed populations of Indo-Pacific echinoid species are recent arrivals to the eastern Pacific, as opposed to the view that they are relicts of Tethyan pan-tropical distributions. Echinothrix diadema, in particular, may have arrived at Isla del Coco during the 1982-1983 El Nifio. In addition to Indo-Pacific species, Clipperton, Isla del Coco and the Revillagigedos contain a complement of eastern Pacific echinoids. The echinoid faunas of these islands should, therefore, be regarded as mixtures of two biogeographic provinces. Though none of the Indo-Pacific species are known to have reached the coast of the American mainland, their presence at the offshore islands of the eastern Pacific suggests that, for some echinoids, the East Pacific Barrier is not as formidable an obstacle to migration as was previously thought.

  18. Sea Surface Temperatures in the Indo-Pacific Warm Pool During the Early Pliocene Warm Period

    Science.gov (United States)

    Dekens, P. S.; Ravelo, A. C.; Griffith, E. M.

    2010-12-01

    The Indo-Pacific warm pool (IPWP) plays an important role in both regional and global climate, but the response of this region to anthropogenic climate change is not well understood. While the early Pliocene is not a perfect analogue for anthropogenic climate change, it is the most recent time in Earth history when global temperatures were warmer than they are today for a sustained period of time. SST in the eastern equatorial Pacific was 2-4○C warmer in the early Pliocene compared to today. A Mg/Ca SST at ODP site 806 in the western equatorial Pacific indicates that SST were stable through the last 5Ma (Wara et al., 2005). We generated a G. sacculifer Mg/Ca record in the Indian Ocean (ODP sit 758) for the last 5 Ma, which also shows that IPWP SST has remained relatively stable through the last 5 Ma and was not warmer in the early Pliocene compared today. A recent paper suggests that the Mg/Ca of seawater may have varied through the last 5 Ma and significantly affected Mg/Ca SST estimates (Medina-Elizalde et al., 2008). However, there is considerable uncertainty in the estimates of seawater Mg/Ca variations through time. We will present a detailed examination of these uncertainties to examine the possible range of seawater Mg/Ca through the last 5 Ma. Due to the lack of culturing work of foraminifera at different Mg/Ca ratios in the growth water there is also uncertainty in how changes in seawater Mg/Ca will affect the temperatures signal in the proxy. We will explore how uncertainties in the record of seawater Mg/Ca variations through time and its effect on the Mg/Ca SST proxy potentially influence the interpretation of the Mg/Ca SST records at ODP sites 806 and 758 in the IPWP, and ODP site 847 in the eastern equatorial Pacific. We will also explore how adjustment of the Mg/Ca SST estimates (due to reconstructed Mg/Ca seawater variations) affects the δ18O of water when adjusted Mg/Ca SST estimates are paired with δ18O measurements of the same samples.

  19. Glucagon and type 2 diabetes

    DEFF Research Database (Denmark)

    Lund, Asger; Bagger, Jonatan I; Christensen, Mikkel

    2014-01-01

    In normal physiology, glucagon from pancreatic alpha cells plays an important role in maintaining glucose homeostasis via its regulatory effect on hepatic glucose production. Patients with type 2 diabetes suffer from fasting and postprandial hyperglucagonemia, which stimulate hepatic glucose...... production and, thus, contribute to the hyperglycemia characterizing these patients. Although this has been known for years, research focusing on alpha cell (patho)physiology has historically been dwarfed by research on beta cells and insulin. Today the mechanisms behind type 2 diabetic hyperglucagonemia...... or antagonization of the glucagon receptor constitutes potentially effective treatment strategies for patients with type 2 diabetes. In this review, we focus on the regulation of glucagon secretion by the incretin hormones glucagon-like peptide-1 (GLP-1) and GIP. Furthermore, potential advantages and limitations...

  20. Diabetes and Obesity—An Evolutionary Perspective

    Directory of Open Access Journals (Sweden)

    Sylvia Kirchengast

    2017-01-01

    Full Text Available Obesity and type II diabetes belong to the most serious public health challenges of the 21st century. Initially both diseases were typical of affluent societies. Currently both conditions however are increasingly found in low and middle income countries. In future obesity and diabetes are expected to reach epidemic proportions and affect developing countries to a greater extent than developed ones. A globalization of obesity and diabetes is observable. Recently prevalence rates increased, especially in Asia, the Near and Middle East, the Western Pacific region and even in Sub-Saharan Africa. Evolutionary Anthropology tries to understand the evolutionary mechanisms promoting rising obesity and diabetes type II rates. Homo sapiens evolved in an environment quite different from our recent one. Profound changes in physical activity patterns and nutritional habits during the last 10,000 years and increasingly during the last 200 years increased the risk of obesity and diabetes type II. Consequently our recent environment is called “obesogenic”. This mismatch has been recently observable among societies experiencing rapid cultural changes characterized by Westernization and modernization. This review focuses on obesity and type II diabetes from the viewpoint of evolutionary anthropology.

  1. Hesperidin effects on behavior and locomotor activity of diabetic ...

    African Journals Online (AJOL)

    African Journal of Biotechnology ... Today, there are sufficient validated scientific data that support the existence of relations between diabetes and certain ... disorders, such as behavioral disorders, anxiety, cognitive decline and depression.

  2. Cardiovascular risk management of different ethnic groups with type 2 diabetes in primary care in New Zealand.

    Science.gov (United States)

    Elley, C Raina; Kenealy, Tim; Robinson, Elizabeth; Bramley, Dale; Selak, Vanessa; Drury, Paul L; Kerse, Ngaire; Pearson, Janet; Lay-Yee, Roy; Arroll, Bruce

    2008-03-01

    To examine cardiovascular preventive and renal protective treatment for different ethnic groups with diabetes in primary care. The study population included patients with type 2 diabetes attending an annual review in New Zealand primary care during 2004. Primary care data were linked to hospital admission data to identify previous cardiovascular disease (CVD). For those without previous CVD, 5-year cardiovascular risk was calculated. Proportions on, and predictors of appropriate treatment according to guidelines were investigated. Data were available on 29,179 patients. Maori and Pacific participants had high rates of obesity, poor glycaemic control and albuminuria. Two thirds of all participants with previous CVD (68% of Maori and 70% of Pacific) and 44% with high CVD risk received appropriate CVD treatment; 73% of Maori, 62% of Pacific and 65% of European patients with albuminuria received ACE-inhibitors. Those with high CVD risk were more likely, and those that were young were less likely, to receive anti-hypertensive and lipid-lowering treatment after controlling for other factors. Maori and Pacific people were receiving similar high rates of appropriate CVD and renal preventive drug therapy to Europeans, but their prevalence of smoking, obesity, raised HbA1c and albuminuria were substantially higher. Non-drug components of preventive care also need to be addressed to reduce major ethnic disparities in diabetes-related morbidity and mortality in New Zealand.

  3. Biomarkers in Diabetic Retinopathy.

    Science.gov (United States)

    Jenkins, Alicia J; Joglekar, Mugdha V; Hardikar, Anandwardhan A; Keech, Anthony C; O'Neal, David N; Januszewski, Andrzej S

    2015-01-01

    There is a global diabetes epidemic correlating with an increase in obesity. This coincidence may lead to a rise in the prevalence of type 2 diabetes. There is also an as yet unexplained increase in the incidence of type 1 diabetes, which is not related to adiposity. Whilst improved diabetes care has substantially improved diabetes outcomes, the disease remains a common cause of working age adult-onset blindness. Diabetic retinopathy is the most frequently occurring complication of diabetes; it is greatly feared by many diabetes patients. There are multiple risk factors and markers for the onset and progression of diabetic retinopathy, yet residual risk remains. Screening for diabetic retinopathy is recommended to facilitate early detection and treatment. Common biomarkers of diabetic retinopathy and its risk in clinical practice today relate to the visualization of the retinal vasculature and measures of glycemia, lipids, blood pressure, body weight, smoking, and pregnancy status. Greater knowledge of novel biomarkers and mediators of diabetic retinopathy, such as those related to inflammation and angiogenesis, has contributed to the development of additional therapeutics, in particular for late-stage retinopathy, including intra-ocular corticosteroids and intravitreal vascular endothelial growth factor inhibitors ('anti-VEGFs') agents. Unfortunately, in spite of a range of treatments (including laser photocoagulation, intraocular steroids, and anti-VEGF agents, and more recently oral fenofibrate, a PPAR-alpha agonist lipid-lowering drug), many patients with diabetic retinopathy do not respond well to current therapeutics. Therefore, more effective treatments for diabetic retinopathy are necessary. New analytical techniques, in particular those related to molecular markers, are accelerating progress in diabetic retinopathy research. Given the increasing incidence and prevalence of diabetes, and the limited capacity of healthcare systems to screen and treat

  4. Randomised controlled trial of informal team sports for cardiorespiratory fitness and health benefit in Pacific adults.

    Science.gov (United States)

    Biddle, Mark G; Vincent, Grace; McCambridge, Alana; Britton, Gabrielle; Dewes, Ofa; Elley, C Raina; Moyes, Simon A; Edge, Johann

    2011-12-01

    Rates of obesity, Type 2 diabetes and cardiovascular disease are high among Pacific people in New Zealand. Physical activity is recommended in the prevention and management of these conditions. Community-based, 'small-sided game' group activities may be an effective and culturally appropriate way to promote physical activity within Pacific communities. To assess the effectiveness of small-sided games-based exercise on fitness and health parameters among Pacific adults over four weeks. Twenty untrained (13 female) Pacific adults were randomised to intervention or control. Intervention participants were offered 45 minutes of small-sided games three times per week for four weeks. Control participants were offered one-month gym membership after the trial. Primary outcomes included cardiorespiratory fitness (VO₂peak) and leg strength (maximal concentric force of quadriceps at 60°/second) measured at baseline and four weeks. Secondary outcomes included glycaemia, lipid profile, blood pressure (BP), and inflammatory markers. Multivariable regression models were used to assess differences between groups, adjusting for baseline values, age and gender. At baseline, mean age was 34.8 years (SD 12.6), BMI 36.3 (6.7), systolic BP 127.7 mmHg (12.1), HbA1c 6.1% (1.9), VO₂peak 2.5 L/min (0.6) and leg strength 170.0 N.m (57.4). Sixteen participants completed the trial. Change in outcomes were greater in intervention than control participants in absolute VO₂peak (0.9 L/min (p=0.003)), leg strength (17.8 N.m (p=0.04)) and HDL (0.12 mmol/L (p=0.02)). There were no other significant differences. Small-sided games appear to be a promising means for improving the health and cardiorespiratory fitness and reducing the risk of diabetes and cardiovascular disease in Pacific adults.

  5. [Diabetic neuropathy: therapeutic nihilism is no longer acceptable].

    Science.gov (United States)

    Haslbeck, Manfred

    2007-05-21

    The repeatedly expressed doubts about the value of an effective therapy for diabetic neuropathies are no longer acceptable. Today a number of excellent longitudinal and cross-sectional studies, i.e. DCCT, Steno 2, DCCT/EDIC, European Diabetes Prospective Complications Study, are available. The attending physician should make every effort to diagnose diabetic neuropathies as soon as possible with all their multivarious manifestations. Treatment must be promptly, aggressively and multifactorially as described in evidence-based guidelines. In principle, the same risk factors apply to neuropathy in type 1 and type 2 diabetes as for macro-angiopathy and microangiopathy. Therapy focuses on establishing near-normal diabetes and blood pressure control, lipid management, intensive patient education, avoidance of exogenous noxae such as alcohol and nicotine and if necessary, an effective therapy of neuropathic pain. The objective of all diagnostic and preventive efforts must be always to avoid the development of the diabetic neuropathic foot syndrome, which is the most important end stage of somatic and autonomic diabetic neuropathy.

  6. Non-communicable diseases in the Asia-Pacific region: Prevalence, risk factors and community-based prevention

    Directory of Open Access Journals (Sweden)

    Wah-Yun Low

    2015-02-01

    Full Text Available Non-communicable diseases (NCDs lead to substantial mortality and morbidity worldwide. The most common NCDs are cardiovascular diseases (CVD, diabetes, cancer and chronic respiratory diseases. With the rapid increase in NCD-related deaths in Asia Pacific countries, NCDs are now the major cause of deaths and disease burden in the region. NCDs hamper achievement of the Millennium Development Goals (MDG. People in the low socio-economic group are most affected by NCDs as they have poor access to policies, legislations, regulations and healthcare services meant to combat NCDs. This results in loss of productivity by a decreasing labor force with implications at the macroeconomic level. The 3 major NCDs in the Asia Pacific region are CVDs, cancer and diabetes due to the increasing loss of disability adjusted life years (DALYs. The 4 major behavioral risk factors for NCDs are: tobacco use, alcohol consumption, inadequate physical activity and unhealthy diet. The underlying risk factors are urbanization, globalization, sedentary lifestyle, obesity and hypertension. Strategies to combat NCDs in the Asia Pacific region are as follows: population-based dietary salt reduction, health education, psychological interventions, i.e., cognitive behavioral therapy and motivational-interviewing, taxation and bans on tobacco-related advertisements, implementing smoke-free zones and surveillance by the World Health Organization. Control measures must focus on prevention and strengthening inter-sectorial collaboration.

  7. No iron fertilization in the equatorial Pacific Ocean during the last ice age.

    Science.gov (United States)

    Costa, K M; McManus, J F; Anderson, R F; Ren, H; Sigman, D M; Winckler, G; Fleisher, M Q; Marcantonio, F; Ravelo, A C

    2016-01-28

    The equatorial Pacific Ocean is one of the major high-nutrient, low-chlorophyll regions in the global ocean. In such regions, the consumption of the available macro-nutrients such as nitrate and phosphate is thought to be limited in part by the low abundance of the critical micro-nutrient iron. Greater atmospheric dust deposition could have fertilized the equatorial Pacific with iron during the last ice age--the Last Glacial Period (LGP)--but the effect of increased ice-age dust fluxes on primary productivity in the equatorial Pacific remains uncertain. Here we present meridional transects of dust (derived from the (232)Th proxy), phytoplankton productivity (using opal, (231)Pa/(230)Th and excess Ba), and the degree of nitrate consumption (using foraminifera-bound δ(15)N) from six cores in the central equatorial Pacific for the Holocene (0-10,000 years ago) and the LGP (17,000-27,000 years ago). We find that, although dust deposition in the central equatorial Pacific was two to three times greater in the LGP than in the Holocene, productivity was the same or lower, and the degree of nitrate consumption was the same. These biogeochemical findings suggest that the relatively greater ice-age dust fluxes were not large enough to provide substantial iron fertilization to the central equatorial Pacific. This may have been because the absolute rate of dust deposition in the LGP (although greater than the Holocene rate) was very low. The lower productivity coupled with unchanged nitrate consumption suggests that the subsurface major nutrient concentrations were lower in the central equatorial Pacific during the LGP. As these nutrients are today dominantly sourced from the Subantarctic Zone of the Southern Ocean, we propose that the central equatorial Pacific data are consistent with more nutrient consumption in the Subantarctic Zone, possibly owing to iron fertilization as a result of higher absolute dust fluxes in this region. Thus, ice-age iron fertilization in the

  8. Biomarkers in Diabetic Retinopathy

    Science.gov (United States)

    Jenkins, Alicia J.; Joglekar, Mugdha V.; Hardikar, Anandwardhan A.; Keech, Anthony C.; O'Neal, David N.; Januszewski, Andrzej S.

    2015-01-01

    There is a global diabetes epidemic correlating with an increase in obesity. This coincidence may lead to a rise in the prevalence of type 2 diabetes. There is also an as yet unexplained increase in the incidence of type 1 diabetes, which is not related to adiposity. Whilst improved diabetes care has substantially improved diabetes outcomes, the disease remains a common cause of working age adult-onset blindness. Diabetic retinopathy is the most frequently occurring complication of diabetes; it is greatly feared by many diabetes patients. There are multiple risk factors and markers for the onset and progression of diabetic retinopathy, yet residual risk remains. Screening for diabetic retinopathy is recommended to facilitate early detection and treatment. Common biomarkers of diabetic retinopathy and its risk in clinical practice today relate to the visualization of the retinal vasculature and measures of glycemia, lipids, blood pressure, body weight, smoking, and pregnancy status. Greater knowledge of novel biomarkers and mediators of diabetic retinopathy, such as those related to inflammation and angiogenesis, has contributed to the development of additional therapeutics, in particular for late-stage retinopathy, including intra-ocular corticosteroids and intravitreal vascular endothelial growth factor inhibitors ('anti-VEGFs') agents. Unfortunately, in spite of a range of treatments (including laser photocoagulation, intraocular steroids, and anti-VEGF agents, and more recently oral fenofibrate, a PPAR-alpha agonist lipid-lowering drug), many patients with diabetic retinopathy do not respond well to current therapeutics. Therefore, more effective treatments for diabetic retinopathy are necessary. New analytical techniques, in particular those related to molecular markers, are accelerating progress in diabetic retinopathy research. Given the increasing incidence and prevalence of diabetes, and the limited capacity of healthcare systems to screen and treat

  9. Type 2 diabetes mellitus in children and adolescents

    Science.gov (United States)

    Reinehr, Thomas

    2013-01-01

    Type 2 diabetes mellitus is emerging as a new clinical problem within pediatric practice. Recent reports indicate an increasing prevalence of type 2 diabetes mellitus in children and adolescents around the world in all ethnicities, even if the prevalence of obesity is not increasing any more. The majority of young people diagnosed with type 2 diabetes mellitus was found in specific ethnic subgroups such as African-American, Hispanic, Asian/Pacific Islanders and American Indians. Clinicians should be aware of the frequent mild or asymptomatic manifestation of type 2 diabetes mellitus in childhood. Therefore, a screening seems meaningful especially in high risk groups such as children and adolescents with obesity, relatives with type 2 diabetes mellitus, and clinical features of insulin resistance (hypertension, dyslipidemia, polycystic ovarian syndrome, or acanthosis nigricans). Treatment of choice is lifestyle intervention followed by pharmacological treatment (e.g., metformin). New drugs such as dipeptidyl peptidase inhibitors or glucagon like peptide 1 mimetics are in the pipeline for treatment of youth with type 2 diabetes mellitus. However, recent reports indicate a high dropout of the medical care system of adolescents with type 2 diabetes mellitus suggesting that management of children and adolescents with type 2 diabetes mellitus requires some remodeling of current healthcare practices. PMID:24379917

  10. History and current activities of the International Diabetes Federation-Western Pacific Region (IDF-WPR).

    Science.gov (United States)

    Baba, S

    1994-10-01

    International Diabetes Federation (IDF) is one of the biggest non-governmental organizations with its 44-year history since 1950. In 1993, 114 diabetes associations in 96 countries participated in the IDF. In 1982, it was decided to divide the globe into seven regions and to promote the diagnosis, treatment, care and education of diabetes based on the environment, natural features, culture and race of the each region. On January 24, 1984, the IDF-WPR establishment meeting was held in Melbourne, Australia, with eight original member countries (Australia, New Zealand, Korea, The Philippines, Malaysia, Singapore, Fiji and Japan). In 1993, 13 diabetes associations in 12 countries joined the IDF-WPR. New member associations are from China (Beijing and Taipei), Hong Kong, Papua New Guinea and Indonesia. The IDF-WPR has been holding congresses and council meetings every 3 or 4 years since 1984 as well as formulating strategic action plans in the scientific, clinical, health care and education fields of diabetes.

  11. Pacific Association for Clinical Training (PACT): lessons learned and next steps in developing a sustainable continuing health professionals education system in the United States-Affiliated Pacific Island (USAPI) jurisdictions.

    Science.gov (United States)

    Buenconsejo-Lum, Lee E; Maskarinec, Gregory G; Palafox, Neal A

    2007-03-01

    In response to the 1998 Institute of Medicine report, "Pacific Partnerships for Health ", acknowledging the need for the continuing education of health workers in the United States-Affiliated Pacific Island (USAPI) jurisdictions, the U.S. Health Resources and Services Administration (HRSA) awarded a grant (1999-2003) to the University of Washington for a continuing education project in the Pacific. When shortfalls in HRSA funding threatened continuation of the program, Pacific advocates aggressively made a case for refunding of this important project. In 2003, HRSA announced competitive funding for a new program for continuing education. The Department of Family Medicine and Community Health (DFMCH) at the University of Hawai'i (UH), John A. Burns School of Medicine (JABSOM) was awarded the HRSA Cooperative Agreement to run from September 2003 through August 2007, creating PACT the Pacific Association for Clinical Training. PACT assembled a professional, community-based advisory board, most of whom were indigenous Pacific Islanders, and conducted a continuing clinical education needs assessment in every jurisdiction, subsequently developing and delivering programs utilizing distance education relevant to the needs of each USAPI jurisdiction. Priority health areas included diabetes, oral health and geriatrics, as mandated by HRSA. This report describes the processes, accomplishments, challenges and lessons learned from the project. PACT needs assessment reports for each jurisdiction and an executive summary are published as Original Articles in this issue of Pacific Health Dialog. As funding for PACT comes to an end, it is clear that much work remains to be done in the region. "Continuing clinical education" is only one part of a continuum of human resources for health (HRH) workforce development. Continued USAPI regional, U.S. national and international collaboration and resources are needed to achieve the ultimate goal of improved health and health care delivery

  12. Corticosteroid Treatment in Diabetic Macular Edema

    Directory of Open Access Journals (Sweden)

    Burcu Nurözler Tabakcı

    2017-06-01

    Full Text Available Diabetic macular edema is the most common cause of visual impairment in patients with diabetes mellitus. The pathogenesis of macular edema is complex and multifactorial. For many years, laser photocoagulation has been considered the standard therapy for the treatment of diabetic macular edema; however, few patients achieve significant improvements in visual acuity. Today the intravitreal administration of anti-inflammatory or anti-angiogenic agents together with the use of laser photocoagulation represents the standard of care for the treatment of this complication. The intravitreal route of administration minimizes the systemic side effects of corticosteroids. Steroid-related ocular side effects are elevated intraocular pressure and cataract, while injection-related complications include endophthalmitis, vitreous hemorrhage, and retinal detachment. In order to reduce the risks and complications, intravitreal implants have been developed recently to provide sustained release of corticosteroids and reduce repeated injections for the management of diabetic macular edema. In this review, the efficacy, safety, and therapeutic potential of intravitreal corticosteroids in diabetic macular edema are discussed with a review of recent literature.

  13. Universal HbA1c Measurement in Early Pregnancy to Detect Type 2 Diabetes Reduces Ethnic Disparities in Antenatal Diabetes Screening: A Population-Based Observational Study.

    Directory of Open Access Journals (Sweden)

    R C E Hughes

    Full Text Available In response to the type 2 diabetes epidemic, measuring HbA1c with the first-antenatal blood screen was recently recommended in NZ. This would enable prompt treatment of women with unrecognised type 2 diabetes, who may otherwise go undetected until the gestational diabetes (GDM screen. We compare inter-ethnic antenatal screening practices to examine whether the HbA1c test would be accessed by ethnicities most at risk of diabetes, and we determined the prevalence of unrecognised type 2 diabetes and prediabetes in our pregnant population. This is an observational study of pregnancies in Christchurch NZ during 2008-2010. Utilising electronic databases, we matched maternal characteristics to first-antenatal bloods, HbA1c, and GDM screens (glucose challenge tests and oral glucose tolerance tests. Overall uptake of the first-antenatal bloods versus GDM screening was 83.1% and 53.8% respectively in 11,580 pregnancies. GDM screening was lowest in Māori 39.3%, incidence proportion ratio (IPR 0.77 (0.71, 0.84 compared with Europeans. By including HbA1c with the first-antenatal bloods, the number screened for diabetes increases by 28.5% in Europeans, 40.0% in Māori, 28.1% in Pacific People, and 26.7% in 'Others' (majority of Asian descent. The combined prevalence of unrecognised type 2 diabetes and prediabetes by NZ criteria, HbA1c ≥5.9% (41mmol/mol, was 2.1% in Europeans, Māori 4.7% IPR 2.59 (1.71, 3.93, Pacific People 9.5% IPR 4.76 (3.10, 7.30, and 'Others' 6.2% IPR 2.99 (2.19, 4.07. Applying these prevalence data to 2013 NZ national births data, routine antenatal HbA1c testing could have identified type 2 diabetes in 0.44% and prediabetes in 3.96% of women. Routine HbA1c measurement in early pregnancy is an ideal screening opportunity, particularly benefitting vulnerable groups, reducing ethnic disparities in antenatal diabetes screening. This approach is likely to have world-wide relevance and applicability. Further research is underway to

  14. Biology and impacts of Pacific Islands invasive species. 14. Sus scrofa the feral pig (Artiodactyla: Suidae)

    Science.gov (United States)

    Wehr, Nathaniel H.; Hess, Steven C.; Litton, Creighton M.

    2018-01-01

    Feral pigs (Sus scrofa L.) are perhaps the most abundant, widespread, and economically significant large introduced vertebrate across the Pacific island region. Unlike many other nonnative invasive species, feral pigs have both cultural and recreational importance in the region, complicating their management. Today, Pacific island feral pigs are a mixture of several strains of domestic swine, Asiatic wild boar, and European wild boar. Due to their generalist diet and rooting behavior, feral pigs alter soils and watersheds and negatively impact native and nonnative flora and fauna. As a result, feral pigs have played a role in the extinction of several species of plants and animals on Pacific islands and have negative effects on both ecotourism and agricultural industries in the region. Despite numerous published studies on feral pigs in the Pacific island region, of which the majority include systematic analyses of original empirical data, some fundamental aspects of feral pig ecology remain poorly characterized, at least partly due to the remote and inaccessible environments that they often inhabit. To address these knowledge gaps, effort should be made to integrate research conducted outside the Pacific island region into local management strategies. This review summarizes the origins, history, ecology, environmental effects, and current management of feral pigs in the Pacific island region; integrates regional scientific findings with those of other insular and continental systems; and identifies current knowledge gaps requiring further research to inform the ecology and management of this impactful invasive species.

  15. Academic librarianship today

    CERN Document Server

    2017-01-01

    Intended for use by both librarians and students in LIS programs, Academic Librarianship Today is the most current, comprehensive overview of the field available today. Key features include: Each chapter was commissioned specifically for this new book, and the authors are highly regarded academic librarians or library school faculty— or both Cutting-edge topics such as open access, copyright, digital curation and preservation, emerging technologies, new roles for academic librarians, cooperative collection development and resource sharing, and patron-driven acquisitions are explored in depth Each chapter ends with thought-provoking questions for discussion and carefully constructed assignments that faculty can assign or adapt for their courses The book begins with Gilman’s introduction, an overview that briefly synthesizes the contents of the contributors’ chapters by highlighting major themes. The main part of the book is organized into three parts: The Academic Library Landscape Today, ...

  16. [Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State].

    Science.gov (United States)

    Schumann, Christina; Faust, Michael

    2018-03-01

    Diabetic ketoacidosis and the hyperosmolar hyperglycemic state are the most serious diabetic emergencies. Before the discovery of insulin in 1921 by Banting and Best the diagnosis of type 1 diabetes was fatal ending in diabetic ketoacidosis equivalent to a torturous death. Today, mortality from diabetic ketoacidosis is low at approximately 2 %. But each death from these two acute metabolic complications of diabetes is potentially avoidable by improved patient and healthcare professional education. Therefore, there is a need to raise awareness of hyperglycemic crisis and its management amongst physicians.  Insulin deficiency or resistence and increased concentrations of counterreulatory hormones (glucagon, catecholamines, cortisol and growth hormone) are responsible for the development of diabetic ketoacidosis and the hyperosmolar hyperglycemic state. Hyperglycemia develops as a result of increased gluconeogenesis and accelerated glyconeogenesis. In DKA, the absolute insulin deficiency additionally leads to increased lipolysis and production of ketone bodies and resulting metabolic acidosis.  Both DKA and HHS require prompt recognition and management. The diagnosis can be suspected by clinical features and confirmed by laboratory findings.  The treatment of DKA and HHS is similar, including correction of fluid and electrolyte abnormalities and the administration of insulin. © Georg Thieme Verlag KG Stuttgart · New York.

  17. Tuberculosis screening at a diabetes clinic in the Republic of the Marshall Islands

    Directory of Open Access Journals (Sweden)

    R.M. Trinidad

    2016-12-01

    Full Text Available Setting: Tuberculosis (TB and diabetes mellitus (DM are prominent public health problems in the Republic of the Marshall Islands, a small island nation with high rates of tuberculosis and diabetes. Objective: Evaluate the rate of active and latent TB in a Pacific Island DM clinic. Design: In one DM clinic on the island of Ebeye, 213 adult patients aged 27–86 years completed tuberculin skin testing and TB work-up between April 2010 and March 2012. Results: Screening for TB led to the diagnosis of 77 patients with TB infection and 11 patients with TB disease. From these data, the prevalence of TB disease among DM patients in the clinic exceeded 5% (95% CI 2.2%–8.1%. All patients who completed TB screening were at high risk of TB disease, and those with DM aged ≤50 years had a higher risk of TB disease than those with DM over age 50 (RR 3.1, C.I. 1.0–9.7, p= 0.05. Conclusion: The experience at the Ebeye Diabetes Clinic demonstrates that screening DM patients for TB can identify significant rates of TB infection and TB disease, and should be considered for other settings with a high background TB incidence. Further assessment of TB risks should explore age, gender, and level of diabetes control. Keywords: Tuberculosis, Diabetes, Pacific Islands, Bi-directional screening

  18. Prediabetes in California: Nearly Half of California Adults on Path to Diabetes.

    Science.gov (United States)

    Babey, Susan H; Wolstein, Joelle; Diamant, Allison L; Goldstein, Harold

    2016-03-01

    In California, more than 13 million adults (46 percent of all adults in the state) are estimated to have prediabetes or undiagnosed diabetes. An additional 2.5 million adults have diagnosed diabetes. Altogether, 15.5 million adults (55 percent of all California adults) have prediabetes or diabetes. Although rates of prediabetes increase with age, rates are also high among young adults, with one-third of those ages 18-39 having prediabetes. In addition, rates of prediabetes are disproportionately high among young adults of color, with more than one-third of Latino, Pacific Islander, American Indian, African-American, and multiracial Californians ages 18-39 estimated to have prediabetes. Policy efforts should focus on reducing the burden of prediabetes and diabetes through support for prevention and treatment.

  19. The Asia/Pacific chemical industry

    International Nuclear Information System (INIS)

    Tattum, L.

    1993-01-01

    The year of the Rooster may herald interesting change for the Asia/Pacific region. Local dynamics are shifting away from Japan, the traditional motor of the region, now in recession toward China, which is increasingly catching the imagination of investors. Japan's lead in major petrochemicals has eroded since restructuring of domestic industry. Ten years ago Japan was the location for 76% of Asian ethylene capacity, according to Chem Systems. It also held 89% of styrene capacity, 69% of polyolefins, and 62% of polyvinyl chloride (PVC). Today it accounts for only 46% of Asian ethylene, 53% of styrene, 40% of polyolefin, and 37% of PVC capacity. Another country to watch is Vietnam many companies are waiting for sanctions to lift on US investment. When they do, this country of rich oil reserves but per capita income of only $200, will look to petrochemicals as a source of foreign investment

  20. Gestational diabetes and macrosomia by race/ethnicity in Hawaii.

    Science.gov (United States)

    Tsai, Pai-Jong Stacy; Roberson, Emily; Dye, Timothy

    2013-10-01

    Gestational diabetes (GDM) has been shown to have long-term sequelae for both the mother and infant. Women with GDM are at increased risk of macrosomia, which predisposes the infant to birth injuries. Previous studies noted increased rates of GDM in Asian and Pacific Islander (API) women; however, the rate of macrosomia in API women with GDM is unclear. The objective of this study was to examine the relationship between ethnicity, gestational diabetes (GDM), and macrosomia in Hawaii. A retrospective cohort study was performed using Hawaii Pregnancy Risk Assessment Monitoring System (PRAMS) data. Data from 2009-2011, linked with selected items from birth certificates, were used to examine GDM and macrosomia by ethnicity. SAS-callable SUDAAN 10.0 was used to generate odds ratios, point estimates and standard errors. Data from 4735 respondents were weighted to represent all pregnancies resulting in live births in Hawaii from 2009-2011. The overall prevalence of GDM in Hawaii was 10.9%. The highest prevalence of GDM was in Filipina (13.1%) and Hawaiian/Pacific Islander (12.1%) women. The lowest prevalence was in white women (7.4%). Hawaiian/Pacific Islander, Filipina, and other Asian women all had an increased risk of GDM compared to white women using bivariate analysis. Adjusting for obesity, age, maternal nativity, and smoking, Asian Pacific Islander (API) women, which includes Hawaiian/Pacific Islander, Filipina, and other Asian women, had a 50% increased odds of having GDM compared to white women when compared using multivariate analysis. Among women with GDM, the highest prevalence of macrosomia was in white women (14.5%) while the lowest was in Filipina (5.3%) women. API women in Hawaii have increased rates of GDM compared to white women. Paradoxically, this elevated GDM risk in API women is not associated with an increased rate of macrosomia. This suggests the relationship between GDM and macrosomia is more complex in this population.

  1. A tectonic reconstruction of accreted terranes along the paleo-Pacific margin of Gondwana

    Science.gov (United States)

    Bammel, Brandon

    The southern oceanic margin of Gondwana was nearly 40,000 km long or 24,854.8 miles. The southern margin was the result of the Terra Australis orogen. Spanning 18,000 km or 11,184.7 miles and is proposed as one of the largest and longest lived orogens in Earth history. The paleo-Pacific margin of Gondwana consisted of segments of the Australian-Antarctic craton, southern South America (modern Argentina and Chile), southern South Africa, Marie Byrdland, New Zealand and its adjacent continental shelf, the Ellsworth Mountains, and the Transantarctic Mountains. The process of terrane accretion has played a substantial part in the assembly of the continents as they look today. The paleo-Pacific margin of Gondwana was an active region of terrane accretion from the Neoproterozoic to the Late Mesozoic. This research study examines the accretion of terranes across the paleo-Pacific Gondwana margin to provide a comprehensive reconstruction. A paleogeographic basemap was created using PALEOMAP Project maps and the geology data was provided by the School of Geoscience from the University of Witwatersrand of South Africa. Location and data analyzed for terranes were collected building a PDF library of journal articles across numerous geological publications.

  2. Know Your Blood Sugar Numbers: Use Them to Manage Your Diabetes

    Science.gov (United States)

    ... be healthy today and in the future. John's Story At each visit, John and his health care ... Grants & Grant History Research Resources Research at NIDDK Technology Advancement & Transfer Meetings & Workshops Health Information Diabetes Digestive ...

  3. House of tomorrow today

    NARCIS (Netherlands)

    Lichtenberg, J.J.N.; Ham, M.; Hensen, J.L.M.

    2011-01-01

    The House of Tomorrow Today is a project focussing on a healthy, energy producing dwelling to be realized with today¿s proven technology. The project aims at an energy plus level based on the principles as formulated in SmartBuilding (Slimbouwen) [1] ActiveHouse [2] and HoTT [3] It can be seen as

  4. Einstein today

    International Nuclear Information System (INIS)

    Aspect, A.; Grangier, Ph.; Bouchet, F.R.; Brunet, E.; Derrida, B.; Cohen-Tannoudji, C.; Dalibard, J.; Laloe, F.; Damour, Th.; Darrigol, O.; Pocholle, J.P.

    2005-01-01

    The most important contributions of Einstein involve 5 fields of physics : the existence of quanta (light quanta, stimulated radiation emission and Bose-Einstein condensation), relativity, fluctuations (Brownian motion and thermodynamical fluctuations), the basis of quantum physics and cosmology (cosmological constant and the expansion of the universe). Diverse and renowned physicists have appreciated the development of modern physics from Einstein's ideas to the knowledge of today. This book is a collective book that gathers their work under 7 chapters: 1) 1905, a new beginning; 2) from the Einstein, Podolsky and Rosen's article to quantum information (cryptography and quantum computers); 3) the Bose-Einstein condensation in gases; 4) from stimulated emission to the today's lasers; 5) Brownian motion and the fluctuation-dissipation theory; 6) general relativity; and 7) cosmology. (A.C.)

  5. Information services today an introduction

    CERN Document Server

    Hirsh, Sandra

    2015-01-01

    This essential overview of what it means to be a library and information professional today provides a broad overview of the transformation of libraries as information organizations, why these organizations are more important today than ever before, the technological influence on how we provide information resources and services in today's digital and global environment, and the various career opportunities available for information professionals. The book begins with a historical overview of libraries and their transformation as information and technology

  6. Length of Stay and Deaths in Diabetes-Related Preventable Hospitalizations Among Asian American, Pacific Islander, and White Older Adults on Medicare, Hawai'i, December 2006-December 2010.

    Science.gov (United States)

    Guo, Mary W; Ahn, Hyeong Jun; Juarez, Deborah T; Miyamura, Jill; Sentell, Tetine L

    2015-08-06

    The objective of this study was to compare in-hospital deaths and length of stays for diabetes-related preventable hospitalizations (D-RPHs) in Hawai'i for Asian American, Pacific Islander, and white Medicare recipients aged 65 years or older. We considered all hospitalizations of older (>65 years) Japanese, Chinese, Native Hawaiians, Filipinos, and whites living in Hawai'i with Medicare as the primary insurer from December 2006 through December 2010 (n = 127,079). We used International Classification of Diseases - 9th Revision (ICD-9) codes to identify D-RPHs as defined by the Agency for Healthcare Research and Quality. Length of stays and deaths during hospitalization were compared for Asian American and Pacific Islander versus whites in multivariable regression models, adjusting for age, sex, location of residence (Oahu, y/n), and comorbidity. Among the group studied, 1,700 hospitalizations of 1,424 patients were D-RPHs. Native Hawaiians were significantly more likely to die during a D-RPH (odds ratio [OR], 3.92; 95% confidence interval [CI], 1.42-10.87) than whites. Filipinos had a significantly shorter length of stay (relative risk [RR], 0.77; 95% CI, 0.62-0.95) for D-RPH than whites. Among Native Hawaiians with a D-RPH, 59% were in the youngest age group (65-75 y) whereas only 6.3% were in the oldest (≥85 y). By contrast, 23.2% of Japanese were in the youngest age group, and 32.2% were in the oldest. This statewide study found significant differences in the clinical characteristics and outcomes of D-RPHs for Asian American and Pacific Islanders in Hawai'i. Native Hawaiians were more likely to die during a D-RPH and were hospitalized at a younger age for a D-RPH than other studied racial/ethnic groups. Focused interventions targeting Native Hawaiians are needed to avoid these outcomes.

  7. Perceived racial discrimination in health care, completion of standard diabetes services, and diabetes control among a sample of American Indian women.

    Science.gov (United States)

    Gonzales, Kelly L; Lambert, William E; Fu, Rongwei; Jacob, Michelle; Harding, Anna K

    2014-01-01

    The purpose of this study is to examine perceived experiences of racial discrimination (perceived discrimination) in health care and its associations with completing standards of care for diabetes management and diabetes control. This cross-sectional study included 200 adult American Indian (AI) women with type 2 diabetes from 4 health care facilities located on tribal reservations in the Pacific Northwest. Participants completed a survey, and medical records were abstracted. Logistic regression was completed to assess associations. Sixty-seven percent of AI women reported discrimination during their lifetime of health care. After adjusting for patient characteristics, perceived discrimination was significantly associated with lower rates of dental exam; checks for blood pressure, creatinine, and total cholesterol; and pneumococcal vaccination. The association between perceived discrimination and total number of diabetes services completed was not statistically significant. Perceived discrimination was associated with having A1C values above target levels for diabetes control in unadjusted and adjusted models, but no association was observed for blood pressure or total cholesterol. In our sample of AI women with diabetes, two-thirds reported experiencing racial discrimination in their health care experience. Those reporting perceived discrimination completed fewer diabetes services and therefore may be at increased risk for comorbidities of diabetes. This finding supports the continued need for culturally responsive health care and programs of diabetes education to recognize perceived discrimination and its potential to impact success in self-management and services utilization. © 2014 The Author(s).

  8. Tissue banking in the Asia Pacific region - an overview

    International Nuclear Information System (INIS)

    Hasim Mohamad

    1999-01-01

    Tissue banking is a relative new entity in the Asia-Pacific region. Sporadic cases of tissue transplantation were reported in the early sixties whereby corneas mainly from Sri Lanka were airflown to ophthalmic surgeons in this region. Till today Sri Lanka has been playing a key role in supplying corneas and other tissues throughout the globe. Similar cases of allograft bone transplantation were reported from Myanmar during that period. However it was not until early eighties when a group of scientist medical doctors from various countries in this region met in Colombo under IAEA to discuss the possibilities of developing tissue banks in their respective countries. This development had been very slow and until today only about fourteen countries are directly involved. Due to the lack of financial support both from the authorities or non-government organizations most of the tissue banks survived by research grants from universities, the government research and development grants or grants from private bodies which are hard to come by and are usually inadequate to sustain or to maintain the banks. Most of our tissue banks started small by involving in amniotic membrane processing for use in bum patients in their initial stage of development. These are true for countries like China, Malaysia, Bangladesh, Pakistan and Indonesia where amniotic membranes are easily available and the processing cost is cheap. The availability of cobalt source for radiation of these tissues is also an important factor. Some of these banks until today still focussed on these areas whereas others had rapidly progress into production of other tissue such as bones, heart valves, allograft skin, and xenograft bones. Richer counties in the Pacific rim, where financing is not a major problem, the progress of their banks depends greatly on the demands of tissue by the clinicians and the availability of raw materials and tissue bank facilities. At the moment due to the lack of donors the raw

  9. Exploring correlates of diabetes-related stress among adults with Type 1 diabetes in the T1D exchange clinic registry.

    Science.gov (United States)

    Boden, Matthew Tyler; Gala, Sasha

    2018-04-01

    To explore relations between diabetes-related stress and multiple sociodemographic, diabetes health, other health, and treatment-related variables among a large sample of adults with Type 1 Diabetes (T1D). The sample consisted of 10,821 adults (over 18 years old) enrolled in the T1D Exchange Clinic Registry. The T1D Exchange clinic network consists of 67 diabetes clinical centers throughout the United States selected to broadly represent pediatric and adult patients with T1D. Variables were assessed through participant self-report and extraction of clinic chart data. Univariate and multiple linear regression (with simultaneous entry of all predictors) analyses were conducted. Robustly associated with increased diabetes-related stress across analyses were multiple sociodemographic (female [vs. male], native Hawaiian/other Pacific islander [vs. white/Caucasian], decreased age and diabetes duration), diabetes health (higher HbA1c), other health (lower general health, presence of major life stress and depression, less physical activity), and treatment related variables (use of injections/pen or combination injection/pen/pump [vs. pump], use of CGM, increased frequency of missing insulin doses and BG checking, decreased frequency of BG checking prior to bolus, receipt of mental health treatment). We replicated and extended research demonstrating that diabetes-related stress among people with T1D occurs at higher levels among those with particular sociodemographic characteristics and is associated with a range poorer diabetes health and other health variables, and multiple treatment-related variables. The strong incremental prediction of diabetes-related stress by multiple variables in our study suggests that a multi-variable, personalized approach may increase the effectiveness of treatments for diabetes-related stress. Published by Elsevier B.V.

  10. American Idol's Randy Jackson He doesn't miss a beat controlling his diabetes

    Science.gov (United States)

    ... comfort in eating food that happened to be unhealthy." "Today, I know that regular checkups with a doctor, healthy food choices, and an active lifestyle are extremely important for managing type 2 diabetes." ...

  11. Fermilab Today

    Science.gov (United States)

    registration due today Women's Initiative: "Guiltless: Work/Life Balance" - Aug. 13 Nominations for ; -Leah Hesla In Brief Women's Initiative presents 'Guiltless: Work-Life Balance' - Thursday in One West Cowperthwaite-O'Hagan present "Guiltless: Work-Life Balance" on Thursday, Aug. 13, at 3 p.m. in One

  12. Robust Performance of Marginal Pacific Coral Reef Habitats in Future Climate Scenarios.

    Science.gov (United States)

    Freeman, Lauren A

    2015-01-01

    Coral reef ecosystems are under dual threat from climate change. Increasing sea surface temperatures and thermal stress create environmental limits at low latitudes, and decreasing aragonite saturation state creates environmental limits at high latitudes. This study examines the response of unique coral reef habitats to climate change in the remote Pacific, using the National Center for Atmospheric Research Community Earth System Model version 1 alongside the species distribution algorithm Maxent. Narrow ranges of physico-chemical variables are used to define unique coral habitats and their performance is tested in future climate scenarios. General loss of coral reef habitat is expected in future climate scenarios and has been shown in previous studies. This study found exactly that for most of the predominant physico-chemical environments. However, certain coral reef habitats considered marginal today at high latitude, along the equator and in the eastern tropical Pacific were found to be quite robust in climate change scenarios. Furthermore, an environmental coral reef refuge previously identified in the central south Pacific near French Polynesia was further reinforced. Studying the response of specific habitats showed that the prevailing conditions of this refuge during the 20th century shift to a new set of conditions, more characteristic of higher latitude coral reefs in the 20th century, in future climate scenarios projected to 2100.

  13. Robust Performance of Marginal Pacific Coral Reef Habitats in Future Climate Scenarios.

    Directory of Open Access Journals (Sweden)

    Lauren A Freeman

    Full Text Available Coral reef ecosystems are under dual threat from climate change. Increasing sea surface temperatures and thermal stress create environmental limits at low latitudes, and decreasing aragonite saturation state creates environmental limits at high latitudes. This study examines the response of unique coral reef habitats to climate change in the remote Pacific, using the National Center for Atmospheric Research Community Earth System Model version 1 alongside the species distribution algorithm Maxent. Narrow ranges of physico-chemical variables are used to define unique coral habitats and their performance is tested in future climate scenarios. General loss of coral reef habitat is expected in future climate scenarios and has been shown in previous studies. This study found exactly that for most of the predominant physico-chemical environments. However, certain coral reef habitats considered marginal today at high latitude, along the equator and in the eastern tropical Pacific were found to be quite robust in climate change scenarios. Furthermore, an environmental coral reef refuge previously identified in the central south Pacific near French Polynesia was further reinforced. Studying the response of specific habitats showed that the prevailing conditions of this refuge during the 20th century shift to a new set of conditions, more characteristic of higher latitude coral reefs in the 20th century, in future climate scenarios projected to 2100.

  14. The Interplay of Diabetes, and Health Self Efficacy, Cognition and ...

    African Journals Online (AJOL)

    Arun Kumar Agnihotri

    2014-11-05

    Nov 5, 2014 ... diabetes which affects 340 million people in the world today1. .... were related to depression and slower walking. Regional ... lifestyle, medication) with complex tasks, made by ... 57% of variance in self-‐monitoring behavior .... unless HSE is taken into account. .... illness: a behavioral medicine perspective.

  15. Ideas and Inspirations: Good News about Diabetes Prevention and Management in Indian Country

    Medline Plus

    Full Text Available ... Tucson Area for Patients Affordable Care Act (ACA) Find Health Care Frequently Asked Questions Health Care Health ... share with friends and family. Order yours today! Find Tools for Diabetes Educators! See what the IHS ...

  16. Ideas and Inspirations: Good News about Diabetes Prevention and Management in Indian Country

    Medline Plus

    Full Text Available ... Event Calendar Indian Health Manual Key Leaders Legislation Organizational Structure Our Employees Locations Headquarters Alaska Area Albuquerque ... be a favorite to share with friends and family. Order yours today! Find Tools for Diabetes Educators! ...

  17. Diabetes among non-obese Filipino Americans: Findings from a large population-based study.

    Science.gov (United States)

    Fuller-Thomson, Esme; Roy, Adity; Chan, Keith Tsz-Kit; Kobayashi, Karen M

    2017-04-20

    Filipino Americans form the second-largest Asian American and Pacific Islanders subgroup. Growing evidence suggests that Filipino Americans have higher rates of diabetes than non-Hispanic whites. The key objectives of this study are 1) to determine the prevalence of diabetes in non-obese Filipino Americans compared to non-obese non-Hispanic whites, and 2) to identify risk factors for diabetes in non-obese Filipino men and women. Secondary analysis of population-based data from combined waves (2007, 2009 and 2011) of the adult California Health Interview Survey (CHIS). The study sample was restricted to non-obese Filipino Americans (n = 1629) and non-Hispanic whites (n = 72 072). Non-obese Filipino Americans had more than twice the odds of diabetes compared to non-Hispanic whites, even after correcting for several known risk factors (OR = 2.80, p < 0.001). For non-obese Filipino men, older age, poverty, cigarette smoking, and being overweight are associated with increased odds for diabetes, while older age was the only factor associated with diabetes among Filipina women. Diabetes prevention approaches need to be targeted towards non-obese Filipino Americans, due to their high risk of diabetes.

  18. A comparative analysis of cardiovascular disease risk profiles of five Pacific ethnic groups assessed in New Zealand primary care practice: PREDICT CVD-13.

    Science.gov (United States)

    Grey, Corina; Wells, Sue; Riddell, Tania; Pylypchuk, Romana; Marshall, Roger; Drury, Paul; Elley, Raina; Ameratunga, Shanthi; Gentles, Dudley; Erick-Peletiy, Stephanie; Bell, Fionna; Kerr, Andrew; Jackson, Rod

    2010-11-05

    Data on the cardiovascular disease risk profiles of Pacific peoples in New Zealand is usually aggregated and treated as a single entity. Little is known about the comparability or otherwise of cardiovascular disease (CVD) risk between different Pacific groups. To compare CVD risk profiles for the main Pacific ethnic groups assessed in New Zealand primary care practice to determine if it is reasonable to aggregate these data, or if significant differences exist. A web-based clinical decision support system for CVD risk assessment and management (PREDICT) has been implemented in primary care practices in nine PHOs throughout Auckland and Northland since 2002, covering approximately 65% of the population of these regions. Between 2002 and January 2009, baseline CVD risk assessments were carried out on 11,642 patients aged 35-74 years identifying with one or more Pacific ethnic groups (4933 Samoans, 1724 Tongans, 1366 Cook Island Maori, 880 Niueans, 1341 Fijians and 1398 people identified as Other Pacific or Pacific Not Further Defined). Fijians were subsequently excluded from the analyses because of a probable misclassification error that appears to combine Fijian Indians with ethnic Fijians. Prevalences of smoking, diabetes and prior history of CVD, as well as mean total cholesterol/HDL ratio, systolic and diastolic blood pressures, and Framingham 5-year CVD risk were calculated for each Pacific group. Age-adjusted risk ratios and mean differences stratified by gender were calculated using Samoans as the reference group. Cook Island women were almost 60% more likely to smoke than Samoan women. While Tongan men had the highest proportion of smoking (29%) among Pacific men, Tongan women had the lowest smoking proportion (10%) among Pacific women. Tongan women and Niuean men and women had a higher burden of diabetes than other Pacific ethnic groups, which were 20-30% higher than their Samoan counterparts. Niuean men and women had lower blood pressure levels than all

  19. Integrated approach to natural gas utilization in the Asia Pacific region

    International Nuclear Information System (INIS)

    Hovdestad, W.R.; Egbogah, E.O.

    1995-01-01

    The rapidly expanding economies in the Pacific Rim have placed increasing demands upon indigenous natural gas supplies in South East Asia and Australia. Competing demands include exports of liquefied natural gas (LNG), domestic consumption, and potential use for enhanced oil recovery (EOR) to extend the useful life of maturing oil fields. An additional competing demand for gas exports may emerge as the interstate pipeline grid is expanded. An integrated approach incorporating the evolving nature of gas demands and discrete physical supplies would provide a means to mitigate against potential mismatching of supply and demand. The consideration of the evolving nature of gas demands could promote economically beneficial changes to gas field development. The development of high carbon dioxide (CO 2 ) content gas fields has been slowed by the lack of a market for CO 2 . Utilization of by-product CO 2 for EOR could improve development economics, thus facilitating earlier development of gas supplies to satisfy gas demands including domestic use and LNG exports. End users would also benefit from the assurance that gas supplies would become available as needed. The maturity and increasingly complex natural gas industry in the Asia Pacific Region has led to a qualitative change. The model of single projects to satisfy single markets is no longer valid. The current environment is more dynamic, creating the need to anticipate changes to market demands and to find value-added markets for by-products. The integrated approach to gas utilization discussed in this paper presents a new model more appropriate to the gas industry existing today in the Asia Pacific Region. This approach is particularly significant to widely discussed proposals for an Asia Pacific energy grid extending to Australia

  20. The transition of new technology to solve today`s problems

    Energy Technology Data Exchange (ETDEWEB)

    Kamin, R.A. [Naval Air Warfare Center, Trenton, NJ (United States); Martin, C.J.; Turner, L.M. [Defense Fuel Supply Center, Alexandria, VA (United States)

    1995-05-01

    Extensive research has been conducted in the development of methods to predict the degradation of F-44 in storage. The Low Pressure Reactor (LPR) has greatly enhanced the stability prediction capabilities necessary to make informed decisions concerning aviation fuel in storage. This technique has in the past been primarily used for research purposes. The Naval Air Warfare Center, Aircraft Division, Trenton, NJ, has used this technique successfully to assist the Defense Fuel Supply Center, Cameron Station, Alexandria, VA, in stability assessments of F-44. The High Performance Liquid Chromatography/Electrochemical Detector (HPLC/EC) antioxidant determination technique has also aided in making stability predictions by establishing the amount of inhibitor currently in the product. This paper will address two case studies in which the above new technology was used to insure the rapid detection and diagnosis of today`s field and logistic problems.

  1. Effect of antioxidant extract from cherries on diabetes.

    Science.gov (United States)

    Lachin, Tahsini

    2014-01-01

    Diabetes is a chronic metabolic disorder in humans constituting a major health concern today whose prevalence has continuously increased worldwide over the past few decades. Production of reactive oxygen species (ROS) and disturbed capacity of antioxidant defense in diabetic subjects have been reported. It has been suggested that enhanced production of free radicals and oxidative stress is the central event for the development of diabetic complications. Antioxidants can play an important role in the improvement of diabetes. There are many reports on the effects of antioxidants in the management of diabetes. This study aimed at evaluating the effect of antioxidant extract and purified sweet and sour Cherries on hyperglycemia, microalbumin and creatinine level in alloxan-induced diabetic rats. Thirty six adult Male Wistar rats were divided equally into six groups. Diabetes was induced in the rats by an intraperitoneal injection with 120 mg/kg body weight of alloxan. Oral administration of cherry extract at a concentration of 200 mg/kg body weight for 30 days significantly reduced the levels of blood glucose, and urinary microalbumin. Also an increase in the creatinine secretion level in urine was observed in the diabetic rats treated with the cherry extract as compared to untreated diabetic rats. In this paper, the most recent patent on the identification and treatment of diabetes is used. In conclusion, cherry antioxidant extract proved to have a beneficial effect on the diabetic rats in this study. In light of these advantageous results, it is advisable to broaden the scale of use of sweet and sour cherries extract in a trial to alleviate the adverse effects of diabetes.

  2. The parasite Ichthyophonus sp. in Pacific herring from the coastal NE Pacific.

    Science.gov (United States)

    Hershberger, P K; Gregg, J L; Hart, L M; Moffitt, S; Brenner, R; Stick, K; Coonradt, E; Otis, E O; Vollenweider, J J; Garver, K A; Lovy, J; Meyers, T R

    2016-04-01

    The protistan parasite Ichthyophonus occurred in populations of Pacific herring Clupea pallasii Valenciennes throughout coastal areas of the NE Pacific, ranging from Puget Sound, WA north to the Gulf of Alaska, AK. Infection prevalence in local Pacific herring stocks varied seasonally and annually, and a general pattern of increasing prevalence with host size and/or age persisted throughout the NE Pacific. An exception to this zoographic pattern occurred among a group of juvenile, age 1+ year Pacific herring from Cordova Harbor, AK in June 2010, which demonstrated an unusually high infection prevalence of 35%. Reasons for this anomaly were hypothesized to involve anthropogenic influences that resulted in locally elevated infection pressures. Interannual declines in infection prevalence from some populations (e.g. Lower Cook Inlet, AK; from 20-32% in 2007 to 0-3% during 2009-13) or from the largest size cohorts of other populations (e.g. Sitka Sound, AK; from 62.5% in 2007 to 19.6% in 2013) were likely a reflection of selective mortality among the infected cohorts. All available information for Ichthyophonus in the NE Pacific, including broad geographic range, low host specificity and presence in archived Pacific herring tissue samples dating to the 1980s, indicate a long-standing host-pathogen relationship. © 2015 John Wiley & Sons Ltd.

  3. 76 FR 33641 - Safety Zone; The Pacific Grove Feast of Lanterns, Fireworks Display, Pacific Grove, CA

    Science.gov (United States)

    2011-06-09

    ...-AA00 Safety Zone; The Pacific Grove Feast of Lanterns, Fireworks Display, Pacific Grove, CA AGENCY... support of the Pacific Grove Feast of Lanterns Fireworks Display. This safety zone is established to... Purpose Pacific Grove Feast of Lanterns will sponsor the Pacific Grove Feast of Lanterns Fireworks Display...

  4. Asia Pacific energy derivatives

    International Nuclear Information System (INIS)

    Fusaro, P.C.

    1997-09-01

    Asia Pacific Energy Derivatives, from FT Energy, is the first report of its kind to examine the growth of energy derivatives within Asia Pacific and their increasing importance within this region. It provides a comprehensive overview of the subject, including analysis of: deregulation as a market driver; the impact of privatisation; the future for energy risk management tools; the unique characteristics of the Asia Pacific energy market; the role of futures exchanges in Asia; existing indexes and their performance; the differences between the Asia Pacific markets and their more mature counterparts in London and New York; non-oil derivatives, project finance and cross commodity arbitrage; the thriving Pacific Rim Over the Counter (OTC) markets. (author)

  5. Obesity and Associated Health Disparities Among Understudied Multiracial, Pacific Islander, and American Indian Adults.

    Science.gov (United States)

    Subica, Andrew M; Agarwal, Neha; Sullivan, J Greer; Link, Bruce G

    2017-12-01

    This study examined the state of obesity, diabetes, and associated health disparities among understudied multiracial, Native Hawaiian and Other Pacific Islander (NHOPI), and American Indian and Alaskan Native (AIAN) adults. Aggregated data for 184,617 adults from the California Health Interview Survey (2005 to 2011) were analyzed to determine obesity, diabetes, poor/fair health, and physical disability prevalence by racial group. Logistic regressions controlling for age, gender, and key social determinants (education, marital status, poverty, health insurance) generated multiracial, NHOPI, and AIAN adults' odds ratios (ORs) for our targeted health conditions versus non-Hispanic white adults. Obesity, diabetes, and other targeted health conditions were highly prevalent among multiracial, NHOPI, and AIAN adults, who displayed significantly greater adjusted odds than non-Hispanic white adults for obesity (ORs = 1.2-1.9), diabetes (ORs = 1.6-2.4), poor/fair health (ORs = 1.4-1.7), and, with the exception of NHOPI adults, physical disability (ORs = 1.5-1.6). Multiracial and AIAN adults with obesity also had significantly higher adjusted odds of diabetes (OR = 1.5-2.6) than non-Hispanic white adults with obesity. Multiracial, NHOPI, and AIAN adults experience striking obesity-related disparities versus non-Hispanic white adults, urging further disparities research with these vulnerable minority populations. © 2017 The Obesity Society.

  6. Fish, food security and health in Pacific Island countries and territories: a systematic literature review.

    Science.gov (United States)

    Charlton, Karen E; Russell, Joanna; Gorman, Emma; Hanich, Quentin; Delisle, Aurélie; Campbell, Brooke; Bell, Johann

    2016-03-24

    Pacific Island countries and territories (PICTs) face a double burden of disease, with a high prevalence of household food insecurity and childhood micronutrient deficiencies, accompanied by a burgeoning increase in adult obesity, diabetes and heart disease. A systematic literature review was undertaken to assess whether increased availability of, and access to, fish improves a) household food security and b) individual nutritional status. A total of 29 studies were reviewed. Fourteen studies identified fish as the primary food source for Pacific Islanders and five studies reported fish/seafood as the primary source of dietary protein. Fish consumption varied by cultural sub-region and Pacific Island countries and territories. Fish consumption and nutritional status was addressed in nine studies, reporting moderate iodine deficiency in Vanuatu where only 30% of participants consumed mostly fresh fish. Similarly, the degree to which Pacific Islanders depended on fishing for household income and livelihood varied between and within PICTs. For more economically developed countries, household income was derived increasingly from salaried work and dependency on fishing activities has been declining. Fishing remains a major contributor to food security in PICTs, through subsistence production and income generation. However, there is a paucity of research aimed at assessing how maintaining and/or improving fish consumption benefits the diets and health of Pacific Islanders as they contend with the ongoing nutrition transition that is characterised by an increasing demand for packaged imported foods, such as canned meats, instant noodles, cereals, rice, and sugar-sweetened beverages, with subsequent decreased consumption of locally-produced plants and animals.

  7. Diabetes and associated disorders in Cambodia: two epidemiological surveys.

    Science.gov (United States)

    King, Hilary; Keuky, Lim; Seng, Serey; Khun, Touch; Roglic, Gojka; Pinget, Michel

    2005-11-05

    The Asia-Pacific region is thought to be severely affected by diabetes. However, reliable, standardised data on prevalence and characteristics of glucose intolerance in Asian populations remain sparse. We describe the results of two field surveys undertaken in Cambodia in 2004. 2246 randomly selected adults aged 25 years and older were examined in two communities, one rural (Siemreap) and one semi-urban (Kampong Cham). The diagnosis of diabetes and impaired glucose tolerance was based on 2-h blood glucose estimation using criteria recommended by the latest report of a WHO Expert Group. Blood pressure, anthropometry, habitual diet, and other relevant characteristics were also recorded. Prevalence of diabetes was 5% in Siemreap and 11% in Kampong Cham. Prevalence of impaired glucose tolerance was 10% in Siemreap and 15% in Kampong Cham. About two-thirds of all cases of diabetes were undiagnosed before the survey. Prevalence of hypertension was 12% at Siemreap and 25% at Kampong Cham. People in Kampong Cham had higher estimates of central obesity than those in Siemreap. Diabetes and hypertension are not uncommon in Cambodia. A quarter of all adults in the chosen suburban community had some degree of glucose intolerance. Since Cambodian society is relatively poor, and lifestyle is fairly traditional by international standards, these findings are unexpected.

  8. Export production in the subarctic North Pacific over the last 800 kyrs: No evidence for iron fertilization?

    Science.gov (United States)

    Kienast, S.S.; Hendy, I.L.; Crusius, J.; Pedersen, Thomas F.; Calvert, S.E.

    2004-01-01

    The subarctic North Pacific is a high nitrate-low chlorophyll (HNLC) region, where phytoplankton growth rates, especially those of diatoms, are enhanced when micro-nutrient Fe is added. Accordingly, it has been suggested that glacial Fe-laden dust might have increased primary production in this region. This paper reviews published palaeoceanographic records of export production over the last 800 kyrs from the open North Pacific (north of ???35??N). We find different patterns of export production change over time in the various domains of the North Pacific (NW and NE subarctic gyres, the marginal seas and the transition zone). However, there is no compelling evidence for an overall increase in productivity during glacials in the subarctic region, challenging the paradigm that dust-born Fe fertilization of this region has contributed to the glacial draw down of atmospheric CO2. Potential reasons for the lack of increased glacial export production include the possibility that Fe-fertilization rapidly drives the ecosystem towards limitation by another nutrient. This effect would have been exacerbated by an even more stable mixed layer compared to today. ?? The Oceanographic Society of Japan.

  9. Environmental determinants of type 1 diabetes: a role for overweight and insulin resistance.

    Science.gov (United States)

    Islam, Sadia T; Srinivasan, Shubha; Craig, Maria E

    2014-11-01

    Rates of type 1 diabetes are rising globally, with a decreasing proportion of high-risk genotypes and twin concordance rates below 50%. Therefore, environmental factors such as viruses, nutrition and overweight have been examined as putative aetiological agents. The accelerator hypothesis proposes that overweight and insulin resistance are central to both type 1 and type 2 diabetes and may explain, in part, the rise in type 1 diabetes incidence. The temporal rise in body mass index at type 1 diabetes onset and the observation that pre-diabetic children are heavier and more insulin resistant than their peers suggests convergence of type 1 and type 2 diabetes phenotypes. The influence of insulin resistance may begin in utero, although the aetiological role of birthweight in type 1 diabetes remains unclear. Further research to elucidate the role of these modifiable risk factors in today's obesogenic environment may provide future potential for diabetes prevention. © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  10. Topicality of the problem of combined course of multi-drug resistant pulmonary tuberculosis with diabetes mellitus

    Directory of Open Access Journals (Sweden)

    O. M. Raznatovska

    2017-08-01

    Full Text Available According to the World Health Organization, today in the world among the infectious chronic diseases one of the leading places and causes of death is multi-drug resistant tuberculosis of the lungs, and chronic non-communicable diseases – diabetes mellitus. The situation is complicated by the fact that the number of patients with combined course of these two heavy separate illnesses that complicate each other increases. It is established that with increasing severity of diabetes mellitus, tuberculosis process in the lungs becomes more complicate and deteriorates, and vice versa, the specific process complicates the course of diabetes mellitus, contributing to the development of diabetic complications. Against this background, the effectiveness of treatment of patients suffering from multi-drug resistant tuberculosis of the lungs in our country remains very low, mainly due to the toxic adverse reactions to antimycobacterial drugs of the reserve line, and in the case of adding diabetes mellitus, it deteriorates even more. The aim of this study was to review the scientific literature to determine the relevance of the study of combined course of multi-drug resistant tuberculosis of the lungs with diabetes mellitus and perspectives of innovative methods of diagnosis of diabetes mellitus. Early diagnosis of pre-diabetes, and autoimmune diseases will allow the use of timely correction techniques that prevents the development of diabetes mellitus, depending on its type, and in the future the development of serious irreversible processes, allow timely applying appropriate methods of correction of the revealed violations. Results. Very little amount of work is dedicated to the problem of combined course of multi-drug resistant tuberculosis of the lungs with diabetes mellitus, regardless of its type, the theme is relevant for today, in Ukraine there are no data regarding its study. This combined course of very difficult in the treatment diseases requires

  11. Pacific Equatorial Transect

    OpenAIRE

    Pälike, Heiko; Nishi, Hiroshi; Lyle, Mitch; Raffi, Isabella; Klaus, Adam; Gamage, Kusali

    2009-01-01

    Integrated Ocean Drilling Program Expedition 320/321, "Pacific Equatorial Age Transect" (Sites U1331–U1338), was designed to recover a continuous Cenozoic record of the paleoequatorial Pacific by coring above the paleoposition of the Equator at successive crustal ages on the Pacific plate. These sediments record the evolution of the paleoequatorial climate system throughout the Cenozoic. As we gained more information about the past movement of plates and when in Earth's history "critical" cli...

  12. The parasite Ichthyophonus sp. in Pacific herring from the coastal NE Pacific

    Science.gov (United States)

    Hershberger, Paul K.; Gregg, Jacob L.; Hart, Lucas M.; Moffitt, Steve; Brenner, Richard L.; Stick, K.; Coonradt, Eric; Otis, E. O.; Vollenweider, Johanna J.; Garver, Kyle A.; Lovy, Jan; Meyers, T.R.

    2016-01-01

    The protistan parasite Ichthyophonus occurred in populations of Pacific herring Clupea pallasii Valenciennes throughout coastal areas of the NE Pacific, ranging from Puget Sound, WA north to the Gulf of Alaska, AK. Infection prevalence in local Pacific herring stocks varied seasonally and annually, and a general pattern of increasing prevalence with host size and/or age persisted throughout the NE Pacific. An exception to this zoographic pattern occurred among a group of juvenile, age 1+ year Pacific herring from Cordova Harbor, AK in June 2010, which demonstrated an unusually high infection prevalence of 35%. Reasons for this anomaly were hypothesized to involve anthropogenic influences that resulted in locally elevated infection pressures. Interannual declines in infection prevalence from some populations (e.g. Lower Cook Inlet, AK; from 20–32% in 2007 to 0–3% during 2009–13) or from the largest size cohorts of other populations (e.g. Sitka Sound, AK; from 62.5% in 2007 to 19.6% in 2013) were likely a reflection of selective mortality among the infected cohorts. All available information for Ichthyophonus in the NE Pacific, including broad geographic range, low host specificity and presence in archived Pacific herring tissue samples dating to the 1980s, indicate a long-standing host–pathogen relationship.

  13. A decadal tropical Pacific condition unfavorable to central Pacific El Niño

    Science.gov (United States)

    Zhong, Wenxiu; Zheng, Xiao-Tong; Cai, Wenju

    2017-08-01

    The frequency of central Pacific (CP) El Niño events displays strong decadal variability but the associated dynamics are unclear. The Interdecadal Pacific Oscillation (IPO) and the tropical Pacific decadal variability (TPDV) are two dominant modes of tropical Pacific decadal variability that can interact with high-frequency activities. Using a 500 year control integration from the Geophysical Fluid Dynamics Laboratory Earth System Model, we find that the difference in mean state between the low-frequency and high-frequency CP El Niño periods is similar to the decadal background condition concurrently contributed by a negative IPO and a positive TPDV. This decadal state features strengthened trade winds west of the International Date Line and anomalous cool sea surface temperatures across the central tropical Pacific. As such, positive zonal advection feedback is difficult to be generated over the central to western tropical Pacific during the CP El Niño developing season, resulting in the low CP El Niño frequency.

  14. Neutrinos today

    International Nuclear Information System (INIS)

    Pontecorvo, B.; Bilen'kij, S.

    1987-01-01

    After the famous 1983 discovery of intermediate W, Z 0 bosons it may be stated with certainty that W, Z 0 are entirely responsible for the production of neutrinos and for their interactions. Neutrino physics notions are presented from this point of view in the first four introductory, quite elementary, paragraphs of the paper. The following seven paragraphs are more sophisticated. They are devoted to the neutrino mass and neutrino mixing question, which is the most actual problem in today neutrino physics. Vacuum neutrino oscillations, matter neutrino oscillations and netrinoless double-decay are considered. Solar neutrino physics is discussed in some detail from the point of view of vacuum and matter neutrino oscillations. The role played by neutrinos in the Universe is briefly considered. In the last paragraph there discussed the probable observation by different groups of neutrinos connected with the Supernova 1987 A: the first observation of gravitational star collapse (at least the general rehearsal of such observation) opens up a new era in astronomy of today exerimental physics and astrophysics is presented at the end of the paper in the form of a Table

  15. Structure to utilize interventionists' implementation experiences of a family-based behavioral weight management program to enhance the dissemination of the standardized intervention: The TODAY study.

    Science.gov (United States)

    Chadwick, Jennifer Q; Van Buren, Dorothy J; Morales, Elisa; Timpson, Alexandra; Abrams, Ericka L; Syme, Amy; Preske, Jeff; Mireles, Gerardo; Anderson, Barbara; Grover, Nisha; Laffel, Lori

    2017-08-01

    Background For a 2- to 6-year period, interventionists for the TODAY (Treatment Options for type 2 Diabetes in Adolescents and Youth) randomized clinical trial delivered a family-based, behavioral weight-loss program (the TODAY Lifestyle Program) to 234 youth with type 2 diabetes. Interventionists held at least a bachelor's degree in psychology, social work, education, or health-related field and had experience working with children and families, especially from diverse ethnic and socioeconomic backgrounds. This article describes the administrative and organizational structure of the lifestyle program and how the structure facilitated collaboration among study leadership and lifestyle interventionists on the tailoring of the program to best suit the needs of the trial's diverse patient population. Methods During the pilot phase and throughout the duration of the trial, the interventionists' experiences in delivering the intervention were collected in a variety of ways including membership on study committees, survey responses, session audio recordings, and feedback during in-person trainings. Results The experiences of interventionists conveyed to study leadership through these channels resulted in decisions to tailor the lifestyle intervention's delivery location and ways to supplement the standardized educational materials to better address the needs of a diverse patient population. Conclusion The methods used within the TODAY study to encourage and utilize interventionists' experiences while implementing the lifestyle program may be useful to the design of future multi-site, clinical trials seeking to tailor behavioral interventions in a standardized, and culturally and developmentally sensitive manner.

  16. Current status in diabetic macular edema treatments

    Institute of Scientific and Technical Information of China (English)

    Pedro; Romero-Aroca

    2013-01-01

    Diabetes is a serious chronic condition,which increase the risk of cardiovascular diseases,kidney failure and nerve damage leading to amputation.Furthermore the ocular complications include diabetic macular edema,is the leading cause of blindness among adults in the industrialized countries.Today,blindness from diabetic macular edema is largely preventable with timely detection and appropriate interventional therapy.The treatment should include an optimized control of glycemia,arterial tension,lipids and renal status.The photocoagulation laser is currently restricted to focal macular edema in some countries,but due the high cost of intravitreal drugs,the use of laser treatment for focal and diffuse diabetic macular edema(DME),can be valid as gold standard in many countries.The intravitreal anti vascular endothelial growth factor drugs(ranibizumab and bevacizumab),are indicated in the treatment of all types of DME,but the correct protocol for administration should be defined for the different Retina Scientific Societies.The corticosteroids for diffuse DME,has a place in pseudophakic patients,but its complications restricted the use of these drugs for some patients.Finally the intravitreal interface plays an important role and its exploration is mandatory in all DME patients.

  17. Colombian work for searching tools towards its development: The Pacific Alliance and the admission route to the OECD

    OpenAIRE

    Vargas-Alzate, Luis Fernando; Universidad Externado de Colombia

    2016-01-01

    This article provides an overview supported by three key issues for contemporary  Colombia. They are the country's admission to the Pacific Alliance (PA), the  possibility to access the full membership of the Organization for Economic  Cooperation and Development (OECD) and, because of the above, the level of  development in which the country could be stood today and for the future, if a  position is gained in such an international organization. According to the fundamental  assumptions set o...

  18. Eastern South Pacific water mass geometry during the last glacial-interglacial transition

    Science.gov (United States)

    De Pol-Holz, R.; Reyes, D.; Mohtadi, M.

    2012-12-01

    The eastern South Pacific is characterized today by a complex thermocline structure where large salinity and oxygen changes as a function of depth coexist. Surface waters from tropical origin float on top of subantarctic fresher water (the so-called 'shallow salinity minimum of the eastern south Pacific'), which in turn, flow above aged equatorial and deeper recently ventilated Antarctic Intermediate waters. Little is known however about the water mass geometry changes that could have occurred during the last glacial maximum boundary conditions (about 20,000 years before the present), despite this information being critical for the assessment of potential mechanisms that have been proposed as explanations for the deglacial onset of low oxygen conditions in the area and the atmospheric CO2 increase during the same time. Here we present benthic and planktonic foraminifera stable isotope and radiocarbon data from a set of sediment cores from the Chilean continental margin covering a large -yet still limited- geographical area and depth range. Sedimentations rates were relatively high (>10 cm/kyr) precluding major caveats from bioturbation in all of our archives. The distribution of δ13C of ΣCO2 shows the presence of a very depleted (δ13C < -1‰ V-PDB) water mass overlaying more recently ventilated waters at intermediate depths as indicated by thermocline foraminifer dwellers being more depleted in 13C than the benthic species. The origin of this depleted end-member is probably upwelling from the Southern Ocean as expressed by the radiocarbon content and the large reservoir effect associated with the last glacial maximum and the beginning of the deglaciation along the margin. Our data suggest that the Tropical waters that today bath the lower latitude cores was displaced by surface waters of southern origin and therefore in line with the evidence of a latitudinal shift of the frontal systems.

  19. Evaluation of anti-diabetic effects of hydroalcoholic extract of green tea and cinnamon on streptozotocin-induced diabetic rats

    Directory of Open Access Journals (Sweden)

    Ghasem Shokri

    2015-06-01

    Full Text Available Today diabetes is one of the most common diseases in the world that affects half of the world population. The use of medicinal herbs especially green tea and cinnamon has been taken into consideration for relieving the symptoms of diabetes, but there were some different ideas about their effectiveness. So, this study was conducted to evaluate the effect of cinnamon and green tea extract, individually and in combination, on blood glucose and weight loss in diabetic mice with Streptozotocin (STZ. The experiment was performed on 50 Wistar rats.  A total of 50 rats were divided into 10 groups of 5 and STZ was injected at the dose of 40 mg/kg/day for 5 days intraperitoneally. After diabetes induction, three groups received, 50, 100 and 200 mg doses of green tea extract,  three groups received 50, 100 and 200 mg doses of cinnamon extract  and three final groups received 50, 100 and 200 mg doses of  cinnamon  and green tea in combination by gavages daily for 6 weeks. After each period of treatments, blood glucose and the weight of animals were determined. At the end of the sixth week, blood glucose and weight loss were improved in diabetic rats in a dose-dependent manner and the dose of 200 mg/kg extract cinnamon with green tea had the most appropriate synergic effect.

  20. Tectonic map of the Circum-Pacific region, Pacific basin sheet

    Science.gov (United States)

    Scheibner, E.; Moore, G.W.; Drummond, K.J.; Dalziel, Corvalan Q.J.; Moritani, T.; Teraoka, Y.; Sato, T.; Craddock, C.

    2013-01-01

    Circum-Pacific Map Project: The Circum-Pacific Map Project was a cooperative international effort designed to show the relationship of known energy and mineral resources to the major geologic features of the Pacific basin and surrounding continental areas. Available geologic, mineral, and energy-resource data are being complemented by new, project-developed data sets such as magnetic lineations, seafloor mineral deposits, and seafloor sediment. Earth scientists representing some 180 organizations from more than 40 Pacific-region countries are involved in this work. Six overlapping equal-area regional maps at a scale of 1:10,000,000 form the cartographic base for the project: the four Circum-Pacific Quadrants (Northwest, Southwest, Southeast, and Northeast), and the Antarctic and Arctic Sheets. There is also a Pacific Basin Sheet at a scale of 1:17,000,000. The Base Map Series and the Geographic Series (published from 1977 to 1990), the Plate-Tectonic Series (published in 1981 and 1982), the Geodynamic Series (published in 1984 and 1985), and the Geologic Series (published from 1984 to 1989) all include six map sheets. Other thematic map series in preparation include Mineral-Resources, Energy-Resources and Tectonic Maps. Altogether, more than 50 map sheets are planned. The maps were prepared cooperatively by the Circum-Pacific Council for Energy and Mineral Resources and the U.S. Geological Survey and are available from the Branch of Distribution, U. S. Geological Survey, Box 25286, Federal Center, Denver, Colorado 80225, U.S.A. The Circum-Pacific Map Project is organized under six panels of geoscientists representing national earth-science organizations, universities, and natural-resource companies. The six panels correspond to the basic map areas. Current panel chairmen are Tomoyuki Moritani (Northwest Quadrant), R. Wally Johnson (Southwest Quadrant), Ian W.D. Dalziel (Antarctic Region), vacant. (Southeast Quadrant), Kenneth J. Drummond (Northeast Quadrant), and

  1. Climate Prediction Center (CPC) East Pacific/ North Pacific Teleconnection Pattern Index

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Monthly tabulated index of the East Pacific/ North Pacific teleconnection pattern. The data spans the period 1950 to present. The index is derived from a rotated...

  2. Diabetic Kidney Disease: A Syndrome Rather Than a Single Disease

    Science.gov (United States)

    Piccoli, Giorgina B.; Grassi, Giorgio; Cabiddu, Gianfranca; Nazha, Marta; Roggero, Simona; Capizzi, Irene; De Pascale, Agostino; Priola, Adriano M.; Di Vico, Cristina; Maxia, Stefania; Loi, Valentina; Asunis, Anna M.; Pani, Antonello; Veltri, Andrea

    2015-01-01

    The term "diabetic kidney" has recently been proposed to encompass the various lesions, involving all kidney structures that characterize protean kidney damage in patients with diabetes. While glomerular diseases may follow the stepwise progression that was described several decades ago, the tenet that proteinuria identifies diabetic nephropathy is disputed today and should be limited to glomerular lesions. Improvements in glycemic control may have contributed to a decrease in the prevalence of glomerular lesions, initially described as hallmarks of diabetic nephropathy, and revealed other types of renal damage, mainly related to vasculature and interstitium, and these types usually present with little or no proteinuria. Whilst glomerular damage is the hallmark of microvascular lesions, ischemic nephropathies, renal infarction, and cholesterol emboli syndrome are the result of macrovascular involvement, and the presence of underlying renal damage sets the stage for acute infections and drug-induced kidney injuries. Impairment of the phagocytic response can cause severe and unusual forms of acute and chronic pyelonephritis. It is thus concluded that screening for albuminuria, which is useful for detecting "glomerular diabetic nephropathy", does not identify all potential nephropathies in diabetes patients. As diabetes is a risk factor for all forms of kidney disease, diagnosis in diabetic patients should include the same combination of biochemical, clinical, and imaging tests as employed in non-diabetic subjects, but with the specific consideration that chronic kidney disease (CKD) may develop more rapidly and severely in diabetic patients. PMID:26676663

  3. Connected minds technology and today's learners

    CERN Document Server

    Pedrò, Francesc

    2012-01-01

    In all OECD countries, digital media and connectedness are integral to the lives of todays learners. It is often claimed that these learners are ""new millennium learners"", or ""digital natives"", who have different expectations about education. This book contributes to the debate about the effects of technology attachment and connectedness on todays learners, and their expectations about teaching. The book sets out to answer the following questions: Can the claim that todays students are ""new millenium learners"" or ""digital natives be sustained empirically? Is there consistent research evidence demonstrating the effects of technology on cognitive development, social values, and learning expectations? What are the implications for educational policy and practice?

  4. Tuberculosis and diabetes mellitus in the Republic of Kiribati: a case-control study.

    Science.gov (United States)

    Viney, K; Cavanaugh, J; Kienene, T; Harley, D; Kelly, P M; Sleigh, A; O'Connor, J; Mase, S

    2015-05-01

    To better inform local management of TB-diabetes collaborative activities, we aimed to determine the prevalence of diabetes among persons with and without TB and to determine the association between TB and diabetes in Kiribati, a Pacific Island nation. We compared consecutively enrolled TB cases to a group of randomly selected community controls without evidence of TB. Diabetes was diagnosed by HbA1c, and clinical and demographic data were collected. A tuberculin skin test was administered to controls. The chi-square test was used to assess significance in differences between cases and controls. We also calculated an odds ratio, with 95% confidence intervals, for the odds of diabetes among cases relative to controls. Unweighted multivariate logistic regression was performed to adjust for the effects of age and sex. A total of 275 TB cases and 499 controls were enrolled. The diabetes prevalence in cases (101, 37%) was significantly greater than in controls (94, 19%) (adjusted odds ratio: 2.8; 95% CI 2.0-4.1). Fifty-five percent (108) of all diabetic diagnoses were new; this proportion was higher among controls (64.8%) than cases (46.5%). Five patients with TB were screened to detect one patient with diabetes. There is a strong association between TB and diabetes in Kiribati and bidirectional screening should be conducted in this setting. © 2015 John Wiley & Sons Ltd.

  5. The Malaysian Medication Adherence Scale (MALMAS): Concurrent Validity Using a Clinical Measure among People with Type 2 Diabetes in Malaysia

    OpenAIRE

    Chung, Wen Wei; Chua, Siew Siang; Lai, Pauline Siew Mei; Morisky, Donald E.

    2015-01-01

    Medication non-adherence is a prevalent problem worldwide but up to today, no gold standard is available to assess such behavior. This study was to evaluate the psychometric properties, particularly the concurrent validity of the English version of the Malaysian Medication Adherence Scale (MALMAS) among people with type 2 diabetes in Malaysia. Individuals with type 2 diabetes, aged 21 years and above, using at least one anti-diabetes agent and could communicate in English were recruited. The ...

  6. Constraints on sea level during the Pliocene: Records from the deep Pacific Ocean

    Science.gov (United States)

    Woodard, S. C.; Rosenthal, Y.; Miller, K. G.; Wright, J. D.; Chiu, B. K.

    2013-12-01

    18O during KM3 and G17 is ~0.35×0.05 per mil lower than the modern (3.08 vs 3.43 per mil). Given that Pacific bottom water during these interglacials was likely not much warmer than today, we estimate peak sea level was 20 m above present (range 10-27 m).

  7. Fish, food security and health in Pacific Island countries and territories: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Karen E. Charlton

    2016-03-01

    Full Text Available Abstract Background Pacific Island countries and territories (PICTs face a double burden of disease, with a high prevalence of household food insecurity and childhood micronutrient deficiencies, accompanied by a burgeoning increase in adult obesity, diabetes and heart disease. Methods A systematic literature review was undertaken to assess whether increased availability of, and access to, fish improves a household food security and b individual nutritional status. Results A total of 29 studies were reviewed. Fourteen studies identified fish as the primary food source for Pacific Islanders and five studies reported fish/seafood as the primary source of dietary protein. Fish consumption varied by cultural sub-region and Pacific Island countries and territories. Fish consumption and nutritional status was addressed in nine studies, reporting moderate iodine deficiency in Vanuatu where only 30 % of participants consumed mostly fresh fish. Similarly, the degree to which Pacific Islanders depended on fishing for household income and livelihood varied between and within PICTs. For more economically developed countries, household income was derived increasingly from salaried work and dependency on fishing activities has been declining. Conclusions Fishing remains a major contributor to food security in PICTs, through subsistence production and income generation. However, there is a paucity of research aimed at assessing how maintaining and/or improving fish consumption benefits the diets and health of Pacific Islanders as they contend with the ongoing nutrition transition that is characterised by an increasing demand for packaged imported foods, such as canned meats, instant noodles, cereals, rice, and sugar-sweetened beverages, with subsequent decreased consumption of locally-produced plants and animals.

  8. Mathematics Teaching Today

    Science.gov (United States)

    Martin, Tami S.; Speer, William R.

    2009-01-01

    This article describes features, consistent messages, and new components of "Mathematics Teaching Today: Improving Practice, Improving Student Learning" (NCTM 2007), an updated edition of "Professional Standards for Teaching Mathematics" (NCTM 1991). The new book describes aspects of high-quality mathematics teaching; offers a model for observing,…

  9. Ethnic differences in complementary and alternative medicine use among patients with diabetes.

    Science.gov (United States)

    Villa-Caballero, Leonel; Morello, Candis M; Chynoweth, Megan E; Prieto-Rosinol, Ariadna; Polonsky, William H; Palinkas, Lawrence A; Edelman, Steven V

    2010-12-01

    To evaluate the effect of ethnicity as a predictor of the use of complementary and alternative medicine (CAM) among patients with diabetes. A 16-item questionnaire investigating CAM use was distributed among patients attending the Taking Control of Your Diabetes (TCOYD) educational conferences during 2004-2006. Six TCOYD were held across the United States. Information of diabetes status and sociodemographic data was collected. CAM use was identified as pharmacologic (herbs and vitamins) and nonpharmacologic CAMs (e.g., prayer, yoga, and acupuncture). The prevalence of pharmacologic and non-pharmacologic CAMs among 806 participants with diabetes patients was 81.9% and 80.3%, respectively. Overall, CAM prevalence was similar for Caucasians (94.2%), African Americans (95.5%), Hispanics (95.6%) and Native Americans (95.2%) and lower in Pacific Islanders/others (83.9%) and Asians (87.8%). Pharmacologic CAM prevalence was positively associated with education (p=0.001). The presence of diabetes was a powerful predictor of CAM use. Several significant ethnic differences were observed in specific forms of CAM use. Hispanics reported using frequently prickly pear (nopal) to complement their diabetes treatment while Caucasians more commonly used multivitamins. Treatment with CAM widely used in persons with diabetes. Ethnic group differences determine a variety of practices, reflecting groups' cultural preferences. Future research is needed to clarify the perceived reasons for CAM use among patients with diabetes in clinical practice and the health belief system associated with diabetes by ethnic group. Published by Elsevier Ltd.

  10. Preface: Catalysis Today

    DEFF Research Database (Denmark)

    Li, Yongdan

    2016-01-01

    This special issue of Catalysis Today with the theme “Sustain-able Energy” results from a great success of the session “Catalytic Technologies Accelerating the Establishment of Sustainable and Clean Energy”, one of the two sessions of the 1st International Symposium on Catalytic Science and Techn...

  11. Gridded multibeam bathymetry of Howland Island, Pacific Remote Island Areas, Central Pacific

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Gridded bathymetry at 40m resolution surrounding Howland Island, within the Pacific Remote Island Areas - Central Pacific Ocean. Bottom coverage was achieved in...

  12. Gridded multibeam bathymetry of Baker Island, Pacific Remote Island Areas, Central Pacific

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Gridded bathymetry at 40m resolution surrounding Baker Island, within the Pacific Remote Island Areas - Central Pacific Ocean. Bottom coverage was achieved in depths...

  13. Educational Entrepreneurship Today

    Science.gov (United States)

    Hess, Frederick M., Ed.; McShane, Michael Q., Ed.

    2016-01-01

    In "Educational Entrepreneurship Today", Frederick M. Hess and Michael Q. McShane assemble a diverse lineup of high-profile contributors to examine the contexts in which new initiatives in education are taking shape. They inquire into the impact of entrepreneurship on the larger field--including the development and deployment of new…

  14. Effectiveness of community-based peer-led diabetes self-management programmes (COMP-DSMP) for improving clinical outcomes and quality of life of adults with diabetes in primary care settings in low and middle-income countries (LMIC): a systematic review and meta-analysis.

    Science.gov (United States)

    Werfalli, Mahmoud; Raubenheimer, Peter; Engel, Mark; Peer, Nasheeta; Kalula, Sebastiana; Kengne, Andre P; Levitt, Naomi S

    2015-07-15

    Globally, an estimated 380 million people live with diabetes today--80% in low-income and middle-income countries. The Middle East, Western Pacific, Sub-Saharan Africa and South-East Asia remain the most affected regions where economic development has transformed lifestyles, people live longer and there is an increase in the adult population. Although peer support has been used in different conditions with varied results, yet there is limited evidence to date supporting its effectiveness, particularly for individuals with diabetes. In this review, we will focus on community-based peer-led diabetes self-management programmes (COMP-DSMP) and examine the implementation strategies and diabetes-related health outcomes associated with them in LMIC primary healthcare settings. In accordance with reporting equity-focused systematic reviews PRISMA-P (preferred reporting items for systematic review and meta-analysis protocols 2015 checklist) guidelines, a systematic review with meta-analysis of randomised controlled trials (RCTs), non-randomised controlled trials, quasi-randomised controlled trials (CCTs) that involve contact with an individual or group of peers (paid or voluntary). Electronic searches will be performed in The Cochrane Library, MEDLINE, PubMed, SCOUPS, CINAHL and PsycINFO Database for the period January up to July 2000 along with manual searches in the reference lists of relevant papers. The analyses will be performed based on baseline data from RCTs, CCTs and preintervention and postintervention means or proportions will be reported for both intervention and control groups, and the absolute change from baseline will be calculated, together with 95% CIs. For dichotomous outcomes, the relative risk of the outcome will be presented compared to the control group. The risk difference will be calculated, which is the absolute difference in the proportions in each treatment group. Ethics is not required for this study, given that this is a protocol for a

  15. Towards a Single Market: A 21st Century Vision for Asia Pacific Economic Integration

    Directory of Open Access Journals (Sweden)

    Andrew Elek

    2010-06-01

    Full Text Available APEC leaders can take pride in progress towards free and open trade. There will always be more to do to integrate Asia Pacific economies. 2010 is the time to look beyond border barriers to trade and adopt a new post-Bogor vision of a single market. Traditional border barriers to trade in some sensitive products remain costly, but affect only a rapidly shrinking part of international commerce. Today, it is more efficient to concentrate on problems of communications and logistics, combined with the lack of efficiency, transparency and sometimes arbitrary implementation of economic policies in different economies. The effective constraint on collective action to deal with these problems is not political will. It is limited capacity to design and implement the necessary policy reform. Creating the necessary capacity needs a unifying vision to deal all obstacles to genuine economic integration, that is, to build a single market. In doing so, Asia Pacific governments can learn from the European Union experience. But they need to promote ever-deeper economic integration without relying on a supra-national authority. Like free and open trade, a single market is a vision which can only be approached, rather than reached by any deadline-it is a point of reference for the many things that need to be done to integrate Asia Pacific economies in a meaningful way. Asia Pacific governments should be encouraged to set their own medium-term targets for progress towards well-defined ingredients of a single market. Strict selection criteria should be used to identify options for cooperation which build on what APEC is already doing and which are in line with the priorities of most member economies. An ambitious program to enhance the efficiency of supply chains could set a successful example and generate the confidence to do more.

  16. Fiji in the South Pacific.

    Science.gov (United States)

    Scott, Rosalind; Semaan, Leslie

    This text introduces Fiji and other island nations located in the Pacific, the world's largest ocean. Cut off from the world by vast expanses of water, these people developed a unique culture. Contents include: Teacher Overview, Geography of the South Pacific Islands, History of the South Pacific, Fiji, Traditional Village Life, Yaquna Ceremony,…

  17. Therapies for inter-relating diabetes and obesity - GLP-1 and obesity

    DEFF Research Database (Denmark)

    Iepsen, Eva Pers Winning; Torekov, Signe S; Holst, Jens Juul

    2014-01-01

    INTRODUCTION: The dramatic rise in the prevalence of obesity and type 2 diabetes mellitus (T2DM) is associated with increased mortality, morbidity as well as public health care expenses worldwide. The need for effective and long-lasting pharmaceutical treatment is obvious. The record of anti-obesity...... drugs has been poor so far and the only efficient treatment today is bariatric surgery. Research has indicated that appetite inhibiting hormones from the gut may have a therapeutic potential in obesity. The gut incretin hormone, glucagon-like peptide-1 (GLP-1), appears to be involved in both peripheral...... and central pathways mediating satiety. Clinical trials have shown that two GLP-1 receptor agonists exenatide and liraglutide have a weight-lowering potential in non-diabetic obese individuals. Furthermore, they may also hold a potential in preventing diabetes as compared to other weight loss agents. AREAS...

  18. Obesity and Native Hawaiians/Pacific Islanders

    Science.gov (United States)

    ... Population Profiles > Native Hawaiian/Other Pacific Islander > Obesity Obesity and Native Hawaiians/Pacific Islanders Native Hawaiians/Pacific ... youthonline . [Accessed 08/18/2017] HEALTH IMPACT OF OBESITY People who are overweight are more likely to ...

  19. Insulinbehandling af voksne med type 1-diabetes

    DEFF Research Database (Denmark)

    Pedersen-Bjergaard, Ulrik; Thorsteinsson, Birger

    2015-01-01

    Whereas insulin treatment of type 1 diabetes formerly was limited by the availability of one or a few types of insulin with suboptimal pharmacokinetic properties, insulin analogues with more fitting physiological action profiles have now been developed and ultimately near-physiological insulin...... treatment can be delivered with insulin pumps. Adjustments of insulin dosing can be rationally based on dosing algorithms. This requires frequent glucose measurements and knowledge about dietary carbohydrate content. Today, the treatment and its complexity are individualized according to needs and wishes...

  20. Insulinbehandling af voksne med type 1-diabetes

    DEFF Research Database (Denmark)

    Pedersen-Bjergaard, Ulrik; Thorsteinsson, Birger

    2015-01-01

    Whereas insulin treatment of type 1 diabetes formerly was limited by the availability of one or a few types of insulin with suboptimal pharmacokinetic properties, insulin analogues with more fitting physiological action profiles have now been developed and ultimately near-physiological insulin...... treatment can be delivered with insulin pumps. Adjustments of insulin dosing can be rationally based on dosing algorithms. This requires frequent glucose measurements and knowledge about dietary carbohydrate content. Today, the treatment and its complexity are individualized according to needs and wishes...... of the patient....

  1. Practical approaches for self-monitoring of blood glucose: an Asia-Pacific perspective.

    Science.gov (United States)

    Chowdhury, Subhankar; Ji, Linong; Suwanwalaikorn, Sompongse; Yu, Neng-Chun; Tan, Eng Kiat

    2015-03-01

    Comprehensive glycemic control is necessary to improve outcomes and avoid complications in individuals with diabetes. Self-monitoring of blood glucose (SMBG) is a key enabler of glycemic assessment, providing real-time information that complements HbA1c monitoring and supports treatment optimization. However, SMBG is under-utilized by patients and physicians within the Asia-Pacific region, because of barriers such as the cost of monitoring supplies, lack of diabetes self-management skills, or concerns about the reliability of blood glucose readings. Practice recommendations in international and regional guidelines vary widely, and may not be detailed or specific enough to guide SMBG use effectively. This contributes to uncertainty among patients and physicians about how best to utilize this tool: when and how often to test, and what action(s) to take in response to high or low readings. In developing a practical SMBG regimen, the first step is to determine the recommended SMBG frequency and intensity needed to support the chosen treatment regimen. If there are practical obstacles to monitoring, such as affordability or access, physicians should identify the most important aspects of glycemic control to target for individual patients, and modify monitoring patterns accordingly. This consensus paper proposes a selection of structured, flexible SMBG patterns that can be tailored to the clinical, educational, behavioral, and financial requirements of individuals with diabetes.

  2. Film Presentation: Projekt Zukunft/Tomorrow Today

    CERN Multimedia

    Carolyn Lee

    2010-01-01

    Projekt Zukunft/Tomorrow Today, by Deutsche Welle (2009)   Deutsche Welle TV’s weekly science journal explores the LHC at CERN with host Ingolf Baur. Please note that we will show both the German and English versions of this broadcast. Each episode is about 27 minutes long. Projekt Zukunft/Tomorrow Today will be presented on Friday, 29 October from 13:00 to 14:00 in the Main Auditorium Language: German version followed by the English version      

  3. Women in Energy: Rinku Gupta - Argonne Today

    Science.gov (United States)

    -performance clusters and supercomputers. What is the best part of your job? The best part is working with Argonne Today Argonne Today Mission People Work/Life Connections Focal Point Women in Energy: Rinku Gupta Home People Women in Energy: Rinku Gupta Women in Energy: Rinku Gupta Apr 1, 2016 | Posted by Argonne

  4. Nuclear energy today

    International Nuclear Information System (INIS)

    2003-01-01

    Energy is the power of the world's economies, whose appetite for this commodity is increasing as the leading economies expand and developing economies grow. How to provide the energy demanded while protecting our environment and conserving natural resources is a vital question facing us today. Many parts of our society are debating how to power the future and whether nuclear energy should play a role. Nuclear energy is a complex technology with serious issues and a controversial past. Yet it also has the potential to provide considerable benefits. In pondering the future of this imposing technology, people want to know. - How safe is nuclear energy? - Is nuclear energy economically competitive? - What role can nuclear energy play in meeting greenhouse gas reduction targets? - What can be done with the radioactive waste it generates? - Does its use increase the risk of proliferation of nuclear weapons? - Are there sufficient and secure resources to permit its prolonged exploitation? - Can tomorrow's nuclear energy be better than today's? This publication provides authoritative and factual replies to these questions. Written primarily to inform policy makers, it will also serve interested members of the public, academics, journalists and industry leaders. (author)

  5. Anti-diabetic properties of flavonoid compounds isolated from Hyphaene thebaica epicarp on alloxan induced diabetic rats

    Science.gov (United States)

    Salib, Josline Y.; Michael, Helana N.; Eskande, Emad Fawzy

    2013-01-01

    Background: Diabetes mellitus, becoming the third killer of mankind after cancer and cardiovascular diseases, is one of the most challenging diseases facing health care professionals today. That is why; there has been a growing interest in the therapeutic use of natural products for diabetes, especially those derived from plants. Aim: To evaluate the anti-diabetic activity together with the accompanying biological effects of the fractions and the new natural compounds of Hyphaene thebaica (HT) epicarp. Materials and Methods: 500 g of coarsely powdered of (HT) fruits epicarp were extracted by acetone. The acetone crude extract was fractionated with methanol and ethyl acetate leaving a residual water-soluble fraction WF. The anti-diabetic effects of the WF and one of its compounds of the acetone extract of the (HT) epicarp were investigated in this study using 40 adult male rats. Results: Phytochemical investigation of active WF revealed the presence of ten different flavonoids, among which two new natural compounds luteolin 7-O-[6”-O-α-Lrhamnopyranosyl]-β-D-galactopyranoside 3 and chrysoeriol 7-O-β-D-galactopyranosyl(1→2)-α-L-arabinofuranoside 5 were isolated. Supplementation of the WF improved glucose and insulin tolerance and significantly lowered blood glycosylated hemoglobin levels. On the other hand, compound 5 significantly reduced AST and ALT levels of liver, respectively. Likewise, the kidney functions were improved for both WF and compound 5, whereby both urea and creatinine levels in serum were highly significant Conclusion: The results justify the use of WF and compound 5 of the (HT) epicarp as anti-diabetic agent, taking into consideration that the contents of WF were mainly flavonoids PMID:23598921

  6. Diabetes Applications for Arabic Speakers: A Critical Review of Available Apps for Android and iOS Operated Smartphones.

    Science.gov (United States)

    Alhuwail, Dari

    2016-01-01

    Today, 415 million adults have diabetes; more than 35 million of diabetic adults live in the Middle East and North Africa region. Smartphone penetration in the region is high and applications, or apps, for diabetics have shown promising results in recent years. This study took place between September and December 2015 and reviewed all currently available smartphone diabetes apps for Arabic speakers in both the Apple App and Google Play stores. There were only few diabetes apps for Arabic speakers; only eighteen apps were discovered and considered for this study. Most apps were informational. Only three apps offered utilities such as glucose reading conversion. The apps had issues related to information quality and adherence to latest evidence-based medical advice. There is a need for more evidence-based Arabic diabetes apps with improved functionality. Future research of Arabic diabetes apps should also focus on the involvement and engagement of the patients in the design of these apps.

  7. Platelet rich plasma for treatment of nonhealing diabetic foot ulcers: a case report.

    Science.gov (United States)

    Mehrannia, Masoud; Vaezi, Mitra; Yousefshahi, Fardin; Rouhipour, Nahid

    2014-02-01

    Diabetic foot ulcers are one of the most important causes of lower limb amputations worldwide. The conventional treatments of diabetic foot ulcers are costly and often require patients to be hospitalized for long periods of time, thus representing a huge burden on any health care system. The use of autologous platelet-rich plasma (PRP), which is rich in multiple growth factors, may bear some similarities to the natural wound healing process. Nonetheless, few studies on human subjects have so far addressed the efficacy of PRP as a novel and minimally invasive treatment. Today, there is only 1 approved and available system to separate PRP from a patient's own blood in order to be used in diabetic ulcers. This system incorporates bovine thrombin for activation of PRP gel and may be applied by many healthcare providers without the need for extensive special training. In this report, a patient with extensive diabetic foot ulcers, non-responsive to other treatment modalities, was successfully treated by PRP. Copyright © 2014 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

  8. Commonwealth Local Government Forum Pacific Project

    Directory of Open Access Journals (Sweden)

    Terry Parker

    2008-04-01

    Full Text Available The Commonwealth Local Government Forum (CLGF Pacific Project works with local government and other stakeholders in nine Pacific Island countries – Cook Islands, Fiji Islands, Kiribati, Samoa, Papua New Guinea, Solomon Islands, Tonga, Tuvalu and Vanuatu. It seeks to strengthen local democracy and good governance, and to help local governments deal with the increasing challenges of service delivery and urban management in the unique Pacific environment. Human settlement patterns in the region are changing rapidly. The Pacific has traditionally been a rural agricultural/subsistence society, but this is no longer the case. The accelerated pace of urbanisation has impacted significantly on Pacific nations and in the very near future the majority of Pacific Islanders will be found in urban areas. Already over 50% of Fiji’s population are urban dwellers. Rapid urbanisation brings with it unique challenges and opportunities. Local governments are at the forefront of this phenomenon, with the responsibility to manage urban development and the transition from rural areas to cities and towns. Their success or failure to manage urbanisation and provide the required levels of physical and social infrastructure will affect many lives in a new urban Pacific. The project now has three components – the main Pacific Regional Project and two country-specific programmes: the Honiara City Council Institutional Capacity Building Project and the Commonwealth Local Government Good Practice Scheme in Papua New Guinea.

  9. The National Diabetes Education Program at 20 Years: Lessons Learned and Plans for the Future.

    Science.gov (United States)

    Siminerio, Linda M; Albright, Ann; Fradkin, Judith; Gallivan, Joanne; McDivitt, Jude; Rodríguez, Betsy; Tuncer, Diane; Wong, Faye

    2018-02-01

    The National Diabetes Education Program (NDEP) was established to translate findings from diabetes research studies into clinical and public health practice. Over 20 years, NDEP has built a program with partnership engagement that includes science-based resources for multiple population and stakeholder audiences. Throughout its history, NDEP has developed strategies and messages based on communication research and relied on established behavior change models from health education, communication, and social marketing. The program's success in continuing to engage diverse partners after 20 years has led to time-proven and high-quality resources that have been sustained. Today, NDEP maintains a national repository of diabetes education tools and resources that are high quality, science- and audience-based, culturally and linguistically appropriate, and available free of charge to a wide variety of audiences. This review looks back and describes NDEP's evolution in transforming and communicating diabetes management and type 2 diabetes prevention strategies through partnerships, campaigns, educational resources, and tools and identifies future opportunities and plans. © 2018 by the American Diabetes Association.

  10. Interannual variability of western North Pacific SST anomalies and its impact on North Pacific and North America

    Science.gov (United States)

    Park, Jae-Heung; An, Soon-Il; Kug, Jong-Seong

    2017-12-01

    In this study, the interannual variability of sea surface temperature (SST) and its atmospheric teleconnection over the western North Pacific (WNP) toward the North Pacific/North America during boreal winter are investigated. First, we defined the WNP mode as the first empirical orthogonal function (EOF) mode of SST anomalies over the WNP region (100-165°E, 0-35°N), of which the principle component time-series are significantly correlated with several well-known climate modes such as the warm pool mode which is the second EOF mode of the tropical to North Pacific SST anomalies, North Pacific oscillation (NPO), North Pacific gyre oscillation (NPGO), and central Pacific (CP)-El Niño at 95% confidence level, but not correlated with the eastern Pacific (EP)-El Niño. The warm phase of the WNP mode (sea surface warming) is initiated by anomalous southerly winds through reduction of wind speed with the background of northerly mean winds over the WNP during boreal winter, i.e., reduced evaporative cooling. Meanwhile, the atmospheric response to the SST warming pattern and its diabatic heating further enhance the southerly wind anomaly, referred to the wind-evaporation-SST (WES) feedback. Thus, the WNP mode is developed and maintained through winter until spring, when the northerly mean wind disappears. Furthermore, it is also known that anomalous upper-level divergence associated with WNP mode leads to the NPO-like structure over the North Pacific and the east-west pressure contrast pattern over the North America through Rossby wave propagation, impacting the climate over the North Pacific and North America.

  11. 21 CFR 161.170 - Canned Pacific salmon.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Canned Pacific salmon. 161.170 Section 161.170... § 161.170 Canned Pacific salmon. (a) Identity. (1) Canned Pacific salmon is the food prepared from one... forms of canned Pacific salmon are processed from fish prepared by removing the head, gills, and tail...

  12. 78 FR 7385 - Western Pacific Fisheries; Fishing in the Marianas Trench, Pacific Remote Islands, and Rose Atoll...

    Science.gov (United States)

    2013-02-01

    ...-BA98 Western Pacific Fisheries; Fishing in the Marianas Trench, Pacific Remote Islands, and Rose Atoll... Presidential proclamations that created the Marianas Trench, Pacific Remote Islands, and Rose Atoll Marine..., 2009). Proclamation 8337 of January 6, 2009, ``Establishment of the Rose Atoll Marine National Monument...

  13. Building Tomorrow's Business Today

    Science.gov (United States)

    Ryan, Jim

    2010-01-01

    Modern automobile maintenance, like most skilled-trades jobs, is more than simple nuts and bolts. Today, skilled-trades jobs might mean hydraulics, computerized monitoring equipment, electronic blueprints, even lasers. As chief executive officer of Grainger, a business-to-business maintenance, repair, and operating supplies company that…

  14. Oceanographic data - Integrated acoustic and trawl survey of Pacific hake off the Pacific Coast

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Integrated acoustic and trawl surveys are used to assess the distribution, biomass, and biology of Pacific hake along the Pacific coasts of the United States and...

  15. Biological data - Integrated acoustic and trawl survey of Pacific hake off the Pacific Coast

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Integrated acoustic and trawl surveys are used to assess the distribution, biomass, and biology of Pacific hake along the Pacific coasts of the United States and...

  16. Pacific Hake - Growth and natal origin of Pacific hake from the Georgia Basin DPS

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Pacific hake (Merluccius productus) is an abundant species residing along the Pacific coast from the Gulf of California to the Strait of Georgia. It is the most...

  17. Pacific Coastal Salmon Recovery Fund

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Congress established the Pacific Coastal Salmon Recovery Fund (PCSRF) to monitor the restoration and conservation of Pacific salmon and steelhead populations and...

  18. Chronic Liver Disease and Asian Americans/Pacific Islanders

    Science.gov (United States)

    ... Cancer Asian/Pacific Islander Women Non-Hispanic White Women Asian/Pacific Islander/ Non-Hispanic White Ratio All Sites ... Cancer Asian/Pacific Islander Women Non-Hispanic White Women Asian/Pacific Islander/ Non-Hispanic White Ratio Liver & IBD* ...

  19. Indian Ocean warming modulates Pacific climate change.

    Science.gov (United States)

    Luo, Jing-Jia; Sasaki, Wataru; Masumoto, Yukio

    2012-11-13

    It has been widely believed that the tropical Pacific trade winds weakened in the last century and would further decrease under a warmer climate in the 21st century. Recent high-quality observations, however, suggest that the tropical Pacific winds have actually strengthened in the past two decades. Precise causes of the recent Pacific climate shift are uncertain. Here we explore how the enhanced tropical Indian Ocean warming in recent decades favors stronger trade winds in the western Pacific via the atmosphere and hence is likely to have contributed to the La Niña-like state (with enhanced east-west Walker circulation) through the Pacific ocean-atmosphere interactions. Further analysis, based on 163 climate model simulations with centennial historical and projected external radiative forcing, suggests that the Indian Ocean warming relative to the Pacific's could play an important role in modulating the Pacific climate changes in the 20th and 21st centuries.

  20. Packaging Printing Today

    OpenAIRE

    Stanislav Bolanča; Igor Majnarić; Kristijan Golubović

    2015-01-01

    Printing packaging covers today about 50% of all the printing products. Among the printing products there are printing on labels, printing on flexible packaging, printing on folding boxes, printing on the boxes of corrugated board, printing on glass packaging, synthetic and metal ones. The mentioned packaging are printed in flexo printing technique, offset printing technique, intaglio halftone process, silk – screen printing, ink ball printing, digital printing and hybrid printing process. T...

  1. "UK today" Tallinnas / Tuuli Oder

    Index Scriptorium Estoniae

    Oder, Tuuli, 1958-

    2001-01-01

    Vabariikliku inglise keele olümpiaadi raames toimus Tallinnas viktoriini "UK today" lõppvoor. Osalesid 22 kooli kaheliikmelised võistkonnad. Viktoriini tulemused koolide lõikes ja küsimused õigete vastustega

  2. 9th Pacific Basin Nuclear Conference. Nuclear energy, science and technology - Pacific partnership. Proceedings Volume 1

    International Nuclear Information System (INIS)

    1994-04-01

    The theme of the 9th Pacific Basin Nuclear conference held in Sydney from 1-6 May 1994, embraced the use of the atom in energy production and in science and technology. The focus was on selected topics of current and ongoing interest to countries around the Pacific Basin. The two-volume proceedings include both invited and contributed papers. They have been indexed separately. This document, Volume 1 covers the following topics: Pacific partnership; perspectives on nuclear energy, science and technology in Pacific Basin countries; nuclear energy and sustainable development; economics of the power reactors; new power reactor projects; power reactor technology; advanced reactors; radioisotope and radiation technology; biomedical applications

  3. The Prospects of Radical Change Today

    Directory of Open Access Journals (Sweden)

    Slavoj Žižek

    2018-05-01

    Full Text Available In this contribution, Slavoj Žižek takes the occasion of Marx’s bicentenary for reflecting on the prospects of radical change today. First, it is shown that under Stalinism, Lenin’s works were quoted out of context in an arbitrary way in order to legitimise arbitrary political measures. Marxism thereby became an ideology that justified brutal subjective interventions. Second, this contribution poses the question of the revolutionary subject and democracy today. It stresses the role of both contingency and strategy in revolutions. In political assemblages taking place on public squares, the inert mass of ordinary people is transubstantiated into a politically engaged united force. The basic political problem today is how to best reconfigure democracy. Third, this contribution analyses the “interesting times” we live in. These are times that feature multiple crises, right-wing populism à la Donald Trump and Marine Le Pen, the lower classes’ opposition to immigration, and the refugee crisis. Questions about human rights and their violation and about radical change need to be asked in this context.

  4. Radiochemistry - today

    International Nuclear Information System (INIS)

    Drawe, H.

    1980-01-01

    After a longer starting period many radiation techniques have prevailed practically. Today radiation processes are usual components of chemistry, biology, medicine, and technologies in the most common sense. This paper deals with the latest state of radiation chemistry, whereas the possible practical applications are in the foreground of discussion as to reach mainly practicians in laboratory and industry. But also physicians, pharmacists and chemical engineers should be informed about the possibilities of application of high energyy radiation. Because radiation chemistry has also enriched works of related subjects, for example physical, organic and inorganic chemistry, this paper will also be of interest for experts of these disciplines. (orig.) [de

  5. South Pacific Nuclear Free Zone Treaty

    International Nuclear Information System (INIS)

    1987-03-01

    On 8 August 1986 the Protocols to the South Pacific Nuclear Free Zone Treaty were adopted by the South Pacific Forum at its 17 th session, in Suva. The attached texts of the Protocols were formally communicated to the Director General by the Director of the South Pacific Bureau for Economic Co-operation (SPEC) and are herewith being circulated to all Member States for their information pursuant to a request made by the Director of SPEC. Following the deposit of the eighth instrument of ratification, the South Pacific Nuclear Free Zone Treaty entered into force on 11 December 1986 [es

  6. Diabetic Macular Edema: Current Understanding, Pharmacologic Treatment Options, and Developing Therapies.

    Science.gov (United States)

    Miller, Kevin; Fortun, Jorge A

    2018-01-01

    Diabetic retinopathy and diabetic macular edema comprise a major source of visual disability throughout the developed world. The etiology and pathogenesis of macular edema is intricate and multifactorial, in which the hyperglycemic state in diabetes induces a microangiopathy. Through several inflammatory and vasogenic mediators, including vascular endothelial growth factor (VEGF) upregulation and inflammatory cytokines and chemokines, pathologic changes are induced in the vascular endothelium triggering breakdown of the blood retinal barrier, causing extravasation of fluid into the extracellular space and manifesting clinically as macular edema, resulting in visual loss. The advent of medications targeting the VEGF pathway has led to great clinical improvements compared with the previous standard of care of laser therapy alone, as shown in studies such as RISE, RIDE, VIVID, VISTA, and DRCR. However, analyses have shown that many patients have inadequate response or are nonresponders to anti-VEGF therapy, demonstrating the need for additional therapies to more comprehensively treat this disease. Although corticosteroid treatments and implants have demonstrated some efficacy in adjunctive and supplemental treatment, the need to more adequately treat macular edema remains. Our knowledge of diabetic macular edema continues to grow, leading to new currently available and emerging pharmacotherapies to further enhance our treatment and restore vision in those affected by diabetic macular edema. This review will discuss the pathogenesis of diabetic macular edema and the pharmacologic therapies available for its treatment, including anti-VEGF, steroids, and newer therapies still in development, such as angiopoietin antagonists, Tie2 agonists, kallikrein inhibitors, interleukin inhibitors, and others. Copyright 2018 Asia-Pacific Academy of Ophthalmology.

  7. Migration for Environmentally Displaced Pacific Peoples: Legal Options in the Pacific Rim

    OpenAIRE

    Tabucanon, Gil Marvel

    2012-01-01

    This paper explores the complex relationship between the environment and migration, namely the various protection options available for environmentally-displaced Pacific peoples under the laws of the United States, Canada, Australia, and New Zealand. It seeks to ascertain whether flexibility exists in these countries' domestic laws for environmental migrants from neighboring Pacific countries. It asks if humanitarian and ministerial discretion admissions and preferential admission schemes suf...

  8. South Pacific Nuclear Free Zone Treaty

    International Nuclear Information System (INIS)

    1986-02-01

    The full text of the South Pacific Nuclear Free Zone Treaty with its Annexes endorsed on 6 August 1985 by the South Pacific Forum (a body comprising the independent and self-governing countries of the South Pacific, namely Australia, the Cook Islands, Fiji, Kiribati, Nauru, New Zealand, Nive, Papua New Guinea, the Solomon Islands, Tonga, Tuvalu, Vanuatu and Western Samoa) is presented

  9. South Pacific Nuclear Free Zone Treaty

    International Nuclear Information System (INIS)

    1986-02-01

    On 6 August 1985 the South Pacific Forum, a body comprising the independent and self-governing countries of the South Pacific (Australia, the Cook Islands, Fiji, Kiribati, Nauru, New Zealand, Niue, Papua New Guinea, the Solomon Islands, Tonga, Tuvalu, Vanuatu and Western Samoa), endorsed the text of the South Pacific Nuclear Free Zone Treaty and opened it for signature [es

  10. South Pacific Nuclear Free Zone Treaty

    International Nuclear Information System (INIS)

    1986-02-01

    On 6 August 1985 the South Pacific Forum, a body comprising the independent and self-governing countries of the South Pacific (Australia, the Cook Islands, Fiji, Kiribati, Nauru, New Zealand, Niue, Papua New Guinea, the Solomon Islands, Tonga, Tuvalu, Vanuatu and Western Samoa), endorsed the text of the South Pacific Nuclear Free Zone Treaty and opened it for signature [ru

  11. Genetic improvement of Pacific white shrimp (Penaeus (Litopenaeus vannamei: perspectives for genomic selection

    Directory of Open Access Journals (Sweden)

    Héctor eCastillo-Juárez

    2015-03-01

    Full Text Available The use of breeding programs for the Pacific white shrimp (Penaeus (Litopenaeus vannamei based on mixed linear models with pedigreed data are described. The application of these classic breeding methods yielded continuous progress of great value to increase the profitability of the shrimp industry in several countries. Recent advances in such areas as genomics in shrimp will allow for the development of new breeding programs in the near future that will increase genetic progress. In particular, these novel techniques may help increase disease resistance to specific emerging diseases, which is today a very important component of shrimp breeding programs. Thanks to increased selection accuracy, simulated genetic advance using genomic selection for survival to a disease challenge was up to 2.6 times that of phenotypic sib selection.

  12. Diabetic foot--what can we learn from leprosy? Legacy of Dr Paul W. Brand.

    Science.gov (United States)

    Boulton, Andrew J M

    2012-02-01

    Leprosy and diabetes, though two very different conditions, may both result in severe loss of sensation in the feet, which are then a great risk of painless injury and ulceration. Seminal observations made by the late Dr Paul W. Brand, a surgeon working with leprosy patients in South India in the mid-20th century, resulted in the subsequent development of treatments to manage insensitive foot ulcers that are today entirely applicable to patients with diabetes. As a consequence of his research, the recognition of the relationship between insensitivity, repetitive pressures and skin breakdown has helped our understanding of the aetiopathogenesis of neuropathic foot lesions in diabetes: the development of the total contact cast and other casting devices to treat such lesions forms the basis of management of diabetic foot lesions with off-loading devices that are widely used in the 21st century in diabetic foot clinics around the world. Moreover, observations by Brand that the foot 'heats up before it breaks down' resulted in more recent research showing that self-skin temperature monitoring might help reduce the incidence of recurrent neuropathic foot ulcers in diabetes. In summary, Brand's understanding of 'the gift of pain' that, when lost, results in the late complications of diabetic neuropathy has guided the prevention, diagnosis and management of diabetic foot problems in the 21st century. Copyright © 2012 John Wiley & Sons, Ltd.

  13. Construction Management Meets Today's Realities.

    Science.gov (United States)

    Day, C. William

    1979-01-01

    Construction management--the control of cost and time from concept through construction--grew out of a need to meet the realities of today's economy. A checklist of services a construction manager provides is presented. (Author/MLF)

  14. The Alchemist of Today

    Science.gov (United States)

    Serret, Natasha

    2010-01-01

    Traditionally, alchemy has involved the power of transmuting base metals such as lead into gold or producing the "elixir of life" for those wealthy people who wanted to live forever. But what of today's developments? One hundred years ago, even breaking the four-minute mile would have been deemed "magic," which is what the alchemists of the past…

  15. Cardiorespiratory disorders of infants of diabetic mothers

    Directory of Open Access Journals (Sweden)

    Hrabovski Ivan

    2015-01-01

    Full Text Available Introduction. One of the characteristics of modern era is the explosion of diabetes in the world. Today more than 400,000,000 people suffer from diabetes in the entire world. During the last decade the number of women with the disorder of glucose homeostasis is six to seven times greater than in the previous period. Therefore, the re-evaluation of the impact of glucose intolerance on the course and outcome of pregnancy is very current. Objective. The aim of the study was to evaluate the data on the influence of mothers’ glucose homeostasis disturbances on the occurrence of cardiorespiratory disorders in newborns, as well as their influence on the perinatal outcome. Methods. Prospective examination included 102 newborns in total - 31 infants of mothers with glucose homeostasis disorder (Group I and 71 infants of healthy mothers (Group II. Average age, body height, body weight, body mass index, parity and illness duration of the pregnant women had been determined, as well as the delivery method. Every newborn was provided with physical examination, Apgar score was calculated, body weight and body length were measured. Also, electrocardiography and brain ultrasound, as well as the basic hematology biochemical and microbiological analysis, were performed within the examinations of the infants. Results. The average weight and obesity incidence with diabetic women was higher than in the control group and their infants were heavier and with lower gestational age. Heart failures were diagnosed in five (16.1% infants of diabetic mothers and in one (1.4% infant of a healthy woman (p<0.01. Respiratory disorders were diagnosed in 48.4% infants of diabetic mothers and in 12.6% of healthy mothers (p<0.01. Forty-two percent of infants of diabetic mothers and 19.7% infants of healthy mothers needed additional oxygen. Conclusion. Congenital anomalies of the cardiovascular system and respiratory disorders in the infants of diabetic mothers were six to eight

  16. The Pacific Ventilated Thermocline and its Influence on the Pacific Decadal Oscillation and Global Warming

    Science.gov (United States)

    Kuntz, L.; Schrag, D. P.

    2017-12-01

    Over the past century, global surface temperatures have warmed episodically despite relatively steady increases in radiative forcing. Coincident with these transitions, we identify changes in the structure of the ventilated thermocline in the Pacific as well as changes in the intensity of the equatorial undercurrent. We propose a new mechanism for the Pacific Decadal Oscillation that involves oscillations in the strength of the equatorial undercurrent and may explain multi-decadal variability of global temperatures. We suggest that the oscillation results in a greater or lesser volume of cold water reaching the eastern Pacific, which ultimately leads to a change in the heat flux out of this critical region. By varying the heat flux in the tropical Pacific in model simulations, we reproduce a stepwise pattern of warming that resembles the historical climate record without additional variability in forcing. In addition, the trajectory of the changes in thermocline structure that we now observe in the Pacific looks like it will arrive at the equator in the middle of the next decade, suggesting that the current period of reduced warming (aka "hiatus") will persist through the mid-2020s.

  17. Radionuclide detection of blood-retinal barrier disruption in diabetes mellitus

    International Nuclear Information System (INIS)

    Freeman, M.L.; Barnes, W.E.; Eastman, G.; Evans, L.; Gergans, G.; Kelertas, A.; Emanuele, N.; Kaplan, E.

    1984-01-01

    Diabetic retinopathy is one of the leading causes of blindness in the United States today. Because early treatment of proliferative retinopathy offers the best chance for visual salvation, there is an essential need for methods of identifying eyes at high risk. Recent research has shown that subclinical leakage from retinal blood vessels is one of the earliest signs of retinopathy. The feasibility of using radionuclide techniques to quantitate blood-retinal barrier disruption is demonstrated by a study in which 23 diabetics and 7 nondiabetics were imaged with an Anger camera in the anterior Waters projection at 2 hours after the administration of Tc-99m DTPA. In the digitized images, regions of interest were placed over each orbit and over one of the cerebral hemispheres. Orbital counts were then compared to cerebral counts on a per pixel basis. Eye to brain ratios were found to be lowest for nondiabetics and highest for patients with proliferative retinopathy. Additionally, the dynamic analysis of the same radiopharmaceutical may allow investigators to further study the pathophysiology of the diabetic eye

  18. From Fayol's Mechanistic to Today's Organic Functions of Management

    Science.gov (United States)

    McNamara, Daniel E.

    2009-01-01

    This paper reviews Fayol's original five managerial functions, demonstrates that they are still being taught in today's management courses, and offers a new set of organic management functions more applicable to today's turbulent business environment.

  19. Indo-Pacific sea level variability during recent decades

    Science.gov (United States)

    Yamanaka, G.; Tsujino, H.; Nakano, H.; Urakawa, S. L.; Sakamoto, K.

    2016-12-01

    Decadal variability of sea level in the Indo-Pacific region is investigated using a historical OGCM simulation. The OGCM driven by the atmospheric forcing removing long-term trends clearly exhibits decadal sea level variability in the Pacific Ocean, which is associated with eastern tropical Pacific thermal anomalies. During the period of 1977-1987, the sea level anomalies are positive in the eastern equatorial Pacific and show deviations from a north-south symmetric distribution, with strongly negative anomalies in the western tropical South Pacific. During the period of 1996-2006, in contrast, the sea level anomalies are negative in the eastern equatorial Pacific and show a nearly north-south symmetric pattern, with positive anomalies in both hemispheres. Concurrently, sea level anomalies in the south-eastern Indian Ocean vary with those in the western tropical Pacific. These sea level variations are closely related to large-scale wind fields. Indo-Pacific sea level distributions are basically determined by wind anomalies over the equatorial region as well as wind stress curl anomalies over the off-equatorial region.

  20. Indian Ocean warming modulates Pacific climate change

    Science.gov (United States)

    Luo, Jing-Jia; Sasaki, Wataru; Masumoto, Yukio

    2012-01-01

    It has been widely believed that the tropical Pacific trade winds weakened in the last century and would further decrease under a warmer climate in the 21st century. Recent high-quality observations, however, suggest that the tropical Pacific winds have actually strengthened in the past two decades. Precise causes of the recent Pacific climate shift are uncertain. Here we explore how the enhanced tropical Indian Ocean warming in recent decades favors stronger trade winds in the western Pacific via the atmosphere and hence is likely to have contributed to the La Niña-like state (with enhanced east–west Walker circulation) through the Pacific ocean–atmosphere interactions. Further analysis, based on 163 climate model simulations with centennial historical and projected external radiative forcing, suggests that the Indian Ocean warming relative to the Pacific’s could play an important role in modulating the Pacific climate changes in the 20th and 21st centuries. PMID:23112174

  1. Understanding Cultural Influences on Dietary Habits in Asian, Middle Eastern, and Latino Patients with Type 2 Diabetes: A Review of Current Literature and Future Directions.

    Science.gov (United States)

    Mora, Natalie; Golden, Sherita Hill

    2017-10-23

    This review focuses on evaluating and identifying gaps in the current literature regarding culturally specific dietary influences for patients with type 2 diabetes. As this topic has previously been examined in African American populations, we chose to focus on four other distinct populations (Hispanic, Middle Eastern, Western Pacific, South Asian). Given the rapid increase in global rates of type 2 diabetes and high rates of diabetes among certain ethnic groups, it is important to understand how culturally adapted strategies in diabetes management have been described in different regions and populations. The specific role of nutrition in controlling diabetes is tied to cultural habits and customs. Variation in cultural practices, including diet, create unique environments in which patients with diabetes must navigate. The role of family, particularly among Hispanics, is crucial to cultural adaptations of diabetes management. Incorporating alternative medicine, namely observed in Chinese and Indian populations, also guided diabetes care strategies. Language barriers, health literacy, and acculturation were all unique factors affecting cultural approaches to diabetes management in these four populations. Understanding such cultural determinants is crucial to addressing diabetes disparities and improving outcomes.

  2. Pacific Northwest regional AGU meeting

    Science.gov (United States)

    Hyndman, Roy

    The 27th Annual Pacific Northwest Regional American Geophysical Union Meeting, held September 25 and 26, 1980, was hosted by the Pacific Geoscience Centre at the Institute of Ocean Sciences, near Victoria, British Columbia. A total of 79 papers was presented to the 150 registrants in six general sessions: seismology; electromagnetic induction; general geophysics; volcanology; hydrology; and oceanography, and in three special symposia: ‘The Queen Charlotte-Fairweather fault system and other active faults of the Pacific Northwest’ ‘Coastal circulation in the northeast Pacific’ and ‘Studies of the eruption of Mount St. Helens.’

  3. Boundary scavenging in the Pacific Ocean

    International Nuclear Information System (INIS)

    Anderson, R.F.; Lao, Y.; Broecker, W.S.; Trumbore, S.E.; Hofmann, H.J.; Wolfli, W.

    1990-01-01

    Concentrations of U, Th, 231 Pa and 10 Be were measured in Holocene sediments from two cores collected off the west coast of South America, two cores from the East Pacific Rise, two from the equatorial Pacific and one from the south Pacific central gyre. Our results, together with data from 5 cores reported in the literature, show that boundary scavenging plays a major role in the removal of 10 Be from the Pacific Ocean. Deposition rates of 10 Be at three margin sites are more than an order of magnitude greater than at sites of red clay accumulation in the deep central Pacific. Deposition of 231 Pa is 4 to 5-fold greater at the margin sites. The residence time of 10 Be with respect to chemical scavenging, defined as its inventory in the water column divided by its rate of removal to the sediments, varies regionally from >1000 years at the red-clay sites in the deep central Pacific to ∝100 years at the margin sites. Different factors control boundary scavenging of Pa and Be. For example, scavenging of 231 Pa is enhanced by metal-oxide coatings of particles, whereas this seems to have little influence on the scavenging of 10 Be. (orig.)

  4. Small-scale hydroelectric power in the Pacific Northwest: new impetus for an old energy source

    Energy Technology Data Exchange (ETDEWEB)

    1980-07-01

    Energy supply is one of the most important issues facing Northwestern legislators today. To meet the challenge, state legislatures must address the development of alternative energy sources. The Small-Scale Hydroelectric Power Policy Project of the National Conference of State Legislators (NCSL) was designed to assist state legislators in looking at the benefits of one alternative, small-scale hydro. Because of the need for state legislative support in the development of small-scale hydroelectric, NCSL, as part of its contract with the Department of Energy, conducted the following conference on small-scale hydro in the Pacific Northwest. The conference was designed to identify state obstacles to development and to explore options for change available to policymakers. A summary of the conference proceedings is presented.

  5. Salinity fronts in the tropical Pacific Ocean.

    Science.gov (United States)

    Kao, Hsun-Ying; Lagerloef, Gary S E

    2015-02-01

    This study delineates the salinity fronts (SF) across the tropical Pacific, and describes their variability and regional dynamical significance using Aquarius satellite observations. From the monthly maps of the SF, we find that the SF in the tropical Pacific are (1) usually observed around the boundaries of the fresh pool under the intertropical convergence zone (ITCZ), (2) stronger in boreal autumn than in other seasons, and (3) usually stronger in the eastern Pacific than in the western Pacific. The relationship between the SF and the precipitation and the surface velocity are also discussed. We further present detailed analysis of the SF in three key tropical Pacific regions. Extending zonally around the ITCZ, where the temperature is nearly homogeneous, we find the strong SF of 1.2 psu from 7° to 11°N to be the main contributor of the horizontal density difference of 0.8 kg/m 3 . In the eastern Pacific, we observe a southward extension of the SF in the boreal spring that could be driven by both precipitation and horizontal advection. In the western Pacific, the importance of these newly resolved SF associated with the western Pacific warm/fresh pool and El Niño southern oscillations are also discussed in the context of prior literature. The main conclusions of this study are that (a) Aquarius satellite salinity measurements reveal the heretofore unknown proliferation, structure, and variability of surface salinity fronts, and that (b) the fine-scale structures of the SF in the tropical Pacific yield important new information on the regional air-sea interaction and the upper ocean dynamics.

  6. Fraction of gestational diabetes mellitus attributable to overweight and obesity by race/ethnicity, California, 2007-2009.

    Science.gov (United States)

    Kim, Shin Y; Saraiva, Carina; Curtis, Michael; Wilson, Hoyt G; Troyan, Jennifer; Sharma, Andrea J

    2013-10-01

    We calculated the racial/ethnic-specific percentages of gestational diabetes mellitus (GDM) attributable to overweight and obesity. We analyzed 1 228 265 records of women aged 20 years or older with a live, singleton birth in California during 2007 to 2009. Using logistic regression, we estimated the magnitude of the association between prepregnancy body mass index and GDM and calculated the percentages of GDM attributable to overweight and obesity overall and by race/ethnicity. The overall estimated GDM prevalence ranged from 5.4% among White women to 11.9% among Asian/Pacific Islander women. The adjusted percentages of GDM deliveries attributable to overweight and obesity were 17.8% among Asians/Pacific Islander, 41.2% among White, 44.2% among Hispanic, 51.2% among Black, and 57.8% among American Indian women. Select Asian subgroups, such as Vietnamese (13.0%), Asian Indian (14.0%), and Filipino (14.2%), had the highest GDM prevalence, but the lowest percentage attributable to obesity. Elevated prepregnancy body mass index contributed to GDM in all racial/ethnic groups, which suggests that decreasing overweight and obesity among women of reproductive age could reduce GDM, associated delivery complications, and future risk of diabetes in both the mother and offspring.

  7. Unprecedented 2015/2016 Indo-Pacific Heat Transfer Speeds Up Tropical Pacific Heat Recharge

    Science.gov (United States)

    Mayer, Michael; Alonso Balmaseda, Magdalena; Haimberger, Leopold

    2018-04-01

    El Niño events are characterized by anomalously warm tropical Pacific surface waters and concurrent ocean heat discharge, a precursor of subsequent cold La Niña conditions. Here we show that El Niño 2015/2016 departed from this norm: despite extreme peak surface temperatures, tropical Pacific (30°N-30°S) upper ocean heat content increased by 9.6 ± 1.7 ZJ (1 ZJ = 1021 J), in stark contrast to the previous strong El Niño in 1997/1998 (-11.5 ± 2.9 ZJ). Unprecedented reduction of Indonesian Throughflow volume and heat transport played a key role in the anomalous 2015/2016 event. We argue that this anomaly is linked with the previously documented intensified warming and associated rising sea levels in the Indian Ocean during the last decade. Additionally, increased absorption of solar radiation acted to dampen Pacific ocean heat content discharge. These results explain the weak and short-lived La Niña conditions in 2016/2017 and indicate the need for realistic representation of Indo-Pacific energy transfers for skillful seasonal-to-decadal predictions.

  8. Sea otters in the northern Pacific Ocean

    Science.gov (United States)

    Bodkin, James L.; Jameson, Ronald J.; Estes, James A.; LaRoe, Edward T.; Farris, Gaye S.; Puckett, Catherine E.; Doran, Peter D.; Mac, Michael J.

    1995-01-01

    About 250 years ago sea otters (Enhydra lutris) were distributed continuously from central Baja California, north and west along the Pacific Rim to Machatka Peninsula in Russia, and south along the Kuril Island to northern Japan (Kenyon 1969; Fig. 1a). Several hundred thousand sea otters may have occurred in the north Pacific region when commercial hunting began in the 18th century (Riedman and Estes 1990).At least two attributes of the sea otter have influenced humans, likely for as long as they have resided together along the coast of the north Pacific Ocean. First, sea otters rely on a dense fur, among the finest in the world, for insulation in the cold waters of the Pacific Ocean. The demand for sea otter fur led to their near extinction in the 19th century. The fur harvest, begun about 1740 and halted by international treaty in 1911, left surviving colonies, each likely numbering less than a few hundred animals, in California, south-central Alaska, and the Aleutian, Medney, and Kuril Islands (Fig. 1a). These individuals provided the nucleus for the recovery of the species. Today more than 100,000 sea otters occur throughout about 75% of their original range (fig. 1b). Immigration has resulted in near-complete occupation of the Aleutian and Kuril archipelagos and the Alaska peninsula. Successful translocations have resulted in viable populations in southeast Alaska, Washington, and British Columbia. Large amounts of unoccupied habitat remain along the coasts of Russia, Canada, the United States, and Mexico.The second potential source of conflict between sea otters and humans is that sea otters prey on and often limit some benthic invertebrate populations. Because some of these invertebrates are aso used by humans (Estes and VanBlaricom 1985), human perceptions about the effects of sea otter foraging on invertebrates sometimes differ. By limiting populations of herbivorous invertebrates (e.g., sea urchins [Echinoidea]) otters help maintain the integrity of kelp

  9. Climate Change in the Pacific Islands

    Science.gov (United States)

    Hamnett, Michael P.

    Climate change have been a major concern among Pacific Islanders since the late 1990s. During that period, Time Magazine featured a cover story that read: Say Goodbye to the Marshall Islands, Kiribati, and Tuvalu from sea level rise. Since that time, the South Pacific Regional Environment Programme, UN and government agencies and academic researchers have been assessing the impacts of long-term climate change and seasonal to inter-annual climate variability on the Pacific Islands. The consensus is that long-term climate change will result in more extreme weather and tidal events including droughts, floods, tropical cyclones, coastal erosion, and salt water inundation. Extreme weather events already occur in the Pacific Islands and they are patterned. El Niño Southern Oscillation (ENSO) events impact rainfall, tropical cyclone and tidal patterns. In 2000, the first National Assessment of the Consequences of Climate Variability and Change concluded that long-term climate change will result in more El Niño events or a more El Niño like climate every year. The bad news is that will mean more natural disasters. The good news is that El Niño events can be predicted and people can prepare for them. The reallly bad news is that some Pacific Islands are already becoming uninhabitable because of erosion of land or the loss of fresh water from droughts and salt water intrusion. Many of the most vulnerable countries already overseas populations in New Zealand, the US, or larger Pacific Island countries. For some Pacific Islander abandoning their home countries will be their only option.

  10. Participatory management in today's health care setting

    International Nuclear Information System (INIS)

    Burnham, B.A.

    1987-01-01

    As the health care revolution progresses, so must the management styles of today's leaders. The authors must ask ourselves if we are managing tomorrow's work force or the work force of the past. Participatory management may better meet the needs of today's work force. This paper identifies the reasons participatory management is a more effective management style, the methods used to implement a participatory management program, its benefits (such as higher productivity and more efficient, effective implementation and acceptance of change), and the difficulties experienced

  11. Pacific Lamprey Research and Restoration : Annual Report 1997.

    Energy Technology Data Exchange (ETDEWEB)

    Jackson, Aaron D.; Hatch, Douglas R.; Close, David A.

    1998-08-05

    The once abundant stocks of Pacific lamprey (Lampetra tridentata) above Bonneville Dam are currently depressed (Close et al. 1995). It is likely that many of the same factors that led to the decline of wild stocks of Columbia River Pacific salmon and steelhead have impacted Pacific lamprey populations as well. The Pacific Lamprey Research and Restoration Project, funded by Bonneville Power Administration, is a cooperative effort between the Confederated Tribes of the Umatilla Indian Reservation, the Columbia River Inter-Tribal Fish Commission, and Oregon State University with the goal to increase Pacific lamprey stocks above Bonneville Dam.

  12. 77 FR 45591 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-08-01

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... Pacific Fishery Management Council's (Pacific Council) Ad Hoc South of Humbug Pacific Halibut Workgroup..., monitoring, and allocation history of Pacific halibut in the area south of Humbug Mt. DATES: The conference...

  13. Political and security issues in the Asia-Pacific region: Assessment of trends

    International Nuclear Information System (INIS)

    Lehmann, R.F. II

    1992-01-01

    It should be emphasized that the fundamental shift has taken place in international relations, away from a world dominated by the bipolar super-Power confrontation. There is a today to be more concerned about regional instabilities, which are made more threatening by the potential proliferation of weapons of mass destruction. Just as every nation was affected by the cold war, regional instabilities and proliferation concern each member of the world community. In the Asia-Pacific region, the goal is clear: safer, more stable military postures; transparency and confidence-building; and stronger non-proliferation norms. In working together towards that goal, there is a need to foster greater security through bilateral and multilateral dialogue. In that way, one could promote the change within and among societies; that is the best hope for defusing regional tensions, preventing the spread of weapons of mass destruction, and building a lasting peace

  14. 76 FR 20959 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-04-14

    ... Pacific Fishery Management Council (Pacific Council) will convene a Pacific mackerel Stock Assessment... of the meeting is to review the Pacific mackerel stock assessment for 2011, in order to inform... action under Section 305(c) of the Magnuson-Stevens Fishery Conservation and Management Act, provided the...

  15. Nuclear technology today and tomorrow

    International Nuclear Information System (INIS)

    Lombardi, C.

    2007-01-01

    Nuclear power has returned today to contain the energy problem. It is useful to make a summary of its characteristics and its evolution over the past 50 years and its prospects. The Italy can rely on their way by revitalizing its potential not fully disappeared [it

  16. Asthma and Native Hawaiians/Pacific Islanders

    Science.gov (United States)

    ... Population Profiles > Native Hawaiian/Other Pacific Islander > Asthma Asthma and Native Hawaiians/Pacific Islanders National data for ... very limited. While all of the causes of asthma remain unclear, children exposed to secondhand tobacco smoke ...

  17. Immunizations and Asians and Pacific Islanders

    Science.gov (United States)

    ... and Data > Minority Population Profiles > Asian American > Immunizations Immunizations and Asians and Pacific Islanders Asian/Pacific Islander ... 35 months reached the Healthy People goal for immunizations for hepatitis B, MMR (measles-mumps-rubella), polio ...

  18. Pacific Northwest Salmon Habitat Project Database

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — In the Pacific Northwest Salmon Habitat Project Database Across the Pacific Northwest, both public and private agents are working to improve riverine habitat for a...

  19. Climate Variability and Phytoplankton in the Pacific Ocean

    Science.gov (United States)

    Rousseaux, Cecile

    2012-01-01

    The effect of climate variability on phytoplankton communities was assessed for the tropical and sub-tropical Pacific Ocean between 1998 and 2005 using an established biogeochemical assimilation model. The phytoplankton communities exhibited wide range of responses to climate variability, from radical shifts in the Equatorial Pacific, to changes of only a couple of phytoplankton groups in the North Central Pacific, to no significant changes in the South Pacific. In the Equatorial Pacific, climate variability dominated the variability of phytoplankton. Here, nitrate, chlorophyll and all but one of the 4 phytoplankton types (diatoms, cyanobacteria and coccolithophores) were strongly correlated (pphytoplankton groups (chlorophytes and coccolithophores). Ocean biology in the South Pacific was not significantly correlated with MEI. During La Nina events, diatoms increased and expanded westward along the cold tongue (correlation with MEI, r=-0.81), while cyanobacteria concentrations decreased significantly (r=0.78). El Nino produced the reverse pattern, with cyanobacteria populations increasing while diatoms plummeted. The diverse response of phytoplankton in the different major basins of the Pacific suggests the different roles climate variability can play in ocean biology.

  20. CRED 40 m Gridded bathymetry of Howland Island, Pacific Remote Island Areas, Central Pacific (Arc ASCII Format)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Gridded (40 m cell size) bathymetry of the shelf and slope environments of Howland Island, Pacific Remote Island Areas, Central Pacific. Almost complete bottom...

  1. CRED 5 m Gridded bathymetry of Jarvis Island, Pacific Remote Island Areas, Central Pacific (Arc ASCII Format)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Gridded (5 m cell size) bathymetry of the shelf and slope environments of Jarvis Island, Pacific Remote Island Areas, Central Pacific. Almost complete bottom...

  2. CRED 40 m Gridded bathymetry of Baker Island, Pacific Remote Island Areas, Central Pacific (Arc ASCII Format)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Gridded (40 m cell size) bathymetry of the shelf and slope environments of Baker Island, Pacific Remote Island Areas, Central Pacific. Almost complete bottom...

  3. Decadal atmosphere-ocean variations in the Pacific

    Science.gov (United States)

    Trenberth, Kevin E.; Hurrell, James W.

    1994-03-01

    Considerable evidence has emerged of a substantial decade-long change in the north Pacific atmosphere and ocean lasting from about 1976 to 1988. Observed significant changes in the atmospheric circulation throughout the troposphere revealed a deeper and eastward shifted Aleutian low pressure system in the winter half year which advected warmer and moister air along the west coast of North America and into Alaska and colder air over the north Pacific. Consequently, there were increases in temperatures and sea surface temperatures (SSTs) along the west coast of North America and Alaska but decreases in SSTs over the central north Pacific, as well as changes in coastal rainfall and streamflow, and decreases in sea ice in the Bering Sea. Associated changes occurred in the surface wind stress, and, by inference, in the Sverdrup transport in the north Pacific Ocean. Changes in the monthly mean flow were accompanied by a southward shift in the storm tracks and associated synoptic eddy activity and in the surface ocean sensible and latent heat fluxes. In addition to the changes in the physical environment, the deeper Aleutian low increased the nutrient supply as seen through increases in total chlorophyll in the water column, phytoplankton and zooplankton. These changes, along with the altered ocean currents and temperatures, changed the migration patterns and increased the stock of many fish species. A north Pacific (NP) index is defined to measure the decadal variations, and the temporal variability of the index is explored on daily, annual, interannual and decadal time scales. The dominant atmosphere-ocean relation in the north Pacific is one where atmospheric changes lead SSTs by one to two months. However, strong ties are revealed with events in the tropical Pacific, with changes in tropical Pacific SSTs leading SSTs in the north Pacific by three months. Changes in the storm tracks in the north Pacific help to reinforce and maintain the anomalous circulation in the

  4. Pacific Rim log trade: determinants and trends.

    Science.gov (United States)

    Donald F. Flora; Andrea L. Anderson; Wendy J. McGinnls

    1991-01-01

    Pacific Rim trade in softwood logs amounts to about $3 billion annually, of which the U.S. share is about $2 billion. Log exporting is a significant part of the forest economy in the Pacific Northwest. The 10 major Pacific Rim log-trading client and competitor countries differ widely in their roles in trade and in their policies affecting the industry.

  5. Spatial and temporal variability in the trans-Pacific migration of Pacific bluefin tuna (Thunnus orientalis) revealed by archival tags

    Science.gov (United States)

    Fujioka, Ko; Fukuda, Hiromu; Tei, Yaoki; Okamoto, Suguru; Kiyofuji, Hidetada; Furukawa, Seishiro; Takagi, Junichi; Estess, Ethan; Farwell, Charles J.; Fuller, Daniel W.; Suzuki, Nobuaki; Ohshimo, Seiji; Kitagawa, Takashi

    2018-03-01

    Archival electronic tags were internally implanted in 713 age-0 Pacific bluefin tuna (PBF) caught in their nursery waters off the southern coast of Japan and in the East China Sea over an extended study period (1995-2015) to clarify the spatial and temporal variability of their trans-Pacific migration. Two hundred twenty-five of these tagged tuna were recaptured by fisheries (31.6%), and we successfully retrieved tag data from 14 of 21 individuals recovered in the Eastern pacific. Furthermore, one archival tag recovered in the Western Pacific revealed that the individual had performed a trans-Pacific migration, so in total 21 tagged PBF were shown to have migrated to the Eastern Pacific (2.9% of the total tags released). We successfully downloaded data from 15 of these 21 archival tags, which revealed that some age-1 PBF migrate rapidly (123.9 ± 82.8 km day-1) and directly from waters offshore of Japan to the eastern Pacific (160.0°E to 130.0°W), a journey that takes an average of 2.5 months (ranging from 1.2 to 5.5 months) through relatively cool waters (14.7 ± 2.0 °C). All juvenile PBF began their trans-Pacific migration shortly after exposure to cooler water temperatures (physiological challenge for this age class. Three patterns were identified in the timing of the departure of juvenile PBF from the western Pacific: departing 12-14 months post-hatch (N = 7) in early summer (May-July), departing 17-19 months post-hatch (N = 7) in late autumn (October-December), and departing 21 months post-hatch (N = 1) in late winter (February). The PBF tagged along the southern coast of Japan (SCJ) arrived in the eastern Pacific earlier than those tagged in the East China Sea (ECS), most likely due to the shorter travel distance. Additionally, the PBF that began their trans-Pacific migration in the earlier period remained in an offshore foraging zone (the Kuroshio-Oyashio transition region) for shorter periods (2.8 months on average) and at lower latitudes (35.0

  6. CRED 5 m Gridded bathymetry of Baker Island, Pacific Remote Island Areas, Central Pacific (Arc ASCII Format)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Gridded (5 m cell size) bathymetry of the shelf and slope environments of Baker Island, Pacific Remote Isand Areas, Central Pacific. Almost complete bottom coverage...

  7. Facts about Type 2

    Medline Plus

    Full Text Available ... and Pacific Islanders American Indian/Alaska Native Programs Older Adults Family Link Diabetes EXPO Upcoming Diabetes EXPOs EXPO ... Asian Americans/Pacific Islanders, as well as the aged population. Patient Education Materials — Taking Care of Type 2 Diabetes This ... Health Advisor Tools to Know Your Risk Diabetes Basics ...

  8. Type 1 diabetes: Awareness, management and challenges: Current scenario in India

    Directory of Open Access Journals (Sweden)

    K M Prasanna Kumar

    2015-01-01

    Full Text Available Type 1 diabetes mellitus (T1DM has a wide presence in children and has a high mortality rates. The disease, if left unmanaged, poses various challenges to the patient and healthcare providers, including development of diabetic complications and thus decreasing the life expectancy of the affected child. The challenges of T1DM include awareness of the disease that is very poor among the general public and also in parents of T1DM children along with the health care professionals. The challenge of lack of awareness of T1DM can be met by increasing public awareness programs, conducting workshops for diabetes educators regarding T1DM in children, newsletters, CMEs, online courses, and by structured teaching modules for diabetes educators. Diagnosis of T1DM was a challenge a few decades ago but the situation has improved today with diagnostic tests and facilities, made available even in villages. Investigation facilities and infrastructure, however, are very poor at the primary care level, especially in rural areas. Insulin availability, acceptability, and affordability are also major problems, compounded by the various types of insulin that are available in the market with a varied price range. But effective use of insulin remains a matter of utmost importance.

  9. Type 1 diabetes: Awareness, management and challenges: Current scenario in India

    Science.gov (United States)

    Kumar, K.M. Prasanna; Saboo, Banshi; Rao, P.V.; Sarda, Archana; Viswanathan, Vijay; Kalra, Sanjay; Sethi, Bipin; Shah, Nalini; Srikanta, S.S.; Jain, Sunil M; Raghupathy, P.; Shukla, Rishi; Jhingan, Ashok; Chowdhury, Subhankar; Jabbar, P.K.; Kanungo, Alok; Joshi, Rajesh; Kumar, Surendra; Tandon, Nikhil; Khadilkar, Vaman; Chadha, Manoj

    2015-01-01

    Type 1 diabetes mellitus (T1DM) has a wide presence in children and has a high mortality rates. The disease, if left unmanaged, poses various challenges to the patient and healthcare providers, including development of diabetic complications and thus decreasing the life expectancy of the affected child. The challenges of T1DM include awareness of the disease that is very poor among the general public and also in parents of T1DM children along with the health care professionals. The challenge of lack of awareness of T1DM can be met by increasing public awareness programs, conducting workshops for diabetes educators regarding T1DM in children, newsletters, CMEs, online courses, and by structured teaching modules for diabetes educators. Diagnosis of T1DM was a challenge a few decades ago but the situation has improved today with diagnostic tests and facilities, made available even in villages. Investigation facilities and infrastructure, however, are very poor at the primary care level, especially in rural areas. Insulin availability, acceptability, and affordability are also major problems, compounded by the various types of insulin that are available in the market with a varied price range. But effective use of insulin remains a matter of utmost importance. PMID:25941655

  10. The pacific island health care project.

    Science.gov (United States)

    Person, Donald Ames

    2014-01-01

    US Associated/Affiliated Pacific Islands (USAPI) include three freely associated states: Marshall Islands, Federated States of Micronesia, Palau, and three Territories: American Samoa, Guam, and Commonwealth of the Northern Mariana Islands. The Pacific Island Health Care Project (PIHCP) provides humanitarian medical referral/consultation/care to >500,000 indigenous people of these remote islands. In the mid-1990s, we developed a simple store-and-forward program to link the USAPI with Tripler Army Medical Center. This application allowed image attachment to email consultations. More than 8000 Pacific Islanders have benefited from the program. Three thousand Pacific Islanders prior to telemedicine (1990-1997) and since store-and-forward telemedicine (1997-present), the PIHCP has helped an additional 5000. Records post dynamically and are stored in an archival database. The PIHCP is the longest running telemedicine program in the world delivering humanitarian medical care. It has bridged the Developing World of the remote Pacific Islands with advanced medical and surgical care available at a major US military teaching hospital. (The opinions expressed here are those of the author and not that of the Army, Department of Defense, or the US Government.).

  11. The Pacific Island Health Care Project

    Directory of Open Access Journals (Sweden)

    Donald Ames Person

    2014-10-01

    Full Text Available Introduction/BackgroundUS Associated/Affiliated Pacific Islands (USAPI include 3 Freely Associated States: Marshall Islands, Federated States of Micronesia, Palau and 3 Territories: American Samoa, Guam, and Commonwealth of the Northern Mariana Islands. ObjectiveThe Pacific Island Health Care Project (PIHCP provides humanitarian medical referral/consultation/care to >500,000 indigenous people of these remote islands. Methods In the mid-1990s, we developed a simple store-and-forward program to link the USAPI with Tripler Army Medical Center (TAMC. This application allowed image attachment to email consultations. ResultsMore than 8000 Pacific Islanders have benefited from the program. 3000 Pacific Islanders prior to telemedicine (1990-1997 and since store-and-forward telemedicine (1997-present, the PIHCP has helped an additional 5000. Records post dynamically and are stored in an archival database. Conclusion The PIHCP is the longest running telemedicine program in the world delivering humanitarian medical care. It has bridged the Developing World of the remote Pacific islands with advanced medical and surgical care available at a major US military teaching hospital.(The opinions expressed here are those of the author and not that of the Army, Department of Defense, or the US Government.

  12. Arbutus menziesii Pursh. Pacific madrone

    Science.gov (United States)

    Philip M. McDonald

    1990-01-01

    Pacific madrone (Arbutus menziesii) is one of the most widely distributed tree species native to the Pacific coast. Named for its discoverer, Archibald Menzies, a 19th century Scottish physician and naturalist, the species is called arbutus in Canada, and madrone, madroña, or madroño in the United States. The latter name is...

  13. School Counseling in China Today

    Science.gov (United States)

    Thomason, Timothy C.; Qiong, Xiao

    2008-01-01

    This article provides a brief overview of the development of psychological thinking in China and social influences on the practice of school counseling today. Common problems of students are described, including anxiety due to pressure to perform well on exams, loneliness and social discomfort, and video game addiction. Counseling approaches used…

  14. Asia-Pacific lube oil markets

    International Nuclear Information System (INIS)

    Yamaguchi, N.

    2001-01-01

    An overview of the Asia-Pacific (AP) lubricating oils market, its special characteristics, and its role in the global economy are presented. In the 'boom and bust' years of 1997-1999, the Asia-Pacific market was even bigger then the US market. For the short-term, the scenario is surplus capacity and poor margins, but in the long term there is enormous potential for growth. How fuel demand and quality is related to engine type is discussed. The three basic grades of baseoils are described, and the Asia-Pacific lube demand and the Asia-Pacific lube oil supply are discussed. There are 15 diagrams giving data on: (i) finished lubes in world markets as a percentage of total; (ii) how lube demand follows GDP per capita in Asia; (iii) AP baseoil capacity relationships; (iv) AP baseoil disposition by end use; (v) AP changing shares of baseoil demand; (vi) AP finished lube demand by subregion; (vii) AP finished lube demand growth, indexed; (viii) AP baseoil capacity by region; Singapore baseoil vs. Dubai crude prices, 1992-99; (ix) Singapore baseoil vs. crude prices, 1992-99; (x) AP baseoil deficit moved to surplus; (xi) AP baseoil production; (xii) East Asia net percentage change in lube sales, 1997-1999. (xiii) Southeast Asia net percentage change in lube sales, 1997-1999; (xiv) South East Asia and Australia net percentage change in lube sales, 1997-1999 and (xv) Asia-Pacific major lube marketers

  15. 76 FR 6402 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-02-04

    ... Pacific Fishery Management Council's (Pacific Council) Groundfish Essential Fish Habitat Review Committee... review of Essential Fish Habitat (EFH) descriptions for Pacific Coast groundfish species. Major topics of...

  16. Exploring the 'cultural' in cultural competencies in Pacific mental health.

    Science.gov (United States)

    Samu, Kathleen Seataoai; Suaalii-Sauni, Tamasailau

    2009-02-01

    Cultural competency is about the ability of individuals and systems to respond respectfully and effectively to the cultural needs of peoples of all cultures. Its general attributes include knowledge, attitudes, skills and professional judgment. In Pacific mental health, 'the cultural' is generally understood to be ethnic culture. Accordingly, Pacific cultural competencies assume ethnic specific markers. In mental health Pacific cultural competencies has seen a blending of cultural and clinical beliefs and practices. This paper provides an overview of five key theme areas arising from Auckland-based ethnic-specific Pacific workshop data: language, family, tapu relationships, skills and organisation policy. Workshop participants comprised of Pacific mental health providers, Pacific consumers, family members of Pacific consumers and members of the Pacific community members. This paper purports that identifying the perceptions of different Pacific groups on ethnic-specific elements of cultural competencies are necessary to build and strengthen the capacity and capability of mental health services to provide culturally relevant services.

  17. Waist circumference threshold values for type 2 diabetes risk.

    Science.gov (United States)

    Friedl, Karl E

    2009-07-01

    Adult gains in body weight, excess adiposity, and intra-abdominal fat have each been associated with risk for type 2 diabetes mellitus (T2DM), forming the basis for preventive medicine guidelines and actuarial predictions using practical indices of weight (e.g., body mass index [BMI]) and waist circumference (WC). As obesity-related disease spreads beyond affluent western countries, application of WC thresholds to other populations has highlighted issues of their generalizability. For example, U.S. national health goals based on BMI technology has provided many great insights into disease, including modern imaging technologies that have differentiated fat depots that have the greatest influence on T2DM, but ultimately, an inexpensive measuring tape provides the most useful and cost-effective preventive measure for T2DM today. At some point in the future, a Star Trek-like abdominal body fat "tricorder" noninvasive assessment of tissue composition may provide an advantage over abdominal girth. Copyright 2009 Diabetes Technology Society.

  18. Proceedings of the session on tropical forestry for people of the Pacific, XVII Pacific Science Congress; May 27-28, 1991

    Science.gov (United States)

    Eugene C. Conrad; Leonard A. Newell

    1992-01-01

    The 17 papers in the Proceedings of the Session on Tropical Forestry for People of the Pacific cover the topics of the USDA Forest Service's tropical forestry research, forestry research in Asia and the Pacific, management of tropical forests for products and energy; forest and wildlife management, the South Pacific Forestry Development Programme, tropical...

  19. Einstein today; Einstein aujourd'hui

    Energy Technology Data Exchange (ETDEWEB)

    Aspect, A.; Grangier, Ph. [Centre National de la Recherche Scientifique (CNRS), Lab. Charles Fabry de l' Institut d' Optique a Orsay, 91 - Orsay (France); Bouchet, F.R. [Institut d' Astrophysique de Paris, CNRS, 75 - Paris (France); Brunet, E.; Derrida, B. [Universite Pierre et Marie Curie, Ecole Normale Superieure, 75 - Paris (France); Cohen-Tannoudji, C. [Academie des Sciences, 75 - Paris (France); Dalibard, J.; Laloe, F. [Laboratoire Kastler Brossel. UMR 8552 (ENS, UPMC, CNRS), 75 - Paris (France); Damour, Th. [Institut des Hautes Etudes Scientifiques, 91 - Bures sur Yvette (France); Darrigol, O. [Centre National de la Recherche Scientifique (CNRS), Groupe Histoire des Sciences Rehseis, 75 - Paris (France); Pocholle, J.P. [Thales Research et Technology France, 91 - Palaiseau (France)

    2005-07-01

    The most important contributions of Einstein involve 5 fields of physics : the existence of quanta (light quanta, stimulated radiation emission and Bose-Einstein condensation), relativity, fluctuations (Brownian motion and thermodynamical fluctuations), the basis of quantum physics and cosmology (cosmological constant and the expansion of the universe). Diverse and renowned physicists have appreciated the development of modern physics from Einstein's ideas to the knowledge of today. This book is a collective book that gathers their work under 7 chapters: 1) 1905, a new beginning; 2) from the Einstein, Podolsky and Rosen's article to quantum information (cryptography and quantum computers); 3) the Bose-Einstein condensation in gases; 4) from stimulated emission to the today's lasers; 5) Brownian motion and the fluctuation-dissipation theory; 6) general relativity; and 7) cosmology. (A.C.)

  20. 1993 Pacific Northwest Loads and Resources Study.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1993-12-01

    The Loads and Resources Study is presented in three documents: (1) this summary of Federal system and Pacific Northwest region loads and resources; (2) a technical appendix detailing forecasted Pacific Northwest economic trends and loads, and (3) a technical appendix detailing the loads and resources for each major Pacific Northwest generating utility. In this loads and resources study, resource availability is compared with a range of forecasted electricity consumption. The forecasted future electricity demands -- firm loads -- are subtracted from the projected capability of existing and {open_quotes}contracted for{close_quotes} resources to determine whether Bonneville Power Administration (BPA) and the region will be surplus or deficit. If resources are greater than loads in any particular year or month, there is a surplus of energy and/or capacity, which BPA can sell to increase revenues. Conversely, if firm loads exceed available resources, there is a deficit of energy and/or capacity, and additional conservation, contract purchases, or generating resources will be needed to meet load growth. The Pacific Northwest Loads and Resources Study analyzes the Pacific Northwest`s projected loads and available generating resources in two parts: (1) the loads and resources of the Federal system, for which BPA is the marketing agency; and (2) the larger Pacific Northwest regional power system, which includes loads and resource in addition to the Federal system. The loads and resources analysis in this study simulates the operation of the power system under the Pacific Northwest Coordination Agreement (PNCA) produced by the Pacific Northwest Coordinating Group. This study presents the Federal system and regional analyses for five load forecasts: high, medium-high, medium, medium-low, and low. This analysis projects the yearly average energy consumption and resource availability for Operating Years (OY) 1994--95 through 2003--04.

  1. Review of Huebert’s Libertarianism Today

    OpenAIRE

    Walter E. Block

    2010-01-01

    Libertarianism Today, by Jacob Huebert (Santa Barbara, CA: Praeger, 2010), is an excellent introduction to libertarianism. In contrast to many other recent books about libertarianism, a consistent non-compromising libertarianism is defended throughout this book.

  2. South Pacific Nuclear Free Zone Treaty

    International Nuclear Information System (INIS)

    1987-03-01

    The document contains the 3 Protocols to the South Pacific Nuclear Free Zone Treaty (INFCIRC-331) adopted by the South Pacific Forum at its 17th session in Suva on 8 August 1986. The treaty entered into force on 11 December 1986

  3. Protective effect of pumpkin powder (Cucurbita pepo L. on fetal testicular tissue damage in alloxan- induced diabetic rats

    Directory of Open Access Journals (Sweden)

    2014-08-01

    Full Text Available The occurrence of abnormalities in different organs of the fetus and newborn of diabetic mothers has been proven today. Considering the irreversible damages of the disease in newborns’ reproductive system any action to reduce the abnormalities has an especial importance and necessity. In this experimental study, the protective effects of pumpkin powder on reducing testicular tissue damages of rats born from diabetic mothers has been studied. The pregnant rats were divided into 4 groups of 10 rats, as follows: 1 treatment group with pumpkin powder, 2 diabetic control group, 3 treatment group (diabetic animals treated with pumpkin powder and 4 healthy control group. Experimental diabetes was induced in pregnant rats by intraperitoneal injection of 120 mg/kg b.w. alloxan monohydrate. The first and third groups received 2 g/kg b.w. pumpkin powder for 4 weeks via gavage. The histological and morphometric changes such as weight, seminiferous tubules diameter, spermatogonia, leydig and sertoli cell numbers were compared. Data was analyzed using the ANOVA and Tukey multiple comparisons test and p

  4. Novel combined management approaches to patients with diabetes, chronic kidney disease and cardiovascular disease.

    Science.gov (United States)

    Spaak, J

    2017-03-01

    Most patients we care for today suffer from more than one chronic disease, and multimorbidity is a rapidly growing challenge. Concomitant cardiovascular disease, renal dysfunction and diabetes represent a large proportion of all patients in cardiology, nephrology and diabetology. These entities commonly overlap due to their negative effects on vascular function and an accelerated atherosclerosis progression. At the same time, a progressive subspecialisation has caused the cardiologist to treat 'only' the heart, nephrologists 'only' the kidneys and endocrinologists' 'only' diabetes. Studies and guidelines follow the same pattern. This often requires patients to visit specialists for each field, with a risk of both under-diagnosis and under-treatment. From the patient's perspective, there is a great need for coordination and facilitation of the care, not only to reduce disease progression but also to improve quality of life. Person-centred integrated clinics for patients with cardiovascular disease, renal dysfunction and diabetes are a promising approach for complex chronic disease management.

  5. Insight into the Pacific Sea Surface Temperature- North American Hydroclimate Connection from an Eastern Tropical North Pacific Coral Record

    Science.gov (United States)

    Sanchez, S. C.; Charles, C. D.; Carriquiry, J. D.

    2015-12-01

    The last few years of record-breaking climate anomalies across North America--a resilient atmospheric ridge and extreme drought over the West Coast, and severe winters across the Midwest and East Coast regions--have been linked to anomalous Pacific sea surface temperatures (Seager et al. 2014, Wang et al. 2014, Hartmann 2015). The synoptic associations prompt important questions on the relation between these unusual phenomena and extreme expressions of known Pacific decadal modes, such as the North Pacific Gyre Oscillation (NPGO). These questions motivate our pursuit to document multiple realizations of decadal variability in the Pacific-North American region through periods of varied radiative forcing. Here we introduce a 178 year, seasonally resolved Porites coral record from Clarion Island (18N, 115W), the westernmost island of the Revillagigedo Archipelago, a region both highly influenced by NPGO SST and SSS variability and critical for NPGO tropical-extratropical communication via the Seasonal Footprinting Mechanism (Vimont et al. 2003). When coupled with tree ring records from the western United States (Griffin and Anchukaitis 2014, MacDonald and Case 2005) and coral records from the central tropical Pacific (Cobb et al. 2001), the δ18O signal from the Clarion coral offers an extended framework of coherent continental hydroclimate and oceanic variability across the Pacific basin beyond the instrumental record. Over the last 200 years, we find clear commonality in the timing, magnitude and spatial expression of variability (illustrated through the NADA Atlas, Cook et al. 2004) amongst the proxy records. The strong relationship between Northeastern Pacific Clarion and the Central Pacific Palmyra record with the North American hydroclimate records can be viewed within the mechanistic framework of the NPGO; this framework is then explored over the last millennium across intervals of varied radiative forcing.

  6. Pacific-North American teleconnection and North Pacific Oscillation: historical simulation and future projection in CMIP5 models

    Science.gov (United States)

    Chen, Zheng; Gan, Bolan; Wu, Lixin; Jia, Fan

    2017-09-01

    Based on reanalysis datasets and as many as 35 CMIP5 models, this study evaluates the capability of climate models to simulate the spatiotemporal features of Pacific-North American teleconnection (PNA) and North Pacific Oscillation (NPO) in the twentieth century wintertime, and further investigates their responses to greenhouse warming in the twenty-first century. Analysis reveals that while the majority (80%) of models reasonably simulate either the geographical distribution or the amplitude of PNA/NPO pattern, only half of models can well capture both features in space. As for the temporal features, variabilities of PNA and NPO in most models are biased toward higher amplitude. Additionally, most models simulate the interannual variabilities of PNA and NPO, qualitatively consistent with the observation, whereas models generally lack the capability to reproduce the decadal (20-25 years) variability of PNA. As the climate warms under the strongest future warming scenario, the PNA intensity is found to be strengthened, whereas there is no consensus on the direction of change in the NPO intensity among models. The intensification of positive PNA is primarily manifested in the large deepening of the North Pacific trough, which is robust as it is 2.3 times the unforced internal variability. By focusing on the tropical Pacific Ocean, we find that the multidecadal evolution of the North Pacific trough intensity (dominating the PNA intensity evolution) is closely related to that of the analogous trough in the PNA-like teleconnection forced by sea surface temperature anomalies (SSTa) in the tropical central Pacific (CP) rather than the tropical eastern Pacific (EP). Such association is also found to act under greenhouse warming: that is, the strengthening of the PNA-like teleconnection induced by the CP SSTa rather than the EP SSTa is a driving force for the intensification of PNA. This is in part owing to the robust enhancement of the tropical precipitation response to

  7. Pacific-North American teleconnection and North Pacific Oscillation: historical simulation and future projection in CMIP5 models

    Science.gov (United States)

    Chen, Zheng; Gan, Bolan; Wu, Lixin; Jia, Fan

    2018-06-01

    Based on reanalysis datasets and as many as 35 CMIP5 models, this study evaluates the capability of climate models to simulate the spatiotemporal features of Pacific-North American teleconnection (PNA) and North Pacific Oscillation (NPO) in the twentieth century wintertime, and further investigates their responses to greenhouse warming in the twenty-first century. Analysis reveals that while the majority (80%) of models reasonably simulate either the geographical distribution or the amplitude of PNA/NPO pattern, only half of models can well capture both features in space. As for the temporal features, variabilities of PNA and NPO in most models are biased toward higher amplitude. Additionally, most models simulate the interannual variabilities of PNA and NPO, qualitatively consistent with the observation, whereas models generally lack the capability to reproduce the decadal (20-25 years) variability of PNA. As the climate warms under the strongest future warming scenario, the PNA intensity is found to be strengthened, whereas there is no consensus on the direction of change in the NPO intensity among models. The intensification of positive PNA is primarily manifested in the large deepening of the North Pacific trough, which is robust as it is 2.3 times the unforced internal variability. By focusing on the tropical Pacific Ocean, we find that the multidecadal evolution of the North Pacific trough intensity (dominating the PNA intensity evolution) is closely related to that of the analogous trough in the PNA-like teleconnection forced by sea surface temperature anomalies (SSTa) in the tropical central Pacific (CP) rather than the tropical eastern Pacific (EP). Such association is also found to act under greenhouse warming: that is, the strengthening of the PNA-like teleconnection induced by the CP SSTa rather than the EP SSTa is a driving force for the intensification of PNA. This is in part owing to the robust enhancement of the tropical precipitation response to

  8. Sponges from Clipperton Island, East Pacific

    NARCIS (Netherlands)

    van Soest, R.W.M.; Kaiser, K.L.; van Syoc, R.

    2011-01-01

    Twenty sponge species (totalling 190 individuals) were collected during the 1938, 1994 and 2004/5 expeditions to the remote island of Clipperton in the East Pacific Ocean. Seven species are widespread Indo-Pacific sponges; nine species comprise sponges new to science; four species were represented

  9. Challenging today's nuclear industry to be competitive in a changing tomorrow

    International Nuclear Information System (INIS)

    Plug, B.

    1996-01-01

    As the millennium approaches, the future of the nuclear power generation appears desolate. Today's nuclear executives are facing challenges resulting from worldwide change and have forced utilities to reevaluate their corporation's future directions. The nuclear industry must be competitive more than ever to address today's rapid changing marketplace and pressures exerted from: regulatory reformation; increased competition; changes in technology; customer evolution; and globalization. These factors have compelled nuclear executives to address questions such as: What impact will these changes have on today's marketplace, and on my corporation? What will characterize tomorrow's successful nuclear facility? How can today's nuclear corporation compete in tomorrow's marketplace? Will my corporation survive? (author)

  10. The History of the Pacific Superplume

    Science.gov (United States)

    Suzuki, N.; Utsunomiya, A.; Maruyama, S.

    2001-12-01

    To understand the birth place and episodic activity of the Pacific superplume, we reconstructed the paleogeograhy of continents and oceanic plates from 1.0 Ga supercontinent Rodinia until now by adopting the most confident available data set to determine paleopositions of oceanic plateaus, seamounts, and oceanic arc, in addition to major continents, by using plate trajectory for the last 150Ma and for the farther back to 1.0Ga, by the paleomagnetic constraints tied with geologic connections. Our main focus is the frequency change of ancient activity of plume rocks that are now preserved in the accretionary complex around the circum-Pacific orogenic belts. Several conclusions are led through our reconstruction. (1) Cretaceous oceanic plateaus which present widespread in western Pacific (e.g., Manihiki Plateau, Shatsky Rise, Hess Rise, Mid-Pacific Mountain, Nauru Basin) are traced back and concentrated to the present active region of the Pacific superplume. This suggests that those were once formed a huge composite volcanoes as large as 4000 km x 2400 km across during the Cretaceous by superplume activity. These are equivalent to Australia or Tharsis bulge volcanic complex on Mars. The estimated thickness of oceanic crust ca. 30-40 km suggests that major parts may have been above sea-level during the Cretaceous time. The Cretaceous global warming may be related to this hyper-active superplume event which have carried mantle CO2 to the surface of 3.2 x 1021 g, assuming 0.3 wt% x 350 million km3 (magma volume) x 3.07 g/cm3 during 150-75 Ma. This CO2 output amount occupies as much as 37 wt% among the total output from mantle estimated by using erupted basaltic volume estimated by Larson (1991, Geology, 549-550) and present output rate of CO2. The similar episodic activity of Pacific superplume seems to have occurred at 750-700 Ma, 550-500Ma, 300-250Ma by considering the frequency of occurrences of greenstones in the accretionary complexes of the world. (2) Rodinia

  11. Predictors and diagnosis of cardiac autonomic nervous dysfunction in patients with type 1 and type 2 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Kirill A. Popov

    2017-08-01

    Full Text Available Diabetic cardiovascular autonomic neuropathy (DCAN is a diabetic complication characterised by early dissemination of sympathetic and parasympathetic, small-fibre neuronal degeneration. DCAN is the most dangerous and insidious complication that influences the clinical course and mortality rate of diabetes; however, it is often underestimated and not recognised by practitioners. Medical history and a physical examination are not sufficient for diagnosing DCAN. Laboratory diagnosis and the instrumental methods used to evaluate DCAN are time-consuming and not always available. Early detection of DCAN in diabetic patients is important for the early implementation of therapy. Today, there is no uniform diagnostic algorithm for DCAN in patients with various disorders of carbohydrate metabolism. This is due to the insufficient number of clinical trials and limitations of current protocols. This review presents an overview of the clinical and experimental studies of DCAN. The epidemiology, clinical manifestations, risk factors and underlying pathogenesis of DCAN are considered. The advantages and disadvantages of conventional and new diagnostic methods are discussed.

  12. Wave energy: a Pacific perspective.

    Science.gov (United States)

    Paasch, Robert; Ruehl, Kelley; Hovland, Justin; Meicke, Stephen

    2012-01-28

    This paper illustrates the status of wave energy development in Pacific rim countries by characterizing the available resource and introducing the region's current and potential future leaders in wave energy converter development. It also describes the existing licensing and permitting process as well as potential environmental concerns. Capabilities of Pacific Ocean testing facilities are described in addition to the region's vision of the future of wave energy.

  13. Sugar Sweetened Beverage Consumption among Adults with Gout or Type 2 Diabetes.

    Directory of Open Access Journals (Sweden)

    Rinki Murphy

    Full Text Available Current guidelines for the management of type 2 diabetes and gout recommend that people with these conditions limit their sugar sweetened beverage (SSB intake. We examined self-reported SSB intake among New Zealand adults with gout or type 2 diabetes, including those on hemodialysis.1023 adults with gout and 580 adults (including 206 receiving hemodialysis with type 2 diabetes, participated in this study of between 2009 and 2012. Participants completed an interviewer-administered SSB intake question "how many sugar sweetened drinks (including fruit juice, but not including diet drinks, do you normally drink per day?" SSB consumption was recorded as a circled number 0, 1, 2, 3, 4, 5, or >5, cans or large glasses (300 mL per day.Consuming one or more SSB per day was reported by 64% (622/1023 of subjects with gout, 49% (176/374 with type 2 diabetes without dialysis, and 47% (96/206 with diabetes on dialysis. Consuming four or more SSBs per day was reported by 18% (179/1023, 9% (31/374 and 9% (18/206, respectively. Such high consumers of SSB were characterized after multivariable analysis to be more likely to be male (adjusted odds ratio (OR 1.8; 95% confidence interval 1.1-2.9, younger in age (40 vs 65 years: 1.6; 1.1-2.3, current smoker (5.2; 2.7-10.1, obese (BMI 41 vs 26 kg/m(2: 1.4; 1-1.9, and report Māori (1.8; 1.2-2.8 or Pacific (1.6; 1.1-2.5 ancestry, compared to Caucasian. People with gout were more likely to report heavy SSB intake compared to people with diabetes (OR 2.4, 95% CI 1.5-3.9. Heavy SSB consumption reported by people with diabetes was similar if they did or did not require dialysis.A high proportion of patients with gout and type 2 diabetes, including those on haemodialysis, are not responding to health messages to abstain from SSB consumption.

  14. 78 FR 25955 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-05-03

    ... Pacific Fishery Management Council's (Pacific Council) Highly Migratory Species Management Team (HMSMT... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... be implemented pursuant to the precautionary management framework for North Pacific albacore...

  15. 78 FR 27367 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-05-10

    ... Pacific Fishery Management Council's (Pacific Council) Highly Migratory Species Management Team (HMSMT... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... be implemented pursuant to the precautionary management framework for North Pacific albacore...

  16. Wind Power Today: Wind Energy Program Highlights 2001

    Energy Technology Data Exchange (ETDEWEB)

    2002-05-01

    Wind Power Today is an annual publication that provides an overview of the U.S. Department of Energy's Wind Energy Program accomplishments for the previous year. The purpose of Wind Power Today is to show how DOE's Wind Energy Program supports wind turbine research and deployment in hopes of furthering the advancement of wind technologies that produce clean, low-cost, reliable energy. Content objectives include: educate readers about the advantages and potential for widespread deployment of wind energy; explain the program's objectives and goals; describe the program's accomplishments in research and application; examine the barriers to widespread deployment; describe the benefits of continued research and development; facilitate technology transfer; and attract cooperative wind energy projects with industry. This 2001 edition of Wind Power Today also includes discussions about wind industry growth in 2001, how DOE is taking advantage of low wind speed regions through advancing technology, and distributed applications for small wind turbines.

  17. Women and Diabetes -- Diabetes Medicines

    Science.gov (United States)

    ... Audience For Women Women's Health Topics Women and Diabetes - Diabetes Medicines Share Tweet Linkedin Pin it More sharing ... 1-800-332-1088 to request a form. Diabetes Medicines The different kinds of diabetes medicines are ...

  18. Psychoanalysis today

    Science.gov (United States)

    FONAGY, PETER

    2003-01-01

    The paper discusses the precarious position of psychoanalysis, a therapeutic approach which historically has defined itself by freedom from constraint and counted treatment length not in terms of number of sessions but in terms of years, in today's era of empirically validated treatments and brief structured interventions. The evidence that exists for the effectiveness of psychoanalysis as a treatment for psychological disorder is reviewed. The evidence base is significant and growing, but less than might meet criteria for an empirically based therapy. The author goes on to argue that the absence of evidence may be symptomatic of the epistemic difficulties that psychoanalysis faces in the context of 21st century psychiatry, and examines some of the philosophical problems faced by psychoanalysis as a model of the mind. Finally some changes necessary in order to ensure a future for psychoanalysis and psychoanalytic therapies within psychiatry are suggested. PMID:16946899

  19. Researching Pacific island livelihoods:

    DEFF Research Database (Denmark)

    Egelund Christensen, Andreas; Mertz, Ole

    2010-01-01

    on contemporary theories of nissology and conceptual analytical frameworks for island research. Through a review of selected case-study-based island literature on changing livelihoods coming out of the South Pacific, we wish to illustrate and discuss advantages of finding common grounds for small island studies....... The focus is on two dimensions of island livelihood, migration and natural resource management, both of which are significant contributors in making island livelihoods and shaping Pacific seascapes. We argue that there is still a substantial lack of studies targeting small island dynamics that are empirical...

  20. Public Health & Nutrition in the Asia-Pacific: reflections on a quarter century.

    Science.gov (United States)

    Cavalli-Sforza, Luca Tommaso

    2015-01-01

    Some reflections from work in the Asia Pacific Region, mostly with WHO, in the past 25 years, and the changes in nutrition seen in this time are shared. In 1988-89 I helped to start a Centre for Child Nutrition in Chengdu, Sichuan, through the Italian Development Cooperation. The nutritional problems in urban and rural China, 25 years ago, were similar to those elsewhere in the Region. Like China, these countries underwent rapid economic development and changes in health patterns, within two decades. The main problems for child nutrition had to do with infant feeding practices and less breastfeeding: anaemia, protein energy malnutrition and rickets were frequent. How did China and other countries tackle these and other nutrition problems? In the 1990s the global nutrition community started working on a problem-solving framework. In 1992, at the 1st FAO/WHO International Conference on Nutrition, 159 countries agreed to develop national nutrition plans. In 2014, 22 years later, FAO and WHO invited countries to review their national nutrition situation and plans. The epidemiological picture today is profoundly different. Many Asia-Pacific countries have achieved remarkable progress in socio-economic development, including malnutrition reduction. To reach the MDGs and the post-MDG goals being formulated, the remaining under-nutrition problems need to be alleviated, inequalities between sectors of society reduced, and also the growing threat of overweight/obesity and NCDs prevented and controlled. Assessing, monitoring and evaluating programmes to improve progress, now requires focusing not only on biological outcomes, but also on food security, programme process, and the policy environment.

  1. Cancer, reproductive abnormalities, and diabetes in Micronesia: the effect of nuclear testing.

    Science.gov (United States)

    Yamada, Seiji

    2004-09-01

    Many suggest that cancer and other diseases in Micronesia have been caused by nuclear testing in the Pacific. The 50-year commemoration of the March 1, 1954 Bravo thermonuclear test has rekindled interest in this area. This paper explores the documentation for, and the plausibility of, claims for disease causation by nuclear testing. Given the sheer volume of testing that the US conducted in the Pacific, it appears plausible that excess cancer would have occurred in areas of Micronesia other than the Marshall Islands. An excess of birth abnormalities in the Marshall Islands has been documented. While diabetes is not a radiogenic disease, and other cancers are generally less radiogenic than leukemia or thyroid cancer, the social and cultural effects of nuclear testing specifically, and the strategic uses to which Micronesia has been put generally, have had roles in the social production of disease. Integration into a globalized, cosmopolitan economy-with attendant phenomena such as the importation of tobacco, alcohol, foods of poor nutritional value, and new cultural morés-are also factors.

  2. Dissolved iron anomaly in the deep tropical-subtropical Pacific: Evidence for long-range transport of hydrothermal iron

    Science.gov (United States)

    Wu, Jingfeng; Wells, Mark L.; Rember, Robert

    2011-01-01

    Dissolved iron profiles along a north-south transect along 158°W in the tropical Pacific show evidence of two deepwater anomalies. The first extends from Station ALOHA (22.78°N) to the equator at ˜1000-1500 m and lies below the maximum apparent oxygen utilization and nutrient (N, P) concentrations. The feature is not supported by vertical export processes, but instead corresponds with the lateral dilution field of δ 3He derived from the Loihi seamount, Hawaii, though a sediment source associated with the Hawaiian Island Chain cannot be entirely ruled out. The second, deeper (2000-3000 m) anomaly occurs in tropical South Pacific waters (7°S) and also does not correlate with the depths of maximum nutrient concentrations or apparent oxygen utilization, but it does coincide closely with δ 3He emanating from the East Pacific Rise, more than 5000 km to the east. We hypothesize that these anomalies represent the long-range (>2000 km) transport of hydrothermal iron residuals, stabilized against scavenging by complexation with excess organic ligands in the plume source regions. Such trace leakage of hydrothermal iron to distal plume regions would have been difficult to identify in most hydrothermal vent mapping studies because low analytical detection limits were not needed for the proximal plume regions. These findings suggest that hydrothermal activity may represent a major source of dissolved iron throughout the South Pacific deep basin today, as well as other regions having high mid-ocean spreading rates in the geologic past. In particular, we hypothesize that high spreading rates along the South Atlantic and Southern Ocean mid-oceanic ridges, combined with the upwelling ventilation of these distal hydrothermal plumes, may have increased ocean productivity and carbon export in the Southern Ocean. Assessing the magnitude and persistence of dissolved hydrothermal iron in basin scale deep waters will be important for understanding the marine biogeochemistry of iron

  3. 76 FR 55363 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-09-07

    ... Pacific Fishery Management Council's (Pacific Council) Groundfish Management Team (GMT) [[Page 55364... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National...; telephone: (206) 526-6150. Council address: Pacific Fishery Management Council, 7700 NE Ambassador Place...

  4. 77 FR 75614 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-12-21

    ... Pacific Fishery Management Council's (Pacific Council) Highly Migratory Species Management Team (HMSMT... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National.... Council address: Pacific Fishery Management Council, 7700 NE. Ambassador Place, Suite 101, Portland, OR...

  5. After the Resistance: The Alamo Today

    Centers for Disease Control (CDC) Podcasts

    2014-09-23

    Byron Breedlove reads his essay After the Resistance: The Alamo Today about the Alamo and emerging disease resistance.  Created: 9/23/2014 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 10/20/2014.

  6. 75 FR 49890 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-08-16

    ... Pacific Fishery Management Council's (Pacific Council) Coastal Pelagic Species Management Team (CPSMT) and... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... will be available at the following location: Pacific Fishery Management Council, Small Conference Room...

  7. Acculturation of Pacific mothers in New Zealand over time: findings from the Pacific Islands Families study

    Directory of Open Access Journals (Sweden)

    Schluter Philip J

    2011-05-01

    Full Text Available Abstract Background The epidemiological investigation of acculturation has often been hampered by inconsistent definitions and measurement, and methodological short-comings. Adopting a bi-directional model, with good theoretical and psychometric properties, this study aimed to describe the temporal, ethnic and socio-demographic influences of acculturation for a group of Pacific mothers residing in New Zealand. Methods Pacific mothers of a cohort of Pacific infants born at a large tertiary hospital in South Auckland in 2000 were interviewed at 6-weeks, 4-years and 6-years postpartum. At each measurement wave a home interview lasting approximately 90 minutes was conducted with each mother. Adapting the General Ethnicity Questionnaire, two scales of acculturation were elicited: one measuring New Zealand cultural orientation (NZAccult and one measuring Pacific Islands cultural orientation (PIAccult. Acculturation scores were standardised and analysed using random intercept polynomial and piecewise mixed-effects regression models, accounting for the longitudinal nature of the repeated measured data. Mothers who immigrated to New Zealand and those who lived their lives in New Zealand were investigated separately. Results Overall, 1276 Pacific mothers provided 3104 NZAccult and 3107 PIAccult responses over the three measurement waves. Important and significant differences were observed in both bi-directional acculturation measures between the two maternal groups studied. New Zealand cultural orientation increased, on average, linearly with years lived in New Zealand both for immigrant mothers (0.013 per year, 95% CI: 0.012, 0.014, after adjusting for maternal age, and for mothers who lived their lives in New Zealand (0.008 per year, 95% CI: 0.06, 0.010. Immigrant mothers maintained their Pacific cultural orientation for, on average, 12 years before it began to linearly decrease with each year lived in New Zealand thereafter (-0.009 per year, 95% CI: -0

  8. Acculturation of Pacific mothers in New Zealand over time: findings from the Pacific Islands Families study

    Science.gov (United States)

    2011-01-01

    Background The epidemiological investigation of acculturation has often been hampered by inconsistent definitions and measurement, and methodological short-comings. Adopting a bi-directional model, with good theoretical and psychometric properties, this study aimed to describe the temporal, ethnic and socio-demographic influences of acculturation for a group of Pacific mothers residing in New Zealand. Methods Pacific mothers of a cohort of Pacific infants born at a large tertiary hospital in South Auckland in 2000 were interviewed at 6-weeks, 4-years and 6-years postpartum. At each measurement wave a home interview lasting approximately 90 minutes was conducted with each mother. Adapting the General Ethnicity Questionnaire, two scales of acculturation were elicited: one measuring New Zealand cultural orientation (NZAccult) and one measuring Pacific Islands cultural orientation (PIAccult). Acculturation scores were standardised and analysed using random intercept polynomial and piecewise mixed-effects regression models, accounting for the longitudinal nature of the repeated measured data. Mothers who immigrated to New Zealand and those who lived their lives in New Zealand were investigated separately. Results Overall, 1276 Pacific mothers provided 3104 NZAccult and 3107 PIAccult responses over the three measurement waves. Important and significant differences were observed in both bi-directional acculturation measures between the two maternal groups studied. New Zealand cultural orientation increased, on average, linearly with years lived in New Zealand both for immigrant mothers (0.013 per year, 95% CI: 0.012, 0.014), after adjusting for maternal age, and for mothers who lived their lives in New Zealand (0.008 per year, 95% CI: 0.06, 0.010). Immigrant mothers maintained their Pacific cultural orientation for, on average, 12 years before it began to linearly decrease with each year lived in New Zealand thereafter (-0.009 per year, 95% CI: -0.010, -0.008), after

  9. Cultural continuity, traditional Indigenous language, and diabetes in Alberta First Nations: a mixed methods study.

    Science.gov (United States)

    Oster, Richard T; Grier, Angela; Lightning, Rick; Mayan, Maria J; Toth, Ellen L

    2014-10-19

    We used an exploratory sequential mixed methods approach to study the association between cultural continuity, self-determination, and diabetes prevalence in First Nations in Alberta, Canada. We conducted a qualitative description where we interviewed 10 Cree and Blackfoot leaders (members of Chief and Council) from across the province to understand cultural continuity, self-determination, and their relationship to health and diabetes, in the Alberta First Nations context. Based on the qualitative findings, we then conducted a cross-sectional analysis using provincial administrative data and publically available data for 31 First Nations communities to quantitatively examine any relationship between cultural continuity and diabetes prevalence. Cultural continuity, or "being who we are", is foundational to health in successful First Nations. Self-determination, or "being a self-sufficient Nation", stems from cultural continuity and is seriously compromised in today's Alberta Cree and Blackfoot Nations. Unfortunately, First Nations are in a continuous struggle with government policy. The intergenerational effects of colonization continue to impact the culture, which undermines the sense of self-determination, and contributes to diabetes and ill health. Crude diabetes prevalence varied dramatically among First Nations with values as low as 1.2% and as high as 18.3%. Those First Nations that appeared to have more cultural continuity (measured by traditional Indigenous language knowledge) had significantly lower diabetes prevalence after adjustment for socio-economic factors (p =0.007). First Nations that have been better able to preserve their culture may be relatively protected from diabetes.

  10. Digital games for type 1 and type 2 diabetes: underpinning theory with three illustrative examples.

    Science.gov (United States)

    Kamel Boulos, Maged N; Gammon, Shauna; Dixon, Mavis C; MacRury, Sandra M; Fergusson, Michael J; Miranda Rodrigues, Francisco; Mourinho Baptista, Telmo; Yang, Stephen P

    2015-03-18

    Digital games are an important class of eHealth interventions in diabetes, made possible by the Internet and a good range of affordable mobile devices (eg, mobile phones and tablets) available to consumers these days. Gamifying disease management can help children, adolescents, and adults with diabetes to better cope with their lifelong condition. Gamification and social in-game components are used to motivate players/patients and positively change their behavior and lifestyle. In this paper, we start by presenting the main challenges facing people with diabetes-children/adolescents and adults-from a clinical perspective, followed by three short illustrative examples of mobile and desktop game apps and platforms designed by Ayogo Health, Inc. (Vancouver, BC, Canada) for type 1 diabetes (one example) and type 2 diabetes (two examples). The games target different age groups with different needs-children with type 1 diabetes versus adults with type 2 diabetes. The paper is not meant to be an exhaustive review of all digital game offerings available for people with type 1 and type 2 diabetes, but rather to serve as a taster of a few of the game genres on offer today for both types of diabetes, with a brief discussion of (1) some of the underpinning psychological mechanisms of gamified digital interventions and platforms as self-management adherence tools, and more, in diabetes, and (2) some of the hypothesized potential benefits that might be gained from their routine use by people with diabetes. More research evidence from full-scale evaluation studies is needed and expected in the near future that will quantify, qualify, and establish the evidence base concerning this gamification potential, such as what works in each age group/patient type, what does not, and under which settings and criteria.

  11. The IAEA '97 Pacific Ocean expedition

    International Nuclear Information System (INIS)

    Povinec, P.P.; Huynh-Ngoc, L.; Liong Wee Kwong, L.

    1999-01-01

    The International Atomic Energy Agency's Marine Environment Laboratory (IAEA-MEL) started in 1995 a five-year project 'Research on World-wide Marine Radioactivity', generously supported by the Government of Japan. In the framework of the project, IAEA-MEL conducted the 'IAEA '97 Pacific Ocean Expedition' to the NW Pacific Ocean from 21 October to 20 November, 1997. The objectives of the expedition were to provide new data on the current marine radioactivity in order to compare them with data sets obtained during national and international surveys at sites used for radioactive waste dumping or nuclear bomb testing in the NW Pacific Ocean and its marginal seas

  12. Pacific salmonines in the Great Lakes Basin

    Science.gov (United States)

    Claramunt, Randall M.; Madenjian, Charles P.; Clapp, David; Taylor, William W.; Lynch, Abigail J.; Léonard, Nancy J.

    2012-01-01

    Pacific salmon (genus Oncorhynchus) are a valuable resource, both within their native range in the North Pacific rim and in the Great Lakes basin. Understanding their value from a biological and economic perspective in the Great Lakes, however, requires an understanding of changes in the ecosystem and of management actions that have been taken to promote system stability, integrity, and sustainable fisheries. Pacific salmonine introductions to the Great Lakes are comprised mainly of Chinook salmon, coho salmon, and steelhead and have accounted for 421, 177, and 247 million fish, respectively, stocked during 1966-2007. Stocking of Pacific salmonines has been effective in substantially reducing exotic prey fish abundances in several of the Great Lakes (e.g., lakes Michigan, Huron, and Ontario). The goal of our evaluation was to highlight differences in management strategies and perspectives across the basin, and to evaluate policies for Pacific salmonine management in the Great Lakes. Currently, a potential conflict exists between Pacific salmonine management and native fish rehabilitation goals because of the desire to sustain recreational fisheries and to develop self-sustaining populations of stocked Pacific salmonines in the Great Lakes. We provide evidence that suggests Pacific salmonines have not only become naturalized to the food webs of the Great Lakes, but that their populations (specifically Chinook salmon) may be fluctuating in concert with specific prey (i.e., alewives) whose populations are changing relative to environmental conditions and ecosystem disturbances. Remaining questions, however, are whether or not “natural” fluctuations in predator and prey provide enough “stability” in the Great Lakes food webs, and even more importantly, would a choice by managers to attempt to reduce the severity of predator-prey oscillations be antagonistic to native fish restoration efforts. We argue that, on each of the Great Lakes, managers are pursuing

  13. Air-sea interaction in the tropical Pacific Ocean

    Science.gov (United States)

    Allison, L. J.; Steranka, J.; Holub, R. J.; Hansen, J.; Godshall, F. A.; Prabhakara, C.

    1972-01-01

    Charts of 3-month sea surface temperature (SST) anomalies in the eastern tropical Pacific Ocean were produced for the period 1949 to 1970. The anomalies along the United States and South American west coasts and in the eastern tropical Pacific appeared to be oscillating in phase during this period. Similarly, the satellite-derived cloudiness for each of four quadrants of the Pacific Ocean (130 deg E to 100 deg W, 30 deg N to 25 deg S) appeared to be oscillating in phase. In addition, a global tropical cloudiness oscillation from 30 deg N to 30 deg S was noted from 1965 to 1970, by using monthly satellite television nephanalyses. The SST anomalies were found to have a good degree of correlation both positive and negative with the following monthly geophysical parameters: (1) satellite-derived cloudiness, (2) strength of the North and South Pacific semipermanent anticyclones, (3) tropical Pacific island rainfall, and (4) Darwin surface pressure. Several strong direct local and crossequatorial relationships were noted. In particular, the high degree of correlation between the tropical island rainfall and the SST anomalies (r = +0.93) permitted the derivation of SST's for the tropical Pacific back to 1905. The close occurrence of cold tropical SST and North Pacific 700-mb positive height anomalies with central United States drought conditions was noted.

  14. 78 FR 26616 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-05-07

    ... Pacific Fishery Management Council's (Pacific Council) Groundfish Management Team (GMT) will hold a... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... number) and use the access code 802-457-985 when prompted. Council address: Pacific Fishery Management...

  15. 77 FR 74469 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-12-14

    ... Pacific Fishery Management Council's (Pacific Council) Groundfish Management Team (GMT) will hold a week... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National...) 634-2000. Council address: Pacific Fishery Management Council, 7700 NE Ambassador Place, Suite 101...

  16. Foot care education and self management behaviors in diverse veterans with diabetes

    Directory of Open Access Journals (Sweden)

    Jonathan M Olson

    2009-01-01

    Full Text Available Jonathan M Olson1, Molly T Hogan2, Leonard M Pogach3, Mangala Rajan3, Gregory J Raugi4, Gayle E Reiber51University of Washington School of Medicine, Seattle, WA, USA; 2Department of Internal Medicine, University of Washington School of Medicine, Seattle, WA, USA; 3Department of Veterans Affairs, New Jersey Healthcare System, Center for Healthcare Knowledge Management, East Orange, NJ, USA; 4Division of Dermatology, VA Puget Sound Healthcare System, Department of Veterans Affairs, Seattle, WA, USA; 5Research and Development, VA Puget Sound Healthcare System, Department of Veterans Affairs, Seattle, WA, USAAbstract: The objective of this study was to examine differences in self-reported diabetes foot care education, self management behaviors, and barriers to good foot care among veterans with diabetes by race and ethnicity. Data was collected using the Veterans Health Administration Footcare Survey, a validated tool that assessed demographic, general health, diabetes and foot self-care information, barriers to foot self-care, receipt of professional foot care, and satisfaction with current care. We mailed surveys to a random sample of patients with diabetes from eight VA medical centers. Study participants were 81% White; 13% African American; 4% Asian, and 2% American Indian and Pacific Islanders. The majority of respondents felt that they did not know enough about foot self-care. There were large gaps between self-reported knowledge and actual foot care practices, even among those who reported “knowing enough” on a given topic. There were significant differences in self-reported foot care behaviors and education by race and ethnicity. These findings document the need for culturally-specific self-management education to address unique cultural preferences and barriers to care.Keywords: diabetes mellitus, diabetic foot, patient self-management, ethnic groups, education

  17. Infant Mortality and Native Hawaiians/Pacific Islanders

    Science.gov (United States)

    ... Hawaiian/Other Pacific Islander > Infant Health & Mortality Infant Mortality and Native Hawaiians/Pacific Islanders While the overall ... data for this ethnic group is limited. Infant Mortality Rate Infant mortality rate per 1,000 live ...

  18. E-learning. Today and tomorrow

    International Nuclear Information System (INIS)

    Gelbke, Silvana

    2010-01-01

    Today, new technologies revolutionize the way of handling information, exchanging knowledge and learning. The definition of the term ''e-learning'' mostly comprehends teaching and learning using a range of electronic media (Internet, CD-ROMs). However, further differentiation is necessary to describe the entire spectrum of methods included in this term. These different approaches are reflected in their implementation by the companies presented. (orig.)

  19. Out of the Pacific and back again

    DEFF Research Database (Denmark)

    Foote, Andrew David; Morin, Phillip A.; Durban, John W.

    2011-01-01

    or have been consolidated upon secondary contact due to resource competition. The estimated timing of bidirectional migration between the North Pacific and North Atlantic coincided with the previous inter-glacial when the leakage of fauna from the Indo-Pacific into the Atlantic via the Agulhas current......Killer whales (Orcinus orca) are the most widely distributed marine mammals and have radiated to occupy a range of ecological niches. Disparate sympatric types are found in the North Atlantic, Antarctic and North Pacific oceans, however, little is known about the underlying mechanisms driving...... divergence. Previous phylogeographic analysis using complete mitogenomes yielded a bifurcating tree of clades corresponding to described ecotypes. However, there was low support at two nodes at which two Pacific and two Atlantic clades diverged. Here we apply further phylogenetic and coalescent analyses...

  20. Acculturation and its impact on the oral health status of Pacific children in New Zealand: findings from the Pacific Islands Families study.

    Science.gov (United States)

    Schluter, Philip J; Kanagaratnam, Sathananthan; Taylor, Steve; Tautolo, El-Shadan

    2017-06-01

    Immigration and acculturation are increasingly recognized as important explanatory factors for health disparities, although their impact on oral health is less well understood. This study investigates the relationship between Pacific children's cultural orientation and oral health, after adjusting for potentially moderating and confounding variables. The Pacific Islands Families (PIF) study follows a cohort of Pacific infants born in 2000. PIF study participants' data from their last dental examination were extracted from service records, and matched to the cohort. A bi-directional acculturation classification, derived from maternal reports, was related to children's oral health indices in crude and adjusted analyses. 1,376 children were eligible, of whom 922 (67.0 percent) had mothers born outside New Zealand. Matching was successful for 970 (70.5 percent) children, with mean age 12.2 years (range: 6.8, 15.4 years). Significant differences were found between acculturation groups for children's tooth brushing frequency and school dental service enrollments but these differences did not moderate relationships between acculturation and oral health status. Unmet treatment need was significantly different between acculturation groups, with children of mothers having higher Pacific orientation having worse unmet needs than those with lower Pacific orientation. No other significant differences were noted. Pacific children carry a disproportionate oral health burden, particularly amongst those with mothers more aligned to their Pacific culture. Strategies which enable Pacific people to re-shape their oral health understanding, together with reducing barriers to accessing dental health care, are needed to prevent a legacy of poor oral health in Pacific people within New Zealand. © 2017 American Association of Public Health Dentistry.

  1. AFSC/REFM: Pacific cod Localized Depletion Study

    Data.gov (United States)

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

  2. Preventive intervention in diabetes: a new model for continuing medical education.

    Science.gov (United States)

    Beaser, Richard S; Brown, Julie A

    2013-04-01

    Competence and skills in overcoming clinical inertia for diabetes treatment, and actually supporting and assisting the patient through adherence and compliance (as opposed to just reiterating what they "should" be doing and then assigning them the blame if they fail) is a key component to success in addressing diabetes, and to date it is a component that has received little formal attention. To improve and systematize diabetes care, it is critical to move beyond the "traditional" continuing medical education (CME) model of imparting knowledge as the entirety of the educational effort, and move toward a focus on Performance Improvement CME. This new approach does not just teach new information but also provides support for improvements where needed most within practice systems based on targeted data-based on self-assessments for the entire system of care. Joslin data conclude that this new approach will benefit support, clinical, and office teams as well as the specialist. In short, the Performance Improvement CME structure reflects the needed components of the successful practice today, particularly for chronic conditions such as diabetes, including the focus on interdisciplinary team care and on quality improvement, which is becoming more and more aligned with reimbursement schemes, public and private, in the U.S. Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  3. Forestry research in Asia and Pacific

    Science.gov (United States)

    Jim Chamberlain; Erin Moore

    1992-01-01

    Much research has been done in Asia and the Pacific that might help Pacific Island countries produce more biomass and better manage their natural resources. National forestry research institutes throughout the region have examined many important aspects of forestry. Not all research findings are directly transferable between countries, but research methods and results...

  4. Impacts of Pacific SSTs on California Winter Precipitation

    Science.gov (United States)

    Myoung, B.; Kafatos, M.

    2017-12-01

    Consecutive below-normal precipitation years and resulted multi-year droughts are critical issues as the recent 2012-2015 drought of California caused tremendous socio-economic damages. However, studies on the causes of the multi-year droughts lack. In this study, focusing on the three multi-year droughts (1999-2002, 2007-2009, and 2012-2015) in California during the last two decades, we investigated the atmospheric and oceanic characteristics of the three drought events for winter (December-February, DJF) in order to understand large-scale circulations that are responsible for initiation, maintenance, and termination of the droughts. It was found that abnormally developed upper-tropospheric ridges over the North Pacific are primarily responsible for precipitation deficits and then droughts. These ridges developed when negative sea surface temperature anomalies (SSTs) including La Niña events are pervasive in the tropical Pacific. After 3 or 4 years, the droughts ended under the opposite conditions; upper-tropospheric troughs in the North Pacific with El Niño events in the tropics. Results of Empirical Orthogonal Function (EOF) analysis for the 41-year (1974/75-2014/15) 500 hPa geopotential height in DJF revealed that, during the drought periods, the positive phases of the first and second EOF mode (EOF1+ and EOF2+, respectively) were active one by one, positioning upper-tropospheric ridges over the North Pacific. While EOF1+ is associated with cold tropical central Pacific and negative Pacific Decadal Oscillation (PDO), EOF2+ is associated with the tropical east-west SST dipole pattern (i.e., warm western tropical Pacific and cool eastern tropical Pacific near the southern Peru). Based on these results, we developed a regression model for winter precipitation. While dominant SST factors differ by decades, for the recent two decades (1994/1995-2014/2015), 56% variability of DJF precipitation is explained by the tropical east-west SST dipole pattern and PDO (NINO3

  5. Reduction in cardiovascular risk using a proactive multifactorial intervention is consistent among patients residing in Pacific Asian and non-Pacific Asian regions: a CRUCIAL trial subanalysis

    Directory of Open Access Journals (Sweden)

    Cho EJ

    2014-03-01

    Full Text Available Eun Joo Cho,1 Jae Hyung Kim,1 Santosh Sutradhar,2 Carla Yunis,2 Mogens Westergaard2On behalf of the CRUCIAL trial investigators1Department of Cardiology, St Paul's Hospital, The Catholic University of Korea, Seoul, Korea; 2Pfizer Inc., New York, NY, USABackground: Few trials have compared different approaches to cardiovascular disease prevention among Pacific Asian (PA populations. The Cluster Randomized Usual Care versus Caduet Investigation Assessing Long-term-risk (CRUCIAL trial demonstrated that a proactive multifactorial intervention (PMI approach (based on single-pill amlodipine/atorvastatin resulted in a greater reduction in calculated Framingham 10-year coronary heart disease (CHD risk compared with usual care (UC among hypertensive patients with additional risk factors. One-third of CRUCIAL patients resided in the PA region. The aim of this subanalysis was to compare two approaches to cardiovascular risk factor management (PMI versus UC among patients residing in PA and non-PA regions.Methods: This subanalysis of the CRUCIAL trial compared treatment-related changes in calculated CHD risk among patients residing in PA and non-PA regions. Sensitivity analyses were conducted among men and women and those with and without diabetes.Results: Overall, 448 patients (31.6% resided in the PA region and 969 patients (68.4% resided in non-PA regions. The PMI approach was more effective in reducing calculated CHD risk versus UC in both PA (−37.1% versus −3.5%; P<0.001 and non-PA regions (−31.1% versus −4.2%; P<0.001; region interaction P=0.131. PA patients had slightly greater reductions in total cholesterol compared with non-PA patients. PA patients without diabetes had slightly greater reductions in CHD risk compared with non-PA patients. Treatment effects were similar in men and women and those with diabetes.Conclusion: The PMI approach was more effective in reducing calculated Framingham 10-year CHD risk compared with UC among men and

  6. Asia-Pacific: A Selected Bibliography

    Science.gov (United States)

    2013-01-01

    Institute of Southeast Asian Studies, 2011. 540pp. (DS35.2 .M65 2011) Myers, Stephen C. Military Cooperation Frameworks: Effective Models to Address... Undesirable Multilateral Security Order?" Pacific Review 24, no. 2 (May 2011): 137-158. Taylor & Francis "The Quality of Democracy in Asia Pacific...2009): 205-219. Sage Turner, Mark, Sonam Chuki, and Jit Tshering. "Democratization by Decree: The Case of Bhutan." Democratization 18, no. 1 (February

  7. Increasing incidence of diabetes after gestational diabetes

    DEFF Research Database (Denmark)

    Lauenborg, Jeannet; Hansen, Torben; Jensen, Dorte Møller

    2004-01-01

    To study the incidence of diabetes among women with previous diet-treated gestational diabetes mellitus (GDM) in the light of the general increasing incidence of overweight and diabetes and to identify risk factors for the development of diabetes.......To study the incidence of diabetes among women with previous diet-treated gestational diabetes mellitus (GDM) in the light of the general increasing incidence of overweight and diabetes and to identify risk factors for the development of diabetes....

  8. 76 FR 54217 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-08-31

    ... Pacific Fishery Management Council (Pacific Council) will convene a meeting of the Stock Assessment Review... 2011 stock assessment for Pacific sardine, which will be used to develop management measures for the... 305(c) of the Magnuson-Stevens Fishery Conservation and Management Act, provided the public has been...

  9. Pacific ethnic groups and frequent hospital presentation: A fair target?

    Science.gov (United States)

    Irvine, Zoe

    2016-06-01

    In New Zealand, Pacific health figures are traditionally presented for all Pacific ethnic groups combined. Use of EDs and urgent care clinics is high compared with Maori and non-Maori, non-Pacific (nMnP) use. By controlling for proximity to the hospital and socioeconomic status, we demonstrate greater variation between Pacific ethnic groups than between Pacific and nMnP, or between Maori and nMnP groups. We discuss the significance of subpopulation variation in use of urgent care services. © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  10. Anthropogenic CO2 distribution in the North Pacific ocean

    Energy Technology Data Exchange (ETDEWEB)

    Chen, C [National Sun Yat-Sen University, Kaohsiung (Taiwan, Province of China)

    1993-06-01

    This paper discusses the penetration depth of anthropogenic CO2 in the North Pacific Ocean based on carbonate data in the literature. The carbonate data in the literature were used to supplement the tracer data showing oceanic mixing features for waters formed in the last 140 years. The deepest penetration over 2,000m was found in the northwest North Pacific. On the other hand, the shallowest penetration to less than 400m was found in the eastern equatorial Pacific. Consequently, it was suggested that penetration depth of anthropogenic CO2 has been controlled by such factors as deep water formation in the Northwest Pacific, upwelling in the equatorial Pacific, and vertical mixing in the western boundary areas. It was revealed that these results are in harmony well with results implied from tritium, C-14, and freons distributions. The total inventory of excess carbon in the North Pacific was 14.7[plus minus]4[times]10[sup 15]g around 1980. 48 refs., 10 figs.

  11. CCSM3 simulation of pacific multi-decadal climate variability: the role of subpolar North Pacific Ocean

    International Nuclear Information System (INIS)

    Zhong, Y; Liu, Z

    2008-01-01

    Previous analyses of the CCSM3 standard integration have revealed pronounced multidecadal variability in the Pacific climate system. The purpose of the present work is to investigate the physical mechanism underlying the Pacific multidecadal variability (PMV) using specifically designed sensitivity experiments. A novel mechanism is advanced, characterized by a crucial role of the subpolar North Pacific Ocean. The multidecadal signal in ocean temperature and salinity fields is found to originate from the subsurface of the subpolar North Pacific, as result of the wave adjustment to the preceding basin-scale wind curl forcing. The multidecadal signal then ascends to the surface and is amplified through local temperature/salinity convective feedback. Along the southward Oyashio current, the anomaly travels to the Kuroshio Extension (KOE) region and is further intensified through a similar convective feedback in addition to the wind-evaporation-sea surface temperature feedback. The temperature anomaly in the KOE is able to feed back to the large-scale atmospheric circulation, inducing wind curl anomaly over the subpolar region, which in turn generates anomalous oceanic circulation and causes temperature/salinty variability in the subpolar subsurface. Thereby, a closed loop of PMV is established, in the form of a subpolar delayed oscillator

  12. Digital Games for Type 1 and Type 2 Diabetes: Underpinning Theory With Three Illustrative Examples

    Science.gov (United States)

    Gammon, Shauna; Dixon, Mavis C; MacRury, Sandra M; Fergusson, Michael J; Miranda Rodrigues, Francisco; Mourinho Baptista, Telmo; Yang, Stephen P

    2015-01-01

    Digital games are an important class of eHealth interventions in diabetes, made possible by the Internet and a good range of affordable mobile devices (eg, mobile phones and tablets) available to consumers these days. Gamifying disease management can help children, adolescents, and adults with diabetes to better cope with their lifelong condition. Gamification and social in-game components are used to motivate players/patients and positively change their behavior and lifestyle. In this paper, we start by presenting the main challenges facing people with diabetes—children/adolescents and adults—from a clinical perspective, followed by three short illustrative examples of mobile and desktop game apps and platforms designed by Ayogo Health, Inc. (Vancouver, BC, Canada) for type 1 diabetes (one example) and type 2 diabetes (two examples). The games target different age groups with different needs—children with type 1 diabetes versus adults with type 2 diabetes. The paper is not meant to be an exhaustive review of all digital game offerings available for people with type 1 and type 2 diabetes, but rather to serve as a taster of a few of the game genres on offer today for both types of diabetes, with a brief discussion of (1) some of the underpinning psychological mechanisms of gamified digital interventions and platforms as self-management adherence tools, and more, in diabetes, and (2) some of the hypothesized potential benefits that might be gained from their routine use by people with diabetes. More research evidence from full-scale evaluation studies is needed and expected in the near future that will quantify, qualify, and establish the evidence base concerning this gamification potential, such as what works in each age group/patient type, what does not, and under which settings and criteria. PMID:25791276

  13. Prevention of Malnutrition in Children, Slimming Yesterday, Obesity Today

    Directory of Open Access Journals (Sweden)

    S Sharafi

    2014-04-01

    Full Text Available Introduction: The future of any nation depends on how its children's care, According to their likely future health needs of the adult population model for healthy living and wealth has increased. One of the most pressing health diet. This study is done to aimed investigate the factors influencing malnutrition in children in the past for weight loss and weight gain can be seen today.   Methods and Methods: Related articles referring to achieve in the field of databases to Google scholar, Pub Med, proquest, SID, Magiran, Springer Link,… and studies until 2013 with the key words malnutrition, child, obesity and examine their English.   Results: In the past, malnutrition was associated with weight loss, but for now he has to weight gain and obesity. Childhood obesity is emerging as a phenomenon caused health problems in childhood and adolescence, including hyperlipidemia, obstructive sleep apnea, early puberty, diabetes, hypertension and cardiovascular. In addition to the health problems of obese children will benefit from the social and psychological problems such as anxiety, fewer friends, loss of confidence, lower education, and fewer chances for marriage.... Overweight in children can be caused by poor eating habits and low activity, which is affected by the parents and the family environment.   Conclusions: Since the patterns learned in childhood affect all life on lifestyle, understand the causes of obesity and to eliminate or reduce them and reinforce the correct patterns of feeding Through education and the incidence is somewhat reduced, especially for parents to deal with this phenomenon.   Keywords: Child,Malnutrition, Obesity    

  14. CRED Simrad em300 multibeam backscatter data of Howland Island, Pacific Remote Island Areas, Central Pacific in GeoTIFF format

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Multibeam backscatter imagery extracted from gridded bathymetry of the shelf and slope environments of Howland Atoll, Pacific Island Areas, Central Pacific. These...

  15. CRED Simrad em300 multibeam backscatter data of Johnston Atoll, Pacific Remote Island Areas, Central Pacific in GeoTIFF format

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Multibeam backscatter imagery extracted from gridded bathymetry of the shelf and slope environments of Johnston Island, Pacific Island Areas, Central Pacific. These...

  16. An aftereffect of global warming on tropical Pacific decadal variability

    Science.gov (United States)

    Zheng, Jian; Liu, Qinyu; Wang, Chuanyang

    2018-03-01

    Studies have shown that global warming over the past six decades can weaken the tropical Pacific Walker circulation and maintain the positive phase of the Interdecadal Pacific Oscillation (IPO). Based on observations and model simulations, another aftereffect of global warming on IPO is found. After removing linear trends (global warming signals) from observations, however, the tropical Pacific climate still exhibited some obvious differences between two IPO negative phases. The boreal winter (DJF) equatorial central-eastern Pacific sea surface temperature (SST) was colder during the 1999-2014 period (P2) than that during 1961-1976 (P1). This difference may have been a result of global warming nonlinear modulation of precipitation; i.e., in the climatological rainy region, the core area of the tropical Indo-western Pacific warm pool receives more precipitation through the "wet-get-wetter" mechanism. Positive precipitation anomalies in the warm pool during P2 are much stronger than those during P1, even after subtracting the linear trend. Corresponding to the differences of precipitation, the Pacific Walker circulation is stronger in P2 than in P1. Consequent easterly winds over the equatorial Pacific led to a colder equatorial eastern-central Pacific during P2. Therefore, tropical Pacific climate differences between the two negative IPO phases are aftereffects of global warming. These aftereffects are supported by the results of coupled climate model experiments, with and without global warming.

  17. 2016 Writing Contest Undergraduate Winner: The Relationship Between Medication Adherence and Total Healthcare Expenditures by Race/Ethnicity in Patients with Diabetes in Hawai'i.

    Science.gov (United States)

    Sutton, Cori X; Carpenter, Dee-Ann; Sumida, Wesley; Taira, Deborah

    2017-07-01

    Diabetes is a costly, chronic disease that is becoming increasingly prevalent worldwide. Studies show that Native Hawaiians suffer from higher rates of diabetes and lower rates of medication adherence compared to Caucasians and Japanese. This study compared total annual healthcare expenditures of patients with diabetes in Hawai'i by race and ethnicity and determined whether any existing differences persisted after controlling for medication adherence and demographic factors. The study population consisted of 30,445 individuals, using administrative claims data from a large health plan in Hawai'i. Filipinos, Native Hawaiians, and Other Pacific Islanders had significantly lower medication adherence rates compared to other groups. These ethnic groups also had the lowest median healthcare costs. In contrast, Caucasians had one of the highest medication adherence rates coupled with the highest median annual healthcare expenditures at $5,132. Generalized linear regression models showed that after controlling for demographic factors and medication adherence, Japanese (RR=0.86, 95%CI [0.78, 0.94]), Chinese (RR=0.83, 95%CI [0.73, 0.95]), Filipinos (RR=0.74, 95%CI [0.67, 0.82]), and Native Hawaiians (RR=0.74, 95%CI [0.67, 0.82]) had significantly lower total healthcare costs compared to Caucasians. Costs for Other Pacific Islanders were not significantly different from those of Caucasians. This study provides evidence that total health-related cost is associated with a multitude of factors that further research may reveal.

  18. Global Warming Attenuates the Tropical Atlantic-Pacific Teleconnection

    Science.gov (United States)

    Jia, Fan; Wu, Lixin; Gan, Bolan; Cai, Wenju

    2016-01-01

    Changes in global sea surface temperature (SST) since the end of last century display a pattern of widespread warming intercepted by cooling in the eastern equatorial Pacific and western coasts of the American continent. Studies have suggested that the cooling in the eastern equatorial Pacific may be partly induced by warming in the North Atlantic. However, it remains unknown how stable this inter-tropical teleconnection will be under global warming. Here we show that the inter-tropical teleconnection from the tropical Atlantic to Pacific weakens substantially as the CO2 concentration increases. This reduced impact is related to the El Niño-like warming of the tropical Pacific mean state, which leads to limited seasonal migration of the Pacific inter-tropical convergence zone (ITCZ) and weakened ocean heat transport. A fast decay of the tropical Atlantic SST anomalies in a warmer climate also contributes to the weakened teleconnection. Our study suggests that as greenhouse warming continues, the trend in the tropical Pacific as well as the development of ENSO will be less frequently interrupted by the Atlantic because of this attenuation. The weakened teleconnection is also supported by CMIP5 models, although only a few of these models can capture this inter-tropical teleconnection. PMID:26838053

  19. Global Warming Attenuates the Tropical Atlantic-Pacific Teleconnection.

    Science.gov (United States)

    Jia, Fan; Wu, Lixin; Gan, Bolan; Cai, Wenju

    2016-02-03

    Changes in global sea surface temperature (SST) since the end of last century display a pattern of widespread warming intercepted by cooling in the eastern equatorial Pacific and western coasts of the American continent. Studies have suggested that the cooling in the eastern equatorial Pacific may be partly induced by warming in the North Atlantic. However, it remains unknown how stable this inter-tropical teleconnection will be under global warming. Here we show that the inter-tropical teleconnection from the tropical Atlantic to Pacific weakens substantially as the CO2 concentration increases. This reduced impact is related to the El Niño-like warming of the tropical Pacific mean state, which leads to limited seasonal migration of the Pacific inter-tropical convergence zone (ITCZ) and weakened ocean heat transport. A fast decay of the tropical Atlantic SST anomalies in a warmer climate also contributes to the weakened teleconnection. Our study suggests that as greenhouse warming continues, the trend in the tropical Pacific as well as the development of ENSO will be less frequently interrupted by the Atlantic because of this attenuation. The weakened teleconnection is also supported by CMIP5 models, although only a few of these models can capture this inter-tropical teleconnection.

  20. Mechanical vapor compression refrigeration for low temperature industrial applications today

    International Nuclear Information System (INIS)

    Ferguson, J.E.

    1987-01-01

    If the super conductor industry settles out at a temperature of -100 0 F or above, mechanical refrigeration will be vying for the cooling business. Today there very definitely is a break point in the application of equipment at approximately -120 0 F or 189 0 K. Other technologies are generally utilized below this level. However, with market potential comes invention and breakthroughs in refrigeration can also occur. Today standard refrigeration systems are cost effective, reliable and produced in the millions for high temperature applications of +10 0 F to +40 0 F evaporator temperature. Lower temperatures require additional hardware, consume additional power and are produced today in limited quantities for special applications

  1. The Pacific RANET Project

    Science.gov (United States)

    Postawko, S.; Ah Poe, A.; Morrissey, M.

    2004-12-01

    There are few places in the world more vulnerable to the effects of climate variability and change than the island nations of the tropical Pacific Ocean. The region also faces great challenges in communicating the issues related to climate to the general population. Lack of communications infrastructure, multiple languages, and knowledgeable personnel to deliver information, are all challenges for these countries. However, a recently developed international consortium is taking the first steps to addressing these challenges. The RANET (RAdio and interNET communications) project was originally developed for the countries of Africa, with initial funding from NOAA, to make weather, climate, and other environmental information more accessible to remote and resource-poor communities. The program is now expanding into Asia and the Pacific. RANET works to build telecommunication bridges between scientific-based products and remote communities that could benefit from such information.?The RANET project in the Pacific is a consortium of partners from the Pacific Island nations, the U.S., New Zealand, Australia, and others. Coordination of the project is loosely overseen by a Steering Committee, made up of representatives from the various interested partners. For regions where the appropriate technology exists (which includes the capital cities of nearly all of the island states of the Pacific), information is downloaded via a digital satellite receiver. This can then be broadcast within a country by many means, including Community FM Radio stations. The information distributed includes technical information needed by meteorological and related services to improve their own products and services, as well as a second level of information designed to serve communities, including weather forecasts, bulletins, warnings, etc. The primary challenge at this time is developing content that is both relevant and understandable to these remote communities. While some information will

  2. Evidence that dirty electricity is causing the worldwide epidemics of obesity and diabetes.

    Science.gov (United States)

    Milham, Samuel

    2014-01-01

    The epidemics of obesity and diabetes most apparent in recent years had their origins with Thomas Edison's development of distributed electricity in New York City in 1882. His original direct current (DC) generators suffered serious commutator brush arcing which is a major source of high-frequency voltage transients (dirty electricity). From the onset of the electrical grid, electrified populations have been exposed to dirty electricity. Diesel generator sets are a major source of dirty electricity today and are used almost universally to electrify small islands and places unreachable by the conventional electric grid. This accounts for the fact that diabetes prevalence, fasting plasma glucose and obesity are highest on small islands and other places electrified by generator sets and lowest in places with low levels of electrification like sub-Saharan Africa and east and Southeast Asia.

  3. Extending the reach of health care for obesity and diabetes using virtual worlds.

    Science.gov (United States)

    Morie, Jacquelyn Ford; Chance, Eric

    2011-03-01

    Today's epidemic of obesity and diabetes poses challenges to health care similar to those facing soldiers who return with postdeployment mental health issues. These include geographic barriers, social stigma, and the need for behavioral change. Researchers at University of Southern California's Institute for Creative Technologies are adapting their extensive experience in technological solutions for training to techniques that can aid veterans in need. These techniques show promise for concerns in the growing crisis of "diabesity." Virtual reality (VR) has already demonstrated itself as an impactful treatment method for several behavioral and mental health domains. Virtual worlds, the successor technology of original VR, inherited many of its predecessor's strengths but also presents the new affordances of accessibility, social connectivity, and avatar usage, which pave the way toward future treatment options on a broader scale. © 2011 Diabetes Technology Society.

  4. Monogenic Forms of Diabetes: Neonatal Diabetes Mellitus and Maturity-Onset Diabetes of the Young

    Science.gov (United States)

    ... After Your Baby is Born Monogenic Diabetes Monogenic Diabetes (Neonatal Diabetes Mellitus & MODY) The most common forms of diabetes, ... from each parent. What are monogenic forms of diabetes? Some rare forms of diabetes result from mutations ...

  5. The South Pacific Forestry Development Programme

    Science.gov (United States)

    Tang Hon Tat

    1992-01-01

    Only a few countries in the South Pacific are large enough for industrial forestry to be a key component of the national economy, but forests provide benefits to many people. The United Nations FA0 South Pacific Forestry Development Programme was established in April 1988, at Port Vila, Vanuatu, with a $385,000 budget, and 14 nations participating. The Programme's...

  6. The US Pivot Towards Asia-Pacific

    DEFF Research Database (Denmark)

    Ulrich, Philip Christian

    An analysis of the US new Asia-Pacific strategy. The brief seeks to set the new strategy in the context of American foreign policy since the end of the Cold War.......An analysis of the US new Asia-Pacific strategy. The brief seeks to set the new strategy in the context of American foreign policy since the end of the Cold War....

  7. Wood biomass gasification in the world today

    International Nuclear Information System (INIS)

    Nikolikj, Ognjen; Perishikj, Radovan; Mikulikj, Jurica

    1999-01-01

    Today gasification technology of different kinds represents a more and more interesting option of the production of energy forms. The article describes a biomass gasification plant (waste wood) Sydkraft, Vernamo from Sweden. (Author)

  8. Reducing Maori and Pacific Inequalities

    OpenAIRE

    The Treasury

    2001-01-01

    Over the last fifty years the Maori and non-Maori populations have slowly and unevenly become more similar on a range of key demographic, social and economic outcomes. This has principally been driven by increased geographic and social proximity between the two groups. There is evidence that similar processes may be operating for migrant peoples from the Pacific. Many Maori and Pacific people do better than the population median. Conversely, on most outcomes, a much greater number of people o...

  9. Lagrangian mixed layer modeling of the western equatorial Pacific

    Science.gov (United States)

    Shinoda, Toshiaki; Lukas, Roger

    1995-01-01

    Processes that control the upper ocean thermohaline structure in the western equatorial Pacific are examined using a Lagrangian mixed layer model. The one-dimensional bulk mixed layer model of Garwood (1977) is integrated along the trajectories derived from a nonlinear 1 1/2 layer reduced gravity model forced with actual wind fields. The Global Precipitation Climatology Project (GPCP) data are used to estimate surface freshwater fluxes for the mixed layer model. The wind stress data which forced the 1 1/2 layer model are used for the mixed layer model. The model was run for the period 1987-1988. This simple model is able to simulate the isothermal layer below the mixed layer in the western Pacific warm pool and its variation. The subduction mechanism hypothesized by Lukas and Lindstrom (1991) is evident in the model results. During periods of strong South Equatorial Current, the warm and salty mixed layer waters in the central Pacific are subducted below the fresh shallow mixed layer in the western Pacific. However, this subduction mechanism is not evident when upwelling Rossby waves reach the western equatorial Pacific or when a prominent deepening of the mixed layer occurs in the western equatorial Pacific or when a prominent deepening of the mixed layer occurs in the western equatorial Pacific due to episodes of strong wind and light precipitation associated with the El Nino-Southern Oscillation. Comparison of the results between the Lagrangian mixed layer model and a locally forced Eulerian mixed layer model indicated that horizontal advection of salty waters from the central Pacific strongly affects the upper ocean salinity variation in the western Pacific, and that this advection is necessary to maintain the upper ocean thermohaline structure in this region.

  10. Local Government in the South Pacific Islands

    Directory of Open Access Journals (Sweden)

    Graham Hassall

    2008-04-01

    Full Text Available In this paper we seek to answer some basic questions about the condition of local government in the Pacific. Firstly, we examine what is meant by ‘local government’ in the various islands and for that matter how Pacific Island states have perceived and accepted local government institutions in practice; second, we ask basic questions about existing legal and constitutional recognition and powers; and third, we provide initial findings on current per capita expenditure and local government financial viability in a number of Pacific cities and towns. We also make some observations on current moves towards local government reform.

  11. Undiagnosed Diabetes and Pre-Diabetes in Health Disparities.

    Directory of Open Access Journals (Sweden)

    Susan P Fisher-Hoch

    Full Text Available Globally half of all diabetes mellitus is undiagnosed. We sought to determine the extent and characteristics of undiagnosed type 2 diabetes mellitus and pre-diabetes in Mexican Americans residing in the United States. This disadvantaged population with 50% lifetime risk of diabetes is a microcosm of the current pandemic. We accessed baseline data between 2004 and 2014 from 2,838 adults recruited to our Cameron County Hispanic Cohort (CCHC; a two-stage randomly selected 'Framingham-like' cohort of Mexican Americans on the US Mexico border with severe health disparities. We examined prevalence, risk factors and metabolic health in diagnosed and undiagnosed diabetes and pre-diabetes. Two thirds of this Mexican American population has diabetes or pre-diabetes. Diabetes prevalence was 28.0%, nearly half undiagnosed, and pre-diabetes 31.6%. Mean BMI among those with diabetes was 33.5 kg/m2 compared with 29.0 kg/m2 for those without diabetes. Significant risk factors were low income and educational levels. Most with diabetes had increased waist/hip ratio. Lack of insurance and access to health services played a decisive role in failure to have diabetes diagnosed. Participants with undiagnosed diabetes and pre-diabetes had similar measures of poor metabolic health similar but generally not as severe as those with diagnosed diabetes. More than 50% of a minority Mexican American population in South Texas has diabetes or pre-diabetes and is metabolically unhealthy. Only a third of diabetes cases were diagnosed. Sustained efforts are imperative to identify, diagnose and treat individuals in underserved communities.

  12. Patterns of change in climate and Pacific salmon production

    Science.gov (United States)

    Nathan J. Mantua

    2009-01-01

    For much of the 20th century a clear north-south inverse production pattern for Pacific salmon had a time dynamic that closely followed that of the Pacific Decadal Oscillation (PDO), which is the dominant pattern of North Pacific sea surface temperature variability. Total Alaska salmon production was high during warm regimes of the PDO, and total Alaska salmon...

  13. Olfactory sensitivity of Pacific Lampreys to lamprey bile acids

    Science.gov (United States)

    Robinson, T. Craig; Sorensen, Peter W.; Bayer, Jennifer M.; Seelye, James G.

    2009-01-01

    Pacific lampreys Lampetra tridentata are in decline throughout much of their historical range in the Columbia River basin. In support of restoration efforts, we tested whether larval and adult lamprey bile acids serve as migratory and spawning pheromones in adult Pacific lampreys, as they do in sea lampreys Petromyzon marinus. The olfactory sensitivity of adult Pacific lampreys to lamprey bile acids was measured by electro-olfactogram recording from the time of their capture in the spring until their spawning in June of the following year. As controls, we tested L-arginine and a non-lamprey bile acid, taurolithocholic acid 3-sulfate (TLS). Migrating adult Pacific lampreys were highly sensitive to petromyzonol sulfate (a component of the sea lamprey migratory pheromone) and 3-keto petromyzonol sulfate (a component of the sea lamprey sex pheromone) when first captured. This sensitivity persisted throughout their long migratory and overwinter holding period before declining to nearly unmeasurable levels by the time of spawning. The absolute magnitudes of adult Pacific lamprey responses to lamprey bile acids were smaller than those of the sea lamprey, and unlike the sea lamprey, the Pacific lamprey did not appear to detect TLS. No sexual dimorphism was noted in olfactory sensitivity. Thus, Pacific lampreys are broadly similar to sea lampreys in showing sensitivity to the major lamprey bile acids but apparently differ in having a longer period of sensitivity to those acids. The potential utility of bile acid-like pheromones in the restoration of Pacific lampreys warrants their further investigation in this species.

  14. Adherence to a Vegetarian Diet and Diabetes Risk: A Systematic Review and Meta-Analysis of Observational Studies

    Directory of Open Access Journals (Sweden)

    Yujin Lee

    2017-06-01

    Full Text Available We quantitatively assessed the association between a vegetarian diet and diabetes risk using pooled estimates from observational studies. Electronic database searches for articles published from January 1980 to May 2016 were independently performed by two investigators, and 13 articles (14 studies were identified. The pooled odds ratio (OR for diabetes in vegetarians vs. non-vegetarians was 0.726 (95% confidence interval (CI: 0.608, 0.867. In the subgroup analyses, this inverse association was stronger for the studies conducted in the Western Pacific region (OR 0.514, 95% CI: 0.304, 0.871 and Europe/North America (OR 0.756, 95% CI: 0.589, 0.971 than studies conducted in Southeast Asia (OR 0.888, 95% CI: 0.718, 1.099. No study had a substantial effect on the pooled effect size in the influence analysis, and the Egger’s (p = 0.465 and Begg’s tests (p = 0.584 revealed no publication bias. This meta-analysis indicates that a vegetarian diet is inversely associated with diabetes risk. Our results support the need for further investigations into the effects of the motivations for vegetarianism, the duration of the adherence to a vegetarian diet, and type of vegetarian on diabetes risk.

  15. Adherence to a Vegetarian Diet and Diabetes Risk: A Systematic Review and Meta-Analysis of Observational Studies

    Science.gov (United States)

    Lee, Yujin; Park, Kyong

    2017-01-01

    We quantitatively assessed the association between a vegetarian diet and diabetes risk using pooled estimates from observational studies. Electronic database searches for articles published from January 1980 to May 2016 were independently performed by two investigators, and 13 articles (14 studies) were identified. The pooled odds ratio (OR) for diabetes in vegetarians vs. non-vegetarians was 0.726 (95% confidence interval (CI): 0.608, 0.867). In the subgroup analyses, this inverse association was stronger for the studies conducted in the Western Pacific region (OR 0.514, 95% CI: 0.304, 0.871) and Europe/North America (OR 0.756, 95% CI: 0.589, 0.971) than studies conducted in Southeast Asia (OR 0.888, 95% CI: 0.718, 1.099). No study had a substantial effect on the pooled effect size in the influence analysis, and the Egger’s (p = 0.465) and Begg’s tests (p = 0.584) revealed no publication bias. This meta-analysis indicates that a vegetarian diet is inversely associated with diabetes risk. Our results support the need for further investigations into the effects of the motivations for vegetarianism, the duration of the adherence to a vegetarian diet, and type of vegetarian on diabetes risk. PMID:28613258

  16. Today's markets for superconductivity

    International Nuclear Information System (INIS)

    Anon.

    1988-01-01

    The worldwide market for superconductive products may exceed $1 billion in 1987. These products are expanding the frontiers of science, revolutionizing the art of medical diagnosis, and developing the energy technology of the future. In general, today's customers for superconductive equipment want the highest possible performance, almost regardless of cost. The products operate within a few degrees of absolute zero, and virtually all are fabricated from niobium or niobium alloys-so far the high-temperature superconductors discovered in 1986 and 1987 have had no impact on these markets. The industry shows potential and profound societal impact, even without the new materials

  17. Identity and Diversity in Today's World

    Science.gov (United States)

    Gee, James Paul

    2017-01-01

    This paper develops a thesis about identity and diversity. I first look at activity-based identities, identities like being a gardener, birder, citizen scientist or fan-fiction writer. These are freely chosen identities and they are proliferating at a great rate today thanks to participatory culture, the Maker Movement and digital and social…

  18. We, John Dewey's Audience of Today

    Science.gov (United States)

    da Cunha, Marcus Vinicius

    2016-01-01

    This article suggests that John Dewey's "Democracy and Education" does not describe education in an existing society, but it conveys a utopia, in the sense coined by Mannheim: utopian thought aims at instigating actions towards the transformation of reality, intending to attain a better world in the future. Today's readers of Dewey (his…

  19. Primary School Leadership Today and Tomorrow

    Science.gov (United States)

    Southworth, Geoff

    2008-01-01

    The article provides a retrospective and prospective view of primary school leadership. It begins with an analytic description of primary school leadership in the recent past. The second part looks at school leadership today, identifies contemporary issues and examines role continuities and changes. The third part looks at what the future might…

  20. 76 FR 58472 - North Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-09-21

    ... North Pacific Fishery Management Council's (Council) Pacific Northwest Crab Industry Advisory Committee. SUMMARY: The Pacific Northwest Crab Industry Advisory Committee will meet October 13, 2011 at the Leif...: (907) 271-2809. SUPPLEMENTARY INFORMATION: Agenda--Alaska Department of Fish & Game/ NMFS scientists...

  1. Obesity emergence in the Pacific islands: why understanding colonial history and social change is important.

    Science.gov (United States)

    McLennan, Amy K; Ulijaszek, Stanley J

    2015-06-01

    Between 1980 and 2008, two Pacific island nations - Nauru and the Cook Islands - experienced the fastest rates of increasing BMI in the world. Rates were over four times higher than the mean global BMI increase. The aim of the present paper is to examine why these populations have been so prone to obesity increases in recent times. Three explanatory frames that apply to both countries are presented: (i) geographic isolation and genetic predisposition; (ii) small population and low food production capacity; and (iii) social change under colonial influence. These are compared with social changes documented by anthropologists during the colonial and post-colonial periods. Nauru and the Cook Islands. While islands are isolated, islanders are interconnected. Similarly, islands are small, but land use is socially determined. While obesity affects individuals, islanders are interdependent. New social values, which were rapidly propagated through institutions such as the colonial system of education and the cash economy, are today reflected in all aspects of islander life, including diet. Such historical social changes may predispose societies to obesity. Colonial processes may have put in place the conditions for subsequent rapidly escalating obesity. Of the three frameworks discussed, social change under colonial influence is not immutable to further change in the future and could take place rapidly. In theorising obesity emergence in the Pacific islands, there is a need to incorporate the idea of obesity being a product of interdependence and interconnectedness, rather than independence and individual choice.

  2. The evolving DOT enterprise : today toward tomorrow.

    Science.gov (United States)

    2013-04-01

    Departments of transportation (DOTs) today are being shaped by a wide range of : factors some of which are directly managed and controlled within the transportation : industry while others are external factors shaping the demand for transportatio...

  3. Non-fatal injuries among Pacific infants in Auckland: data from the Pacific Islands families first two years of life study.

    Science.gov (United States)

    Schluter, Philip J; Paterson, Janis; Percival, Teuila

    2006-03-01

    Child injury is the leading cause of mortality and morbidity in developed countries. While Pacific infant death rates are relatively high in New Zealand, little is known about non-fatal injury rates. We seek to describe maternally reported injury in Pacific infants aged between 0-24 months. A cohort of Pacific infants born during 2000 in Auckland, New Zealand, was followed. Maternal home interviews were conducted at 6 weeks, 12 months and 24 months postpartum and injury events were recalled. Marginal models using generalized estimating equations (GEEs) were used to analysis the longitudinal data. The inception cohort included 1398 infants at 6 weeks, 1241 infants at 12 months and 1161 infants at 24 months. The age-specific injury incidence per 1000 person-years exposure was estimated at 48 (95% CI: 23, 88) injuries for infants aged 0-6 weeks, 106 (95% CI: 88, 127) injuries for infants aged 7 weeks-12 months and 174 (95% CI: 151, 199) injuries for infants aged 13-24 months. In the multivariable GEE model, older infants (P culturally appropriate prevention strategies for all Pacific families with young children is required to reduce injury rates for Pacific infants in New Zealand.

  4. Asia Pacific Consensus Statements on Crohn's disease. Part 1: Definition, diagnosis, and epidemiology: (Asia Pacific Crohn's Disease Consensus--Part 1).

    Science.gov (United States)

    Ooi, Choon Jin; Makharia, Govind K; Hilmi, Ida; Gibson, Peter R; Fock, Kwong Ming; Ahuja, Vineet; Ling, Khoon Lin; Lim, Wee Chian; Thia, Kelvin T; Wei, Shu-chen; Leung, Wai Keung; Koh, Poh Koon; Gearry, Richard B; Goh, Khean Lee; Ouyang, Qin; Sollano, Jose; Manatsathit, Sathaporn; de Silva, H Janaka; Rerknimitr, Rungsun; Pisespongsa, Pises; Abu Hassan, Muhamad Radzi; Sung, Joseph; Hibi, Toshifumi; Boey, Christopher C M; Moran, Neil; Leong, Rupert W L

    2016-01-01

    Inflammatory bowel disease (IBD) was previously thought to be rare in Asia, but emerging data indicate rising incidence and prevalence of IBD in the region. The Asia Pacific Working Group on Inflammatory Bowel Disease was established in Cebu, Philippines, at the Asia Pacific Digestive Week conference in 2006 under the auspices of the Asian Pacific Association of Gastroenterology with the goal of developing best management practices, coordinating research, and raising awareness of IBD in the region. The consensus group previously published recommendations for the diagnosis and management of ulcerative colitis with specific relevance to the Asia-Pacific region. The present consensus statements were developed following a similar process to address the epidemiology, diagnosis, and management of Crohn's disease. The goals of these statements are to pool the pertinent literature specifically highlighting relevant data and conditions in the Asia-Pacific region relating to the economy, health systems, background infectious diseases, differential diagnoses, and treatment availability. It does not intend to be all comprehensive and future revisions are likely to be required in this ever-changing field. © 2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.

  5. Prevalence and trends of metabolic syndrome among adults in the asia-pacific region: a systematic review

    Directory of Open Access Journals (Sweden)

    P. Ranasinghe

    2017-01-01

    Full Text Available Abstract Background The Asia-Pacific region is home to nearly half of the world’s population. The region has seen a recent rapid increase in the prevalence of obesity, type-2 diabetes and cardiovascular disease. The present systematic review summarizes the recent prevalence and trends of Metabolic Syndrome (MetS among adults in countries of the Asia-Pacific Region. Methods Data on MetS in Asia-Pacific countries were obtained using a stepwise process by searching the online Medline database using MeSH terms ‘Metabolic Syndrome X’ and ‘Epidemiology/EP’. For the purpose of describing prevalence data for the individual countries, studies that were most recent, nationally representative or with the largest sample size were included. When evaluating secular trends in prevalence in a country we only considered studies that evaluated the temporal change in prevalence between similar populations, prospective studies based on the same population or National surveys conducted during different time periods. Results This literature search yielded a total of 757 articles, and five additional article were identified by screening of reference lists. From this total, 18 studies were eligible to be included in the final analysis. Of the 51 Asia-Pacific countries (WHO we only located data for 15. There was wide between country variation in prevalence of MetS. A national survey from Philippines conducted in 2003 revealed the lowest reported prevalence of 11.9% according to NCEP ATP III criteria. In contrast, the highest recorded prevalence in the region (49.0% came from a study conducted in urban Pakistan (Karachchi, 2004. Most studies reported a higher prevalence of MetS in females and urban residents. Data on secular trends were available for China, South Korea and Taiwan. An increase in the prevalence of MetS was observed in all three countries. Conclusion Despite differences in methodology, diagnostic criteria and age of subjects studied, the Asia-Pacific

  6. 77 FR 53179 - North Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-08-31

    .... SUMMARY: The North Pacific Fishery Management Council's (NPFMC) Crab Plan Team (CPT) will meet in Seattle... Pacific Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS..., WA. Council address: North Pacific Fishery Management Council, 605 W. 4th Avenue, Suite 306...

  7. THE FUTURE OF PACIFIC NORTHWEST SALMON: ANATOMY OF A CRISIS

    Science.gov (United States)

    Salmon are categorized biologically into two groups: Pacific salmon or Atlantic salmon. All seven species of Pacific salmon on both sides of the North Pacific Ocean have declined substantially from historic levels, but large runs still occur in northern British Columbia, Yukon,...

  8. The Pacific northwest stream quality assessment

    Science.gov (United States)

    Van Metre, Peter C.; Morace, Jennifer L.; Sheibley, Rich W.

    2015-01-01

    In 2015, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) program is assessing stream quality in the Pacific Northwest. The goals of the Pacific Northwest Stream Quality Assessment (Pacific Northwest study) are to assess the quality of streams in the region by characterizing multiple water-quality factors that are stressors to aquatic life and to evaluate the relation between these stressors and biological communities. The effects of urbanization and agriculture on stream quality for the Puget Lowlands and Willamette Valley are the focus of this regional study. Findings will provide the public and policymakers with information regarding which human and environmental factors are the most critical in affecting stream quality and, thus, provide insights about possible approaches to protect or improve the health of streams in the region.

  9. Comparison of iron status and insulin resistance between non-diabetic offspring of type 2 diabetics and non-diabetic offspring of non-diabetics

    International Nuclear Information System (INIS)

    Zafar, U.; Qureshi, H.J.

    2015-01-01

    Insulin resistance is positively correlated with body iron. It is unclear whether iron is a cause or an outcome of insulin resistance. Insulin resistance precedes type 2 diabetes mellitus. Offspring of type 2 diabetics are insulin resistant as compared to those of the non-diabetics. The present study was designed to compare and correlate insulin resistance with iron parameters (including serum ferritin, transferrin saturation and blood haemoglobin) in non-diabetic offspring of type 2 diabetics and non-diabetic offspring of non-diabetics. Methods: It was a cross-sectional study, conducted on one hundred and twenty male subjects 20-40 years of age. They were divided into two groups, each group having 60 subjects. Group A included non-diabetic offspring of type 2 diabetics, while Group B included non-diabetic offspring of non-diabetics. Fasting blood sample was taken and examined for glucose, haemoglobin, insulin, iron, TIBC and ferritin. Data was analysed by SPSS-17. Results: Insulin resistance and iron parameters were significantly higher (p<0.05) in non-diabetic offspring of type 2 diabetics as compared to those of the non-diabetics. There was significant positive correlation (p=0.027) between insulin resistance and serum iron in non-diabetic offspring of type 2 diabetics. There was also significant positive correlation between insulin resistance and serum iron, transferrin saturation and haemoglobin in non-diabetic offspring of non-diabetics. Conclusion: Non-diabetic offspring of type 2 diabetics have iron load and insulin resistance, that predispose them to the development of type 2 diabetes. (author)

  10. Corrosion issues in nuclear industry today

    International Nuclear Information System (INIS)

    Cattant, F.; Crusset, D.; Feron, D.

    2008-01-01

    In the context of global warming, nuclear energy is a carbon-free source of power and so is a meaningful option for energy production without CO 2 emissions. Currently, there are more than 440 commercial nuclear reactors, accounting for about 15% of electric power generation in the world, and there has not been a major accident in over 20 years. The world's fleet of nuclear power plants is, on average, more than 20 years old. Even though the design life of a nuclear power plant is typically 30 or 40 years, it is quite feasible that many nuclear power plants will be able to operate for longer than this. The re-emergence of nuclear power today is founded on the present generation of nuclear reactors meeting the demands of extended service life, ensuring the cost competitiveness of nuclear power and matching enhanced safety requirements. Nuclear power plant engineers should be able to demonstrate such integrity and reliability of their system materials and components as to enable nuclear power plants to operate beyond their initial design life. Effective waste management is another challenge for sustainable nuclear energy today; more precisely, a solution is needed for the management of high-level and long-lived intermediate-level radioactive waste over the very long term. Most nuclear countries are currently gathering the data needed to assess the feasibility of a deep geological waste repository, including the prediction of the behaviour of materials over several thousands of years. The extended service life of nuclear power plants and the need for permanent disposal for nuclear waste are today's key issues in the nuclear industry. We focus here on the major role that corrosion plays in these two factors, and on the French approaches to these two issues. (authors)

  11. Using Today's Headlines for Teaching Gerontology

    Science.gov (United States)

    Haber, David

    2008-01-01

    It is a challenge to attract undergraduate students into the gerontology field. Many do not believe the aging field is exciting and at the cutting edge. Students, however, can be convinced of the timeliness, relevance, and excitement of the field by, literally, bringing up today's headlines in class. The author collected over 250 articles during…

  12. The Geriatric Child in Today's Culture.

    Science.gov (United States)

    Lamson, Frank E.

    This paper develops the premise that there is today a new "child" in our culture developed in response to expectations of daily functioning, family relationships, societal status, economic level, medical illness, emotional needs, and financial management. This new "child" is a person who has usually passed the age of 65, and has found that the…

  13. The bomb 14C transient in the Pacific Ocean

    Science.gov (United States)

    Rodgers, Keith B.; Schrag, Daniel P.; Cane, Mark A.; Naik, Naomi H.

    2000-04-01

    A modeling study of the bomb 14C transient is presented for the Pacific Ocean. A primitive equation ocean circulation model has been configured for a high-resolution domain that accounts for the Indonesian Throughflow (ITF). Four separate runs were performed: (1) seasonal forcing with 20 Sv of ITF transport, (2) seasonal forcing with 10 Sv of ITF transport, (3) seasonal forcing with no ITF transport, and (4) interannual forcing with 15 Sv of ITF transport. This study has two main objectives. First, it is intended to describe the time evolution of the bomb 14C transient. This serves as a tool with which one can identify the physical processes controlling the evolving bomb 14C distribution in the Pacific thermocline and thus provides an interpretive framework for the database of Δ14C measurements in the Pacific. Second, transient tracers are applied to the physical oceanographic problem of intergyre exchange. This is of importance in furthering our understanding of the potential role of the upper Pacific Ocean in climate variability. We use bomb 14C as a dye tracer of intergyre exchange between the subtropical gyres and the equatorial upwelling regions of the equatorial Pacific. Observations show that while the atmospheric Δ14C signal peaked in the early to mid-1960s, the Δ14C levels in the surface water waters of the subtropical gyres peaked near 1970, and the Δ14C of surface waters in the equatorial Pacific continued to rise through the 1980s. It is shown that the model exhibits skill in representing the large-scale observed features observed for the bomb 14C transient in the Pacific Ocean. The model successfully captures the basin-scale inventories of bomb 14C in the tropics as well as in the extratropics of the North Pacific. For the equatorial Pacific this is attributed to the model's high meridional resolution. The discrepancies in the three-dimensional distribution of bomb 14C between the model and data are discussed within the context of the dynamical

  14. Final Report for UW-Madison Portion of DE-SC0005301, "Collaborative Project: Pacific Decadal Variability and Central Pacific Warming El Niño in a Changing Climate"

    Energy Technology Data Exchange (ETDEWEB)

    Vimont, Daniel [University of Wisconsin - Madison

    2014-06-13

    This project funded two efforts at understanding the interactions between Central Pacific ENSO events, the mid-latitude atmosphere, and decadal variability in the Pacific. The first was an investigation of conditions that lead to Central Pacific (CP) and East Pacific (EP) ENSO events through the use of linear inverse modeling with defined norms. The second effort was a modeling study that combined output from the National Center for Atmospheric Research (NCAR) Community Atmospheric Model (CAM4) with the Battisti (1988) intermediate coupled model. The intent of the second activity was to investigate the relationship between the atmospheric North Pacific Oscillation (NPO), the Pacific Meridional Mode (PMM), and ENSO. These two activities are described herein.

  15. Conservation of native Pacific trout diversity in western North America

    Science.gov (United States)

    Penaluna, Brooke E.; Abadía-Cardoso, Alicia; Dunham, Jason B.; García de León, Francisco J; Gresswell, Robert E.; Luna, Arturo Ruiz; Taylor, Eric B.; Shepard, Bradley B.; Al-Chokhachy, Robert K.; Muhlfeld, Clint C.; Bestgen, Kevin R.; Rogers, Kevin H.; Escalante, Marco A; Keeley, Ernest R; Temple, Gabriel; Williams, Jack E.; Matthews, Kathleen; Pierce, Ron; Mayden, Richard L.; Kovach, Ryan; Garza, John Carlos; Fausch, Kurt D.

    2016-01-01

    Pacific trout Oncorhynchus spp. in western North America are strongly valued in ecological, socioeconomic, and cultural views, and have been the subject of substantial research and conservation efforts. Despite this, the understanding of their evolutionary histories, overall diversity, and challenges to their conservation is incomplete. We review the state of knowledge on these important issues, focusing on Pacific trout in the genus Oncorhynchus. Although most research on salmonid fishes emphasizes Pacific salmon, we focus on Pacific trout because they share a common evolutionary history, and many taxa in western North America have not been formally described, particularly in the southern extent of their ranges. Research in recent decades has led to the revision of many hypotheses concerning the origin and diversification of Pacific trout throughout their range. Although there has been significant success at addressing past threats to Pacific trout, contemporary and future threats represented by nonnative species, land and water use activities, and climate change pose challenges and uncertainties. Ultimately, conservation of Pacific trout depends on how well these issues are understood and addressed, and on solutions that allow these species to coexist with a growing scope of human influences.

  16. Pacific Albacore Troll and Pole-and-line Fisheries

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The North Pacific and South Pacific Albacore Troll and Pole-and-line Fisheries project contains landings, logbooks, and size composition data from U.S.A. troll and...

  17. 75 FR 20985 - North Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-04-22

    .... SUMMARY: The North Pacific Fishery Management Council's Crab Plan Team (CPT) will meet in Alaska on May 10... Pacific Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS... Room - May 14. Council address: North Pacific Fishery Management Council, 605 W. 4th Avenue, Suite 306...

  18. Southern forests: Yesterday, today, and tomorrow

    Science.gov (United States)

    R. Neil Sampson

    2004-01-01

    In the 20th century, southern forests changed dramatically. Those changes pale, however, when compared to what happened to the people of the region. In addition to growing over fourfold in numbers, the South's population has urbanized, globalized, and intellectualized in 100 years. Rural and isolated in the 19th century, they are today urban and cosmopolitan. One...

  19. Applying Servant Leadership in Today's Schools

    Science.gov (United States)

    Culver, Mary K.

    2009-01-01

    This book illustrates how the ideal of servant leadership can be applied in your school today. With real-life scenarios, discussions, and self assessments, this book gives practical suggestions to help you develop into a caring and effective servant leader. There are 52 scenarios in this book, focusing on situations as varied as: (1) Dealing with…

  20. Energy supply today and tomorrow, national and global

    International Nuclear Information System (INIS)

    Ott, G.

    2003-01-01

    A status report about 'Energy Supply Today and Tomorrow, National and Global' focuses mainly on global aspects. Today's world energy consumption is dominated by more than 80% of fossil sources of energy followed by so-called non-commercial energies, such as wood and plant and animal wastes, contributing 10%; nuclear power, 7%; and hydroelectric power, 2%. The development of energy consumption until the middle of this century will continue to be driven by the further growth of the world population, and by the need to meet the rising demand for energy in the developing countries. Because of their availability and flexible uses, oil, natural gas, and coal as fossil sources of energy will continue to meet a considerable share of the requirement. The use of nuclear power, a source meeting all criteria, such as safety, waste management, and competitiveness, is both justifiable and desirable. Restrictive decisions about nuclear power taken today must not impair the freedom of choice of future generations. Using renewable energies is just as desirable as increasing energy efficiency; however, the technical and physical potentials available for this purpose should not be overrated. This makes it imperative to protect the supply of energy 'in this difficult interim phase' with all the options available, and to open up prospects for the future, also by conducting the appropriate energy and environmental research. The balance between continuity of supply, environmental compatibility, and competitiveness must be taken into account in this effort. In the second half of the 21 st century, it is possible that energy consumption will stabilize when the world's population ceases to grow. New technologies, some of which may not even be known today or may still be under development, could then pave the way for an energy supply system which, in toto, would be less of a burden on the environment. (orig.)

  1. Pacific Decadal Variability and Central Pacific Warming El Niño in a Changing Climate

    Energy Technology Data Exchange (ETDEWEB)

    Di Lorenzo, Emanuele [Georgia Inst. of Technology, Atlanta, GA (United States)

    2015-02-27

    This research aimed at understanding the dynamics controlling decadal variability in the Pacific Ocean and its interactions with global-scale climate change. The first goal was to assess how the dynamics and statistics of the El Niño Southern Oscillation and the modes of Pacific decadal variability are represented in global climate models used in the IPCC. The second goal was to quantify how decadal dynamics are projected to change under continued greenhouse forcing, and determine their significance in the context of paleo-proxy reconstruction of long-term climate.

  2. Wind power today: 1999 Wind Energy program highlights

    Energy Technology Data Exchange (ETDEWEB)

    Weis-Taylor, Pat

    2000-04-06

    Wind Power Today is an annual publication that provides an overview for the Department of Energy's Wind Energy Program. The purpose of Wind Power Today is to show how DOE's Wind Energy Program supports wind turbine research and deployment in hopes of furthering the advancement of wind technologies that produce clean, low-cost, reliable energy for the 21st century. Content objectives include: Educate readers about the advantages and potential for widespread deployment of wind energy; explain DOE wind energy program objectives and goals; describe program accomplishments in research and application; examine the barriers to widespread deployment; describe benefits of continued research and development; facilitate technology transfer; attract cooperative wind energy projects with industry.

  3. Diabetes Nutrition: Eating Out When You Have Diabetes

    Science.gov (United States)

    Diabetes nutrition: Eating out when you have diabetes Diabetes nutrition — Make restaurant meals a healthy part of your diabetes ... have diabetes, eating out while sticking to your nutrition plan has gotten easier. Many restaurants offer healthy ...

  4. [Alimentary and lifestyle changes as a strategy in the prevention of metabolic syndrome and diabetes mellitus type 2: milestones and perspectives].

    Science.gov (United States)

    M Hernández Ruiz de Eguilaz, M; Batlle, M A; Martínez de Morentin, B; San-Cristóbal, R; Pérez-Díez, S; Navas-Carretero, S; Martínez, J A

    2016-01-01

    A high caloric intake in today's nutrition and a sedentary lifestyle are the main causes of the notable increase in obesity in our society. In turn, this results in an increase in associated pathologies, such as metabolic syndrome and diabetes type 2. In the present work we review most recent studies and programs, which are significant due to their sample size and geographical diversity. It clearly shows that changes in alimentation and lifestyles are an effective instrument for combatting or delaying the onset of these diseases. In this sense, prevention is also key to avoiding serious consequences related to diabetes and metabolic syndrome, which can affect the life of the population.

  5. Man and electrotechnics today

    Energy Technology Data Exchange (ETDEWEB)

    1980-12-01

    Man and electrotechnique today - this topic was discussed by experts of the VDE (Society of German Electrotechnicians) during a podium discussion directed by the TV-journalist Ruediger Proske. The discussion was centred on the popular questions of energy supply, electronics and the technical communication systems. What are the technologies' influences on our society, how can the social results for the places of employment be estimated and what role is played here by the technicians, the industry and by economy. In the debate which was partly very heated the members showed their anxiety of the negative attitude which society has been developing towards technique to cause big problems for the future.

  6. Yesterday's, today's and tomorrow's nuclear tests of India and Pakistan

    International Nuclear Information System (INIS)

    Duval, M.; Le Guelte, G.

    1998-01-01

    This paper presents the historical aspects that led India and Pakistan to develop nuclear weapons and to perform nuclear weapon tests: weapons acquisition: today's military capacity, help from foreign countries; motivations: nuclear programs, geo-political aspects; results and potentialities; consequences for the non-proliferation systems and for the cut-off convention and test-ban treaties; and the geo-strategic consequences of todays's military nuclear capacity of India and Pakistan. (J.S.)

  7. Leadership and the Millennials: Transforming Today's Technological Teens into Tomorrow's Leaders

    Science.gov (United States)

    Wisniewski, Mary Ann

    2010-01-01

    Although older and younger generations unfailingly tend to disagree on values and are inclined to perceive one another with a degree of skepticism and disapproval, it is an unmistakable reality that because of technology today's youth are approaching life differently than previous generations. It is also clear that today's Millennials are…

  8. Pacific Lamprey Research and Restoration Project : Annual Report 2001.

    Energy Technology Data Exchange (ETDEWEB)

    Close, David A.

    2002-11-01

    Pacific lamprey (Lampetra tridentata) has significantly declined along the Oregon coast and in the Columbia River Basin (Downey et al. 1993; Close and Jackson 2001). Declines in adults can be partially attributed to hydroelectric dams, which have impeded passage of adult Pacific lamprey in the Columbia and Snake rivers, thus effecting larval recruitment in the basin. Adult pacific lamprey also declined in numbers in the Umatilla River, a tributary of the Columbia River. In addition to hydro power dams in the Columbia River, habitat alterations and chemical treatments have been involved in the collapse of Pacific lamprey populations in the Umatilla River. To initiate the restoration effort, CTUIR began developing a restoration plan in 1998. The goal of the lamprey research and restoration project is to restore natural production of Pacific lampreys in the Umatilla River to self-sustaining and harvestable level. This report is summarizing the studies and restoration efforts concluded in 2001.

  9. Establishing bioinformatics research in the Asia Pacific

    Directory of Open Access Journals (Sweden)

    Tammi Martti

    2006-12-01

    Full Text Available Abstract In 1998, the Asia Pacific Bioinformatics Network (APBioNet, Asia's oldest bioinformatics organisation was set up to champion the advancement of bioinformatics in the Asia Pacific. By 2002, APBioNet was able to gain sufficient critical mass to initiate the first International Conference on Bioinformatics (InCoB bringing together scientists working in the field of bioinformatics in the region. This year, the InCoB2006 Conference was organized as the 5th annual conference of the Asia-Pacific Bioinformatics Network, on Dec. 18–20, 2006 in New Delhi, India, following a series of successful events in Bangkok (Thailand, Penang (Malaysia, Auckland (New Zealand and Busan (South Korea. This Introduction provides a brief overview of the peer-reviewed manuscripts accepted for publication in this Supplement. It exemplifies a typical snapshot of the growing research excellence in bioinformatics of the region as we embark on a trajectory of establishing a solid bioinformatics research culture in the Asia Pacific that is able to contribute fully to the global bioinformatics community.

  10. United States Pacific Command, Asia-Pacific Economic Update.

    Science.gov (United States)

    1998-04-01

    export process more efficient and effective by reducing export barriers and expanding markets abroad. The strategy coordinates the U.S. Government’s...investment from Western companies, such as Boeing and Mercedes - Benz , since China opened to the outside world the late 1970s.12 North Korea’s arms... markets for American trade and investment. Expanding wealth and opportunity in many Asia-Pacific countries have facilitated a transition to greater

  11. Strategic planning: today's hot buttons.

    Science.gov (United States)

    Bohlmann, R C

    1998-01-01

    The first generation of mergers and managed care hasn't slowed down group practices' need for strategic planning. Even groups that already went through one merger are asking about new mergers or ownership possibilities, the future of managed care, performance standards and physician unhappiness. Strategic planning, including consideration of bench-marking, production of ancillary services and physician involvement, can help. Even if only a short, general look at the future, strategic planning shows the proactive leadership needed in today's environment.

  12. Pacific Island Pharmacovigilance

    DEFF Research Database (Denmark)

    McEwen, John; Vestergaard, Lasse S.; Sanburg, Amanda L C

    2016-01-01

    Many Pacific Island countries (PICs) are recipients of funding support from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). However, most of these countries cannot be expected to meet Global Fund and World Health Organization (WHO) minimum requirements for a functioning...

  13. The energy of today and tomorrow

    International Nuclear Information System (INIS)

    Bauquis, E.; Bauquis, P.R.

    2007-01-01

    The authors present a today state of the art concerning the energy domain in the world, offering perspectives on what could be the tomorrow world in matter of energy. They define fundamental notions, the different sources of energy and their price, the energy policies of the different countries and the problem of the consumption impact on the environment. (A.L.B.)

  14. Phylogeography of Indo-Pacific reef fishes: sister wrassesCoris gaimardandC. cuvieriin the Red Sea, Indian Ocean and Pacific Ocean

    KAUST Repository

    Ahti, Pauliina A.; Coleman, Richard R.; DiBattista, Joseph; Berumen, Michael L.; Rocha, Luiz A.; Bowen, Brian W.

    2016-01-01

    Aim: The aim of this study was to resolve the evolutionary history, biogeographical barriers and population histories for sister species of wrasses, the African Coris (Coris cuvieri) in the Indian Ocean and Red Sea, and the Yellowtail Coris (Coris gaimard) in the Pacific Ocean. Glacial sea level fluctuations during the Pleistocene have shaped the evolutionary trajectories of Indo-Pacific marine fauna, primarily by creating barriers between the Red Sea, Indian Ocean and Pacific Ocean. Here, we evaluate the influence of these episodic glacial barriers on sister species C. cuvieri and C. gaimard. Location: Red Sea, Indian Ocean, Pacific Ocean. Methods: Sequences from mitochondrial DNA cytochrome oxidase c subunit I (COI), and nuclear introns gonadotropin-releasing hormone (GnRH) and ribosomal S7 protein were analysed in 426 individuals from across the range of both species. Median-joining networks, analysis of molecular variance and Bayesian estimates of the time since most recent common ancestor were used to resolve recent population history and connectivity. Results: Cytochrome oxidase c subunit I haplotypes showed a divergence of 0.97% between species, and nuclear alleles were shared between species. No population structure was detected between the Indian Ocean and Red Sea. The strongest signal of population structure was in C. gaimard between the Hawaiian biogeographical province and other Pacific locations (COI ϕ(symbol)ST = 0.040-0.173, P < 0.006; S7 ϕ(symbol)ST = 0.046, P < 0.001; GnRH ϕ(symbol)ST = 0.022, P < 0.005). Time to most recent common ancestor is c. 2.12 Ma for C. cuvieri and 1.76 Ma for C. gaimard. Main conclusions: We demonstrate an Indian-Pacific divergence of c. 2 Myr and high contemporary gene flow between the Red Sea and Indian Ocean, mediated in part by the long pelagic larval stage. The discovery of hybrids at Christmas Island indicates that Indian and Pacific lineages have come into secondary contact after allopatric isolation. Subspecies

  15. Phylogeography of Indo-Pacific reef fishes: sister wrassesCoris gaimardandC. cuvieriin the Red Sea, Indian Ocean and Pacific Ocean

    KAUST Repository

    Ahti, Pauliina A.

    2016-02-01

    Aim: The aim of this study was to resolve the evolutionary history, biogeographical barriers and population histories for sister species of wrasses, the African Coris (Coris cuvieri) in the Indian Ocean and Red Sea, and the Yellowtail Coris (Coris gaimard) in the Pacific Ocean. Glacial sea level fluctuations during the Pleistocene have shaped the evolutionary trajectories of Indo-Pacific marine fauna, primarily by creating barriers between the Red Sea, Indian Ocean and Pacific Ocean. Here, we evaluate the influence of these episodic glacial barriers on sister species C. cuvieri and C. gaimard. Location: Red Sea, Indian Ocean, Pacific Ocean. Methods: Sequences from mitochondrial DNA cytochrome oxidase c subunit I (COI), and nuclear introns gonadotropin-releasing hormone (GnRH) and ribosomal S7 protein were analysed in 426 individuals from across the range of both species. Median-joining networks, analysis of molecular variance and Bayesian estimates of the time since most recent common ancestor were used to resolve recent population history and connectivity. Results: Cytochrome oxidase c subunit I haplotypes showed a divergence of 0.97% between species, and nuclear alleles were shared between species. No population structure was detected between the Indian Ocean and Red Sea. The strongest signal of population structure was in C. gaimard between the Hawaiian biogeographical province and other Pacific locations (COI ϕ(symbol)ST = 0.040-0.173, P < 0.006; S7 ϕ(symbol)ST = 0.046, P < 0.001; GnRH ϕ(symbol)ST = 0.022, P < 0.005). Time to most recent common ancestor is c. 2.12 Ma for C. cuvieri and 1.76 Ma for C. gaimard. Main conclusions: We demonstrate an Indian-Pacific divergence of c. 2 Myr and high contemporary gene flow between the Red Sea and Indian Ocean, mediated in part by the long pelagic larval stage. The discovery of hybrids at Christmas Island indicates that Indian and Pacific lineages have come into secondary contact after allopatric isolation. Subspecies

  16. Out of the Blue: The Pacific Rim as a Region

    Directory of Open Access Journals (Sweden)

    Arturo Santa-Cruz

    2005-08-01

    Full Text Available In 1993, in advance of what was to be the first Asia Pacific Economic Cooperation (APEC leader’s summit, US president Bill Clinton gave a lecture at Waseda University in Japan. In his speech, Clinton called for the creation of a “community of the Pacific.” The idea of a Pacific community is neither Clinton’s nor the Democratic Party’s invention, however. In the previous decade Ronald Reagan had already used it, going even beyond later conceptualizations, by referring to the 21st century as the Pacific’s century. But Reagan's prophecy concerning the Great Ocean was not new back in the 1980s either. In 1900 then US Secretary of State John Hay wrote: “the Mediterranean is the ocean of the past, the Atlantic the ocean of the present and the Pacific is the ocean of the future.” In a more general manner, as Christopher Coker has observed, the notion of the “Century of the Pacific” is plausible because it is consistent with the idea, popularized by Hegel, that the spirit of civilization is moving toward that part of the globe. Thus, the century of the Pacific has become a kind of zeitgeist. In this paper I undertake a conceptual, historical, and theoretical journey through the “Pacific Rim” or “Asia-Pacific,” as it has been called more recently. Although I will question the utility of the term, I want to make clear that my purpose is only to undertake a critical survey of “the Pacific.” As in any trip, however, one needs a starting point. But, What is the starting point of the Pacific Rim, that geographic zone that has been compared to Pascal’s sphere: “with periphery indeterminable and a center that may be anywhere”?

  17. The Genetic Code: Yesterday, Today and Tomorrow

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 17; Issue 12. The Genetic Code: Yesterday, Today and Tomorrow. Jiqiang Ling Dieter Söll. General Article Volume 17 Issue 12 December 2012 pp 1136-1142. Fulltext. Click here to view fulltext PDF. Permanent link:

  18. The Effect of ENSO on Phytoplankton Composition in the Pacific Ocean

    Science.gov (United States)

    Rousseaux, Cecile

    2012-01-01

    The effect of climate variability on phytoplankton communities was assessed for the tropical and sub-tropical Pacific Ocean between 1998 and 2005 using an established biogeochemical assimilation model. The phytoplankton communities exhibited wide range of responses to climate variability, from radical shifts in the Equatorial Pacific, to changes of only a couple of phytoplankton groups in the North Central Pacific, to no significant changes in the South Pacific. In the Equatorial Pacific, climate variability dominated the variability of phytoplankton. Here, nitrate, chlorophyll and all but one of the 4 phytoplankton types (diatoms, cyanobacteria and coccolithophores) were strongly correlated (p less than 0.01) with the Multivariate El Nino Southern Oscillation Index (MEI). In the North Central Pacific, MEI and chlorophyll were significantly (pphytoplankton groups (chlorophytes and coccolithophores). Ocean biology in the South Pacific was not significantly correlated with MEI. During La Ni a events, diatoms increased and expanded westward along the cold tongue (correlation with MEI, r=-0.81), while cyanobacteria concentrations decreased significantly (r=0.78). El Nino produced the reverse pattern, with cyanobacteria populations increasing while diatoms plummeted. The diverse response of phytoplankton in the different major basins of the Pacific suggests the different roles climate variability can play in ocean biology.

  19. Sponges from Clipperton Island, East Pacific

    OpenAIRE

    van Soest, R.W.M.; Kaiser, K.L.; van Syoc, R.

    2011-01-01

    Twenty sponge species (totalling 190 individuals) were collected during the 1938, 1994 and 2004/5 expeditions to the remote island of Clipperton in the East Pacific Ocean. Seven species are widespread Indo-Pacific sponges; nine species comprise sponges new to science; four species were represented only by small thin patches insufficient for proper characterization and could be only determined to genus. The new species may not be necessarily endemic to the island, as several show similarities ...

  20. Western tropical Pacific multidecadal variability forced by the Atlantic multidecadal oscillation

    Science.gov (United States)

    Kucharski, F.; Sun, C.; Li, J.; Jin, F. F.; Kang, I. S.; Ding, R.

    2017-12-01

    Observational analysis suggests that the western tropical Pacific (WTP) sea surface temperature (SST) shows predominant variability over multidecadal time scales, which is unlikely to be explained by the Interdecadal Pacific Oscillation. Here we show that this variability is largely explained by the remote Atlantic multidecadal oscillation (AMO). A suite of Atlantic Pacemaker experiments successfully reproduces the WTP multidecadal variability and the AMO-WTP SST connection. The AMO warm SST anomaly generates an atmospheric teleconnection to the North Pacific, which weakens the Aleutian low and subtropical North Pacific westerlies. The wind changes induce a subtropical North Pacific SST warming through wind-evaporation-SST effect, and in response to this warming, the surface winds converge towards the subtropical North Pacific from the tropics, leading to anomalous cyclonic circulation and low pressure over the WTP region. The warm SST anomaly further develops due to the SST-sea level pressure-cloud-longwave radiation positive feedback. Our findings suggest that the Atlantic Ocean acts as a key pacemaker for the western Pacific decadal climate variability.

  1. 76 FR 80890 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-12-27

    ... Airport Hotel, 7900 NE 82nd Avenue, Portland, OR 97220. Council address: Pacific Fishery Management.... Kerry Griffin, Staff Officer, Pacific Council; (503) 820-2280. SUPPLEMENTARY INFORMATION: The purpose of...

  2. 76 FR 43987 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-07-22

    ... Pacific Fishery Management Council's (Pacific Council) ad hoc groundfish Essential Fish Habitat Review... of groundfish Essential Fish Habitat (EFH). DATES: The work session will be held Thursday, October 6...

  3. 78 FR 49477 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-08-14

    ... Pacific Fishery Management Council (Pacific Council) will convene a meeting of its Groundfish Essential Fish Habitat Review Committee (EFHRC). DATES: The meeting will be held Wednesday September 4 through...

  4. The waste bin: nuclear waste dumping and storage in the Pacific

    International Nuclear Information System (INIS)

    Branch, J.B.

    1984-01-01

    Relatively small amounts of nuclear waste have been stored on Pacific islands and dumped into the Pacific Ocean since 1945. Governments of Pacific countries possessing nuclear power plants are presently seeking permanent waste storage and disposal solutions at Pacific sites including subseabed emplacement of high-level nuclear wastes and ocean dumping of low-level wastes. This article examines these plans and the response of Pacific islanders in their development of policies and international strategies to ban the proposed dumping on a regional basis. Island governments are preparing for a Regional Convention during which a treaty concerned with radioactive waste storage and disposal will be signed. (Author)

  5. Decadal fluctuations in the western Pacific recorded by long precipitation records in Taiwan

    Science.gov (United States)

    Huang, Wan-Ru; Wang, S.-Y. Simon; Guan, Biing T.

    2018-03-01

    A 110-year precipitation record in Taiwan, located at the western edge of the subtropical North Pacific, depicts a pronounced quasi-decadal oscillation (QDO). The QDO in Taiwan exhibits a fluctuating relationship with the similar decadal variations of sea surface temperature (SST) anomalies in the central equatorial Pacific, known as the Pacific QDO. A regime change was observed around 1960, such that the decadal variation of Taiwan's precipitation became more synchronized with the Pacific QDO's coupled evolutions of SST and atmospheric circulation than before, while the underlying pattern of the Pacific QOD did not change. Using long-term reanalysis data and CMIP5 single-forcing experiments, the presented analysis suggests that increased SST in the subtropical western Pacific and the strengthened western extension of the North Pacific subtropical anticyclone may have collectively enhanced the relationship between the Taiwan precipitation and the Pacific QDO. This finding provides possible clues to similar regime changes in quasi-decadal variability observed around the western Pacific rim.

  6. Diabetes - resources

    Science.gov (United States)

    Resources - diabetes ... The following sites provide further information on diabetes: American Diabetes Association -- www.diabetes.org Juvenile Diabetes Research Foundation International -- www.jdrf.org National Center for Chronic Disease Prevention and Health Promotion -- ...

  7. Wind Power Today: 2000 Wind Energy Program Highlights

    Energy Technology Data Exchange (ETDEWEB)

    Weis-Taylor, W.

    2001-05-08

    Wind Power Today is an annual publication that provides an overview of the U.S. Department of Energy's Wind Energy Program. The purpose of Wind Power Today is to show how DOE's Wind Energy Program supports wind turbine research and deployment in hopes of furthering the advancement of wind technologies that produce clean, low-cost, reliable energy. Content objectives include: educate readers about the advantages and potential for widespread deployment of wind energy; explain the program's objectives and goals; describe the program's accomplishments in research and application; examine the barriers to widespread deployment; describe the benefits of continued research and development; facilitate technology transfer; and attract cooperative wind energy projects with industry.

  8. Gilson, Krapiec and Christian Philosophy Today

    Directory of Open Access Journals (Sweden)

    Pawel Tarasiewicz

    2015-12-01

    Full Text Available The author undertakes an attempt to answer the following question: is Christian philosophy possible today? The question seems to be of great importance due to the fact that what Christians who try to do philosophy usually encounter is bitter criticism which comes to them from two sides at once: that of academy and that of the Church. In short, for academy their philosophy is too Christian, and for the Church it is too academic. Being indebted to the insights of Étienne Gilson and Mieczyslaw A. Krapiec (the original Polish spelling: Mieczysław Albert Krąpiec, pronounced: myechisuaf albert krompyetz, the author comes to the conclusion thatChristian philosophy is possible today only if: 1 it isnot identified with the art of persuasion, as its final end lies in gaining understanding rather than being convincing, 2 itis the work of a Christian, and 3 it has thereal world as its object and metaphysics as its method. ForChristian philosophy—which in essence consists indoing philosophy by Christians in order to get morerational understanding of their religious faith—shouldbe identified with theperfection of the intellect achieved by practicingthe classical philosophy of being.

  9. Active Pacific meridional overturning circulation (PMOC) during the warm Pliocene.

    Science.gov (United States)

    Burls, Natalie J; Fedorov, Alexey V; Sigman, Daniel M; Jaccard, Samuel L; Tiedemann, Ralf; Haug, Gerald H

    2017-09-01

    An essential element of modern ocean circulation and climate is the Atlantic meridional overturning circulation (AMOC), which includes deep-water formation in the subarctic North Atlantic. However, a comparable overturning circulation is absent in the Pacific, the world's largest ocean, where relatively fresh surface waters inhibit North Pacific deep convection. We present complementary measurement and modeling evidence that the warm, ~400-ppmv (parts per million by volume) CO 2 world of the Pliocene supported subarctic North Pacific deep-water formation and a Pacific meridional overturning circulation (PMOC) cell. In Pliocene subarctic North Pacific sediments, we report orbitally paced maxima in calcium carbonate accumulation rate, with accompanying pigment and total organic carbon measurements supporting deep-ocean ventilation-driven preservation as their cause. Together with high accumulation rates of biogenic opal, these findings require vigorous bidirectional communication between surface waters and interior waters down to ~3 km in the western subarctic North Pacific, implying deep convection. Redox-sensitive trace metal data provide further evidence of higher Pliocene deep-ocean ventilation before the 2.73-Ma (million years) transition. This observational analysis is supported by climate modeling results, demonstrating that atmospheric moisture transport changes, in response to the reduced meridional sea surface temperature gradients of the Pliocene, were capable of eroding the halocline, leading to deep-water formation in the western subarctic Pacific and a strong PMOC. This second Northern Hemisphere overturning cell has important implications for heat transport, the ocean/atmosphere cycle of carbon, and potentially the equilibrium response of the Pacific to global warming.

  10. 75 FR 17901 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-04-08

    ... June 2010 meeting of the Pacific Council. The CPSMT will also discuss the pending Essential Fish Habitat five-year review; the 2010 Stock Assessment and Fishery Evaluation document; Pacific mackerel...

  11. 78 FR 26708 - Pacific Halibut Fisheries; Catch Sharing Plan; Correcting Amendment

    Science.gov (United States)

    2013-05-08

    ... published on March 15, 2013, that implemented annual management measures governing the Pacific halibut... (78 FR 16423), included annual management measures for managing the harvest of Pacific halibut (Hippoglossus stenolepis) in the sport fishery in International Pacific Halibut Commission (IPHC) Regulatory...

  12. Diabetes Care: 10 Ways to Avoid Diabetes Complications

    Science.gov (United States)

    Diabetes care: 10 ways to avoid complications Diabetes care is a lifelong responsibility. Consider 10 strategies to prevent diabetes complications. By Mayo Clinic Staff Diabetes is a serious disease. Following ...

  13. The AFIT of Today is the Air Force of Tomorrow

    Science.gov (United States)

    2012-05-11

    marketing 5/11/2012 9 The AFIT of today is the Air Force of tomorrow. 1 Air University: The Intellectual and Leadership Center of the Air Force Aim High...Center of the Air Force Aim High…Fly - Fight - Win The AFIT of Today is the Air Force of Tomorrow. LS Accomplishments • Initiated market -based, fee-for...USAFA Swarming Formation Flying Sponsor: SMC Space Traffic Control Iridium and Globalstar Modems Sponsor: AFRL/RV; SMC/ STP CubeSat Plume Detector

  14. Man and electrotechnics today

    International Nuclear Information System (INIS)

    Anon.

    1980-01-01

    Man and electrotechnique today - this topic was discussed by experts of the VDE (Society of German Electrotechnicians) during a podium discussion directed by the TV-journalist Ruediger Proske. The discussion was centred on the popular questions of energy supply, electronics and the technical communication systems. What are the technologies' influences on our society, how can the social results for the places of employment be estimated and what role is played here by the technicians, the industry and by economy. In the debate which was partly very heated the members showed their anxiety of the negative attitude which society has been developing towards technique to cause big problems for the future. (orig.) [de

  15. Lecture programme The reality of science today

    CERN Multimedia

    2007-01-01

    What are the new challenges and realities facing scientific research? What is its place in society today? To answer these questions, the History and Philosophy of Sciences Unit of Geneva University, in collaboration with ASPERA, the European network for astroparticle physics research, has organised a programme of lectures entitled La réalité de la science d’aujourd’hui, enjeux et défis de la diversité. This series of lectures will provide researchers and members of the public with a snapshot of the state of science today from the perspective of laboratories and institutes, and on subjects such as funding policy and technological and legal impact. The first lecture will be given by science historian Dominique Pestre (EHESS & Centre Koyré, Paris), renowned for his contributions to the analysis of science past and present, and notably one of the authors of the work "History of CERN". He will discuss the modern methods of producing scientific knowledge which have been develop...

  16. The ASME Code today -- Challenges, threats, opportunities

    International Nuclear Information System (INIS)

    Canonico, D.A.

    1995-01-01

    Since its modest beginning as a single volume in 1914 the ASME Code, or some of its parts, is recognized today in 48 of the United States and all providence's of Canada. The ASME Code today is composed of 25 books including two Code Case books. These books cover the new construction of boilers and pressure vessels and the new construction and In-Service-Inspection of Nuclear Power Plant components. The ASME accredits all manufacturers of boilers and pressure vessels built to the ASME Code. There are approximately 7650 symbol stamps issued throughout the world. Over 23% of the symbol stamps have been issued outside the USA and Canada. The challenge to the ASME Code is to be accepted as the world standard for pressure boundary components. There are activities underway to achieve that goal. The ASME Code is being revised to make it a more friendly document to entities outside of North America. To achieve that end there are specific tasks underway which are described here

  17. Announcing the Sociation Today Urban Sociology and Reprint Collection Series

    Directory of Open Access Journals (Sweden)

    George H. Conklin

    2007-11-01

    Full Text Available "Sociation Today" is happy to announce the Urban Sociology Reprint Series. Other reprints will be focused on DuBois and his work available on-line, while the Max Weber video now has its own page. Articles printed in the current and past issues of Sociation Today have been gathered together in one place so they can be viewed conviently. The MENU link to the left will direct you to the proper place, as will the link above (for the urban reprints. The files will enable you to see the articles on a specific topic in one place, and also will enable the professor to assign the articles easily in classes. As an open access journal, Sociation Today's goal remains to provide scholars, the public and students with refereed articles exploring the nature of society and its interactions at no charge, unlike traditional journals and JSTOR.

  18. Relationship of boreal summer 10-20-day and 30-60-day intraseasonal oscillation intensity over the tropical western North Pacific to tropical Indo-Pacific SST

    Science.gov (United States)

    Wu, Renguang; Cao, Xi

    2017-06-01

    The present study contrasts interannual variations in the intensity of boreal summer 10-20-day and 30-60-day intraseasonal oscillations (ISOs) over the tropical western North Pacific and their factors. A pronounced difference is found in the relationship of the two ISOs to El Niño-Southern Oscillation. The 10-20-day ISO intensity is enhanced during El Niño developing summer, whereas the 30-60-day ISO intensity is enhanced during La Niña decaying summer. The above different relationship is interpreted as follows. The equatorial central and eastern Pacific SST anomalies modify vertical wind shear, lower-level moisture, and vertical motion in a southeast-northwest oriented band from the equatorial western Pacific to the tropical western North Pacific where the 10-20-day ISOs originate and propagate. These background field changes modulate the amplitude of 10-20-day ISOs. Preceding equatorial central and eastern Pacific SST anomalies induce SST anomalies in the North Indian Ocean in summer, which in turn modify vertical wind shear and vertical motion over the tropical western North Pacific. The modified background fields influence the amplitude of the 30-60-day ISOs when they reach the tropical western North Pacific from the equatorial region. A feedback of ISO intensity on local SST change is identified in the tropical western North Pacific likely due to a net effect of ISOs on surface heat flux anomalies. This feedback is more prominent from the 10-20-day than the 30-60-day ISO intensity change.

  19. Variability in the origins and pathways of Pacific Equatorial Undercurrent water

    NARCIS (Netherlands)

    Qin, Xuerong; Sen Gupta, Alex; Van Sebille, Erik

    2015-01-01

    The Pacific Equatorial Undercurrent (EUC) transports water originating from a number of distinct source regions, eastward across the Pacific Ocean. It is responsible for supplying nutrients to the productive eastern Equatorial Pacific Ocean. Of particular importance is the transport of iron by the

  20. 50 CFR 660.412 - EFH identifications and descriptions for Pacific salmon.

    Science.gov (United States)

    2010-10-01

    ... Pacific salmon. 660.412 Section 660.412 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT... COAST STATES West Coast Salmon Fisheries § 660.412 EFH identifications and descriptions for Pacific salmon. Pacific salmon essential fish habitat (EFH) includes all those water bodies occupied or...

  1. Unpacking the Pacific Urban Agenda: Resilience Challenges and Opportunities

    Directory of Open Access Journals (Sweden)

    Gabriel Luke Kiddle

    2017-10-01

    Full Text Available Pacific Island Countries (PICs are often cited as being the most vulnerable to the future impacts of a changing climate. Furthermore, being located in the ‘Pacific Rim of Fire’, PICs have long been exposed to the impacts of a range of natural and climate-related extreme events—such as earthquakes and cyclones—and are considered to be amongst the most vulnerable countries to natural disasters. The physical vulnerability of Pacific towns and cities is further exaggerated by development deficits, geographical isolation, weak governance, and complex issues of land tenure. This paper, based on substantive project experience in the Pacific region by each of the authors, reviews the resilience challenges facing Melanesian cities in the context of rapid urbanization and global environmental change. It then sets this in the context of the global ‘New Urban Agenda’ which was launched at Habitat III in Quito at the end of 2016, setting out the critical implementation challenges and opportunities for enhancing urban resilience in the Pacific.

  2. Pacific Lamprey Research and Restoration Project, Annual Report 2002.

    Energy Technology Data Exchange (ETDEWEB)

    Close, David; Aronsuu, Kimmo; Jackson, Aaron

    2003-07-01

    Pacific lamprey (Lampetra tridentata) has significantly declined along the Oregon coast and in the Columbia River Basin (Downey et al. 1993, Close and Jackson 2001). Declines in adults can be partially attributed to hydroelectric dams, which have impeded passage of adult Pacific lamprey in the Columbia and Snake rivers (Moser et al. 2002), thus effecting larval recruitment in the basin (Moser and Close in press). Adult Pacific lamprey also declined in numbers in the Umatilla River, a tributary of the Columbia River (Close and Jackson 2001). In addition to hydro power dams in the Columbia River, habitat alterations and chemical treatments have been involved in the collapse of Pacific lamprey populations in the Umatilla River (Close 1999). To initiate the restoration effort, CTUIR began developing a restoration plan in 1998. The goal of the lamprey research and restoration project is to restore natural production of Pacific lampreys in the Umatilla River to self-sustaining and harvestable level. This report is summarizing the studies and restoration efforts concluded in 2002.

  3. Asia-Pacific malaria is singular, pervasive, diverse and invisible.

    Science.gov (United States)

    Baird, J Kevin

    2017-06-01

    Malaria in the Asia-Pacific region has been targeted for elimination by the year 2030. This article asks the question, "by what means?" in the context of proven technical strategies and tools against key challenges imposed by the distinct character of the Asia-Pacific malaria problem. The misperception of malaria in the Asia-Pacific region as a less serious but otherwise essentially similar problem to African malaria lulls us into rote application of the same tools and strategies. Those now mitigating the harm done by malaria in Africa will not suffice to eliminate malaria in the Asia-Pacific region - these tasks and the problems are fundamentally distinct. This article describes the singular characteristics of Asia-Pacific malaria and the bearing of those upon the technical strategy of malaria elimination. Most of the tools needed for that endeavour do not yet exist and spirited calls for elimination within the next 14years may discourage the patience and investments needed to conceive, optimise and validate them. Copyright © 2016 The Author. Published by Elsevier Ltd.. All rights reserved.

  4. Cohort profile: Pacific Islands Families (PIF) growth study, Auckland, New Zealand

    OpenAIRE

    Rush, E; Oliver, M; Plank, L D; Taylor, S; Iusitini, L; Jalili-Moghaddam, S; Savila, F; Paterson, J; Tautolo, E

    2016-01-01

    Purpose This article profiles a birth cohort of Pacific children participating in an observational prospective study and describes the study protocol used at ages 14?15?years to investigate how food and activity patterns, metabolic risk and family and built environment are related to rates of physical growth of Pacific children. Participants From 2000 to 2015, the Pacific Islands Families Study has followed, from birth, the growth and development of over 1000 Pacific children born in Auckland...

  5. Hyperglycemia (High Blood Glucose)

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Donate towards research today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- Tour de ...

  6. Facts about Type 2

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Donate towards research today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- So…Do ...

  7. Create Your Plate

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Donate towards research today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- Have Type ...

  8. Hyperglycemia (High Blood Glucose)

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Make your donation today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- Tour de ...

  9. Facts about Type 2

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Make your donation today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- Have Type ...

  10. Create Your Plate

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Make your donation today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- Tour de ...

  11. Create Your Plate

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Donate towards research today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- Tour de ...

  12. Facts about Type 2

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Donate towards research today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- Have Type ...

  13. Hyperglycemia (High Blood Glucose)

    Medline Plus

    Full Text Available ... Future Without Diabetes - a-future-without-diabetes-2.html A Future Without Diabetes Donate towards research today ... Donate Today We Can Help - we-can-help.html Chat Online Chat Closed engagement en -- So…Do ...

  14. Introduction : Performing cross-cultural understanding in Pacific tourism

    NARCIS (Netherlands)

    Tonnaer, A.A.C.; Tamisari, F.; Venbrux, H.J.M.

    2010-01-01

    This article is an introduction to the special issue entitled Indigenous Tourism, Performance, and Cross-Cultural Understanding in the Pacific. Based on various examples from the Pacific, we argue for the analysis of the tourist encounter as a single performative act of production and reception that

  15. 7 CFR 1124.2 - Pacific Northwest marketing area.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Pacific Northwest marketing area. 1124.2 Section 1124.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE PACIFIC NORTHWEST MARKETING AREA Order...

  16. CRED Reson 8101 multibeam backscatter data of Palmyra Atoll, Pacific Remote Island Areas, Central Pacific with 1 meter resolution in netCDF format

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Multibeam backscatter imagery extracted from gridded bathymetry of the lagoon, shelf, and slope environments of Palmyra Atoll, Pacific Island Areas, Central Pacific....

  17. Asia Pacific Mangrove Information Network (APMIN): A conceptual model

    Digital Repository Service at National Institute of Oceanography (India)

    Chavan, V.S.; Jagtap, T.G.; Untawale, A.G.

    Asia Pacific Mangrove Information Network (APMIN), its structure and scope, is discussed in this paper. Establishment of National Mangrove Information Centers (NMIC) in 20 Asia-Pacific countries, would contribute towards development of databases...

  18. Asia-Pacific Economic Cooperation (APEC) - Center for Global Health

    Science.gov (United States)

    As the leading economic forum in the Asia-Pacific region, APEC facilitates economic growth and prosperity in the Asia-Pacific region through trade and investment liberalization, business facilitation, and economic and technical cooperation.

  19. Pacific Northwest regional assessment program

    International Nuclear Information System (INIS)

    Anon.

    1976-01-01

    The Pacific Northwest (comprised of the states of Alaska, Idaho, Montana, Oregon, Washington and Wyoming) can by several measures be regarded as a national warehouse of fossil energy resources. This condition coupled with an evolving national policy stressing utilization of fossil fuels in the near term prior to development of more advanced technologies for energy supply, could result in the imposition of major changes in the region's environmental, socioeconomic and possibly health status. The objective of the Pacific Northwest Regional Assessment Program is to establish and exercise an integrated analytical assessment program for evaluation of these potential changes that may result from various energy development or conservation scenarios. After consideration of a variety of approaches to integrated assessment at a regional level, Pacific Northwest Laboratories (PNL) has concluded that dynamic simulation techniques provide the best available approach to evaluating the issues pertinent to the Northwest. As a result, the PNW Regional Assessment Program has been structured in a framework involving ten sectors. Each of these sectors involve their own submodels that receive information either from outside the model as exogenous inputs or from other sector submodels

  20. Diabetes insipidus: main aspects and comparative analysis with diabetes mellitus Diabetes insipidus: principais aspectos e análise comparativa com diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Flávia Lúcia Abreu Rabelo

    2009-01-01

    Full Text Available Diabetes mellitus is a disease characterized by the excess of sugar in the blood and urine. The two most common types of diabetes are insulin-dependent diabetes mellitus and insulin-resistant diabetes mellitus, both presenting glycemic regulation-damage caused by insulin. Nevertheless, there is another type of diabetes that is less known but not less important, the diabetes insipidus, which is characterized by a problem with the synthesis, secretion or action of the ADH (anti-diuretic hormone that can result in polyuric syndromes with increased excretion of hypotonic urine. Physiologically, variations in the osmotic pressure activate osmoceptors that stimulate the ADH secretion, increasing water reabsorption in the kidney collection tubes. This article intends to revise a wide-ranging study on diabetes insipidus, aiming at a comparative analysis of the incidence, diagnosis, causes, types, treatment and consequences between diabetes insidipus and diabetes mellitus. Diabetes mellitus and insipidus are two different pathologies with a single similarity that is the diabetes itself, that is, the polyuria established. The knowledge of the significant differences between the pathologies studied is important once diabetes insipidus is less known, but can lead to serious complications if not properly treated. O diabetes mellitus é uma doença caracterizada pelo excesso de açúcar no sangue e na urina. Os dois tipos mais comuns de diabetes são diabetes mellitus insulino-dependente e diabetes mellitus insulino – resistente, e que ambos apresentam comprometimento da regulação da glicemia por ação da insulina. No entanto, existe outra forma de diabetes menos conhecida, mas não menos importante, o diabetes insipidus, que é caracterizado por um distúrbio na síntese, secreção ou ação do ADH (hormônio antidiurético, que pode resultar em síndromes poliúricas com excreção aumentada de urina hipotônica. Fisiologicamente, variações na press

  1. Pacific halibut bycatch in Pacific cod fisheries in the Bering Sea: an analysis to evaluate area-time management

    Science.gov (United States)

    Adlerstein, Sara A.; Trumble, Robert J.

    1998-03-01

    Mortality of discarded Pacific halibut bycatch from Pacific cod fisheries in the Bering Sea leads to significant losses in the halibut setline and in the Pacific cod fisheries. The commercial halibut fishery loses yield because of catch limit reductions to compensate the resource for lost spawning potential and because halibut killed as bycatch will not be available for subsequent harvest, and the cod fisheries may lose harvest if they reach a bycatch mortality limit before reaching allowed catch. In this study, significant differences in Pacific halibut bycatch rates and associated yield losses were found among months and areas of the Bering Sea in the longline and trawl fisheries for Pacific cod in 1990-1992. Bycatch rates were usually highest in late spring and early summer and in areas close to the Unimak Pass. With the exception of 1992, yield loss in the longline fishery was around 1 kg per kg of bycatch mortality, irrespective of where or when bycatch occurred. In the trawl fishery, loss of halibut yield varied from 1 to 4 kg per kg of bycatch mortality. Highest halibut net yield losses per tonne of groundfish harvest usually coincided with highest bycatch rates. When both fisheries operated in one area, trawl bycatch often imposed higher yield losses than longline bycatch, despite lower bycatch rates. Bycatch was affected by the strong 1987 halibut year class. Highest bycatch and yield loss rates occurred in the trawl fishery in 1990 and 1991 when the population was dominated by halibut age-3 and -4, and in the longline fishery in 1992 as fish reached age-5.

  2. The destination of Pacific Island health professional graduates from a New Zealand university

    Directory of Open Access Journals (Sweden)

    Nair Shiva M

    2012-08-01

    Full Text Available Abstract Background There is a shortage of health professionals in Pacific Island states and territories, and a need in New Zealand for Pacific health professionals to serve Pacific communities. Methods A cross-sectional postal survey was conducted to investigate retention of Pacific graduates. All graduates of Pacific ethnicity or nationality from the University of Otago in the years 1994 to 2004 in medicine, dentistry, pharmacy, physiotherapy and medical laboratory science were included. Results The response rate was 59% (75 out of 128. Only 7% of respondents were working in the Pacific Islands (12% of non-residents and 4% of New Zealand residents, though the proportion in the whole cohort could be up to 20%. One third intended to work in Pacific communities in New Zealand or the Pacific Islands in the future. Factors that would favour such an intention were an adequate income, job availability, and good working conditions. Conclusions Retention of graduates in the Pacific Islands is poor and measures to improve retention are needed.

  3. Indo-Pacific ENSO modes in a double-basin Zebiak-Cane model

    Science.gov (United States)

    Wieners, Claudia; de Ruijter, Will; Dijkstra, Henk

    2016-04-01

    We study Indo-Pacific interactions on ENSO timescales in a double-basin version of the Zebiak-Cane ENSO model, employing both time integrations and bifurcation analysis (continuation methods). The model contains two oceans (the Indian and Pacific Ocean) separated by a meridional wall. Interaction between the basins is possible via the atmosphere overlaying both basins. We focus on the effect of the Indian Ocean (both its mean state and its variability) on ENSO stability. In addition, inspired by analysis of observational data (Wieners et al, Coherent tropical Indo-Pacific interannual climate variability, in review), we investigate the effect of state-dependent atmospheric noise. Preliminary results include the following: 1) The background state of the Indian Ocean stabilises the Pacific ENSO (i.e. the Hopf bifurcation is shifted to higher values of the SST-atmosphere coupling), 2) the West Pacific cooling (warming) co-occurring with El Niño (La Niña) is essential to simulate the phase relations between Pacific and Indian SST anomalies, 3) a non-linear atmosphere is needed to simulate the effect of the Indian Ocean variability onto the Pacific ENSO that is suggested by observations.

  4. Revisiting the La Nina 1998 phytoplankton blooms in the equatorial Pacific

    OpenAIRE

    Gorgues, T.; Menkès, Christophe; Slemons, L.; Aumont, Olivier; Dandonneau, Yves; Radenac, Marie-Hélène; Alvain, S.; Moulin, C.

    2010-01-01

    A biogeochemical model of the tropical Pacific has been used to assess the impact of interannual variability in a western Pacific iron source on the iron-limited ecosystem of the central and eastern Pacific during the 1997-1998 El Nino A reference simulation and two simulations with an iron source in the western Pacific have been performed The two "source" simulations differed only in the temporal variability of the iron source. In the variable source simulation, the iron concentration in the...

  5. Maternal self-report of oral health in 4-year-old Pacific children from South Auckland, New Zealand: findings from the Pacific Islands Families Study.

    Science.gov (United States)

    Schluter, Philip J; Durward, Callum; Cartwright, Susan; Paterson, Janis

    2007-01-01

    To report on the oral health risk in a disadvantaged group of 4-year-old Pacific children and their mothers living in South Auckland, New Zealand. The Pacific Islands Families study follows a cohort of Pacific infants born in 2000. Maternal self-report of mother and child's oral health practices and child's filling and extraction experience was undertaken at interview approximately 4 years postpartum. Overall, 1,048 mothers of children were interviewed. Children's reported oral health practices were generally poor, with 47 percent brushing Culturally appropriate and targeted strategies aimed at these modifiable practices need to be widely promoted so that the oral health burden carried by Pacific children can be reduced.

  6. Alternative motor fuels today and tomorrow

    International Nuclear Information System (INIS)

    Bensaid, B.

    2004-01-01

    Today, petroleum products account for 97% of the energy consumed in road transport. The purpose of replacing these products with alternative energies is to reduce oil dependence as well as greenhouse gas emissions. The high price of oil has promoted the use of 'conventional' alternative motor fuels (biofuels, LPG, NGV) and also renewed interest in syn-fuels (GTL, CTL, BTL) that have already given rise to industrial and pilot projects. (author)

  7. Europa Heute: Filmbegleitheft (Europe Today: Film Manual).

    Science.gov (United States)

    Freudenstein, Reinhold; And Others

    This teacher's guide to the German promotional film "Europe Today", suitable for use in advanced courses, concentrates on linguistic preparation required for full appreciation. The film focuses on the role of European countries as participating members of the Common Market. The manual includes information on the German film industry, a…

  8. Access to general practice for Pacific peoples: a place for cultural competency.

    Science.gov (United States)

    Ludeke, Melissa; Puni, Ronald; Cook, Lynley; Pasene, Maria; Abel, Gillian; Sopoaga, Faafetai

    2012-06-01

    Access to primary health care services has been identified as a problem for Pacific peoples. Although cost is the most frequently cited barrier to Pacific service utilisation, some research has indicated that access may also be influenced by features of mainstream primary care services. This study aimed to identify features of mainstream general practice services that act as barriers to accessing these services for Pacific peoples in order to explore strategies that providers could adopt to enable their practices to be more welcoming, accessible and appropriate for Pacific peoples. Pacific participants were recruited through Pacific networks known to Pegasus Health and via 'snowball' sampling. In total, 20 participants participated in one of three focus groups. A semi-structured interview explored the participants' views and experiences of mainstream general practice care. Thematic analysis was utilised to interpret the data. The analysis revealed five themes highlighting non-financial features of mainstream general practice services that may influence the availability and acceptability of these services to Pacific peoples: language and communication; rushed consultations; appointment availability; reception; and Pacific presence. The findings indicate that all personnel within the primary care setting have the ability to directly engage in the improvement of the health status of Pacific peoples in New Zealand by developing cultural competency and incorporating flexibility and diversity into the care and service they provide.

  9. Diabetes and Pregnancy: Gestational Diabetes

    Centers for Disease Control (CDC) Podcasts

    2007-11-14

    Gestational diabetes happens in a woman who develops diabetes during pregnancy. This podcast discusses its potential effects and action steps to avoid complications.  Created: 11/14/2007 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Division of Diabetes Translation (DDT) and National Center on Birth Defects and Developmental Disabilities (NCBDDD), Prevention Research Branch.   Date Released: 11/27/2007.

  10. What kind of political education we seek today?

    OpenAIRE

    Lafaye, Caroline Guibet

    2008-01-01

    Facing contemporary cultural and religious pluralism associated to the demands of recognition from minorities in multicultural societies, neither classical republicanism nor political liberalism gives satisfactory orientation to shape a political education accomodated to this social context. Education will contribute to social pacification and social compromises only if we elaborate a political education which takes into account and responds properly to the main actual political goal: living ...

  11. The Index of Asia-Pacific Regional Integration Effort

    Directory of Open Access Journals (Sweden)

    Victor Yifan Ye

    2016-06-01

    Full Text Available The Asia-Pacific region is not typically seen as one geographic or socio-economic space. Yet, 58 regional economies occupying the space of 28 million square kilometers from Turkey in the West, Russian Federation in the North, French Polynesia in the East and New Zealand in the South belong to the Economic and Social Commission of Asia and the Pacific (ESCAP. This commission provides a forum for member states that "promotes regional cooperation and collective action, assisting countries in building and sustaining shared economic growth and social equity". In 2013, ESCAP's members adopted the Bangkok Declaration to enhance efforts towards deeper regional economic integration. Yet this document neither proposes a concrete modality or modalities of achieving deeper integration, nor provides a sense of distance of individual countries to a "perceived" integrated Asia-Pacific.This paper aims to comprehensively quantify recent integration efforts of economies in the Asia-Pacific region. We provide an "index of integration effort" based on twelve metrics that measure the relative distance of a given economy to the region as an economic entity. Generally, we find that while the region has trended towards becoming integrated in general, both the level of integration and integration effort are inconsistent among Asia-Pacific economies. We discuss potential applications and extensions of the index in developing our perspective of the region's economic and social dynamics.

  12. 78 FR 56659 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-09-13

    ... Pacific Fishery Management Council's (Pacific Council) Groundfish Management Team (GMT) will hold a... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National...-16 groundfish harvest specifications and management measures, long-term impact analysis, and...

  13. Antihyperglycemic effect of Sesbania grandiflora seed decoction on streptozotocin-induced diabetic mice: Inflammatory status and the role of interleukin-10

    Science.gov (United States)

    Zamroni, Ahmad; Widjanarko, Simon B.; Rifa'i, Muhaimin; Zubaidah, Elok

    2017-05-01

    Diabetes is one of the fastest growing diseases in the world: its prevalence is estimated to reach 642 million people, or one-tenth of adults will have diabetes by 2040. Traditional herbal exploration and investigation are needed in order to discover medicines that have potential anti-diabetic activity, with no or lower side effects than the medicines clinically used today. In this research, we investigated the anti-hyperglycemic activity of an aqueous decoction of Sesbania grandiflora seeds in streptozotocin-induced diabetic mice, and analyzed the immune responses that occurred during the counter balance process to reach blood glucose homeostasis. Our results revealed that administration of the aqueous decoction (2.5 g/kg BW) could lower the blood glucose levels of diabetic mice from an initial blood glucose level of 435 mg/dl to 213 mg/dl within 18 days of treatment. Analysis of inflammatory markers showed that there was no significant difference in the relative amounts of CD4+CD62L-, CD8+CD62L-, TNF-α or IFN-γ between the experimental groups, which revealed that there were no pro-inflammatory responses involved either in hyperglycemia or in the blood glucose lowering process. On the other hand, an increased amount of interleukin-10 in diabetic mice treated with an S. grandiflora seed decoction indicated a role for IL-10 in maintaining blood glucose homeostasis.

  14. The sexual practices of Asian and Pacific Islander high school students.

    Science.gov (United States)

    Schuster, M A; Bell, R M; Nakajima, G A; Kanouse, D E

    1998-10-01

    To describe the sexual behaviors, beliefs, and attitudes of Asian and Pacific Islander California high school students and to compare them to other racial/ethnic groups. Data were collected from an anonymous self-administered survey of 2026 ninth to 12th graders in a Los Angeles County school district; 186 of the respondents described themselves as Asian and Pacific Islander. The survey was conducted in April 1992. A higher percentage of Asian and Pacific Islander adolescents (73%) compared with African-American (28%, p masturbation of or by a partner, fellatio with ejaculation, cunnilingus, and anal intercourse. Few students in any group reported homosexual genital sexual activities. Asians and Pacific Islanders who had had vaginal intercourse were more likely than most other groups to have used a condom at first vaginal intercourse, but Asians and Pacific Islanders had not used condoms more consistently over the prior year. Asians and Pacific Islanders were more likely to expect parental disapproval if they had vaginal intercourse and less likely to think that their peers had had vaginal intercourse. Asian and Pacific Islander high school students in one California school district appear to be at lower sexual risk than other racial/ethnic groups. However, a large minority are engaging in activities that can transmit disease and lead to unwanted pregnancy. Therefore, current efforts to develop culturally sensitive clinical and community-based approaches to sexual risk prevention should include Asians and Pacific Islanders.

  15. The U.S. Constitution in Today's World.

    Science.gov (United States)

    Patrick, John J.

    A comparative study of constitutions and governments in world history is a key to deeper understanding of the U.S. Constitution. While many countries have constitutions, the United States is among a minority of nations in today's world that has a constitutional government. Many nations' constitutions truly guarantee few protections of individual…

  16. Organization management today: setting the human resource ...

    African Journals Online (AJOL)

    The paper's discussion focuses on the way the world we live in is being transformed under our own very eyes by factors and forces which are so compelling and overwhelming, in their ramifications. The environment in which business and management are carried on today is becoming more and more complex by the day.

  17. Secondary School Administration in Anambra State Today ...

    African Journals Online (AJOL)

    The study, a descriptive survey research design was used to identify the challenges that impede secondary school administration today in Anambra State. The population of the study was all the 259 public secondary school principals in the state. Two research questions and two null hypotheses guided the study. A 20-item ...

  18. Asia-Pacific consensus statements on Crohn's disease. Part 2: Management.

    Science.gov (United States)

    Ooi, Choon Jin; Makharia, Govind K; Hilmi, Ida; Gibson, Peter R; Fock, Kwong Ming; Ahuja, Vineet; Ling, Khoon Lin; Lim, Wee Chian; Thia, Kelvin T; Wei, Shu-chen; Leung, Wai Keung; Koh, Poh Koon; Gearry, Richard B; Goh, Khean Lee; Ouyang, Qin; Sollano, Jose; Manatsathit, Sathaporn; de Silva, H Janaka; Rerknimitr, Rungsun; Pisespongsa, Pises; Abu Hassan, Muhamad Radzi; Sung, Joseph; Hibi, Toshifumi; Boey, Christopher C M; Moran, Neil; Leong, Rupert W L

    2016-01-01

    The Asia Pacific Working Group on Inflammatory Bowel Disease was established in Cebu, Philippines, at the Asia Pacific Digestive Week conference in 2006 under the auspices of the Asian Pacific Association of Gastroenterology (APAGE) with the goal of developing best management practices, coordinating research and raising awareness of IBD in the region. The consensus group previously published recommendations for the diagnosis and management of ulcerative colitis (UC) with specific relevance to the Asia-Pacific region. The present consensus statements were developed following a similar process to address the epidemiology, diagnosis and management of Crohn's disease (CD). The goals of these statements are to pool the pertinent literature specifically highlighting relevant data and conditions in the Asia-Pacific region relating to the economy, health systems, background infectious diseases, differential diagnoses and treatment availability. It does not intend to be all-comprehensive and future revisions are likely to be required in this ever-changing field. © 2015 Journal of Gastroenterology and Hepatology Foundation and Wiley Publishing Asia Pty Ltd.

  19. FUEL Your Life: A Translation of the Diabetes Prevention Program to Worksites.

    Science.gov (United States)

    Wilson, Mark G; DeJoy, David M; Vandenberg, Robert; Padilla, Heather; Davis, Marsha

    2016-01-01

    To evaluate the effectiveness of FUEL Your Life, a translation of the Diabetes Prevention Program for worksites. A randomized control group design was conducted in five worksites of a large transportation company. Measures were collected pretest, posttest (6 months), and follow-up (12 months). Railroad maintenance facilities of Union Pacific Railroad. Participants consisted of 362 workers (227 treatment, 135 control). FUEL Your Life was translated from the Diabetes Prevention Program to better fit within the context of the worksite. The primary difference was the use of peer health coaches to provide social support and reinforcement and an occupational nurse to provide lesson content (six sessions of 10 minutes) to participants instead of the lifestyle coaches employed by the Diabetes Prevention Program, resulting in a less structured meeting schedule. The primary outcomes were weight and body mass index (BMI), with secondary outcomes including eating behaviors, physical activity, and social support. Latent growth modeling was used to measure changes in the outcomes over time. Participants in the intervention group maintained weight/BMI (-.1 pounds/-.1 BMI), whereas the control participants gained weight/BMI (+2.6 pounds/+.3 BMI), resulting in a statistically significant difference between groups. Fifty-five percent of intervention participants lost some weight, whereas only 35% of the control group lost weight. FUEL Your Life, a low intensity intervention, was not effective for promoting weight loss, but was effective for helping workers maintain weight over a 12-month period.

  20. Gelidium elegans Extract Ameliorates Type 2 Diabetes via Regulation of MAPK and PI3K/Akt Signaling.

    Science.gov (United States)

    Choi, Jia; Kim, Kui-Jin; Koh, Eun-Jeong; Lee, Boo-Yong

    2018-01-06

    Gelidium elegans , a red alga native to the Asia Pacific region, contains biologically active polyphenols. We conducted a molecular biological study of the anti-diabetic effect of Gelidium elegans extract (GEE) in C57BL/KsJ-db/db mice. Mice that had been administered GEE had significantly lower body mass, water consumption, and fasting blood glucose than db/db controls. Moreover, hemoglobin A1c (HbA1c), an indicator of the glycemic status of people with diabetes, was significantly lower in mice that had been administered GEE. We also found that 200 mg/kg/day GEE upregulates the insulin signaling pathway by activating insulin receptor substrate-1 (IRS-1) and phosphoinositide 3-kinase (PI3K), and increasing the expression of glucose transporter type 4 (GLUT4). In parallel, mitogen-activated protein kinase (MAPK) activity was lower in GEE-treated groups. In summary, these findings indicate that GEE regulates glucose metabolism by activating the insulin signaling pathway and downregulating the MAPK signaling pathway.

  1. Race/Ethnic Difference in Diabetes and Diabetic Complications

    OpenAIRE

    Spanakis, Elias K.; Golden, Sherita Hill

    2013-01-01

    Health disparities in diabetes and its complications and co-morbidities exist globally. A recent Endocrine Society Scientific Statement described the Health Disparities in several endocrine disorders, including type 2 diabetes. In this review we summarize that statement and provide novel updates on race/ethnic differences in children and adults with type 1 diabetes, children with type 2 diabetes and in Latino subpopulations. We also review race/ethnic differences in the epidemiology of diabet...

  2. 9th Pacific Basin Nuclear Conference. Nuclear energy, science and technology - Pacific partnership. Proceedings Volume 2

    International Nuclear Information System (INIS)

    1994-04-01

    The theme of the 9th Pacific Basin Nuclear Conference held in Sydney from 1-6 May 1994, embraced the use of atom in energy production and in science and technology. The focus was on selected topics of current and on-going interest to countries around the Pacific Basin. The two-volume proceedings include both invited and contributed papers which have been indexed separately. This document, Volume 2 covers the following topics: education and training in Nuclear Science, public acceptance, nuclear safety and radiation protection, nuclear fuel resources and their utilisation, research reactors, cyclotrons and accelerators. refs., tabs., figs., ills

  3. Cardiovascular Response Of Diabetic And Non-Diabetic Nigerian ...

    African Journals Online (AJOL)

    This study assessed the cardiovascular responses of diabetic and non-diabetic subjects to a single bout of bicycle ergometry. Ten male volunteer diabetics and ten male non-diabetic healthy subjects constituted the study and control groups respectively. The subjects exercised for ten minutes on a bicycle ergometer.

  4. 75 FR 55745 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-09-14

    ... Pacific Fishery Management Council's (Pacific Council) Coastal Pelagic Species Management Team (CPSMT) and... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... sardine stock assessment for 2010. Other issues relevant to Coastal Pelagic Species fisheries management...

  5. 78 FR 77658 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2013-12-24

    ... Pacific Fishery Management Council's (Pacific Council) Highly Migratory Species Management Team (HMSMT... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National.... Potential changes to management measures for the west coast drift gillnet fishery. 2. Developments to...

  6. 75 FR 80470 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-12-22

    ... Pacific Fishery Management Council's (Council) Groundfish Management Team (GMT) will hold a working... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National.... Council address: Pacific Fishery Management Council, 7700 NE. Ambassador Place, Suite 101, Portland, OR...

  7. Retinal changes in diabetic patients without diabetic retinopathy.

    Science.gov (United States)

    Dumitrescu, Alina Gabriela; Istrate, Sinziana Luminita; Iancu, Raluca Claudia; Guta, Oana Maria; Ciuluvica, Radu; Voinea, Liliana

    2017-01-01

    The purpose of this study was to measure retinal vessel caliber and to examine early changes in macular thickness using optical coherence tomography (OCT). We evaluated to what extend vascular caliber and macular thickness differed between patients with type 2 diabetes mellitus without diabetic retinopathy compared with healthy individuals. 26 diabetic patients without diabetic retinopathy and 26 normal participants without any retinal and optic nerve diseases underwent ophthalmic examination, fundus photography, and OCT imaging. Temporal inferior retinal vessel diameters were measured using OCT. Also, we measured macular thickness in nine ETDRS subfields using Cirrus OCT. The mean age in the diabetic group was 61.5 years and in the control group, 55.5 years. Wider retinal arterioles and venules were found in patients with diabetes compared with healthy subjects (120 µm versus 96 µm, pdiabetes mellitus, central macular thickness was significantly thinner than that of control eyes (243.5 µm versus 269.9 µm, p value diabetes without diabetic retinopathy.

  8. Push from the Pacific

    Science.gov (United States)

    Jaccard, Samuel L.; Galbraith, Eric D.

    2018-05-01

    Enhanced upwelling and CO2 degassing from the subpolar North Pacific during a warm event 14,000 years ago may have helped keep atmospheric CO2 levels high enough to propel the Earth out of the last ice age.

  9. What are the potential benefits of clinical beta-cell imaging in diabetes mellitus?

    Science.gov (United States)

    Göke, Burkhard

    2010-05-01

    Previously, studies of the endocrine pancreatic beta-cell were mainly performed ex vivo by morphological means. This data supported the analysis of pathophysiological changes in the pancreatic islet during insults such as diabetes mellitus. Metabolic testing of the pancreatic islet by assaying hormone parameters such als plasma insulin or C-peptide combined with more or less sophisticated calculations allowed conclusions about states of insulin resistance or secretory failure. It also allowed certain correlations of endocrine function with beta-cell mass. Today, with firmer pathophysiological concepts about beta-cell failure, modern protocols of islet transplantation, and drugs on the market coming with promises of preservation or even expansion of beta-cell mass in diabetes mellitus it has become very attractive to search for tools measuring beta-cell mass, if possible even repeatingly in the same organism in vivo. From a clinical point of view, the potential of pancreatic beta-cell mass imaging technologies is looked upon with high expectations. Methodologically, the decisive question is whether it is likely that future beta-cell imaging will provide significant advantages over the metabolic methods already in hand. With new in vivo tools, studies of beta-cell mass and function may offer even new approaches stratifying patients to anti-diabetic therapies.

  10. Awareness of diabetic retinopathy among patients with diabetes ...

    African Journals Online (AJOL)

    Background: Diabetic retinopathy is a major cause of blindness worldwide. The associated loss of productivity and quality of life of the patients with diabetic retinopathy will lead to additional socioeconomic burden. This study aims to determine the level of awareness of diabetic retinopathy among diabetic patients. Materials ...

  11. Diabetes Technologies and Their Role in Diabetes Management

    Science.gov (United States)

    Kollipara, Sobha; Silverstein, Janet H.; Marschilok, Katie

    2009-01-01

    The 1993 Diabetes Complications and Control Trial (DCCT) showed that controlling blood glucose prevents and delays the progression of long term complications of diabetes. New diabetes technologies can make control of diabetes possible and safer. This paper reviews these technologies used to monitor blood glucose, administer insulin and evaluate…

  12. 75 FR 81971 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-12-29

    ... Pacific Fishery Management Council's (Council) Highly Migratory Species Management Team (HMSMT) will hold... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National...., Carlsbad, CA 92011; telephone: (760) 431-9440. Council address: Pacific Fishery Management Council, 7700 NE...

  13. 75 FR 33245 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2010-06-11

    ... Pacific Fishery Management Council's (Council) Groundfish Management Team (GMT) will hold a working... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... be held at the Pacific Fishery Management Council office, Large Conference Room, 7700 NE Ambassador...

  14. 77 FR 21972 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-04-12

    ... Pacific Fishery Management Council's (Council) Highly Migratory Species Management Team (HMSMT) will hold... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... work sessions will be held at Large Conference Room, Pacific Fishery Management Council Office, 7700 NE...

  15. 77 FR 57558 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2012-09-18

    ... Pacific Fishery Management Council's (Pacific Council) Groundfish Management Team (GMT) will hold a... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... Management Council, 7700 NE Ambassador Place, Suite 101, Portland, OR 97220-1384. FOR FURTHER INFORMATION...

  16. 76 FR 70042 - Airworthiness Directives; Pacific Aerospace Limited Airplanes

    Science.gov (United States)

    2011-11-10

    ... Airworthiness Directives; Pacific Aerospace Limited Airplanes AGENCY: Federal Aviation Administration (FAA... directive (AD) for Pacific Aerospace Limited Model FU24 Airplanes. This AD results from mandatory continuing... Schletzbaum, Aerospace Engineer, FAA, Small Airplane Directorate, 901 Locust, Room 301, Kansas City, Missouri...

  17. Regional climate change for the Pacific Northwest

    International Nuclear Information System (INIS)

    McBean, G.A.; Thomas, G.

    1991-01-01

    The Pacific Northwest climate is dominated by topography and the Pacific Ocean; the forests have become adapted to the present climate. Within short distances there are large changes in precipitation and temperature, with resultant changes in ecosystems. As the atmospheric concentrations of greenhouse gases increase, global climate is expected to warm and precipitation to increase. Global climate model simulations show enhanced warming at high northern latitudes. For the Pacific Northwest, models show 2-6 degree C warming and increased precipitation in the winter for doubled atmospheric CO 2 concentration. However, the regional details of these models are presently not very reliable. The results and limitations of present global climate models are reviewed. The roles of the oceans, clouds, and other feedback mechanisms are described along with some of the possible impacts of climate change on forest resources. 24 refs., 2 figs., 1 tab

  18. Curcumin Alleviates Diabetic Retinopathy in Experimental Diabetic Rats.

    Science.gov (United States)

    Yang, Fang; Yu, Jinqiang; Ke, Feng; Lan, Mei; Li, Dekun; Tan, Ke; Ling, Jiaojiao; Wang, Ying; Wu, Kaili; Li, Dai

    2018-03-29

    To investigate the potential protective effects of curcumin on the retina in diabetic rats. An experimental diabetic rat model was induced by a low dose of streptozotocin combined with a high-energy diet. Rats which had blood glucose levels ≥11.6 mmol/L were used as diabetic rats. The diabetic rats were randomly divided into 3 groups: diabetic rats with no treatment (DM), diabetic rats treated with 100 mg/kg curcumin (DM + Cur 100 mg/kg), and diabetic rats treated with 200 mg/kg curcumin (DM + Cur 200 mg/kg). Curcumin was orally administered daily for 16 weeks. After 16 weeks of administration, the rats were euthanized, and eyes were dissected. Retinal histology was examined, and the thickness of the retina was measured. Ultrastructural changes of retinal ganglion cells, inner layer cells, retinal capillary, and membranous disks were observed by electron microscopy. Malondialdehyde, superoxide dismutase, and total antioxidant capacity were measured by ELISA. Expression levels of vascular endothelial growth factor (VEGF) in retina tissues were examined by immunohistochemical staining and ELISA. Expression levels of Bax and Bcl-2 in retina tissues were determined by immunohistochemical staining and Western blotting. Curcumin reduced the blood glucose levels of diabetic rats and decreased diabetes-induced body weight loss. Curcumin prevented attenuation of the retina in diabetic rats and ameliorated diabetes-induced ultrastructure changes of the retina, including thinning of the retina, apoptosis of the retinal ganglion cells and inner nuclear layer cells, thickening of retinal capillary basement membrane and disturbance of photoreceptor cell membranous disks. We also found that curcumin has a strong antioxidative ability in the retina of diabetic rats. It was observed that curcumin attenuated the expression of VEGF in the retina of diabetic rats. We also discovered that curcumin had an antiapoptotic effect by upregulating the expression of Bcl-2 and downregulating

  19. Asia and the Pacific: Issues of Educational Policy, Curriculum, and Practice.

    Science.gov (United States)

    Wilson, Donald C., Ed.; And Others

    The Pacific region is growing in worldwide importance in terms of politics, economics, and culture. The emergence of this area of the world provides an opportunity for new directions in social studies education. This book addresses the Pacific Rim issues from the viewpoints of educators from 9 Pacific nations: Australia, Canada, Fiji, Japan,…

  20. Introducing a telemonitoring platform for diabetic patients in primary care: will it increase the socio-digital divide?

    Science.gov (United States)

    Buysse, Heidi E C; de Moor, Georges J E; de Maeseneer, Jan

    2013-07-01

    This study investigates whether diabetes patients visiting a primary care setting are interested in using a telemonitoring platform and if so, whether characteristics of interested users could be distinguished. Three questionnaires were administered by 92 diabetes persons recruited between May and September 2011. Descriptive statistics and logistic regression analysis were performed. Special attention was drawn to include patients with low educational levels. Patients with middle or high educational levels show quite some interest in the use of a telemonitoring platform, especially for the transmission of glycaemic data or for asking questions. Patients with low educational levels only show a minor interest in using such a platform. It is possibly worthwhile to implement a telemonitoring platform in a primary care setting; however this study did not show immediate profit for implementation in a CHC that organises diabetes clinics on regular basis. In primary care settings where it will be implemented, even if there is a social-digital divide today, the use of a telemonitoring platform could possibly reduce inequity in health care as time could become available for those most in need for face-to-face contact with their physician. Copyright © 2012 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

  1. Web publishing today and tomorrow

    CERN Document Server

    Lie, Hakon W

    1999-01-01

    The three lectures will give participants the grand tour of the Web as we know it today, as well as peeks into the past and the future. Many three-letter acronyms will be expanded, and an overview will be provided to see how the various specifications work together. Web publishing is the common theme throughout the lectures and in the second lecture, special emphasis will be given to data formats for publishing, including HTML, XML, MathML and SMIL. In the last lectures, automatic document manipulation and presentation will be discussed, including CSS, DOM and XTL.

  2. Coherent tropical Indo-Pacific interannual climate variability

    OpenAIRE

    Wieners, C.E.; de Ruijter, W.P.M.; Ridderinkhof, W.; von der Heydt, A.S.; Dijkstra, H.A.

    2016-01-01

    A multichannel singular spectrum analysis (MSSA) applied simultaneously to tropical sea surface temperature (SST), zonal wind, and burstiness (zonal wind variability) reveals three significant oscillatory modes. They all show a strong ENSO signal in the eastern Pacific Ocean (PO) but also a substantial SST signal in the western Indian Ocean (IO). A correlation-based analysis shows that the western IO signal contains linearly independent information on ENSO. Of the three Indo-Pacific ENSO mode...

  3. Shoulder dystocia in diabetic and non-diabetic pregnancies.

    Science.gov (United States)

    Malinowska-Polubiec, Aneta; Romejko-Wolniewicz, Ewa; Szostak, Oksana; Dobrowolska-Redo, Agnieszka; Tolloczko, Justyna; Zareba-Szczudlik, Julia; Smolarczyk, Roman; Czajkowski, Krzysztof

    2014-01-01

    Shoulder dystocia remains an obstetric emergency. Maternal diabetes is considered to be one of the major risk factors for shoulder dystocia. The aim of this study was to analyze antepartum and peripartum risk factors and complications of shoulder dystocia in diabetic and non-diabetic women. We performed a retrospective analysis of 48 shoulder dystocia cases out of 28,485 vaginal deliveries of singleton, live-born infants over a 13 year period: 13 cases were diagnosed in diabetic women and 35 cases in non-diabetic women. The study was conducted in the 2nd Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland, from January 2000 to December 2012. Compared to non-diabetic women, diabetic patients had significantly higher pre-pregnancy body weight (83.4±23.8 kg vs. 62.5±10.9 kg, p=0.002), higher pre-pregnancy BMI (30.2±6.8 kg/m2 vs. 22.9±4.3 kg/m2, p=0.0003), and lower gestational weight gain (11.4±6.2 kg vs. 16.0±4.7 kg, p=0.01). Diabetic women with shoulder dystocia were more likely to deliver before completion of the 38th week of gestation (30.8% vs. 5.7%, p=0.02) and had a higher incidence of 1st and 2nd stage perineal tears compared with the non-diabetic group (23.1% vs. 0%, p=0.02). There were two cases of symphysis pubis dehiscence in non-diabetic women. Children of diabetic mothers had a significantly higher birth weight (4,425.4±561.6 g vs. 4,006.9±452.8 g, p=0.03). Children of diabetic mothers with dystocia were at significantly higher risk of peripartum injuries (92.3% vs. 45.7%). A significant difference was observed in the percentage of brachial plexus palsy (61.5% vs. 17.1%). Children of diabetic women experiencing shoulder dystocia were more frequently affected by Erb's brachial plexus palsy and respiratory disturbances. These children had an increased likelihood of birth weights above the 90th percentile (not necessarily reaching 4,000 g) compared to children born to non-diabetic mothers. Shoulder dystocia in women with

  4. Principles underlying the epizootiology of viral hemorrhagic septicemia in Pacific herring and other fishes throughout the North Pacific Ocean

    Science.gov (United States)

    Hershberger, Paul K.; Garver, Kyle A.; Winton, James R.

    2016-01-01

    Although viral hemorrhagic septicemia virus (VHSV) typically occurs at low prevalence and intensity in natural populations of Pacific herring (Clupea pallasii) and other marine fishes in the Northeast Pacific Ocean, epizootics of the resulting disease (VHS) periodically occur, often in association with observed fish kills. Here we identify a list of principles, based on a combination of field studies, controlled laboratory experiments, and previously unpublished observations, that govern the epizootiology of VHS in Pacific herring. A thorough understanding of these principles provides the basis for identifying risk factors that predispose certain marine fish populations to VHS epizootics, including the lack of population resistance, presence of chronic viral carriers in a population, copious viral shedding by infected individuals, cool water temperatures, limited water circulation patterns, and gregarious host behavioral patterns. Further, these principles are used to define the epizootiological stages of the disease in Pacific herring, including the susceptible (where susceptible individuals predominate a school or subpopulation), enzootic (where infection prevalence and intensity are often below the limits of reasonable laboratory detection), disease amplification (where infection prevalence and intensity increase rapidly), outbreak (often accompanied by host mortalities with high virus loads and active shedding), recovery (in which the mortality rate and virus load decline owing to an active host immune response), and refractory stages (characterized by little or no susceptibility and where viral clearance occurs in most VHS survivors). In addition to providing a foundation for quantitatively assessing the potential risks of future VHS epizootics in Pacific herring, these principles provide insights into the epizootiology of VHS in other fish communities where susceptible species exist.

  5. Getting to Know Education in the Pacific Region

    Science.gov (United States)

    Regional Educational Laboratory Pacific, 2014

    2014-01-01

    The Pacific region is comprised of American Samoa, the Commonwealth of the Northern Mariana Islands (CNMI); the Federated States of Micronesia (FSM)-Chuuk, Kosrae, Pohnpei, and Yap; Guam; Hawai'i; the Republic of the Marshall Islands; and the Republic of Palau. This document begins by providing a map of the REL Pacific region overlaid on a map of…

  6. Vaccination ecosystem health check: achieving impact today and sustainability for tomorrow.

    Science.gov (United States)

    Saadatian-Elahi, Mitra; Bloom, David; Plotkin, Stanley; Picot, Valentina; Louis, Jacques; Watson, Michael

    2017-01-01

    Vaccination is a complex ecosystem with several components that interact with one another and with the environment. Today's vaccine ecosystem is defined by the pursuit of polio eradication, the drive to get as many of the new vaccines to as many people as possible and the research and development against immunologically challenging diseases. Despite these successes, vaccine ecosystem is facing keys issues with regard to supply/distribution and cost/profitability asymmetry that risk slowing its global growth. The conference "Vaccination ecosystem health check: achieving impact today and sustainability for tomorrow" held in Annecy-France (January 19-21, 2015) took stock of the health of today's vaccination ecosystem and its ability to reliably and sustainably supply high-quality vaccines while investing in tomorrow's needed innovation. Small and decreasing numbers of suppliers/manufacturing facilities; paucity of research-driven companies; regulatory pressures; market uncertainties; political prioritization; anti-vaccine movements/complacency; and technological and programmatic issues were acknowledged as the major challenges that could weaken today's vaccination ecosystem. The expert panel discussed also drivers and barriers to a sustainable vaccination ecosystem; the metrics of a vaccination ecosystem; and what should be added, removed, increased, or reduced to maintain the health of the vaccination ecosystem.

  7. The international law and the pacific uses of the atomic energy

    International Nuclear Information System (INIS)

    Mora, A.; Gutierrez, I.; Vargas, N.M.

    1992-01-01

    Contains information about: fundamental aspects of atomic energy; International Atomic Energy Agency; pacific uses of nuclear energy at national and international level; regulation for some risky activities in the pacific uses of radioactive materials; United Nations system for the secure use of atomic energy with pacific purposes; nuclear accidents; responsibility as fundamental element of nuclear law. 207 refs

  8. 75 FR 51240 - Pacific Fishery Management Council; Public Meetings

    Science.gov (United States)

    2010-08-19

    ... 5. Salmon Essential Fish Habitat Review D. Pacific Halibut Management 1. 2010 Pacific Halibut... Management 1. Ecosystem Fishery Management Plan I. Groundfish Management 1. Groundfish Essential Fish Habitat... the Groundfish Fisheries E. Habitat 1. Current Habitat Issues 2. National Marine Fisheries Service...

  9. Comparative analysis of diabetic nephropathy and non-diabetic nephropathy disease.

    Science.gov (United States)

    Chen, Qiuxiang; Zhu, Aimin; Wang, Junsheng; Huan, Xuelai

    2017-12-01

    Clinical symptoms of diabetic nephropathy patients and non-diabetic nephropathy are compared and analyzed, hemodialysis effect and quality of life of two kinds of nephrotic patients are analyzed. Respectively extract 1300 cases of diabetic nephropathy and non-diabetic nephropathy patients admitted to different hospitals during December 2011-December 2014. Based on whether the patient suffers from diabetes, they were divided into diabetic group and control group. Hemodialysis of two groups of patients were followed up to observe effectiveness of blood treatment, and complications were observed after one year of follow-up. Hematodialysis effectiveness of diabetic nephropathy patients is significantly lower than that of non-diabetic nephropathy group. After 1 year's follow-up, it can be found that survival rate of diabetic nephropathy patients is much lower than that of control group. In statistical comparison of data involved in the two groups of patients, P diabetic nephropathy patients is relatively poor compared to that of non-diabetic patients. In clinics, management and prevention of diabetic patients should be strengthened to avoid complication of nephropathy which brings serious injury to patients.

  10. Legacy of the Pacific Islander cancer control network.

    Science.gov (United States)

    Hubbell, F Allan; Luce, Pat H; Afeaki, William P; Cruz, Lee Ann C; McMullin, Juliet M; Mummert, Angelina; Pouesi, June; Reyes, Maria Lourdes; Taumoepeau, Leafa Tuita; Tu'ufuli, Galeai Moali'itele; Wenzel, Lari

    2006-10-15

    The groundwork for the Pacific Islander cancer control network (PICCN) began in the early 1990s with a study of the cancer control needs of American Samoans. The necessity for similar studies among other Pacific Islander populations led to the development of PICCN. The project's principal objectives were to increase cancer awareness and to enhance cancer control research among American Samoans, Tongans, and Chamorros. PICCN was organized around a steering committee and 6 community advisory boards, 2 from each of the targeted populations. Membership included community leaders, cancer control experts, and various academic and technical organizations involved with cancer control. Through this infrastructure, the investigators developed new culturally sensitive cancer education materials and distributed them in a culturally appropriate manner. They also initiated a cancer control research training program, educated Pacific Islander students in this field, and conducted pilot research projects. PICCN conducted nearly 200 cancer awareness activities in its 6 study sites and developed cancer educational materials on prostate, colorectal, lung, breast, and cervical cancer and tobacco control in the Samoan, Tongan, and Chamorro languages. PICCN trained 9 students who conducted 7 pilot research projects designed to answer important questions regarding the cancer control needs of Pacific Islanders and to inform interventions targeting those needs. The legacy of PICCN lies in its advancement of improving cancer control among Pacific Islanders and setting the stage for interventions that will help to eliminate cancer-related health disparities. Cancer 2006. (c) 2006 American Cancer Society.

  11. Behavioral responses of Pacific lamprey to alarm cues

    Science.gov (United States)

    Porter, Laurie L.; Hayes, Michael C.; Jackson, Aaron D.; Burke, Brian J.; Moser, Mary L.; Wagner, R. Steven

    2017-01-01

    Pacific lamprey (Entosphenus tridentatus), an anadromous ectoparasite, faces several challenges during adult migration to spawning grounds. Developing methods to address these challenges is critical to the success of ongoing conservation efforts. The challenges are diverse, and include anthropogenic alterations to the ecosystem resulting in loss of habitat, impassable barriers such as dams, climate change impacts, and altered predator fields. We conducted a behavioral study to understand how adult migrating Pacific lamprey respond to potential alarm cues: White Sturgeon (Acipenser transmontanus), human saliva, decayed Pacific lamprey, and river otter (Lontra canadensis). Research has shown that some species of lamprey can be guided to a location using odors and similar cues may be useful as a management tool for Pacific lamprey. Experiments were conducted over 2 nights and measured the number of entries (count) and duration of time spent (occupancy) by adult lamprey in each arm of a two-choice maze. During the first night, no odor was added to test for selection bias between arms. During the second night odor was added to one arm of the maze. Contrary to expectations, lamprey were significantly attracted to the river otter odor in both count and occupancy. No significant differences were found in the response of lamprey to the other three odors. Results from this study indicate that Pacific lamprey do respond to some odors; however, additional tests are necessary to better identify the types of odors and concentrations that elicit a repeatable response.

  12. Women and Diabetes

    Medline Plus

    Full Text Available ... Diabetes How to Report Problems with Glucose Meters Diabetes Treatments Some people with diabetes need to take diabetes ... talk with your health care provider about your diabetes treatment. Diabetes Medicines - easy-to-read booklet for women ...

  13. Monogenic Diabetes

    Science.gov (United States)

    ... but can return later in life How are MODY and neonatal diabetes diagnosed? Because monogenic diabetes is rare, this diagnosis ... type 1 or type 2 diabetes and identify MODY or neonatal diabetes. Blood tests Blood tests of glucose levels, and ...

  14. South Asian high and Asian-Pacific-American climate teleconnection

    Science.gov (United States)

    Zhang, Peiqun; Song, Yang; Kousky, Vernon E.

    2005-11-01

    Growing evidence indicates that the Asian monsoon plays an important role in affecting the weather and climate outside of Asia. However, this active role of the monsoon has not been demonstrated as thoroughly as has the variability of the monsoon caused by various impacting factors such as sea surface temperature and land surface. This study investigates the relationship between the Asian monsoon and the climate anomalies in the Asian-Pacific-American (APA) sector. A hypothesis is tested that the variability of the upper-tropospheric South Asian high (SAH), which is closely associated with the overall heating of the large-scale Asian monsoon, is linked to changes in the subtropical western Pacific high (SWPH), the mid-Pacific trough, and the Mexican high. The changes in these circulation systems cause variability in surface temperature and precipitation in the APA region. A stronger SAH is accompanied by a stronger and more extensive SWPH. The enlargement of the SWPH weakens the mid-Pacific trough. As a result, the southern portion of the Mexican high becomes stronger. These changes are associated with changes in atmospheric teleconnections, precipitation, and surface temperature throughout the APA region. When the SAH is stronger, precipitation increases in southern Asia, decreases over the Pacific Ocean, and increases over the Central America. Precipitation also increases over Australia and central Africa and decreases in the Mediterranean region. While the signals in surface temperature are weak over the tropical land portion, they are apparent in the mid latitudes and over the eastern Pacific Ocean.

  15. EURO - Before Yesterday, Yesterday, Today, Tomorrow...

    OpenAIRE

    Sylwia Pangsy-Kania

    2002-01-01

    The article was divided into four integrally connected parts concerning the EURO: before yesterday, yesterday, today and tomorrow. On the 1st January 2002 the common European currency became a fact. In eleven European countries there appeared jointly over 13 billion banknotes and 76 billion coins. The introduction of a common currency in the countries of the European Union is the greatest financial operation in world history with such a huge scale and degree of complication. Before yesterdayŠ...

  16. 78 FR 70283 - Pacific Fishery Management Council; Online Webinar

    Science.gov (United States)

    2013-11-25

    ... Pacific Fishery Management Council's (Pacific Council's) Scientific and Statistical Committee (SSC... cabezon, and other business in preparation for the SSC's March 2014 meeting. The online SSC Groundfish....m. PST, Wednesday, December 11, 2013 and continue until 4 p.m. or as necessary to complete business...

  17. Diabetic Retinopathy

    Science.gov (United States)

    ... pregnancy may have rapid onset or worsening of diabetic retinopathy. Symptoms and Detection What are the symptoms of diabetic retinopathy and ... with diabetes protect their vision? Vision lost to diabetic retinopathy is ... However, early detection and treatment can reduce the risk of blindness ...

  18. 75 FR 68756 - Eastern North Pacific Gray Whale; Notice of Petition Availability

    Science.gov (United States)

    2010-11-09

    ... North Pacific Gray Whale; Notice of Petition Availability AGENCY: National Marine Fisheries Service... petition to designate the Eastern North Pacific population of gray whales (Eschrichtius robustus) as a... Eastern North Pacific gray whales is available on the Internet at the following address: http://www.nmfs...

  19. Dynamics of the Asia-Pacific oil market

    International Nuclear Information System (INIS)

    Yamaguchi, N.D.

    1996-01-01

    The Asia-Pacific could become the world's largest oil market with an estimated 10 million b/d new demand by 2010. At the same time less Asian crude will be available for the world market. Refinery expansion is likely to be insufficient and imports of refined products will rise. The Asia-Pacific market could be the world's largest middle distillate importer and a major centre of trade for essentially every other petroleum product and form of commercial energy. (Author)

  20. Food irradiation: regulatory aspects in the Asia and Pacific region

    International Nuclear Information System (INIS)

    Luckman, G.J.

    2002-01-01

    Irradiation treatment of food is becoming an increasingly accepted processing option for countries in the Asia Pacific region wishing to meet growing sanitary and phytosanitary requirements in international trade. There remain however, large differences between the regulatory requirements in the countries in this region. This paper gives an outline on existing food irradiation regulations in the separate countries of the Asia Pacific region. New developments such as the recent decision by the Australia New Zealand Food Authority to start assessing applications for food irradiation treatment are discussed. Australia's intention to regulate the export of food treated by irradiation will also be outlined. Details of the decision to harmonise food irradiation regulations by 13 countries in the Asia Pacific region based on conformance with Codex requirements is outlined. The likelihood of other Asia Pacific countries enacting similar harmonisation of their regulations will be examined. Future development such as certification of irradiation as a sanitary treatment for food are discussed. The expected result of these initiatives is a likely increase in irradiated foods traded within the Asia Pacific region

  1. Parenting style, parent-youth conflict, and medication adherence in youth with type 2 diabetes participating in an intensive lifestyle change intervention.

    Science.gov (United States)

    Saletsky, Ronald D; Trief, Paula M; Anderson, Barbara J; Rosenbaum, Paula; Weinstock, Ruth S

    2014-06-01

    Parenting behaviors and family conflict relate to type 1 diabetes outcomes in youth. Our purpose was to understand these relationships in parents and youth with type 2 diabetes (T2DM). The TODAY (Treatment Options for Type 2 Diabetes in Adolescents and Youth) trial enrolled youth (10-17 years) with T2DM and parent/guardian. For this ancillary study, we enrolled a sample of youth-parent pairs (N = 137) in 1 study arm (metformin plus lifestyle intervention). They completed questionnaires measuring parenting style related to normative (e.g., completing homework) and diabetes self-care (e.g., testing blood glucose) tasks, and parent-youth verbal conflict (baseline, 6, and 12 months). Parenting style was consistent across normative and diabetes tasks, with gradual increases in autonomy perceived by youth. Conversations were generally calm, with greater conflict regarding normative than diabetes tasks at baseline (youth: p parent: p = .01), 6 months (youth: p = .02, parent: p > .05), and 12 months (youth: p > .05., parent: p = .05). A permissive parenting style toward normative tasks and a less authoritarian style toward diabetes tasks, at baseline, predicted better medication adherence (8-12 months) (normative: adjusted R2 = 0.48, p Parent-youth conflict did not predict medication adherence. Youth with T2DM who perceive more autonomy (less parental control) in day-to-day and diabetes tasks are more likely to adhere to medication regimens. It may be valuable to assess youth perceptions of parenting style and help parents understand youths' needs for autonomy.

  2. Internationally Safeguarded Atomic Fuel Exchange Center for the Asian Pacific Basin

    International Nuclear Information System (INIS)

    Selvaduray, G.; Anderson, R.N.; Goldstein, M.K.

    1979-01-01

    The concept of an Internationally Safeguarded Atomic Fuel Exchange Center (ISAFE) for the Asia-Pacific Basin is examined. The geography and nuclear capabilitiy of the countries that comprise the Asia-Pacific Basin is described in full length. The incentives and the limitations for the establishment of the ISAFE center in the Asia-Pacific Basin are discussed in detail. 34 refs

  3. Security trends in the Asia-Pacific region

    International Nuclear Information System (INIS)

    Qian Jiadong

    1992-01-01

    The drastic world changes are less conspicuous in Asia-Pacific region than in it was the case in Europe, although they must be considered as stabilizing factors as well as sustained economic dynamism. Due to these changes some progress was achieved in world disarmament and arms control. But this is considered only a first step, there remains a long way to go. In the case of Asia-Pacific, possessors of largest nuclear arsenals and most sophisticated conventional arms need to further reduce their forces, support the proposals of setting up nuclear-weapon-free zones and commit themselves to no-first-use of nuclear weapons and non-use of nuclear weapons against non-nuclear states. Their fulfilment of these demands would undoubtedly contribute towards the prevention of a new round of the arms race and to the non-proliferation of weapons of mass destruction in Asia-Pacific region

  4. Energy financing in today's world - a banker's viewpoint

    International Nuclear Information System (INIS)

    Mackrell, Ian

    1991-01-01

    If the world runs on energy, the energy industry runs on finance. Supplying the industry's huge appetite for funds -on the scale and in the form required - has always posed a major challenge to the international banking community. But in some respects that challenge is greater today than it has ever been, not only because of the industry's escalating requirements but also because of the way bank's attitudes have been changing in the recent past. One reason for this is the rapidly evolving scene within the energy business in response to the harsher competitive conditions and the greater uncertainties of tomorrow. However, the other major factor is that banking itself has been undergoing significant change as a result of severe pressures and constraints, both internal and external. Some of the key global trends and issues affecting energy financing in today's world are considered here. (author)

  5. Energy financing in today's world - a banker's viewpoint

    Energy Technology Data Exchange (ETDEWEB)

    Mackrell, Ian [Barclays Bank plc, London (GB)

    1991-07-01

    If the world runs on energy, the energy industry runs on finance. Supplying the industry's huge appetite for funds -on the scale and in the form required - has always posed a major challenge to the international banking community. But in some respects that challenge is greater today than it has ever been, not only because of the industry's escalating requirements but also because of the way bank's attitudes have been changing in the recent past. One reason for this is the rapidly evolving scene within the energy business in response to the harsher competitive conditions and the greater uncertainties of tomorrow. However, the other major factor is that banking itself has been undergoing significant change as a result of severe pressures and constraints, both internal and external. Some of the key global trends and issues affecting energy financing in today's world are considered here. (author).

  6. Packaging Printing Today

    Directory of Open Access Journals (Sweden)

    Stanislav Bolanča

    2015-12-01

    Full Text Available Printing packaging covers today about 50% of all the printing products. Among the printing products there are printing on labels, printing on flexible packaging, printing on folding boxes, printing on the boxes of corrugated board, printing on glass packaging, synthetic and metal ones. The mentioned packaging are printed in flexo printing technique, offset printing technique, intaglio halftone process, silk – screen printing, ink ball printing, digital printing and hybrid printing process. The possibilities of particular printing techniques for optimal production of the determined packaging were studied in the paper. The problem was viewed from the technological and economical aspect. The possible printing quality and the time necessary for the printing realization were taken as key parameters. An important segment of the production and the way of life is alocation value and it had also found its place in this paper. The events in the field of packaging printing in the whole world were analyzed. The trends of technique developments and the printing technology for packaging printing in near future were also discussed.

  7. Type 2 diabetes in young adults in Central Auckland: demography and complications.

    Science.gov (United States)

    Beig, Junaid; Khanolkar, Manish; Cundy, Tim

    2018-01-01

    Type 2 diabetes (T2D) in young adults is associated with a high risk of diabetes complications. To investigated the demography and the emergence of complications of young adults with T2D in the central Auckland region where there has been substantial immigration. In total, 310 young adults with T2D (Auckland Diabetes Centre in 2015. We documented demographic, anthropometric and metabolic variables and prevalence and the emergence of complications. Three demographic groups accounted for 243 participants (78%): 135 (44%) were migrants of Asian or Pacific Island origin, diagnosed a median 9 years after migration at a mean age of 28 ± 6 years; 88 (29%) were New Zealand-born Pāsifika descent, with a high prevalence of morbid obesity and 37 (12%) had major mental illness or intellectual disability. At diagnosis, the median HbA1c was 80 mmol/mol, and in 28%, it was ≥100 mmol/mol. A median 6 years after diagnosis, 56% had some degree of retinopathy, with the prevalence related both to the duration of diabetes and glycaemic control (P = 0.001). Forty-four percent of subjects had abnormal albuminuria at diagnosis (12% with macroalbuminuria). Increased albuminuria was strongly associated with obesity (P = 0.002). The development of CKD stages 4-5 was related both to the severity of retinopathy and degree of albuminuria at diagnosis (P = 0.0001). Major cardiovascular events were related to the severity of retinopathy at diagnosis (P = 0.0001). New migrants, New Zealand-born Pāsifika and patients with mental illness or an intellectual disability comprise the bulk of young onset T2D. The disease is aggressive, and by the age of 40, patients are already developing advanced complications. © 2017 Royal Australasian College of Physicians.

  8. Trade and the Development of the Pacific Alliance

    Directory of Open Access Journals (Sweden)

    José Armando Hernández Bernal

    2015-11-01

    Full Text Available The Pacific Alliance is a process of deep integration among Colombia, Chile, Peru and Mexico, which aims to build a free trade area and to project into the Asia-Pacific region, in order to enhance existing trade agreements among the members. There is no deep trade relationships among these four countries, despite having regional agreements since the 1990s, as demonstrated by the low volume of reciprocal exports and imports, in addition to the low indicator of intra-industrial trade. In this paper, intra-regional trade index is calculated among the countries of the Pacific Alliance, evidencing low indicators, but with a growth, encouraged by reciprocal or unilateral policies of commercial opening, and by an environment favoring economic growth throughout the region.

  9. Marine proxy evidence linking decadal North Pacific and Atlantic climate

    Energy Technology Data Exchange (ETDEWEB)

    Hetzinger, S. [University of Toronto Mississauga, CPS-Department, Mississauga, ON (Canada); Leibniz Institute of Marine Sciences, IFM-GEOMAR, Kiel (Germany); Halfar, J. [University of Toronto Mississauga, CPS-Department, Mississauga, ON (Canada); Mecking, J.V.; Keenlyside, N.S. [Leibniz Institute of Marine Sciences, IFM-GEOMAR, Kiel (Germany); University of Bergen, Geophysical Institute and Bjerknes Centre for Climate Research, Bergen (Norway); Kronz, A. [University of Goettingen, Geowissenschaftliches Zentrum, Goettingen (Germany); Steneck, R.S. [University of Maine, Darling Marine Center, Walpole, ME (United States); Adey, W.H. [Smithsonian Institution, Department of Botany, Washington, DC (United States); Lebednik, P.A. [ARCADIS U.S. Inc., Walnut Creek, CA (United States)

    2012-09-15

    Decadal- to multidecadal variability in the extra-tropical North Pacific is evident in 20th century instrumental records and has significant impacts on Northern Hemisphere climate and marine ecosystems. Several studies have discussed a potential linkage between North Pacific and Atlantic climate on various time scales. On decadal time scales no relationship could be confirmed, potentially due to sparse instrumental observations before 1950. Proxy data are limited and no multi-centennial high-resolution marine geochemical proxy records are available from the subarctic North Pacific. Here we present an annually-resolved record (1818-1967) of Mg/Ca variations from a North Pacific/Bering Sea coralline alga that extends our knowledge in this region beyond available data. It shows for the first time a statistically significant link between decadal fluctuations in sea-level pressure in the North Pacific and North Atlantic. The record is a lagged proxy for decadal-scale variations of the Aleutian Low. It is significantly related to regional sea surface temperature and the North Atlantic Oscillation (NAO) index in late boreal winter on these time scales. Our data show that on decadal time scales a weaker Aleutian Low precedes a negative NAO by several years. This atmospheric link can explain the coherence of decadal North Pacific and Atlantic Multidecadal Variability, as suggested by earlier studies using climate models and limited instrumental data. (orig.)

  10. A Multiethnic Study of Pre-Diabetes and Diabetes in LMIC.

    Science.gov (United States)

    Shen, Jia; Kondal, Dimple; Rubinstein, Adolfo; Irazola, Vilma; Gutierrez, Laura; Miranda, J Jaime; Bernabé-Ortiz, Antonio; Lazo-Porras, María; Levitt, Naomi; Steyn, Krisela; Bobrow, Kirsten; Ali, Mohammed K; Prabhakaran, Dorairaj; Tandon, Nikhil

    2016-03-01

    Diabetes mellitus is one of the leading causes of death and disability worldwide. Approximately three-quarters of people with diabetes live in low- and middle-income countries, and these countries are projected to experience the greatest increase in diabetes burden. We sought to compare the prevalence, awareness, treatment, and control of diabetes in 3 urban and periurban regions: the Southern Cone of Latin America and Peru, South Asia, and South Africa. In addition, we examined the relationship between diabetes and pre-diabetes with known cardiovascular and metabolic risk factors. A total of 26,680 participants (mean age, 47.7 ± 14.0 years; 45.9% male) were enrolled in 4 sites (Southern Cone of Latin America = 7,524; Peru = 3,601; South Asia = 11,907; South Africa = 1,099). Detailed demographic, anthropometric, and biochemical data were collected. Diabetes and pre-diabetes were defined as a fasting plasma glucose ≥126 mg/dl and 100 to 125 mg/dl, respectively. Diabetes control was defined as fasting plasma glucose diabetes and pre-diabetes was 14.0% (95% confidence interval [CI]: 13.2% to 14.8%) and 17.8% (95% CI: 17.0% to 18.7%) in the Southern Cone of Latin America, 9.8% (95% CI: 8.8% to 10.9%) and 17.1% (95% CI: 15.9% to 18.5%) in Peru, 19.0% (95% CI: 18.4% to 19.8%) and 24.0% (95% CI: 23.2% to 24.7%) in South Asia, and 13.8% (95% CI: 11.9% to 16.0%) and 9.9% (95% CI: 8.3% to 11.8%) in South Africa. The age- and sex-specific prevalence of diabetes and pre-diabetes for all countries increased with age (p Peru, and South Africa the prevalence of pre-diabetes rose sharply at 35 to 44 years. In South Asia, the sharpest rise in pre-diabetes prevalence occurred younger at 25 to 34 years. The prevalence of diabetes rose sharply at 45 to 54 years in the Southern Cone of Latin America, Peru, and South Africa, and at 35 to 44 years in South Asia. Diabetes and pre-diabetes prevalence increased with body mass index. South Asians had the highest prevalence of diabetes and

  11. Knowledge of diabetic complications in patients with diabetes mellitus

    International Nuclear Information System (INIS)

    Ullah, F.; Afridi, A.K.; Rahim, F.; Ashfaq, M.; Khan, S.

    2015-01-01

    The prevalence of diabetes mellitus has risen exponentially over the last three decades, with resultant increase in morbidity and mortality mainly due to its complications. Limited data is available regarding the awareness and knowledge about these complications in our population. This study was carried out to evaluate the knowledge of diabetic complications in patients with diabetes mellitus. Methods: This cross-sectional study was conducted in the Medical B Unit of Department of Medicine Khyber Teaching Hospital, Peshawar. All admitted diabetic patients above 15 years of age with duration of diabetes mellitus more than one year were included. Results: Out of the 96 patients questioned, 58 were females and 38 were males. Mean age was 53.29 ± 10.821 years while the mean duration of diabetes mellitus was 9.75 ± 7.729 years. Of the total 76 (79.1%) of the patients were illiterate; 36 (37.50%) had good, 24 (25%) had average and 36 (37.50%) had poor knowledge about diabetic complications. Males and university graduate patients had slightly better knowledge. Between 50-60% patients were aware of different cardiac complications of diabetes mellitus. Awareness regarding other complications was foot ulcer/gangrene 70 (72.91%), poor wound healing 68 (70.83%), stroke 54 (56.25%), renal diseases 64 (66.66%), eye diseases 53 (55.20%), gastroparesis and other gastrointestinal problems 45 (46.87%), diabetic ketoacidosis 55 (57.29%), hypoglycaemia 50 (52.08%), lipid abnormalities 26 (27.08%) and symptoms of diabetic neuropathy ranging from 47-65%. Conclusions: Majority of diabetic patients are unaware of diabetic complications. Therefore, hospital and community based awareness programs should be launched to decrease the morbidity and mortality associated with diabetes mellitus. (author)

  12. KNOWLEDGE OF DIABETIC COMPLICATIONS IN PATIENTS WITH DIABETES MELLITUS.

    Science.gov (United States)

    Ullah, Fahim; Afridi, Ayesha Khan; Rahim, Fawad; Ashfaq, Muhammad; Khan, Sheema; Shabbier, Ghulam; Rahman, Sadiq Ur

    2015-01-01

    The prevalence of diabetes mellitus has risen exponentially over the last three decades, with resultant increase in morbidity and mortality mainly due to its complications. Limited data is available regarding the awareness and knowledge about these complications in our population. This study was carried out to evaluate the knowledge of diabetic complications in patients with diabetes mellitus. This cross-sectional study was conducted in the Medical B Unit of Department of Medicine Khyber Teaching Hospital, Peshawar. All admitted diabetic patients above 15 years of age with duration of diabetes mellitus more than one year were included. Out of the 96 patients questioned, 58 were females and 38 were males. Mean age was 53.29 +/- 10.821 years while the mean duration of diabetes mellitus was 9.75 +/- 7.729 years. Of the total 76 (79.1%) of the patients were illiterate; 36 (37.50%) had good, 24 (25%) had average and 36 (37.50%) had poor knowledge about diabetic complications. Males and university graduate patients had slightly better knowledge. Between 50-60% patients were aware of different cardiac complications of diabetes mellitus. Awareness regarding other complications was foot ulcer/gangrene 70 (72.91%), poor wound healing 68 (70.83%), stroke 54 (56.25%), renal diseases 64 (66.66%), eye diseases 53 (55.20%), gastroparesis and other gastrointestinal problems 45 (46.87%), diabetic ketoacidosis 55 (57.29%), hypoglycaemia 50 (52.08%), lipid abnormalities 26 (27.08%) and symptoms of diabetic neuropathy ranging from 47-65%. Majority of diabetic patients are unaware of diabetic complications. Therefore, hospital and community based awareness programs should be launched to decrease the morbidity and mortality associated with diabetes mellitus.

  13. Are life histories of Norwegian fjord herring populations of Pacific ancestry similar to those of Atlantic or Pacific herring?

    Science.gov (United States)

    Mikkelsen, Nina; Pedersen, Torstein; dos Santos Schmidt, Thassya Christina; Falk-Petersen, Inger-Britt; Slotte, Aril

    2018-04-01

    Herring from two unexploited fjord populations, Lake Rossfjord (LRH, n = 100) and Balsfjord (BFH, n = 420) in northern Norway, were sampled in 2014 and 2015. Life history characteristics were analysed and compared to the oceanic Norwegian spring-spawning herring (NSSH), and other Atlantic and Pacific herring stocks. Genetic studies have shown that LRH and BFH are ancestors evolved from Pacific herring that hybridized with Atlantic herring. This study shows that both LRH and BFH mature at a relatively early age, at 2-3 years and ca. 4 years respectively, compared to ca. 5 years for NSSH. The spawning stocks of LRH and BFH consist of small fish and contain relatively few age classes. Both fjord populations have slow growth after sexual maturity; LRH has a very low asymptotic length (L∞ = 19.8 cm), while that of BFH is higher (L∞ of 28.5 cm); both these values being lower than that of NSSH (L∞ of ca. 37 cm). The somatic relative fecundity of LRH is 176.6 oocytes g- 1, while the somatic relative fecundity of recruit and repeat BFH spawners is 152.4 and 183.1 oocytes g- 1, respectively. These estimates are lower than those for NSSH and other Atlantic herring fjord populations, but comparable with other Pacific herring. Due to the smaller body sizes of the spawners in the LRH and BFH populations, absolute fecundity is much lower than in NSSH. The gonadosomatic indices of prespawning fish are similar in LRH and BFH, being slightly higher compared to the NSSH, but lower than values reported for Pacific herring. The natural mortality rates of LRH and BFH (M = 0.64 year- 1 and M = 0.76 year- 1, respectively) are much higher than in NSSH (M = 0.15 year- 1) and most other Atlantic herring populations, except the Lusterfjord herring. However, these high mortality rates are similar to those of several Pacific herring populations. It is concluded that LRH and BFH show low somatic growth and high natural mortality rate. These life history characteristics differ from those of

  14. Diabetes knowledge among Greek Type 2 Diabetes Mellitus patients.

    Science.gov (United States)

    Poulimeneas, Dimitrios; Grammatikopoulou, Maria G; Bougioukli, Vasiliki; Iosifidou, Parthena; Vasiloglou, Maria F; Gerama, Maria-Assimina; Mitsos, Dimitrios; Chrysanthakopoulou, Ioanna; Tsigga, Maria; Kazakos, Kyriakos

    2016-01-01

    Diabetes knowledge has been shown to improve glycemic control and associate with several demographic parameters. In Greece, a country with high obesity rates, disease knowledge has never been evaluated in diabetic patients. This cross sectional study aimed to assess diabetes knowledge and its associations between social and demographic parameters, among Greek type 2 diabetes mellitus (T2DM) patients. One hundred fifty nine patients with T2DM were recruited from an urban and a rural clinic in Greece. Diabetes knowledge was assessed with the Brief Diabetes Knowledge Test (DKT). Basic anthropometry was performed. Data regarding glycemic control and sociodemographic characteristics were collected from the patients' medical files. Greek T2DM patients demonstrated poor disease knowledge (mean DKT score 8.3±2.2/14.0 and mean DKT as a percent of correct answers 59.6±15.8%). No differences were observed between sex, place of residence, or glycemic control, among subjects. Patients with higher education demonstrated greater diabetes knowledge. Simple obesity with concurrent central obesity or suboptimal glycemic control decreased diabetes knowledge among participants. Additionally, waist circumference was inversely correlated to diabetes knowledge. Based on the DKT, Greek patients exhibit poor diabetes knowledge. This study provides evidence for the need for better diabetes education in order to ameliorate disease outcome. Copyright © 2016 SEEN. Publicado por Elsevier España, S.L.U. All rights reserved.

  15. 75 FR 76294 - Radio Broadcasting Services: Pacific Junction, IA

    Science.gov (United States)

    2010-12-08

    ... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 73 [DA 10-2236; MB Docket No. 10-108] Radio Broadcasting Services: Pacific Junction, IA AGENCY: Federal Communications Commission. ACTION: Final rule. SUMMARY: The staff deletes FM Channel 299C2 at Pacific Junction, Iowa, because the record in this...

  16. 78 FR 9781 - Airworthiness Directives; Pacific Aerospace Limited Airplanes

    Science.gov (United States)

    2013-02-12

    ... Airworthiness Directives; Pacific Aerospace Limited Airplanes AGENCY: Federal Aviation Administration (FAA... directive (AD) for all Pacific Aerospace Limited Models FU24-954 and FU24A-954 airplanes. This AD results... Aerospace Limited, Hamilton Airport, Private Bag, 3027 Hamilton, New Zealand; telephone: +64 7 843 6144; fax...

  17. Water and Environmental Research Institute of the Western Pacific

    Science.gov (United States)

    Water and Environmental Research Institute of the Western Pacific - University of Guam Skip to main entered the website of the Water and Environmental Research Institute of the Western Pacific (WERI) at the CNMI and the FSM. Research Programs Weather and Climate Surface Water & Watersheds Groundwater &

  18. 76 FR 36902 - Pacific Fishery Management Council; Public Meeting

    Science.gov (United States)

    2011-06-23

    ... continue the periodic review of essential fish habitat (EFH) identification and descriptions for species... Pacific Fishery Management Council (Pacific Council) will hold a meeting of its Groundfish Essential Fish Habitat Review Committee (EFHRC). The meeting is open to the public. DATES: The CPSMT meeting will be held...

  19. Atlantic DIP: Diabetes in Pregnancy: a comparative study of stress and wellbeing in women with established diabetes, gestational diabetes, and those without diabetes

    LENUS (Irish Health Repository)

    Lydon, K

    2011-09-15

    Background and aims: Diabetes in pregnancy increases the risk of maternal and perinatal morbidity and mortality. The experience of diabetes during pregnancy may be a significant source of stress, both because of the impact of the illness and associated treatments on the expectant mother and because of concern about the impact on the unborn child. In order to examine stress associated with diabetes during pregnancy, we carried out a prospective study in women with pre-existing (Type 1 or Type 2) Diabetes (PDM), Gestational Diabetes Mellitus (GDM), and non-diabetic pregnant controls (NDM).\\r\

  20. Diabetes distress among type 2 diabetic patients

    African Journals Online (AJOL)

    McRoy

    Key words: Diabetes mellitus, diabetes distress, HbA1c, glycaemic status ... [3] The management of diabetes mellitus and the ... morbidity and mortality risks associated with ... appropriate policy for prevention, control and ..... Mellitus and its Association Risk Indicators in a ... collaborative Research on Internal Medicine and.

  1. No gene flow across the Eastern Pacific Barrier in the reef-building coral Porites lobata.

    Science.gov (United States)

    Baums, Iliana B; Boulay, Jennifer N; Polato, Nicholas R; Hellberg, Michael E

    2012-11-01

    The expanse of deep water between the central Pacific islands and the continental shelf of the Eastern Tropical Pacific is regarded as the world's most potent marine biogeographic barrier. During recurrent climatic fluctuations (ENSO, El Niño Southern Oscillation), however, changes in water temperature and the speed and direction of currents become favourable for trans-oceanic dispersal of larvae from central Pacific to marginal eastern Pacific reefs. Here, we investigate the population connectivity of the reef-building coral Porites lobata across the Eastern Pacific Barrier (EPB). Patterns of recent gene flow in samples (n = 1173) from the central Pacific and the Eastern Tropical Pacific (ETP) were analysed with 12 microsatellite loci. Results indicated that P. lobata from the ETP are strongly isolated from those in the central Pacific and Hawaii (F(ct) ' = 0.509; P Clipperton Atoll, an oceanic island on the eastern side of the EPB, grouped with the central Pacific. Within the central Pacific, Hawaiian populations were strongly isolated from three co-occurring clusters found throughout the remainder of the central Pacific. No further substructure was evident in the ETP. Changes in oceanographic conditions during ENSO over the past several thousand years thus appear insufficient to support larval deliveries from the central Pacific to the ETP or strong postsettlement selection acts on ETP settlers from the central Pacific. Recovery of P. lobata populations in the frequently disturbed ETP thus must depend on local larval sources. © 2012 Blackwell Publishing Ltd.

  2. 2016 Asia-Europe-Pacific School of High-Energy Physics

    CERN Multimedia

    2016-01-01

      Dear colleagues, I would like to draw your attention to the 2016 Asia-Europe-Pacific School of High-Energy Physics. Details can be found here.  The third Asia-Europe-Pacific School of High-Energy Physics, AEPSHEP2016, to be held near Beijing, China, 12-25 October 2016, is open for applications (deadline 1st April 2016). AEPSHEP is held every second year, hosted in countries in the Asia-Pacific region. The first two schools in the series were held in Fukuoka, Japan, in 2012 and Puri, India, in 2014.  Applications to attend the school are invited particularly from students from countries in the Asia-Pacific region and from Europe, although applications from other regions will also be considered. The programme of the school will be at a level appropriate for PhD students in experimental particle physics. It is anticipated that students working on phenomenology (if not too far from experimental particle-physics) will also be accepted. The...

  3. Indo-Pacific sea level variability at multidecadal time scales

    Science.gov (United States)

    Merrifield, M. A.; Thompson, P. R.

    2016-12-01

    Long tide gauge and atmospheric pressure measurements are used to infer multidecadal fluctuations in trade wind forcing and the associated Indo-Pacific sea level response along coastal and equatorial waveguides. The trade wind variations are marked by a weakening beginning with the late 1970s climate shift and a subsequent return to mean conditions since the early 1990s. These fluctuations covary with multidecadal wind changes at mid-latitudes, as measured by the Pacific Decadal Oscillation or the North Pacific indices; however, the mid-latitude multidecadal variations prior to 1970 or noticeably absent in the inferred trade wind record. The different behavior of tropical and mid-latitude winds support the notion that multidecadal climate variations in the Pacific result from a combination of processes and not a single coherent mode spanning the basin. In particular, the two-decade long satellite altimeter record represents a period of apparent connection between the two regions that was not exhibited earlier in the century.

  4. Zoogeography of Elasmobranchs in the Colombian Pacific Ocean and Caribbean Sea

    Directory of Open Access Journals (Sweden)

    Andrés Felipe Navia

    Full Text Available ABSTRACT In order to investigate zoogeographical patterns of the marine elasmobranch species of Colombia, species richness of the Pacific and Caribbean and their subareas (Coastal Pacific, Oceanic Pacific, Coastal Caribbean, Oceanic Caribbean was analyzed. The areas shared 10 families, 10 genera and 16 species of sharks, and eight families, three genera and four species of batoids. Carcharhinidae had the highest contribution to shark richness, whereas Rajidae and Urotrygonidae had the greatest contribution to batoid richness in the Caribbean and Pacific, respectively. Most elasmobranchs were associated with benthic and coastal habitats. The similarity analysis allowed the identification of five groups of families, which characterize the elasmobranch richness in both areas. Beta diversity indicated that most species turnover occurred between the Coastal Pacific and the two Caribbean subareas. The difference in species richness and composition between areas may be due to vicariant events such as the emergence of the Isthmus of Panama. It is unlikely that the Colombian elasmobranch diversity originated from a single colonization event. Local diversification/speciation, dispersal from the non-tropical regions of the Americas, a Pacific dispersion and an Atlantic dispersion are origin possibilities without any of them excluding the others.

  5. 78 FR 33240 - International Fisheries; Pacific Tuna Fisheries; Fishing Restrictions in the Eastern Pacific Ocean

    Science.gov (United States)

    2013-06-04

    ... States, Vanuatu, and Venezuela. Bolivia and the Cook Islands are cooperating non-members. International... Pacific bluefin mortality. In addition, the Department of the Interior, Office of Environmental Policy and...

  6. The role of diabetes and aging in the determinism of hypertension and the related cerebrovascular complications.

    Science.gov (United States)

    Malaguarnera, Michele; Vacante, Marco; Frazzetto, Paola Mariangela; Motta, Massimo

    2012-01-01

    Epidemiological studies carried out on a large sample (3191 elderly and 640 centenarians) with identical criteria and applying the actual diagnostic standards, have evidenced a high, statistically significant prevalence of diabetes mellitus type 2 (DMT2) (18.84%) in the elderly, as compared to the centenarians (7.50%). This aspect is correlated with the major frequency of maturity onset diabetes in elderly (MODE), compared to the centenarians, correlated also to the mortality of diabetes mellitus (DM) of long duration. The DMT2 and the aging interact in the determinism of vascular alterations, i.e., of the hypertension, and related cardio-cerebrovascular complications. The most frequently occurring hypertension in both the elderly and centenarians was always the systolic-isolated one. The prevalence of hypertension and acute myocardial infarction (AMI) was statistically significantly higher in diabetics, compared to the normoglycemic patients, in both the elderly and the centenarians. In addition, in a group of 914 elderly patients, being diabetics or normoglycemic at the start of the studies, but having neither AMI nor stroke at the baseline studies, after 5 years, these complications were more prevalent, significantly in statistical terms, in the diabetic subjects, compared to the normoglycemic ones. The increase of life-span causes an increase of the age when the aging phenomena appear, resulting in that the equal-age elderly people today are of better clinical conditions, compared to the previous periods. The increased life span with a consequent progressive aging of the population causes a worse general clinical state of the elderly population, characterized by polypathologies, frailty, and appearance of cognitive deficits or incapabilities for performing manual or instrumental activities. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  7. Human-caused Indo-Pacific warm pool expansion.

    Science.gov (United States)

    Weller, Evan; Min, Seung-Ki; Cai, Wenju; Zwiers, Francis W; Kim, Yeon-Hee; Lee, Donghyun

    2016-07-01

    The Indo-Pacific warm pool (IPWP) has warmed and grown substantially during the past century. The IPWP is Earth's largest region of warm sea surface temperatures (SSTs), has the highest rainfall, and is fundamental to global atmospheric circulation and hydrological cycle. The region has also experienced the world's highest rates of sea-level rise in recent decades, indicating large increases in ocean heat content and leading to substantial impacts on small island states in the region. Previous studies have considered mechanisms for the basin-scale ocean warming, but not the causes of the observed IPWP expansion, where expansion in the Indian Ocean has far exceeded that in the Pacific Ocean. We identify human and natural contributions to the observed IPWP changes since the 1950s by comparing observations with climate model simulations using an optimal fingerprinting technique. Greenhouse gas forcing is found to be the dominant cause of the observed increases in IPWP intensity and size, whereas natural fluctuations associated with the Pacific Decadal Oscillation have played a smaller yet significant role. Further, we show that the shape and impact of human-induced IPWP growth could be asymmetric between the Indian and Pacific basins, the causes of which remain uncertain. Human-induced changes in the IPWP have important implications for understanding and projecting related changes in monsoonal rainfall, and frequency or intensity of tropical storms, which have profound socioeconomic consequences.

  8. CO2 and circulation in the deglacial North Pacific

    Science.gov (United States)

    Taylor, B.; Rae, J. W. B.; Gray, W. R.; Rees-Owen, R. L.; Burke, A.

    2017-12-01

    The North Pacific is the largest carbon reservoir in the global ocean, but has not typically been thought to play an active role in deglacial CO2 rise based on its modern stratified state. Recent studies (Okazaki et al., 2010; Rae et al., 2014; Max et al., 2017), however, have suggested that a more dynamic circulation regime operated in the glacial and deglacial North Pacific and, as such, the role of the North Pacific in deglacial CO2 rise may have been underestimated. We present two new high-resolution boron isotope records of surface water pCO2 from the North West and North East Pacific spanning the last 22 kyrs. The two records show remarkable coherence over key intervals during the last deglaciation and highlight major changes over a number of abrupt climate events. At both sites, following the LGM, pCO2(sw) rises, coincident with a younging of North Pacific intermediate and deep waters. This suggests that increased local overturning mixed CO2-rich deep waters throughout the water column, likely contributing to CO2 outgassing during Heinrich Stadial 1 (HS1). Both records exhibit decreases in pCO2(sw) during the latter stages of HS1, which are immediately followed by a rapid increase in pCO2(sw) at the onset of the Bølling-Allerød (B/A). Radiocarbon and δ13C data indicate a collapse in North Pacific Intermediate Water formation at the onset of the B/A, which, combined with enhanced wind stress curl, would have allowed CO2-rich waters to mix into the surface ocean from intermediate-depths. The combination of high nutrient availability and a seasonally well-stratified mixed layer likely led to the abrupt increase in export productivity across the region; the excess surface water CO2 shows that alleviation of iron or light limitation could not have been its primary cause. Our new records highlight the importance of overturning circulation in the North Pacific in controlling productivity and CO2 release on glacial/interglacial timescales.

  9. Important techniques in today's biomedical science research that ...

    African Journals Online (AJOL)

    The need for best evidence has driven researchers into multidisciplinary, collaborative approaches which have become mainstay in today's biomedical science. The multidisciplinary and collaborative approaches to research in research-intensive academic medical centres in the USA and in other countries of affluence has ...

  10. U.S. Pacific Command > Leadership

    Science.gov (United States)

    USPACOM U.S. Pacific Command Search USPACOM: Search Search Search USPACOM: Search Home Leadership Directory Media Inquiries Home : Leadership Admiral Harry B. Harris, Jr., U.S. Navy Read the full biography

  11. Re-Framing Pacific Regional Service Delivery: Opportunity Spaces for "Together" and "Apart"

    Science.gov (United States)

    Sanga, Kabini

    2011-01-01

    Regionalism is a common development strategy in the Pacific region. Through it, numerous services are delivered to countries, communities and organisations. While some see regionalism as an effective and efficient strategy for the Pacific region, others point to its dismal performance. Using the experience of the Rethinking Pacific Education…

  12. Diabetes eye exams

    Science.gov (United States)

    Diabetic retinopathy - eye exams; Diabetes - eye exams; Glaucoma - diabetic eye exam; Macular edema - diabetic eye exam ... if the doctor who takes care of your diabetes checks your eyes, you need an eye exam ...

  13. Types of Diabetes

    Science.gov (United States)

    ... Diabetes, Sexual, & Bladder Problems Clinical Trials What is Diabetes? Diabetes is a disease that occurs when your ... is serious. What are the different types of diabetes? The most common types of diabetes are type ...

  14. Living With Diabetes

    Science.gov (United States)

    ... Problems Diabetes, Sexual, & Bladder Problems Clinical Trials Managing Diabetes You can manage your diabetes and live a ... you have diabetes. How can I manage my diabetes? With the help of your health care team, ...

  15. Establishing bioinformatics research in the Asia Pacific

    OpenAIRE

    Ranganathan, Shoba; Tammi, Martti; Gribskov, Michael; Tan, Tin Wee

    2006-01-01

    Abstract In 1998, the Asia Pacific Bioinformatics Network (APBioNet), Asia's oldest bioinformatics organisation was set up to champion the advancement of bioinformatics in the Asia Pacific. By 2002, APBioNet was able to gain sufficient critical mass to initiate the first International Conference on Bioinformatics (InCoB) bringing together scientists working in the field of bioinformatics in the region. This year, the InCoB2006 Conference was organized as the 5th annual conference of the Asia-...

  16. The Diabetes Pearl: Diabetes biobanking in The Netherlands

    Directory of Open Access Journals (Sweden)

    van’t Riet Esther

    2012-11-01

    Full Text Available Abstract Background Type 2 diabetes is associated with considerable comorbidity and severe complications, which reduce quality of life of the patients and require high levels of healthcare. The Diabetes Pearl is a large cohort of patients diagnosed with type 2 diabetes, covering different geographical areas in the Netherlands. The aim of the study is to create a research infrastructure that will allow the study of risk factors, including biomarkers and genetic determinants for severe diabetes complications. Methods/design Baseline examinations began November 2009 and will continue through 2012. By the end of 2012, it is expected that 7000 patients with type 2 diabetes will be included in the Diabetes Pearl cohort. To ensure quality of the data collected, standard operation procedures were developed and used in all 8 recruitment centers. From all patients who provide informed consent, the following information is collected: personal information, medication use, physical examination (antropometry, blood pressure, electrocardiography (ECG, retina photographs, ankle-brachial index, peripheral vibration perception, self-report questionnaire (socio-economic status, lifestyle, (family history of disease, and psychosocial well-being, laboratory measurements (glucose, A1c, lipid profile, kidney function, biobank material (storage of urine and blood samples and isolated DNA. All gathered clinical data and biobank information is uploaded to a database for storage on a national level. Biobanks are maintained locally at all recruitment centers. Discussion The Diabetes Pearl is large-scale cohort of type 2 diabetes patients in the Netherlands aiming to study risk factors, including biomarkers and genetic markers, for disease deterioration and the development of severe diabetes complications. As a result of the well-designed research design and the national coverage, the Diabetes Pearl data can be of great value to national and international researchers with

  17. diabetic patients

    Directory of Open Access Journals (Sweden)

    Mehraban Falahati

    2016-09-01

    candiduria and female gender, high FBS and urine glucose, uncontrolled diabetes (HbA1c ≥8, and acidic urine pH (P<0.05. Conclusion: Considering the high incidence rate of candiduria in diabetic patients, control of diabetes, predisposing factors, and causal relationships between diabetes and candiduria should be highlighted.

  18. Cost of Treatment of Hospitalized Patients with Diabetes in Prenda Hospital Medicine Service, Angola

    Directory of Open Access Journals (Sweden)

    António Zangulo

    2017-07-01

    Full Text Available Introduction: Diabetes has a major impact on morbidity and mortality today. It is estimated that by 2040, about 642 million people are affected worldwide, of which, 34.2 million are from sub-Saharan countries. The direct annual cost of diabetes health care worldwide is estimated at about 153 billion dollars. These patients represent 30% to 40% of all admissions to emergency services, leading to high values of hospital expenditure. We aim to evaluate the cost of treatment of patients with diabetes admitted to Prenda Hospital Medicine Service in 2012. Methods: Retrospective analytical observational study, with data collected from the clinical processes of medical service (age and gender, length of hospitalization, resources consumed, cost of treatment per patient and discharge. Results: Out of 121 patients, the majority was female (n = 70, 57.9%. The age group of 36 to 45 years old was the most frequent among these patients (n = 26, 21.5%. November was the month that recorded the largest number of admissions (n = 17, 14%. About 45.5% were hospitalized during five to eight days, on average for nine days. The majority (76.9% was discharged due to health condition improvement. The price of materials used for treatment of the disease had high variation, and 31 550.15 kwanzas was spent to acquire them. The direct cost per patient per day was 4170.11 kwanzas and the estimated annual cost of care of diabetic patients admitted to Prenda Hospital was 45 525 490.9 kwanzas in 2012. Discussion and Conclusion: These results are in accordance with other studies, indicating a relevant cost of treatment of diabetic patients admitted to Prenda Hospital Medicine Service in 2012.

  19. Comparison of diabetics and non-diabetics presenting with acute myocardial infraction

    International Nuclear Information System (INIS)

    Naseem, A.; Moin, S.

    2002-01-01

    Objective: To identify differences in incidence and clinical manifestations of acute myocardial infarction (AMI) and prevalence of coronary disease risk factors in diabetic and non-diabetics. Design: A prospective longitudinal survey. Place and duration of study: The study was carried out in Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD) Rawalpindi, over a period of one month (1st August to 1st September, 1994). Subject and Methods: After fulfilling the inclusion criteria, a total of 100 patients were included in the study. Fifty patients had diabetes and AMI while 50 patients had AMI but were not diabetic. All the patients were studies for at least 15 days in hospital and data collected on a pre-designed proforma. Results: Among diabetic patients, 84% were not insulin-dependant, while remaining 16% were on insulin therapy. Duration of diabetes was over 20 years in 18% between 10 and 20 years in 62% and less than 10 years in 8%. Male to female ratio was 7.3:1 in non-diabetic group while in diabetic group it was 4.5:1. Mean age at the time of the first AMI was 54.6 years in non-diabetic group and 52.8 years in diabetic group, with women in diabetic group having mean age of 51.9 years, men 53.2 years, while non-diabetic women had a mean age of 54.2 years and the men 55 years. Incidence of hypertension was 32% among diabetic patients and 24% among non-diabetics. Lipid abnormalities were 44% in diabetic group and 36% in non-diabetic group the most common mode of presentation in both groups was chest pain or chest discomfort, but one-fourth of the diabetics presented without any chest pain. Q-wave AMI of the anterior wall of the myocardium predominated in both group, but non-Q wave infarctions were more frequent in the diabetic group (28% vs. 16%). Diabetic group tended to be identified later and only half the diabetics with AMI qualified for thrombolytic therapy as compared to more than 2/3 cases of the non-diabetic group

  20. Tectonostratigraphic terranes of the frontier circum-Pacific region

    Energy Technology Data Exchange (ETDEWEB)

    Howell, D.G.; Jones, D.L.; Schermer, E.R.

    1983-03-01

    Many major exploration frontiers around the Pacific are in regions where complex geologic relations reflect plate-tectonic processes, crustal mobility, and accretion of exotic terranes. The destruction of the proto-Pacific ocean (Panthalassa) involved accretion of terranes to cratonal regions such as Gondwana and Laurasia. Terranes in southwestern New Zealand and eastern Antarctica were also probably accreted during the Paleozoic. The southern margin of Siberia, extending into China, underwent a protracted period of accretion from the late Precambrian through the early Mesozoic. Mid-Paleozoic accretion is reflected in the Innuitian foldbelt of the Arctic Ocean, the Black Clastic unit of the northern Rocky Mountains, and the Antler orogeny of the western US cordillera. The Mesozoic breakup of Pangaea and the acceleration of subduction aided in the rifting and dispersal of terranes from equatorial paleolatitudes. Fragments of these terranes now compose much of the continental margins of the Pacific basin, including New Zealand, Indochina, southern China, southeast Siberia, the North American cordillera, and South America. Some terranes are presently being further fragmented by post-accretionary dispersion processes such as strike-slip faulting in western North America and Japan. Although the character and distribution of terranes in the western US are fairly well documented, details are needed for other terranes around the Pacific basin. Interpretation of structure and stratigraphy at depth will be aided by more data on the timing of accretion and the nature of deformation associated with accretion and dispersion. Such data are needed for further define specific exploration targets in the circum-Pacific region.

  1. Western Pacific Typhoon Aircraft Fixes

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Western Pacific typhoon aircraft reconnaissance data from the years 1946 - 1965 and 1978, excluding 1952, were transcribed from original documents, or copy of...

  2. Hospital Guidelines for Diabetes Management and the Joint Commission-American Diabetes Association Inpatient Diabetes Certification.

    Science.gov (United States)

    Arnold, Pamela; Scheurer, Danielle; Dake, Andrew W; Hedgpeth, Angela; Hutto, Amy; Colquitt, Caroline; Hermayer, Kathie L

    2016-04-01

    The Joint Commission Advanced Inpatient Diabetes Certification Program is founded on the American Diabetes Association's Clinical Practice Recommendations and is linked to the Joint Commission Standards. Diabetes currently affects 29.1 million people in the USA and another 86 million Americans are estimated to have pre-diabetes. On a daily basis at the Medical University of South Carolina (MUSC) Medical Center, there are approximately 130-150 inpatients with a diagnosis of diabetes. The program encompasses all service lines at MUSC. Some important features of the program include: a program champion or champion team, written blood glucose monitoring protocols, staff education in diabetes management, medical record identification of diabetes, a plan coordinating insulin and meal delivery, plans for treatment of hypoglycemia and hyperglycemia, data collection for incidence of hypoglycemia, and patient education on self-management of diabetes. The major clinical components to develop, implement, and evaluate an inpatient diabetes care program are: I. Program management, II. Delivering or facilitating clinical care, III. Supporting self-management, IV. Clinical information management and V. performance measurement. The standards receive guidance from a Disease-Specific Care Certification Advisory Committee, and the Standards and Survey Procedures Committee of the Joint Commission Board of Commissioners. The Joint Commission-ADA Advanced Inpatient Diabetes Certification represents a clinical program of excellence, improved processes of care, means to enhance contract negotiations with providers, ability to create an environment of teamwork, and heightened communication within the organization. Published by Elsevier Inc.

  3. Type 1 diabetes

    Science.gov (United States)

    Insulin-dependent diabetes; Juvenile onset diabetes; Diabetes - type 1; High blood sugar - type 1 diabetes ... Type 1 diabetes can occur at any age. It is most often diagnosed in children, adolescents, or young adults. Insulin is ...

  4. Genetics of Diabetes

    Science.gov (United States)

    ... A A A Listen En Español Genetics of Diabetes You've probably wondered how you developed diabetes. ... to develop diabetes than others. What Leads to Diabetes? Type 1 and type 2 diabetes have different ...

  5. Pacific Hake, Merluccius productus, Autecology: A Timely Review

    OpenAIRE

    Ressler, Patrck H.; Holmes, John A.; Fleischer, Guy W.; Thomas, Rebecca E.; Cooke , Kenneth C.

    2007-01-01

    Pacific hake, Merluccius productus, the most abundant groundfish in the California Current Large Marine Ecosystem (CCLME), is a species of both commercial significance, supporting a large international fishery, and ecological importance, connecting other species as both predator and prey. Coastal Pacific hake migrations are characterized by movements between northern summer feeding areas and southern winter spawning areas, with variations in annual abundance, distribution, and the extent o...

  6. Women and Diabetes

    Medline Plus

    Full Text Available ... has lots of free information to help you manage your diabetes. General Tips Diabetes Treatments Diabetes and ... Check these resources for tips to help you manage your diabetes. Food Safety for People with Diabetes ...

  7. Women and Diabetes

    Medline Plus

    Full Text Available ... How to Report Problems with Glucose Meters Diabetes Treatments Some people with diabetes need to take diabetes ... with your health care provider about your diabetes treatment. Diabetes Medicines - easy-to-read booklet for women ...

  8. Women and Diabetes

    Medline Plus

    Full Text Available ... diabetes. Food Safety for People with Diabetes Your Glucose Meter - easy-to-read booklet for women Other ... Information on Diabetes How to Report Problems with Glucose Meters Diabetes Treatments Some people with diabetes need ...

  9. Tissue banking in Asia Pacific region: past, present and future.

    Science.gov (United States)

    Nather, Aziz; Mandy, Foong Shi Yun; Ning, Tan; Kaiying, Wang

    2018-04-25

    Tissue banking in the Asia Pacific regions is driven by two main forces-firstly the International Atomic Energy Agency (IAEA) via Regional Co-operative Agreement projects and secondly by the Asia Pacific Association of Surgical Tissue Banking (APASTB). This overview is written in three sections: (1) History of tissue banking in individual country in the region. (2) History of APASTB. (3) History of IAEA programme in Asia Pacific region. The current status and future of the tissue banking programme in the region will be discussed.

  10. Diabetic retinopathy

    DEFF Research Database (Denmark)

    Wong, Tien Y; Cheung, Chui Ming Gemmy; Larsen, Michael

    2016-01-01

    Diabetic retinopathy (DR) is a common complication of diabetes mellitus and is a major cause of vision loss in middle-aged and elderly people. One-third of people with diabetes have DR. Severe stages of DR include proliferative DR, caused by the abnormal growth of new retinal blood vessels......, and diabetic macular oedema, in which there is exudation and oedema in the central part of the retina. DR is strongly associated with a prolonged duration of diabetes, hyperglycaemia and hypertension. It is traditionally regarded as a microvascular disease, but retinal neurodegeneration is also involved...... (VEGF). Optimal control of blood glucose and blood pressure in individuals with diabetes remains the cornerstone for preventing the development and arresting the progression of DR. Anti-VEGF therapy is currently indicated for diabetic macular oedema associated with vision loss, whereas laser...

  11. [Control of type 2 diabetes mellitus in Spain today: identification of the main obstacles in daily clinical practice].

    Science.gov (United States)

    Torres, Irene Vinagre; Donlo, Ignacio Conget

    2013-09-01

    Type 2 diabetes mellitus (DM2) is a highly prevalent chronic disease with major social and healthcare repercussions due to the development of acute and chronic complications. The care of patients with DM2 represents between 6.3% and 7.4% of the budget of the Spanish national health service and is mainly centered on hospital admissions and hypoglycemic agents, leading to an annual expenditure of 1.290 € to 1.476 € per patient. The attainment of glycemic targets remains complex and inadequate, despite new drugs for the treatment of DM2, the available scientific evidence, and national and international guidelines. The main causes proposed for failure to achieve these targets in DM2 are clinical inertia (found in 40% of physicians in Spain treating patients with HbA1c > 7%), poor treatment adherence, the problems inherent to the health system, and the natural history of the disease. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  12. The Rise and Decline of Japanese Pacifism

    Directory of Open Access Journals (Sweden)

    Yuan Cai

    2008-12-01

    Full Text Available The Japanese pacifist constitution has been a symbol of Japan’s commitment to peace and more importantly its renunciation of wartime militarism. There has been strong support for its continuing existence amongst the Japanese populace despite persistent attempts by the Japanese government to amend it. However, the prevalent pacifist sentiment is showing signs of fading vitality in recent times. This article purports to examine the underlying forces that contributed to the development and the decline of Japanese pacifism. A host of domestic and international factors were responsible for the growth of pacifism and its subsequent decline, but only three important domestic factors will be examined in detail: the concept of victimhood in the development of pacifism and its implication for its continuing strength, the importance of peace education and the role played by the influential Japan’s Teachers’ Union on the formation of pacifist conscience and finally, the influence of leftist organisations on the organised peace movement.

  13. ENSO surface longwave radiation forcing over the tropical Pacific

    Directory of Open Access Journals (Sweden)

    K. G. Pavlakis

    2007-01-01

    Full Text Available We have studied the spatial and temporal variation of the surface longwave radiation (downwelling and net over a 21-year period in the tropical and subtropical Pacific Ocean (40 S–40 N, 90 E–75 W. The fluxes were computed using a deterministic model for atmospheric radiation transfer, along with satellite data from the ISCCP-D2 database and reanalysis data from NCEP/NCAR (acronyms explained in main text, for the key atmospheric and surface input parameters. An excellent correlation was found between the downwelling longwave radiation (DLR anomaly and the Niño-3.4 index time-series, over the Niño-3.4 region located in the central Pacific. A high anti-correlation was also found over the western Pacific (15–0 S, 105–130 E. There is convincing evidence that the time series of the mean downwelling longwave radiation anomaly in the western Pacific precedes that in the Niño-3.4 region by 3–4 months. Thus, the downwelling longwave radiation anomaly is a complementary index to the SST anomaly for the study of ENSO events and can be used to asses whether or not El Niño or La Niña conditions prevail. Over the Niño-3.4 region, the mean DLR anomaly values range from +20 Wm−2 during El Niño episodes to −20 Wm−2 during La Niña events, while over the western Pacific (15–0 S, 105–130 E these values range from −15 Wm−2 to +10 Wm−2, respectively. The long- term average (1984–2004 distribution of the net downwelling longwave radiation at the surface over the tropical and subtropical Pacific for the three month period November-December-January shows a net thermal cooling of the ocean surface. When El Niño conditions prevail, the thermal radiative cooling in the central and south-eastern tropical Pacific becomes weaker by 10 Wm−2 south of the equator in the central Pacific (7–0 S, 160–120 W for the three-month period of NDJ, because the DLR increase is larger than the increase in surface thermal emission. In contrast, the

  14. Technical report writing today

    CERN Document Server

    Riordan, Daniel G

    2014-01-01

    "Technical Report Writing Today" provides thorough coverage of technical writing basics, techniques, and applications. Through a practical focus with varied examples and exercises, students internalize the skills necessary to produce clear and effective documents and reports. Project worksheets help students organize their thoughts and prepare for assignments, and focus boxes highlight key information and recent developments in technical communication. Extensive individual and collaborative exercises expose students to different kinds of technical writing problems and solutions. Annotated student examples - more than 100 in all - illustrate different writing styles and approaches to problems. Numerous short and long examples throughout the text demonstrate solutions for handling writing assignments in current career situations. The four-color artwork in the chapter on creating visuals keeps pace with contemporary workplace capabilities. The Tenth Edition offers the latest information on using electronic resum...

  15. Diabetes Australia position statement. A new language for diabetes: improving communications with and about people with diabetes.

    Science.gov (United States)

    Speight, J; Conn, J; Dunning, T; Skinner, T C

    2012-09-01

    Diabetes is the fastest growing chronic condition in Australia, affecting 1.7 million Australians, requiring daily self-care, and known to reduce quantity and quality of life. On average, people with diabetes experience greater emotional distress than those without diabetes. One source of distress can be the language used to refer to diabetes, its management and the person with diabetes. The way verbal and written language is used reflects and shapes people's thoughts, beliefs and behaviours. Language has the power to persuade, change or reinforce beliefs and stereotypes - for better or worse. Words do more than reflect people's reality: they create reality and affect how people view the world and their diabetes. Language needs to engage people with diabetes and support their self-care efforts. Importantly, language that de-motivates or induces fear, guilt or distress needs to be avoided and countered. Diabetes Australia believes optimal communication increases the motivation, health and well-being of people with diabetes, and that careless or negative language can be de-motivating, is often inaccurate, and can be harmful. Diabetes Australia developed this position statement to encourage greater awareness of the language surrounding diabetes and provide recommendations for more careful and positive language use. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  16. IFRS adoption in Pacific Island Economies: A political perspective

    Directory of Open Access Journals (Sweden)

    Pran Boolaky

    2016-06-01

    Full Text Available This paper proposes a new paradigm on the adoption of IFRS in island economies specifically in the pacific region. The adapted Scott (2001 institutional pressure framework on IFRS adoption addresses the political independence and political dependence of pacific island economies at three levels namely high, second and low.

  17. Shaping Education Policy Research in an Asia-Pacific Context

    Science.gov (United States)

    Jeong, Dong Wook; Lee, Ho Jun; Lee, Seung Ho; Wi, Eunjoo

    2014-01-01

    Globalization increasingly calls for comparing educational policies across countries. In this study, we assemble and analyze academic journal publications of the past decade in order to shape education policy research within an Asia-Pacific context. After examining Asia-Pacific research publication data from the Web of Science, we find a few…

  18. Education for, by, and of Asian/Pacific Americans, I.

    Science.gov (United States)

    Mizokawa, Donald T.; Morishima, James K.

    1980-01-01

    This report discusses several perspectives on Asian/Pacific Americans and the educational issues that relate to them. It begins by providing a definition of "Asian/Pacific American," an historical account of their immigration, and a discussion of minority status and cultural relativism. A number of studies and personal experiences that…

  19. Festival of Pacific Arts: Education in Multi-Cultural Encounters

    Science.gov (United States)

    d'Hauteserre, Anne-Marie

    2011-01-01

    Can acts of support and/or revival of Pacific cultures serve to educate international tourists about Indigenous cultures? This paper examines, from a postcolonial perspective and using a qualitative methodology, whether the Festivals of Pacific Arts, to which all nations send delegations, can educate visitors about Indigenous cultures of the…

  20. Transition to School from Pacific Islands Early Childhood Services.

    Science.gov (United States)

    Sauvao, Le'autuli'ilagi M.; Mapa, Lia; Podmore, Valerie N.

    Noting the need for additional information on the transition of children from Pacific Islands early childhood services to primary school, this exploratory study was designed to provide an account of the experiences of children, parents, and teachers, focusing on language and other aspects of children's move from Pacific Islands early childhood…